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NC HIE Board Meeting
Implementing Statewide HIE in North Carolina
Date: April 21, 2011Time: 1:00 pm – 3:30 pm
Conference Call ONLYDial in: 1-866-922-3257 Participant Code: 654 032 36#
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Agenda1:00 pm – 1:10 pm Secretary Cansler Welcome, Roll Call, Approval of Minutes from Feb. 17, 2011
Meeting
1:10pm – 1:15pm Secretary Cansler & Alan Hirsch
Welcome Jeff Miller, Incoming CEO
1:15 pm – 1:30 pm Alan Hirsch CEO Report
1:30 pm – 2:00 pm Alan Hirsch, Fred Goldwater & Workgroup Chairs
Finance– Upfront Funding
2:00 pm – 2:15 pm Alan Hirsch & Poyner Spruill
Review of changes to and approval of Bylaws
2:15pm – 2:30 pm Alan Hirsch & Workgroup Chairs
Progress and Next Steps for– Governance– Legal/Policy
2:30 pm – 3:00 pm Fred Goldwater & Workgroup Chairs
Clinical/Technical Operations– Technical RFP Process– Evaluation Committee
3:00 pm – 3:15 pm Secretary Cansler Open Public Comment & Closing Comments
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CEO Report
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CEO Report
• Communications Firm • ONC Budget Approval• Operations Update• CCNC Medication Management Challenge Grant
Update
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NC HIE Financing
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Collaborative Infrastructure
POLICY RECOMMENDATIONSPOLICY RECOMMENDATIONS
NCHIE Board of DirectorsNCHIE Board of Directors
Governance Work GroupGovernance Work Group
Tech/Clin Ops Work Group
Tech/Clin Ops Work Group
Finance Work GroupFinance
Work GroupLegal/Policy Work GroupLegal/Policy Work Group
Executive CommitteeExecutive
Committee
NC HIE Operations/
Staff
NC HIE Operations/
Staff
• Proposed legislation to facilitate opt-out
• Propose legislation to harmonize state medical record law
• Draft set of detailed privacy & security policies and procedures
• Develop financing model• Finalize initial payment methodology/mechanics
• Develop sustainability plan
•Review bylaws•Define the parameters of Qualified Organizations and develop QO criteria
•Define oversight and enforcement mechanisms
•Hire RFP consultant•Define HIE RFP review process
•Develop detailed consensus specifications
•Draft and issue RFP
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Finance: Timeline and Tasks
2011
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Develop Financing Model
Develop Financing Model
Finalize initial payment methodology / mechanics
Finalize initial payment methodology / mechanics
Finalize participation agreements and obtain funding commitmentsFinalize participation agreements and obtain funding commitments
• Refine approach through Finance Work Group
• Outreach to stakeholders for feedback and input
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Financing Approach...Current Status
• In December 2010, NC HIE developed a four year (2011-2014) model that projected:– Total administrative and operational costs for robust Statewide HIE... $24.4 million– Total revenue from ONC Cooperative Agreement ............................... $11.9 million– Anticipated shortfall .............................................................................. $12.5 million
• Key characteristics agreed upon to date:– Participation in the statewide HIE is voluntary.
– Participants can pay through one of two mechanisms (“pay-as-you-go” or “pre-pay”).
– Goals of pre-payment option is to: (1) lock in multiyear commitments from a critical mass of constituents; (2) reduce administrative burden; (3) ensure sufficient funding to cover the anticipated shortfall ($12.5 million over four years).
– Pre-payment targets based on an agreed allocation per stakeholder category• Commercial Health Plans (35%)• Medicaid (20%)
• Hospitals (35%)• Providers (10%)
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Financing Approach...Proposed Mechanism for Prepayment• For pre-payers first installment (50% of total) due at time of initial closing ; remaining 50% at
“Go-live Date”
• Pre-payments treated as accrued revenue and credits– Pre-payment credit of 20% is equivalent to roughly 6% interest
• Regardless of status as either pre-pay or pay-as-you-go, there will be a common service charge for all organizations of same classification (size, type)
• Organizations pre-paying will have priority in implementation rollout
Simplified Illustration of Prepayment Option
Payment CreditService Charge for Access to Statewide HIE Network
Account Balance at End of Year
2011 $100,000 $20,000 -- $120,000 2012 $30,000 $90,000 2013 $30,000 $60,000 2014 $30,000 $30,000 2015 $30,000 0
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Financing Approach...Cost and Revenue Projections
• NC HIE will seek prepayments to fund the anticipated four year funding gap.
