Chief Patron: Dunnavant
ED Care Coordination Technology Solution

Item 300 #2s

Language
Page 282, line 4, strike "$19,552,502" and insert "$20,752,502".

Page 282, after line 27, insert:

"C.1. The Department of Health and the Department of Medical Assistance Services shall utilize the existing ConnectVirginia Health Information Exchange (CVHIE) governance and legal and trust framework to ensure the development of a single, statewide technology solution that connects all the emergency departments in the Commonwealth to enable real time communication and collaboration between physicians, providers and other clinical or care management personnel for patients receiving services in hospital emergency departments for the purpose of improving the quality of patient care services, and lowering costs. The technology solution shall fully comply with all state and federal security and confidentiality requirements.  To facilitate the development, the departments shall collaborate with a newly- formed Emergency Department Care Coordination Committee,  under the CVHIE umbrella, jointly led by three representatives from the Commonwealth, appointed by the Secretary of Health and Human Resources; three representatives from hospitals and health systems, nominated by the Virginia Hospital and Healthcare Association; three health plan representatives, nominated by the Virginia Association of Health Plans; and six physician representatives, nominated by the Medical Society of Virginia with representation from the Virginia College of Emergency Physicians, the Virginia Academy of Family Physicians and the Virginia Chapter, American Academy of Pediatrics.  The committee will assist in:  a) specifying the necessary functionalities to meet the needs of all key stakeholders; b) developing and overseeing a competitive selection process for vendor or vendors that will provide a single, statewide technology solution to fulfill the required functionalities and advance the goals of the initiative; and c) selecting and overseeing the implementation of successful information flow and technologies, with a start date for phase one by July 1, 2017.

2. Funding for this technology solution will be supported by equal one-third shares from a combination of: (i) $1,200,000 from the general fund, with such funds potentially fully offset by federal HITECH funds to support health information exchange; (ii) subscription fees paid by all participating licensed health plans serving the commercial, Medicare and Medicaid populations; and (iii) encounter alert reporting costs incurred by hospitals and health systems.  The Virginia Department of Health and the Department of Medical Assistance Services may contract with CVHIE or other entities for technical expertise as necessary to accelerate application for and receipt of the available federal HITECH funds and the multi-stakeholder committee will provide ongoing oversight of this initiative."