Health Information Technology Request for Grant Applications Applicants

Health Information Technology Request for Grant Applications Applicants Conference November 21, 2006 10: 00 am - 1: 00 pm

Conference Panelists • Bill Schroth - Moderator • Anna Colello - Evaluation Co-Chair • Ellen Flink - Evaluation Co-Chair • Marybeth Hefner-DOH - Grants. Administrator • Janice Dee – DOH – HEAL NY • Bob Veino - DOH - Legal • Tracy Raleigh - DASNY - Finance • Sara Richards - DASNY - Legal

HEAL NY - Phase III • Support Federal Strategic HIT Plan • Broad definition of Clinical Data Information Sharing Projects • Principle: Large public interest in building clinical data sharing infrastructure • Majority of funds to existing stakeholders • Show community benefit and support

Financial Issues • Funding for capital costs - Statutory • 60% match funds required –Leverage grants –“Skin in the game” –Reduce to 50% in certain circumstances • Financial viability –Real implementation, not temporary –Encourage payer involvement

Multi-stakeholders/Community Buy-in • Across corporate/stakeholder boundaries • Minimum requirements • The more the merrier • Openness to new stakeholders • CAUTION: Make sure applicant is “eligible”

Technology • Interoperability • Existing standards, certification for EHRs • Choice of platforms/vendors • Prescriptive standards for e-Imaging and e. Rx • Requirements • Recommendations

Three Project Categories • e-Imaging $10 MM • Public Health $10 MM • Clinical data sharing $32. 875+ Million • Increase proportionally if total Phase 3 amount increased

1 - e-Imaging: Interoperable Sharing of Imaging Data across a Community • Imaging is the fastest growing medical expense • Digital imaging increases diagnostic capability: resolution, contrast, historical images • Opportunity to avoid duplication & unnecessary images • Advanced technical standards • Four (4) Requirements • Decision/Recommendations • Financial support from payers, possibly vendors • Required: 20% funding from Payers • Higher scores for larger payer and/or vendor financing • Only 50% match required for projects utilizing existing PACS

2 – Public Health • Projects with specific public health functionality: • Clinical laboratory data • Medical records • Connect with the clinical • Detailed specifications and standards

3 – Clinical Data Sharing – Provider infrastructure & connecting software for various projects • E H R, e. RX, and other • Connect others to existing projects • Connect Existing projects • Projects in Geographic Areas where none exist • E H R Certification • e. RX standards • 3 Requirements • Recommendations/Discussion

Regional Allocations • Evaluation combines project quality and category with geographic distribution • Right to alter grant/project size – hope not to use • Three steps: • Fill e-Imaging & public health categories • Geographic distribution to specific 6 regions • Remainder to highest scores statewide

Example: Step One - e-Imaging & Public Health 20 M I L L I O N S 18 16 14 12 10 8 6 $5 MM $2 MM 4 $0 2 0 $4 MM Western Central Northern Hudson Valley NY LI

Example: Step Two – Geographic Quotas 20 M I L L I O N S $11 MM 18 16 14 12 10 8 6 $5 MM $2 MM 4 $3. 1 MM Northern Hudson. V alley $4 MM 2 0 Western Central e-Imaging & PH NY LI Geographic Quotas

Example: Step Three – Highest Remaining Scores $20 MM $20 M I L L I O N S $16 $12 $8 $9 MM $8 MM $5 MM $7 MM $4 $0 Western Central e-Imaging & PH Northern Geographic Hudson Valley NYC LI Highest Remaining Scores

Capital Costs and Matching Funds • Project Phases – Preliminary design phase – Software development phase – Post-implementation/operational phase

Preliminary Design Phase • Costs apply only to matching costs • Direct costs only • Must be incurred 10/1/06 or later

Software Development Phase • Costs can apply to match or be reimbursable • Direct costs only • If used for match, must be incurred 10/1/06 or later • If used for reimbursement, must be incurred after contract start

Post-Implementation/Operational Phase • Costs apply only to matching costs • Direct costs only • Must be incurred after contract start date

Examples of Allowed Costs • • • Payroll for staff directly involved Payroll related costs (employee benefits) Travel for direct staff Hardware Software purchase - specific to project Software development by third party

Eligible Applicants • Legally existing corporation licensed to operate entity Section 3. 2 in NYS of RGA • May be an eligible applicant for only one application, but may be a stakeholder in one or more applications • May be Clinical Information Data Exchange made up of Section 3. 2 entities and must exchange data with stakeholder of a different category

Stakeholders • Same entities as eligible applicants with the addition of adult homes with assisted living programs, hospices, payers, pharmacies and labs • Must be medical entity to qualify and the more appropriate organizations that partner the better • May be part of multiple applications

Requirement to Certify that: · I will make every effort to ensure that the applicant will be consistent with the goals and recommendations, when available, of the Commission on Health Care Facilities in the Twenty-First Century, as established pursuant to Section 31 of Part E of Chapter 63 of the Laws of 2005. · I will make every effort to ensure that the applicant will design a project which is interoperable and adheres to the national standards for their type of Project. · I certify that the work covered by the Grant Disbursement Agreements (“GDAs”) shall be deemed “public work” subject to and in accordance with Articles 8, 9 and 10 of the Labor Law, if applicable. · I certify that the applicant will collaborate with other grant recipients in their region and with the Department of Health on the development of statewide standards. · I certify that the information contained in this application and attached materials are accurate and true. · I certify that the funds received pursuant to subdivision 1 of section 2818 of the Public Health Law will be expended solely for the purposes for which the monies were awarded under the RGA for _________________. Attachment 6 (Name of Facility)

Evaluation Criteria • The Technical component is worth 70% and the Financial component is worth 30% • Minimum score of 65 to be eligible for consideration • Within the technical component, the areas of most importance are: quality, technology and community buy-in/commitment • The technical component and financial component will be reviewed by separate teams • An awards committee will make the final award determinations

Evaluation Criteria • Project Description- 40 points • Technology - 20 points • Project Evaluation / Monitoring - 10 points • Financial - 30 points • Cost effectiveness • Financial viability

Review Teams • Program Teams • Technology Teams • Financial Teams

Award Criteria Considerations • Strength and scope of overall Project • Availability of funds • Responsiveness to the goals and objectives of HEAL NY and RGA • Evidence of substantial applicant organizational capability, support, and commitment • Financial commitment and viability

Submitting the Application • Applications must be prepared using the forms on the website, including the budget and certification. Attachments can be found at: http: //www. nyhealth. gov. /funding/rfa/0610100951/index. htm • Applications should be submitted to: Robert Schmidt Director, HEAL NY Implementation Team New York State Department of Health Hedley Building, 6 th floor Troy, NY 12180

Key Dates • Questions due by November 27, 2006 • Questions & Answers will be posted December 1, 2006 at http: //www. nyhealth. gov/funding/rfa/06101009 51/index. htm • Application due date - January 8, 2007 • Anticipated Award Date - Spring 2007