2. Kentucky Health Information Exchange Update for KHIECC & eHealth Network Board March 8, 2012

3. 10:00-10:30Welcome, Introductions and Overview (Auditorium) Eric Friedlander, Secretary Office, CHFS Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s Office of Electronic Health Information (GOEHI) – KHIE Status Update – KHIECC Membership Renewal – Clinical Advisory Group Overview – Lab Survey 10:30-10:45SAMHSA Grant Overview Karen Chrisman, Staff Attorney, CHFS, GOEHI 10:45-11:15 Updates from Committee Chairs 11:15-11:30SMHP and the EHR Incentive Program Bob Nowell, Director- Division of Information Systems, CHFS, DMS Amy Sanders, eHR Project Manager-CHFS, OATS 11:30-12:00Health Information Technology Regional Extension Centers Rob Edwards, Director of Public Affairs, UK HealthCare Trudi Matthews, Director of Policy and Public Relations, HealthBridge 12:00-1:00Lunch (Provided-Transportation Cafeteria) Morning Agenda

4. Eric Friedlander Acting Secretary CHFS Welcome

5. Polly Mullins-Bentley, Acting Executive Director, CHFS, Governor’s Office of Electronic Health Information (GOEHI) –GOEHI/OATS Team Recognition –KHIE Status Update –KHIECC Membership Renewal –Clinical Advisory Group Overview –Lab Survey KHIE Update

6. KHIE Implementation 80 Combined Hospitals/Physicians by County Updated 04/07/2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Hospital Physician Both

7. KHIE Implementation Queue 216 Combined Hospitals/Physicians/Labs/Other by County Updated 06/30/2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Hospital Physician Both

8. KHIE Implementation Contacts 288 Combined Hospitals/Physicians/Labs/Other by County Updated 09/28/2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Hospital Physician Both

9. KHIE Implementation Contacts 374 Combined Hospitals/Physicians/Labs/Other by County Updated 01/04/2012 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Hospital Physician Both

10. KHIE Implementation Contacts 483 Combined Hospitals/Physicians/Labs/Other by County Updated 03/02/2012 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Hospital Physician Both

11. Impacting the Healthcare of Kentuckians Use of Policy Levers Medicaid Claims Data KHIE was seeded with two years worth /now three years State Laboratory Results Microbiology LIVE since July 2011/Newborn screenings in TEST Kentucky Immunization Registry KHIE offers a LIVE interface for providers to report vaccinations and populate the immunization registry Managed Care Organizations Medicaid requires providers to connect to KHIE Access provided to Case Managers for comprehensive case management/improved continuity of care KHIE A Value Added Proposition

12. Policy Levers, continued.. Prescription Drug Monitoring Program (KASPER) Integration of KASPER into KHIE Kentucky Cancer Registry Submit cancer data for providers to the KY Cancer Registry KHIE A Value Added Proposition

13. Participation Agreements Tracking March 2, 2012

14. KHIECC Membership Renewal Members of the KHIECC serve two years terms with an option for an additional two years. The current term expires May 28, 2012. To complete the online application and submit your resume please go to the following link http://chfs.ky.gov/public/boards/ http://chfs.ky.gov/public/boards/ KHIE Coordinating Council and Committees are the last 8 options on the drop down list. They include: KHIE Coordinating Council KHIECC Accountability and Transparency KHIECC Business Development and Finance KHIECC Interoperability and Standards Development KHIECC Privacy and Security KHIECC Provider Adoption and Meaningful Use KHIECC Population Health KHIECC Clinical Advisory Committee (NEW) Please submit an online application/resume by March 16, 2012

15. KY eHealth Summit Reminder! MARK YOUR CALENDAR! September 17 KHIECC and eHealth Network Board Joint Meeting 5:00 – 6:30 p.m. Hyatt Regency, Lexington, KY Welcome Reception 6:30 – 9:00 p.m. Hyatt Regency, Lexington, KY September 18 eHealth Summit 9:00 – 4 p.m.

