Post on 08-May-2015
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Thank You to Our SponsorsPlatinum Sponsors
Morning Breakout Session 2
Internet Innovations in Arkansas’s Government
Moderator: Ms. Claire BaileyPanelists:• The Honorable John Thurston• Ms. Penny Rubow• Ms. Debra Buckner
#ConnectingAR
Mobility for GovernmentEmpowering Citizens and Employees with Modern Apps and Tools
Claire BaileyDIS Director
Arkansas Chief Technology Officer
• New portal design launched May 2013
Inmate DepositsProbation/Parole PaymentsPersonal Property/Real Estate TaxesBusiness Entity SearchArkansas Works Job and Education SearchGame Check, Fishing Report, News, Trophy CaseHunter/Boating Education Replacement CardFunding Search (Recovery.arkansas.gov)ReadyARState Parks Guide
Unclaimed Property SearchGreat Arkansas Treasure HuntVoter ViewYOUniversal Arkansas Financial Aid SystemAETNArkansas TourismArkansas Scholarship LotteryArkansas Sex Offender Search
400 Mobile Services Including:
2012
• 2010 34,449• 2011 111,405• 2013 177,765• 2013 207,977
Portal Visits
250,000
200,000
150,000
100,000
50,000
0
• 2010 0• 2011 33,213• 2013 145,157• 2013 250,519
Mobile Payments
250,000
200,000
150,000
100,000
50,000
0
300,000
Visits by Device
• iOS 16,729• Android 10,584• Firefox OS 806• Windows Phone 304
Responsive Design
Responsive Design
Responsive Design
Arkansas WorksMobile Job Search
• Find job openings by category, education level, and location.
• Fed from a database of hundreds of private sector jobs.
• Optimized for mobile devices.• Over 5,000 searches per month.
Arkansas Sex Offender Mobile Search
• Search offenders by name, address or county.• View results by distance from your location.• Over 100,000 searches per month.
Arkansas Sex Offender Mobile Search
• Configure notifications.• Receive a phone call or email if a sex
offender re-locates to an area close to you.
Arkansas Sex Offender Mobile Search
• Available as a mobile web site and also in the Apple App Store.
Arkansas Gov2Go• Provides access to information via two-way text messages.• Accesses databases of thousands of government agencies,
people and services.• Setup reminders and alerts.
What other kinds of services can we provide through SMS?• “Smart notifications” that remember details about
recipients.• Interactive support, similar to phone system menus.
Awarded Interactive Media Awards“Best in Class”
Arkansas Auditor Unclaimed Property Search and Claim
• Search for and submit a claim for property.
• Check the status of a claim.• Available as a mobile web site and
also in the Apple App Store.• Over 90,000 searches per month.
Arkansas Auditor Unclaimed Property Search and Claim
• Optimized work flow for mobile users.• Eliminated need to download
documents.• Responsive design on all screens.
• Innovative suggestion system helps users find their property.
• Needed documents are emailed to mobile users.
Arkansas Auditor Unclaimed Property Search and Claim
• Claimant details are passed through the LexisNexis identity verification service.
• Claims meeting certain criteria are filed electronically.
Arkansas Auditor Unclaimed Property Search and ClaimResults• 77% faster claims payment for those who use the eFiling feature.
• Paper claims are processed faster, since staff is freed up to deal with those more complex claims. • 62% more claims processed each week.• 56% reduction in paper processing• Dramatic reduction in phone calls as a result of enhanced search suggestion features.
Arkansas iDrive• Construction projects• Traffic conditions• Weather overlay• Access to GIS data
• weight restricted bridges• commuter park & ride lots• welcome centers• More to come
Coming Soon• Commuter notifications• Trip Planner
Arkansas iDrive
Looks and feels like a native app
• For iPhone users, “Add to home screen” places an icon on the home screen.
• “Install” without the App Store, but can also be found in the App Store.
Arkansas iDrive
Looks and feels like a native app
• HTML5 slide out menu exposes additional functionality – becoming a standard for mobile web apps.
