1. Closing Remarks Health Information Technology Summit October 20-23, 2004 Washington, D.C.
Janet M. Marchibroda Chief Executive Officer, eHealth Initiative
Executive Director, eHealth Initiative Foundation
Executive Director, Connecting for Health

2. Who Was Here?
Over 800 participants covering every sector of healthcare
Community-based collaboratives
Employers and business coalitions
Health plans
Health care information technology suppliers
Hospitals and other providers
Laboratories
Pharmaceutical and medical device manufacturers
Pharmacies
Practicing clinicians and clinician groups
Public health agencies
Quality Improvement Organizations

3. What Did we Hear? Strategic Framework is Progressing – David Brailer
AHRQ has funded IT programs – DHHS announced $139 million in funding – Carolyn Clancy
CMS is very active – a number of programs have been launched related to quality….incentives, accountability, IT – Mark McClellan

4. What Did we Hear?
Several U.K. components are up and running….and there is great opportunity for collaboration – Richard Granger
Connecting for Health has issued report on financing and preliminary roadmap…. Carol Diamond and panel of Chairs
This is happening…communities are moving forward…eHealth Initiative’s Connecting Communities for Better Health Program in cooperation with HRSA

5. What Did We Hear?
Insights from Large Employers and Coalitions Who are Playing a Leadership Role
Cisco
General Electric
General Motors
Leapfrog Group
Motorola
National Business Coalition on Health
Pacific Business Group on Health
Verizon

6. What Did We Hear? Insights from Pioneers in Communities
Indiana Health Information Exchange
Massachusetts Meds-Info Program
New York City Public Health
North Carolina Health Information Coalition
Rhode Island Health Quality Institute
Tennessee Volunteer eHealth Initiative
Whatcom County, WA

7. What Did We Hear? Real-World Examples Quality and IT Intersection
Group Health Cooperative
New York Health and Hospitals Association
Community Health Center Initiatives in California and Boston
Quality and IT Intersection
AMA
Bridges to Excellence
JCAHO
NCQA

8. What Did We Hear? Leaders in Public Health Physician Leaders
Minnesota – Marty Laventure
Public Health Data Consortium and All Kids Count – Anna Orlova and Dave Ross
Wisconsin – Larry Hanrahan
Physician Leaders
AAFP
ACEP
ACP
AMA

9. What Did We Hear? Insights from the QIOs
American Health Quality Association – David Schulke
Lumetra – Tony Linares
Michael Magill
Insights from Patient Groups – American Heart Association Panel on Guidelines

10. What Did We Hear?
Intersection of Health Services Research and Information Technology
David Helms – The Academy
Scott Young, MD – AHRQ
Clifford Goodman - Lewin

11. Key Take-aways
Financial incentives will be needed to support small physician practices and initiatives are emerging
Exceptions to Stark and anti-kickback laws need to be addressed…currently not sufficient as proposed
Innovation and collaboration will be needed to support small to medium physician practices as they migrate to HIT adoption

12. Key Take-aways
Standards must be taken to the next level to get to full interoperability and public-private sector and collaboration is required…reference implementations can play a key role
Adoption of HIT applications should occur with electronic connectivity in mind

13. Key Take-aways
We must leverage HIT investments and incentives to address multiple challenges
Driving cost out of system through electronic connectivity
Providing clinical knowledge and information at the point of care
Promoting quality and performance improvement efforts
Supporting public health related activities

14. Key Take-aways
We should align HIT and standards initiatives with quality initiatives….several opportunities
Chronic care improvement program
Performance measurement programs and processes should align with HIT related issues around applications and connectivity

15. Key Take-aways
Collaboration is required…amongst the multiple and diverse stakeholders in healthcare…across public and private sectors…THIS IS CRITICAL
We are finally building momentum…the “stars and planets are aligning”
The focus has shifted from “whether we should” to “how will we do this?”

16. Key Take-aways
This work will create lasting and significant changes in the U.S. healthcare system…how clinicians practice…how hospitals operate….how healthcare gets paid for…how patients manage their health and navigate our healthcare system

17. Thank You