• NC HIE has developed a “scenario calculator” to test different scenarios to illustrate the interplay between prepayment and pay-as-you-go options and varying cost considerations
• The “scenario calculator” allows us to adjust three variables:– Estimated administrative and technical costs for Statewide HIE over four years– The number of entities that choose to Pre-pay– The rate of participation for entities that choose Pay-As-They-Go
Cost 2011 2012 2013 2014 4 YR Total
Admin & Operations $ 1,800,000 $ 1,800,000 $ 1,800,000 $ 1,800,000 $ 7,200,000
Technology $ 7,259,500 $ 4,851,170 $ 3,558,573 $ 1,580,407 $ 17,249,650
•Core Services (Hardware & software) $ 3,830,000 $ 1,120,000 $ 325,000 $ 325,000 $ 5,600,000
•Value-Added Services (Phase 1 Services) $ 675,000 $ 225,000 $ - $ - $ 900,000
•Value-Added Services (Phase 2 Services) $ 250,000 $ 1,250,000 $ 1,400,000 $ 47,196 $ 2,947,196
•Building and testing connectivity to QOs $ 1,802,500 $ 1,287,500 $ 772,500 $ 51,500 $ 3,914,000
•Ongoing maintenance $ 702,000 $ 968,670 $ 1,061,073 $ 1,156,711 $ 3,888,454
Total Costs $ 9,059,500 $ 6,651,170 $ 5,358,573 $ 3,380,407 $ 24,449,650
Funding and Revenue 2011 2012 2013 2014 4 YR Total
Funding $ 7,963,044 $ 2,005,656 $ 1,774,567 $ 235,000 $ 11,978,267
•ONC Funding $ 7,963,044 $ 2,005,656 $ 1,774,567 $ 235,000 $ 11,978,267
Pre-Pay Revenue $ 12,471,383 $ - $ - $ - $ 12,471,383
•Payers $ 4,364,984 $ - $ - $ - $ 4,364,984
•Medicaid $ 2,494,277 $ - $ - $ - $ 2,494,277
•Hospitals $ 4,364,984 $ - $ - $ - $ 4,364,984
•Providers $ 1,247,138 $ - $ - $ - $ 1,247,138
Pay-As-You-Go Revenue $ - $ 336,727 $ 740,800 $ 1,225,688 $ 2,303,215
•Hospitals $ - $ 261,899 $ 576,178 $ 953,313 $ 1,791,389
•Providers $ - $ 74,828 $ 164,622 $ 272,375 $ 511,826
Total Funding and Revenue $ 20,434,427 $ 2,342,383 $ 2,515,367 $ 1,460,688 $ 26,752,865
Net Earning (+/-): $ 11,374,927 $ (4,308,787) $ (2,843,206) $ (1,919,719)
Cumulative Earnings: $ 11,374,927 $ 7,066,140 $ 4,222,934 $ 2,303,215
Available for Reinvestment: $ 2,303,215
“Base” Scenario in Calculator...Base Assumptions in Three Variables
Next Steps....
• The Finance Workgroup accepted a pre-pay approach that involves a credit, commitment windows, common pricing to all stakeholders (of the same class)
• Action items: – Staff to build detailed legal document– NC HIE, working with communications firm, will develop a strategy
to engage stakeholders and get feedback and refine accordingly, and begin obtaining commitments based on any such refinement.
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NC HIE Bylaws
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Additional Workgroup Updates
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Workgroup Snapshot
•Legal and Policy– Opt Out Consent legislation introduced;
passed Senate, pending in House– Currently refining privacy & security policies– Next Meeting: April 25, 1:00-3:00 pm
•Finance– Building prepayment model and terms– Next Meeting: May 26, 2:00-4:00 pm
• Governance– Developing contract between Qualified
Organizations and NC HIE – Defining the process for applying to be a
Qualified Organization– Next Meeting: April 26, 1:00 – 3:00 pm
•Clinical & Technical Operations– Finalized RFP requirements– RFP Evaluation Committee being formed
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Governance
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Statewide HIE Governance: Timeline and Tasks
2011
Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Develop Qualified Organization Criteria
Develop Qualified Organization Criteria
Develop Participation Agreements
Develop Participation Agreements
Define Oversight Roles and Enforcement Mechanisms
• Define parameters of Qualified Organizations in the HIE participation model
• Develop written criteria for Qualified Organization designation • Develop recommendations related to QO application process.