Arkansas STAR
• Renew vehicle tags online• Change address• Find receipt• Reminders via email or text message• Optimized for mobile users using responsive design
Transparency.Arkansas.govOptimized for mobile access
Citizens, legislators, news media and others may view:
• Expenditures• Revenue• Employee compensation• Bonded indebtedness• Contracts• Payments to cities and counties
QuestionsClaire BaileyDIS Director
Arkansas Chief Technology OfficerClaire.bailey@arkansas.gov
501-682-5148
Internet Innovations in Arkansas Government
Public Safety CommunicationsPenny Rubow
30
Communication paths during emergencies
31
Arkansas Wireless Information Network
User Distribution
32
Arkansas Wireless Information Network
User Distribution
33
Arkansas Wireless Information Network
Coverage
34
Public Safety Broadband
35
Established by the Middle Class Tax Act of 2012 and provides for:• Governance
• FirstNet• Funding
• Planning Grants for each state• Funding to establish the network
Public Safety Broadband
36
Arkansas Action Steps:• Governance
• Establish Rural Leadership Council• Planning
• Educate first responder community• Listen to the needs of the first
responder community• Identify gaps in broadband coverage• Identify applications that the first
responder community needs
Debra Buckner
http://www.pulaskicountytreasurer.net/
Thank You to Our SponsorsPlatinum Sponsors
Afternoon Breakout Session 1
Internet Innovations in Arkansas’s Healthcare
Moderator: Mr. Michael ManleyPanelists:• Mr. Ray Scott• Mr. Jonathan Fuchs• Mr. John Heard
#ConnectingAR
Michael Manley, MNSc
CDH Outreach Director
AR SAVES Director University of Arkansas for Medical Sciences
Arkansas Telehealth
2013
The First e-ICU
2013
2012
2011
Phase 1: Equipment
Roll-out
Phase 2: Equipment/
Circuit Roll-out
Environmental Assessment, Network Design, Construction Permits
Equipment Procurement & Deployment Complete
Network Build Continues & Testing Begins, Rights of Way Established
Equipment Procurement & Deployment Begins
End-user Training & Network Support Continues
BTOP Project Timeline
Sustainability
End-user Training & Network Support
August 2011
Organization Broadband Provided or Enhanced
IAV Equipment
Stethoscope Jed Med DigiCam
Public PC
Area Aging Institutes 5 8 8 9 8
Arkansas Dept of Health 109 118 95 95 0
AHECs 9 11 10 11 11
Clinics 82 87 87 87 78
Hospitals 75 140 1 137 81
Mental Health Clinics 67 66 0 0 52
Therapy Centers 11 11 0 0 11
Libraries 0 8 0 0 8
Human Development Centers
6 6 5 5 0
Pathfinder 4 11 0 0 4
KIDS First 8 9 9 9 9
405 376 475 215 353 262
Telemedicine Broadband and Equipment Overview
454 sites total includes 33 colleges and universities, 15 home health sites and 1 public safety organization.
BTOP Sites
January 2012
Evolution of UAMS Telemedicine
2002 2006 2008
Federal Communications CommissionRural Health Care Pilot Program
Tele-Nursery
2007 2010
Stroke Assistance through Virtual Emergency Support
2011
Enhances rural
economic development
Allows some patients to remain in
their community
Community receives market
share of resources
Meets psycho-
social needs of patients to be near
home
Allows providers’ access to
current best practices
Subspecialty Health Care Access
ARKANSAS
ASHLEY
BAXTERBENTON BOONE
BRADLEY
CALHOUN
CARROLL
CHICOT
CLARK
CLAY
CLEBURNE
CLEVELAND
COLUMBIA
CONWAY
CRAIGHEAD
CRAWFORD
CRITTENDEN
CROSS
DALLAS
DESHA
DREW
FAULKNER
FRANKLIN
FULTON
GARLAND
