A draft model of the State of Oregon Strategic Plan for Well being IT supplies high-level priorities, steerage, and route for well being IT over the following 5 years, with a focal point on interoperability and network data alternate.

The draft strategic plan was once advanced through the Oregon Well being IT Oversight Council (HITOC), which was once created to verify well being machine transformation efforts are supported through well being IT. 

Keeping up a well being fairness lens, the plan famous that Oregon nonetheless must paintings on prioritizing supporting teams with decrease EHR adoption charges with a purpose to shut gaps that give a contribution to well being inequities. This may occasionally require filling gaps in records assortment on EHR adoption and value and supporting movements to deal with limitations.

The plan stated the state must inspire extra participation in HIE networks and broader use of HIE answers and supply investment and beef up. The file notes that recently suppliers in most cases want a couple of HIE gear to satisfy their wishes, and demanding gaps stay, in particular for behavioral well being, oral well being, small suppliers, rural suppliers, and long-term post-acute care. The state can explain requirements, supply transparent steerage, and proportion absolute best practices on data-sharing priorities and HIE choices to make interoperability more uncomplicated, and make extra records to be had for HIE, particularly state records.

It additionally mentioned that the state must advertise data-sharing fashions and approaches which are suitable throughout all methods (i.e., dealer agnostic) and enhance perception into HIE adoption and proceed to watch the panorama.

There are a number of components inflicting the state to concentrate on network data alternate (CIE) efforts that hyperlink healthcare methods and community-based organizations (CBOs). “Connecting healthcare and social products and services sectors thru well being IT can beef up higher well being results and lend a hand decision-makers higher perceive well being and social wishes gaps so assets may also be allotted to satisfy those wishes,” the file says.  “Knowledge sharing can lend a hand organizations higher perceive and deal with disparities for populations going through well being inequities. Moreover, there are new drivers for digital data sharing, together with value-based cost, Oregon’s 1115 Medicaid Waiver, and the want to modernize the general public well being machine.”

Even though CIE efforts are nonetheless in construction, they have got grown all of a sudden throughout Oregon. All 16 Coordinated Care Organizations (CCOs) contract with CIE distributors; adoption and use through suppliers, CBOs, and different companions varies. To this point, integration of HIE and CIE into supplier EHRs or digital workflow is ceaselessly restricted.

To boost up, and enhance statewide CIE efforts, the file says the state must:
• Supply beef up for CBOs and further companions to take part in
CIE.
• The Oregon Well being Authority and Division of Well being Products and services must play roles in statewide CIE efforts.
• Combination CIE records so it may be used for coverage suggestions and useful resource allocation.
• Make certain communities have get right of entry to to the information and tell how it’s controlled and analyzed.
• Align privateness and safety efforts with ideas that heart network/person decision-making round their data, appropriate regulations and requirements, fairness, transparency, and inclusivity.

Within the realm of governance, the plan suggests the want to discover new fashions of governance for CIE, HIE, and different cross-sector well being IT governance in Oregon. “New fashions with new companions are wanted as extra sectors are all for exchanging data to enhance well being results,” the file stated. The state may just take a look at advancing inclusive, impartial statewide CIE governance, the use of a impartial convener or public/personal partnership, pushed through priorities of people and communities with illustration throughout social provider, well being, and executive sectors with equivalent CBO to non-CBO illustration and a multi-tiered construction.