18. “Substance abuse and its consequences have grave impacts on our society ‑‑ destroying lives, tearing apart families, and introducing drug ‑ related violence to our neighborhoods.” President Barack Obama April 06, 2011 17

19. President’s Vision for Health IT  Medical information will follow consumers so that they are at the center of their own care.  Consumers will be able to choose physicians and hospitals based on clinical performance results made available to them.  Clinicians will have a patient's complete medical history, computerized ordering systems, and electronic reminders. 18

20. President’s Vision for Health IT (cont’d)  Quality initiatives will measure performance and drive quality-based competition in the industry.  Public health and bioterrorism surveillance will be seamlessly integrated into care.  Clinical research will be accelerated and post-marketing surveillance will be expanded. 19

21. “The increased use of health information technology is a key focus of our reform efforts because it will help to improve the safety and quality of health care generally while also cutting waste out of the system.” 20 Kathleen Sebelius Secretary U.S. Department of Health & Human Services September 29, 2009

22. The Impact of Health Reform Prior to implementation of coverage expansion under Health Reform:  39% of individuals served by State Mental Health Authorities did not have insurance  61% of the individuals served by State Substance Abuse Agencies did not have insurance Many of these individuals will be covered in 2014 (or sooner)—most likely by the expansion in Medicaid 21

23. SAMHSA’s Strategic Initiative - (Health IT)  Purpose: Ensure the behavioral health provider network, including prevention specialists and consumer providers, fully participates with the general health care delivery system in the adoption of Health Information Technology.  Primary role of SAMHSA’s Health IT effort is to support the behavioral health aspects of the Electronic Health Record based on the standards and systems promoted by the Office of the National Coordinator for Health IT. 22

24. SAMHSA’s Strategic Initiative “Health IT Goals”  Develop the infrastructure for interoperable Electronic Health Records, including privacy, confidentiality, and data standards.  Provide incentives and create tools to facilitate the adoption of Health IT and EHRs with behavioral health functionality in general and specialty healthcare settings.  Deliver technical assistance to state health IT leaders, behavioral health and health providers, patients/consumers, and others to increase adoption of EHRs and health IT with behavioral health functionality.  Enhance capacity for the exchange and analysis of EHR data to assess quality of care and improve patient outcomes. 23

25. IMPORTANCE OF HEALTH INFORMATION EXCHANGE (HIE)  Secure information sharing between Behavioral Health Care and Primary Care Organizations; State, Federal and Other Payers.  Inclusion and Reporting of Behavioral Health Data within the requirements of the State-wide Strategic and Operational Plans (Committees, Governance, & Workgroups, etc.)  Infrastructure to exchange Behavioral Health and Physical Health Data using Certified EHR Systems in support of Integrated Care Delivery & Performance Reporting  Interoperability – Demonstration of Behavioral Health Care Organizations participation in the Nation-wide Health Information Network (NWHIN) 24

26. State Designated Entity Health Information Exchange Sub Awardee Five states chosen Kentucky Illinois Rhode Island Oklahoma Maine Develop infrastructure supporting the exchange of health information among behavioral health and physical health providers through the development or adaptation of HIE systems SAMHSA Grant Overview

27. GOEHI’s Plan Assist the existing PBHCI recipient with KHIE connectivity Provide connectivity for other CMHCs Enhance the capability of the KHIE and the current CCD Develop a 42 CFR 2 compliant consent Develop consent training protocols Inform both healthcare providers and consumers about this process SAMHSA Grant Overview

28. Updates from Committee Chairs  KHIECC Accountability and Transparency  KHIECC Business Development and Finance  KHIECC Interoperability and Standards Development  KHIECC Privacy and Security  KHIECC Provider Adoption and Meaningful Use  KHIECC Population Health