GRANT
GREENE
HEMPSTEAD
HOT SPRING
HOWARD
INDEPENDENCE
IZARD
JACKSON
JEFFERSON
JOHNSON
LAFAYETTE
LAWRENCE
LEE
LINCOLN
LITTLE RIVER
LOGAN
LONOKE
MADISON
MARION
MILLER
MISSISSIPPI
MONROE
MONTGOMERY
NEVADA
NEWTON
OUACHITA
PERRY
PHILLIPS
PIKE
POINSETT
POLK
POPE
PRAIRIE
PULASKI
RANDOLPH
ST. FRANCIS
SALINE
SCOTT
SEARCY
SEVIER
SHARP
STONE
UNION
VAN BUREN
WASHINGTON
WHITE
WOODRUFF
YELL
Obstetrical and Neonatal Sites
BOWIE Co.,Texas
Pediatric Sites
ARKANSAS
ASHLEY
BAXTERBENTON BOONE
BRADLEY
CALHOUN
CARROLL
CHICOT
CLARK
CLAY
CLEBURNE
CLEVELAND
COLUMBIA
CONWAY
CRAIGHEAD
CRAWFORD
CRITTENDEN
CROSS
DALLAS
DESHA
DREW
FAULKNER
FRANKLIN
FULTON
GARLAND
GRANT
GREENE
HEMPSTEAD
HOT SPRING
HOWARD
INDEPENDENCE
IZARD
JACKSON
JEFFERSON
JOHNSON
LAFAYETTE
LAWRENCE
LEE
LINCOLN
LITTLE RIVER
LOGAN
LONOKE
MADISON
MARION
MILLER
MISSISSIPPI
MONROE
MONTGOMERY
NEVADA
NEWTON
OUACHITA
PERRY
PHILLIPS
PIKE
POINSETT
POLK
POPE
PRAIRIE
PULASKI
RANDOLPH
ST. FRANCIS
SALINE
SCOTT
SEARCY
SEVIER
SHARP
STONE
UNION
VAN BUREN
WASHINGTON
WHITE
WOODRUFF
YELL
Obstetrical and Neonatal Sites Batesville Independence County Health Department Batesville White River Medical Center Blytheville Great River Medical Center Camden Ouachita County Medical Center Clarksville Johnson County Health Department Clarksville Johnson Regional Medical Center Conway Conway Health Department Conway Conway Regional Health System Crossett Ashley County Medical Center DeQueen Sevier County Health Department Dumas Delta Memorial Hospital El Dorado Medical Center of South Arkansas El Dorado AHEC South Arkansas Fayetteville Northwest AHEC Fayetteville Washington Regional Med Center Fayetteville Willow Creek Fort Smith Fort Smith AHEC Fort Smith St. Edward’s Mercy Medical Fort Smith Sebastian County Health Department Fort Smith Sparks Health System Harrison North Arkansas Regional Medical Center Helena Delta AHEC Helena Helena Regional Med Center Hope Hempstead LHU Hot Springs National Park Medical Center Hot Springs St. Joseph’s Mercy Health Center Johnson Willow Creek Women’s Center Jonesboro Northeast AHEC Jonesboro St. Bernard’s Medical Center Lake Village Chicot Memorial Hospital Little Rock Arkansas Children’s Hospital Little Rock St. Vincent’s Medical Center Little Rock UAMS Mena Mena Medical Center Mountain Home Baxter Regional Hospital Newport Harris Hospital Paragould Arkansas Methodist Medical Center Pine Bluff AHEC Pine Bluff Pine Bluff Jefferson Regional Medical Center Rogers Mercy Medical Center Russellville Millard-Henry Clinic Russellville Pope County Health Department Russellville Saint Mary’s Regional Medical Center Searcy White County Medical Center Texarkana Miller County Health Department Texarkana Southwest AHEC Texarkana, TX Wadley Regional Medical
BOWIE Co.,Texas
Pediatric Sites Fayetteville Mana Northwest Arkansas Pediatric Clinic Jonesboro Children’s Clinic
ANGELS Sites
0
2000
4000
6000
215 421 548 891 12991656 2095
33063866
5221
ANGELS Telemedicine Overview 2003 - 2012
Series1
Consults
AR SAVES Sites 2013
Thank You
PRESENTATION AGENDA
1. Overview of SHARE2. SHARE participation update3. EHR vendor connectivity4. Funding opportunity for CAHs / SRHs
Ray Scott
SHARE OVERVIEW
PATHWAY TO HEALTH DATA
Public Health
Payers
Radiology
Centers
Hospitals
Pharmacies
Medicaid
Labs Clinics
Public Health
Payers
Radiology Centers
Hospitals
Pharmacies
Medicaid
Labs Clinics
WHAT DATA CAN BE SHARED?