Proposed Selection Criteria for Qualified Organizations (WORKING DRAFT - FOR DISCUSSION ONLY)
1. Organized as a non-profit or for-profit corporation whose articles of incorporation have been filed with the North Carolina Department of the Secretary of State (or that has a certificate of good standing if incorporated in a state other than North Carolina).
2. Agree to comply with Statewide Policy Guidance (including technical specifications and privacy and security requirements) and ensure QO participants comply with them.
3. Agree to comply with “fair information” policy principles and require that QO participants comply with them.
4. Provide list of current NC HIE participants (as defined by the NC HIE Board), updated on a regular basis in compliance with the process established by the NC HIE Board, and plan for adding more participants.
5. Annually submit a Program Plan that describes specific activities in which the QO will engage.
6. Demonstrate financial viability as required by the NC HIE Board (currently under discussion).
• Includes demonstration of adequate and appropriate insurance coverage.
Important Topics to Consider in Selection of Criteria Extent to which criteria limit entities that could serve as QOs
Establishing and maintaining overall system efficiency & integrity Understanding the administrative implications of compliance
Important Topics to Consider in Selection of Criteria Extent to which criteria limit entities that could serve as QOs
Establishing and maintaining overall system efficiency & integrity Understanding the administrative implications of compliance
Criteria are in draft form. Workgroup will submit a final formal recommendation to the board for consideration at future meeting.
Next Steps...
• April 26, 2011 Workgroup meeting: Finalize Qualified Organization selection criteria recommendations for Board
• Future Workgroup meetings:– Develop recommendations related to selection process. High level
overview of steps might include:• NC HIE establishes application process for interested entities. • NC HIE establishes application review process. • NC HIE establishes process to notify applicant and the public that an organization has
been deemed as a QO. • NC HIE establishes ongoing re-qualification process.
– Develop recommendations related to enforcement and oversight:• Define Metrics• Create evaluation process (ongoing compliance)• Establish processes for
– Dispute resolution– Organizations seeking to voluntarily rescind QO status– Expulsion of non-compliant QOs
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Legal and Policy
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Legal & Policy: Timeline and Tasks
2011
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Finalize Draft Legislation
Finalize Draft Legislation Develop and Finalize Privacy and Security Policy and ProceduresDevelop and Finalize Privacy and Security Policy and Procedures
• Opt Out Consent legislation has been passed by the Senate, pending in House.
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Legal & Policy: Development of Privacy & Security Policies
March Meeting:• Definitions• Eligible Participants• Access to Protected Health Information for Treatment, Payment and
Health Care Operations• Minimum Necessary Requirement• Emergency Access• Access Rights of the NC HIE Workforce
April 25 Meeting:• Review Revisions to Above Sections• Opt Out Consent Rights• Restrictions on Access• Accounting of Disclosures• De-Identified Data
Additional Policies to Be Defined at Future Meetings:
• Access to Data by Researchers • Access to Data by Government Agencies • Access by Patients• Responding to Subpoenas and Discovery
Requests • Security Policies (includes Breach)• Sanctions
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Clinical and Technical Operations
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Clinical/Tech Operations: Timeline and Tasks
2011
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Develop HIE RFPDevelop HIE RFPReview Proposals, Negotiate, Award
Contract for HIE Services
Review Proposals, Negotiate, Award
Contract for HIE Services
Develop, Deploy, Test, and Accept HIE Services and
Connect to Qualified Organizations
Develop, Deploy, Test, and Accept HIE Services and
Connect to Qualified Organizations
• Secure RFP consultant• Define HIE RFP review
process and recruit evaluators
• Develop detailed specifications
• Draft RFP
Massachusetts eHealth Collaborative NC HIE Team
•Micky Tripathi, Ph.D., MPP (Project Officer) - Mr. Tripathi is the president and CEO of MAeHC and will lead the MAeHC team for the NC HIE project. Mr. Tripathi is a nationally-recognized thought leader in the health information industry. His leadership experience ranges from policy guidance at the Federal level, to collaborative strategic planning at the State and community levels, to implementation of health IT systems at the front line of healthcare delivery.
•Mark Belanger, MBA (Project Director) – Mr. Belanger is the Director of Strategy at MAeHC and will manage the NC HIE project. Mr. Belanger has expertise in healthcare strategic planning and deep experience in the healthcare information industry. Mr. Belanger currently manages the statewide HIE vendor procurement project in the state of Missouri and the statewide HIE project for the state of New Hampshire.