29. Bob Nowell, Director- Division of Information Systems, CHFS, DMS Amy Sanders, eHR Project Manager-CHFS, OATS eHR Incentive Program Update Registrations Completed Attestations Total PaidAmount Paid Total To Be Paid Amount To Be Paid Hospitals 92279$56,650,045.210$0.00 Providers 1425141887$18,827,500.0127$573,750.00 Totals 1517143966$75,477,545.2227$573,750.00 Total Paid AIUAmount Paid AIUTotal Paid MUAmount Paid MUTotal PaidAmount Paid Hospitals 2011 73 $51,492,615.95 0$0.0073 $51,492,615.95 Providers 2011 689 $14,620,000.01 0$0.00689 $14,620,000.01 Total for 2011 762 $66,112,615.96 0$0.00762 $66,112,615.96 Hospitals 2012 6 $5,157,429.26 0$0.006 $5,157,429.26 Providers 2012 198 $4,207,500.00 0$0.00198 $4,207,500.00 Total for 2012 204 $9,364,929.26 0$0.00204 $9,364,929.26 Grand Total 966$75,477,545.220$0.00966$75,477,545.22

30. Electronic Health Record Incentive Program Hospital Payment History eHR Incentive Program

31. eHR Incentive Payment Hospitals Payments by County As of March 25, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Hospital Incentive Payments to date $14,543,299.16

32. eHR Incentive Payment Hospitals Payments by County As of June 30, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Hospital Incentive Payments to date $33,613,751.77

33. eHR Incentive Payment Hospitals Payments by County As of September 22, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Hospital Incentive Payments to date $42,395,577.26

34. eHR Incentive Payment Hospitals Payments by County As of December 31, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Hospital Incentive Payments to date $52,610,676.15

35. eHR Incentive Payment Hospitals Payments by County As of March 2, 2012 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Hospital Incentive Payments to date $56,650,045.16

36. Electronic Health Record Incentive Program Physician Payment History eHR Incentive Program

37. eHR Incentive Payment Physician Payments by County As of April 1, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Provider Incentive Payments to Date $2,592,500.00

38. eHR Incentive Payment Physician Payments by County As of June 30, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Provider Incentive Payments to date $7,033,750.00

39. eHR Incentive Payment Physician Payments by County As of September 22, 2011 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Provider Incentive Payments to date $9,328,750.00

40. eHR Incentive Payment Physician Payments by County As of January 5, 2012 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Provider Incentive Payments to date $14,152,500.01

41. eHR Incentive Payment Physician Payments by County As of March 2, 2012 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracke n McCreary McLean MadisonMagoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford    Total Provider Incentive Payments to date $18,806,250.01

42. eHR Incentive Tracking As of March 2, 2012

43. Stage 1 Meaningful Use implemented 1/2/2012 Eligible Professionals will attest to 15 Core Meaningful Use Measures 5 of 10 Menu Measures 6 to 9 of 44 Clinical Quality Measures Eligible Hospitals will attest to 14 Core Meaningful Use Measures 5 of 10 Menu Measures 15 Clinical Quality Measures 8 Hospitals currently in process for attesting Meaningful Use Eligible Professionals may begin attesting Stage 1 Meaningful Use beginning April 1, 2012. Meaningful Use

44. The Notice of Proposed Rulemaking (NPRM) for Stage 2 meaningful use was posted to the Office of the Federal Register on February 23, 2012 Comments may be submitted on the proposed rule for 60 days from the publication of the rule The final rule is anticipated to be released late in the summer of this year Meaningful Use

45. Health Information Technology Regional Extension Centers Kentucky REC-Rob Edwards, Director of Public Affairs, UK Healthcare Tri-State REC-Trudi Matthews, Director of Policy and Public Relations, HealthBridge

46. 1:00-2:00Committee Breakout Sessions (Council Members are invited to attend the meeting of t he Committee of their choice to lend their expertise) Room: C117 Privacy and Security Committee Karen Chrisman, Facilitator Room: C118 Interoperability and Standards Committee April Smith, Facilitator Room: C107A Business Development and Finance Committee Mary Gaetz, Facilitator Room: C107B Accountability and Transparency Committee Laura Shonk, Facilitator Room: C110 Provider Adoption and Meaningful Use Committee Charlese Blair, Facilitator Room: C122 Population Health Committee David Fuqua, Facilitator 2:00Adjourn (Done from committees, adjournment time at committee discretion) Afternoon Agenda