Structured and Unstructured Patient Clinical Data
• Clinical Care
Summaries
• Discharge Summaries
• Lab Results
• Radiology Reports
• Medication Histories
• Allergies
• CCD Exchange
• Problem List /
Diagnosis
• Referrals
• Immunizations
• Transcribed
Documents
BENEFITS TO PROVIDERS
Save time • Save money • Improve patient care
• Instantly view patient health data from all points of
care
• Make better-informed care decisions
• Easily coordinate care with unaffiliated providers
• Reduce administrative costs
BENEFITS TO PATIENTS
Save time & money • Save your life • Receive better care
• Access to medical tests and results may reduce the tests that are ordered for you
• Providers can get vital medical information to treat you in emergencies when you may not be able to answer questions
• Providers can give you better care with access to your more complete medical record
• Meaningful Use (MU)
• Accountable Care Organizations (ACOs)
• Patient Centered Medical/Health Home (PCMH)
• Comprehensive Primary Care (CPCI)
• Payment Improvement Initiative (Episodes of Care)
• Quality Reporting/Monitoring & Measuring
Outcomes
Health information, and how we use it more effectively, is the common thread making these health care reform initiatives successful:
VALUE OF SHARE
PARTICIPATION UPDATE
Health care sites
participate
11
0
WHO SHARES?WHO SHARES?
DATA AVAILABLE IN SHARE
1. Lab transactions: 2,273,6212. Radiology transactions: 145,0913. ADT transactions: 1,403,3864. Transcribed documents: 24,582
Live hospitals pushed the following patient data into SHARE from April to September, 2013:
More than 465,000 patients participate in SHARE
HELP FOR PROVIDERS
1. Negotiating statewide contracts with EHR vendors THAT
2. Reduce or waive one-time vendor interface fees to connect to SHARE AND
3. Shorten the timeline for providers to connect to SHARE
EHR VENDOR RELATIONS
SHARE is helping the provider community by:
Public HealthPayers
Your Hospital
Radiology Centers
Clinics
Labs
Pharmacies
Medicaid
WITHOUT SHAREWITHOUT SHARE
Public Health
Payers
Your HospitalRadiology Centers
Clinics
Pharmacies
Medicaid
Labs
WITH SHAREWITH SHARE
CONNECTED VENDORS
EHR Vendor Original One-time Fee
Negotiated One-time Fee
Ongoing Fee
eClinicalWorks
$12,000 + $2,500 $35/mo per provider
Greenway $10,000 + $0 $20/mo per provider
GE Centricity N/A $0 $250/yr per provider
• Up to $10,000 per facility to offset EHR vendor charges to connect to SHARE
• Open to qualifying Critical Access andSmall Rural Hospitals in Arkansas
• Paid for by Delta Regional Authority and OHIT funding
FUNDING FOR CAHS & SRHS
www.SHAREarkansas.com or call 501.410.1999
THANK YOU!
Internet Innovationsin Arkansas’ Health Care
HITArkansas Regional Extension Center for Health IT
Jonathan M. Fuchs, FACHEChief Operating Officer
Arkansas Foundation for Medical Care (AFMC)
Who we are…• HITArkansas is the federally-designated Regional
Extension Center (REC) for Health IT
• Core services:– EHR implementation– Meaningful Use (MU) consultation– Clinical informatics– Privacy and security– MU Stage 2 and beyond
Where we started:Tracking initial interest in the CMS EHR incentive program
Where we are…
• Milestone 1: Number of providers contracted with HITArkansas• Milestone 2: Number of providers who have gone live with an EHR• Milestone 3: Number of providers who have reached Stage 1 Meaningful Use
Total REC milestones by county: Measuring EHR practice transformation
STATE TOTAL: 3,628As of July 2013
Health improvement initiatives in Arkansas
Initiativesin
Arkansas
Episodesof Care
CPCI
APII
SHARE
PQRS
HealthHomes
MeaningfulUse
PCMH
Arkansas Foundationfor Medical Care (AFMC)
• QIO• MMCS• HITArkansas
AFMC is positioned to assist providers with implementing emerging health care initiatives in Arkansas while utilizing data to improve clinical outcomes and support organizational sustainability.
Questions?
Jonathan M. Fuchs, FACHEChief Operating Officer
Arkansas Foundation for Medical Care (AFMC)1020 West 4th Street, Suite 300
Little Rock, AR 72201
501-212-8636 • jfuchs@afmc.org
www.afmc.org • www.hitarkansas.com
John Heard
Chief Executive OfficerMcGehee Hospital
Thank You to Our SponsorsPlatinum Sponsors