• •Nael Hafez, MBA (Technology Director) – Mr. Hafez is MAeHC’s director of technical services and will provide subject matter expertise to the NC HIE project. Mr. Hafez has expertise in the full life-cycle of community-wide health information exchange, from planning and design, to vendor selection, to deployment and ongoing operations.
Jacqueline Baldaro, MHA (Project Manager) – Ms. Baldaro is a Project Manager at MAeHC and will provide daily management of the project plan, project schedule, communications, and reporting. Ms. Baldaro has expertise in healthcare strategic planning, network development, business model design, enterprise design, and operations management.
Overview of MAeHC Qualifications and Recent Experience
Highlights of MAeHC’s relevant experience and qualifications:
State-level HIE technical services vendor procurement: MAeHC is currently completing the technical services vendor selection process with the Missouri HIO
State-level HIE strategic and operational planning: MAeHC led the statewide HIE strategic and operational planning process for the State of New Hampshire. Throughout 2010, MAeHC facilitated 6 multi-stakeholder workgroups, drafted the state’s strategic and operational plans, and gained approval of the plans by ONC. MAeHC is now engaged to assist NH stakeholders implement the plan.
Regional Extension Center: MAeHC is operating the REC for the state of New Hampshire and is providing REC services in Massachusetts, New York, and Rhode Island.
Community-wide EHR, HIE, and Quality Data Center deployment: From 2004-2009 MAeHC worked with 3 Massachusetts pilot communities to facilitate community-wide exchange of health information and quality data.
Beacon Community Technical Assistance: MAeHC was engaged by the ONC to provide technical services to 3 Beacon communities regarding a unified approach to interfacing between major HIE and EHR vendors.
Federal Policy guidance: President and CEO of MAeHC, Micky Tripathi, is the Co-Chair of the Health Exchange Working Group of the HIT Policy Committee and a member of the NHIN Working Group, the Meaningful Use Working Group, the Certification/Adoption Working Group, and the privacy & security tiger team.
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Statewide HIE Technical Requirements
Clinical & Technical Operations Workgroup went through a prioritization process for Operational Plan.
Across past four months, Workgroup has refined priorities and defined requirements on a more granular level.
In addition, the NC HIE received comments from 24 additional NC stakeholders through a public request for comment process.
NC HIE has inventoried and compiled more than 400 individual comments, suggestions, and recommendations.
Clinical & Technical Operations Workgroup went through a prioritization process for Operational Plan.
Across past four months, Workgroup has refined priorities and defined requirements on a more granular level.
In addition, the NC HIE received comments from 24 additional NC stakeholders through a public request for comment process.
NC HIE has inventoried and compiled more than 400 individual comments, suggestions, and recommendations.
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Timeline for Statewide HIE Services RFP
• Mar- Apr 24... Finalize requirements, develop evaluation procedures/team
• Apr 25............ Release RFP
• May 20........... Vendors responses due
• Jun 7.............. Best and Final Offers from vendors
• Jun 16............ Present final recommendations to NC HIE Board
• July 20........... Vendor contract finalized
Overview of Technology Services Vendor Selection Process
Translate plan, preferences, and requirements –
release RFP
Select and prepare
evaluation team
Review written responses and down
select
Conduct finalist product demos
Conduct BAFO
workshops
Select technology
partner
Contract with
technology partner
Conduct reference
calls
We are Here
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Evaluation Process for Statewide HIE Services RFP - DRAFT
RFP Responses Meet Minimal Req’ts
Expectation is that we will receive around 20-30 responses
Staff will filter against a set of minimum requirements and completeness
Grade Candidates
6-8 Candidates will emerge
Each member of Evaluation Committee will grade Candidates based on established scorecard then the Committee will consolidate and normalize the scorecard
Select Finalists
Oral Presentations
Review with CT Operations Workgroup
Review with CT Operations Workgroup
Rank Vendors
Select Vendor
Review with Executive Committee/Board
Negotiate ContractBoard Approves Contract
Review current candidate scorecards with WG and collect feedback
Based on scorecards and CT WG feedback, Evaluation Committee will select 2-4 finalists
Each finalists will do two presentations: technical and non-technical
Vendors will be ranked in two categories: functional and business by Evaluation Committee
Rankings will be reviewed with WG and feedback will be documented
Evaluation Committee will select a recommended vendor
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Evaluation Committee - DRAFT
• Members of RFP Evaluation Committee– Three members of NC HIE Staff– Three members selected from a group nominated by CT Operations Workgroup– One representative from MAeHC– One or two experts drawn from the community to augment review team
• Requirements for Participation– Document all Conflicts of Interest– Sign Confidentiality Agreement– Sign Representation Agreement– Commit to full time participation during the Evaluation Week– Technical/Clinical/Business experience relevant to the creation of the HIE and
associated services– Evaluation Committee participants will be asked to draw on their expertise and
perspective from across industries sectors with an eye toward supporting the greater goal of a statewide resource for North Carolina rather than representing their individual organizational priorities.
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Open Public Comment and Closing Comments
ATTACHMENTS
Core HIE Services– Foundational services hosted by NC HIE that facilitate
exchange health information across organizational boundaries, such that multiple entities can:
• Identify and locate each other in a manner they both trust;
• Reconcile the identity of the individual patient to whom the information pertains;
• Exchange information in a secure manner
Statewide HIE Components
Provider Directory
Message / Record Routing / Return Receipt
Identity Management and Authentication
NHIN Gateway
Security Services
Transaction Logging Consent Management
Terminology Service Transformation Service
Patient Matching / RLS
Immuniz Access
Immuniz Access
Lab Normalization
Med Hx
Lab Results Delivery
Lab Results Delivery
Rad Results Delivery
CCD Exchange Lab routing for reporting
Quality Reporting
Procedure Results Delivery
Rad Image Delivery
CCD Translation
Access to Aggregated
Data
Clinical Decision Support
Disease Surveillance
Value-Added HIE Services– Services that support the clinical priorities and use
cases to help providers, patients, and care givers improve the safety, quality, and cost effectiveness of heath care.
– Value-added services will be accessible via core services
– Value-added Services can be offered at the state, regional, or enterprise level.
– Value-Added services will be incrementally deployed based on feasibility, cost, and magnitude of benefits
Phase 1 Value Added Services proposed in Operational PlanPhase 2 Value-Added Services proposed in Operational PlanFinal decision regarding phased implementation will be informed by forthcoming statewide HIE RFP
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Technical Relationships: Core HIE Services, QOs, & QO Participants
Provider DirectoryMessage / Record
Routing / Return ReceiptIdentity Management and
Authentication
NHIN Gateway
Security Services Transaction Logging
Consent Management Terminology Service Transformation Service Patient Matching / RLS
Large Hospital System
Large Hospital System
Physician Practice
Physician Practice
Physicians (IPA, PHO, PO)
Physicians (IPA, PHO, PO)
Regional HIORegional HIO
HospitalHospitalPhysician Practice
Physician Practice
Physician Practice
Physician Practice
Example QOs...
Example QO Participants...
Key Points:* Core services provide a foundation for identifying QOs, ensuring security,
and providing a gateway to other QOs and additional HIE services* QOs link to core services by conformance to interoperability specifications* QOs provide a gateway to core services for their participants
Key Points:* Core services provide a foundation for identifying QOs, ensuring security,
and providing a gateway to other QOs and additional HIE services* QOs link to core services by conformance to interoperability specifications* QOs provide a gateway to core services for their participants
NC HIE
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Provider DirectoryMessage / Record
Routing / Return ReceiptIdentity Management and
Authentication
NHIN Gateway
Security Services Transaction Logging
Consent Management Terminology Service Transformation Service Patient Matching / RLS
Large Hospital System
Large Hospital System
Physician Practice
Physician Practice
Physicians (IPA, PHO, PO)
Physicians (IPA, PHO, PO)
HospitalHospitalPhysician Practice
Physician PracticePhysician
Practice
Physician Practice
Technical Relationships: Value-added Services, QOs, & QO Participants
Large Hospital System
Large Hospital System
Physician Practice
Physician Practice
Physician Practice
Physician Practice
NC Immunization Registry
NC Immunization Registry
3. CCD Translation
Key Points:* Value-added Services are available to network participants and can be hosted by
different entities. For example:1. NC HIE could host a CCD Exchange service2. The Dept of Health could host an Immunization Access service3. A QO could host a CCD Translation service
* Based on considerations of efficiency and practicality, the NC HIE Tech/Clinical Ops Work Group continues to evaluate the ideal location for Value-added Services
Key Points:* Value-added Services are available to network participants and can be hosted by
different entities. For example:1. NC HIE could host a CCD Exchange service2. The Dept of Health could host an Immunization Access service3. A QO could host a CCD Translation service
* Based on considerations of efficiency and practicality, the NC HIE Tech/Clinical Ops Work Group continues to evaluate the ideal location for Value-added Services
NC HIENC HIE
1. CCD Exchange
2. Immuniz Access
2. Immuniz Access
Regional HIORegional HIO
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Mission Statement of the NC HIE
As included in its Operational Plan, the mission of the NC HIE is:
• To provide a secure, sustainable technology infrastructure to support the real time exchange of health information to improve medical decision-making and the coordination of care.
Expectations of the NC HIE Work Groups
• Participants have been nominated and invited to participate by the NC HIE governing board co-chaired by Secretary Lanier Cansler and Mr. Charlie Sanders for your expertise in your field and your commitment to improving health care quality, access, and affordability for all North Carolinians.
• Workgroup members are asked to draw on their expertise and perspective from across industries sectors with an eye toward supporting the greater goal of a statewide resource for North Carolina.
• Workgroups are expected to be multi-stakeholder, nonpartisan and all discussions, meetings and decision-making processes to be fully transparent.
• Workgroups are asked to consider multiple stakeholder group perspectives when working toward solutions.
• Workgroups will be asked to make consensus-based recommendations to the NC HIE governing board. In cases where consensus is not reached, the workgroup is expected to put forth a balanced, fair consideration of the pros and cons of an issue.
• Workgroup members are expected to respect the opinions and input of others and to engage in fair meeting conduct to work toward consensus recommendations.
• Workgroup members are strongly encouraged to attend meetings in person whenever possible.
• Public stakeholder input is encouraged.
Governance Work Group
Members*• Connie Bishop, MSN RN, NC Nurses
Association• Jacquelyn Boyden, Boyden Healthcare
Consulting• Janis Curtis, Duke Health System• Craigan Gray, DHHS DMA• Mark Gregory, Kerr Drugs• Don Horton, LabCorp
Co-Chairs• Ben Money, NC Community Health Association• Tom Bacon, UNC School of Medicine, AHEC
• Steve Keene, NC Medical Society• Harry Reynolds, IBM• Craig Richardville, Carolinas Healthcare System• Pam Silberman, NC Institute of Medicine• Craig Souza, NC Healthcare Facilities Association• Sam Spicer, New Hanover Regional Medical
Center
* NC HIE is currently evaluating the potential inclusion of a representative from a local HIE due to the departure of representative from WNC DataLink, * NC HIE is currently evaluating the potential inclusion of a representative
from a local HIE due to the departure of representative from WNC DataLink,
Clinical/Technical Operations Work Group
Members• Ben Alexander, WakeMed• Cynthia Cox, Raleigh Medical Group • Sam Cykert, AHEC, Moses Cone• Michael Fenton, NC CIO Office• John Graham, UNC Institute for Public Health• Susan Helm-Murtagh, BCBSNC• Arlo Jennings, Mission Hospitals• Yan Wang Kolbas, NC Nurses Association
Co-Chairs• Allen Dobson, CCNC • J.P. Kichak, UNC Hospital
• Bill Leister, LabCorp• Keith McNeice, Carolinas Healthcare
System• John A. (Sandy) McNeill, NC Health Care
Facilities Association• Don Spencer, UNC Health Care• Angela Taylor, NC DHHS• James Tcheng, Duke University• John Torontow, Piedmont Health
Finance Work Group
Members• Mark Bell, NC Hospital Association• Brian Harris, Rural Health Group, Inc.• Yvonne Hughes, Coastal Connect HIE• Mark Miller, Novant Health• John Minnich, CSC
Co-Chairs• Maureen O’Connor, BCBSNC• Dr. Dave Tayloe, Goldsboro Pediatrics
• Steve Owen, NC Medicaid• Phred Pilkington, Cabarrus County
Health Dept.• Devdutta Sangvai, MD, Duke
University Medical Center
Legal/Policy Work Group – Legislation and Implementation Subcommittee
Members• Linda Attarian, NC DHHS (Vice-Chair)• Judith Beach, Quintiles• Mark Botts, UNC School of Government• Chris Collins, NC Office of Rural Health and
Community Care• Brian Forrest, Access Healthcare• Chris Hoke, NC Department of Health &
Human Services• Linwood Jones, North Carolina Hospital
Association
Co-Chairs• Senator Josh Stein • Representative Jeff Barnhart
• Trish Markus, Smith Moore Leatherwood• Barbara Morales-Burke, Blue Cross Blue
Shield of North Carolina• Melanie Phelps, North Carolina Medical
Society• Troy Trygstad, Community Care of North
Carolina• Robin Wright, NCHICA Consumer
Advisory Council• Bill Wilson, AARP