http://clinfowiki.org/wiki/api.php?action=feedcontributions&user=MichaelChristopher&feedformat=atomClinfowiki - User contributions [en]2024-03-28T19:04:58ZUser contributionsMediaWiki 1.22.4http://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2007-09-04T18:43:31Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''This section has been expanded with findings from [http://rhio.hittransition.com The Survey of Regional Health Information Finance] -- both the 2006 and 2007 studies. If you seek immediate assistance, please contact Michael Christopher at [mailto:mchristopher@hittransition.com mchristopher@hittransition.com]'''.<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
The RHIO finance survey does not try to probe the entire operational structure of the RHIO from top to bottom, but focuses narrowly on finance.<br />
<br />
'''Review a [[http://hittransition.com/rhio2007 Summary of Findings from the RHIO Finance Survey]].'''<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Contributed_Income:Contributed Income:2007-09-04T18:41:51Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]] and [[Federal HIT Initiatives]]<br />
<br />
'''Contributed Income''' is defined as cash or in-kind resources that were given (not loaned) to the organization in the form of a gift or grant, and does not include Earned Income (membership dues, transaction fees, other earned revenue), loans or investor proceeds. These revenues include grants from governments and private philanthropy, as well as such in-kind grants as facility usage. Data from the [http://rhio.hittransition.com 2007 Survey of Regional Health Information Organization Finance] indicated that 84% of revenues in startup RHIOs is contributed -- up from 73% in 2006. While 2007 production RHIOs reported that contributed income represented a smaller portion of total income (34% -- down from 50% in 2006), total RHIO revenues appear to have remained relatively stable (2.31% growth), indicating that real grant dollars for production RHIO expansion have declined precipitously.<br />
<br />
(Variations in the way income is classified for a particular RHIO may depend on legal and accountancy advice, local and state statutes and regulations, form of incorporation and IRS determination. In general, information in this section relate to RHIOs organized under section 501(c)3.)<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
[[Category:Definition]]<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:35, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Earned_IncomeEarned Income2007-09-04T18:34:13Z<p>MichaelChristopher: </p>
<hr />
<div>'''Earned Income''' is defined as payments received for services or privileges, and does not include Contributed Income (gifts/grants) loans, other repayable assets, or investor proceeds. Earned income of particular interest to investigators includes transaction fees and membership/subscription fees, representing volume-based pricing and flat pricing, respectively. The 2007 survey indicated that transaction fees made up only 8% of total income in production RHIOs, while membership fees accounted for 28% of total income (see [http://hittransition.com/rhio2007 a summary of findings]). The data suggest that RHIOs may be "leabing money on the table" in this way also, because a volume-based revenue model is scalable to actual value creation; i.e., as membership grows, each new member increases the value of the overall network by greater than one. In fact, as membership grows, value grows exponentially (see Metcalf's Law or The Network Effect).<br />
<br />
Variations in the way income is classified for a particular RHIO may depend on legal and accountancy advice, local and state statutes and regulations, form of incorporation and IRS determination. In general, information in this section relate to RHIOs organized under section 501(c)3.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:35, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2007-09-04T18:24:40Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''This section has been expanded with findings from [http://rhio.hittransition.com The Survey of Regional Health Information Finance] -- both the 2006 and 2007 studies. If you seek immediate assistance, please contact Michael Christopher at [mailto:mchristopher@hittransition.com mchristopher@hittransition.com]'''.<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
The RHIO finance survey does not try to probe the entire operational structure of the RHIO from top to bottom, but focuses narrowly on finance.<br />
<br />
'''Review a [[Summary of Findings from the RHIO Finance Survey]].'''<br />
[http://rhio.hittransition.com Public Summary]<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIORHIO2007-03-29T13:20:01Z<p>MichaelChristopher: </p>
<hr />
<div>==Regional Health Information Organizations -- RHIOs==<br />
<br />
'''NOTE: The 2007 Survey of Regional Health Information Organization Finance is open to respondents March 23 through April 20, 2007. RHIO personnel and organizers are invited to learn more and take the survey at [http://hittransition.com/rhio2007/ http://hittransition.com/rhio2007/].'''<br />
<br />
<br />
===RHIO Definition===<br />
<br />
A Regional Health Information Organization (RHIO) is a nongovernmental, multi-stakeholder organization that enables or oversees the business and legal issues involved in the exchange and use of health information, in a secure manner, for the purpose of promoting the improvement of health quality, safety and efficiency.<br />
<br />
Officials from the U.S. Department of Health and Human Services see RHIOs as the building blocks for the national health information network (NHIN). When complete the NHIN will provide universal access to electronic health records. Experts maintain that RHIOs will help eliminate some administrative costs associated with paper-based patient records, provide quick access to automated test results and offer a consolidated view of a patient’s history.<br />
<br />
From [http://www.himss.org/ASP/topics_FocusDynamic.asp?faid=143 HIMSS Definitions and Acronyms]<br />
<br />
<br />
Regional health information networks and organizations (RHINs and RHIOs) represent connecting communities striving to adopt and implement standards-based solutions that eventually will link into the envisioned National Health Information Network (NHIN). As these collaboratives and networks of stakeholders mature, they often find the need for a formal independent organizational and governance structure with systems to ensure accountability and sustainability for the benefit of all stakeholders.<br />
<br />
Models for these connected communities include:<br />
*Federation – multiple independent / strong enterprises in same region<br />
*Co-op – multiple enterprises agree to share resources and create central utility<br />
*Hybrid – region containing both Federation and Co-op organizations<br />
<br />
From [http://thielst.typepad.com Christina's Considerations]<br />
<br />
=== Implications of RHIN/RHIOs on State and National Levels ===<br />
===[[RHIO Governance Models]]===<br />
<br />
===Technical Models===<br />
<br />
Resources:<br />
<br />
*[http://himss.org/ASP/topics_rhio.asp HIMSS RHIO Resources]<br />
<br />
===[[RHIO Financial Models]]===<br />
<br />
===[[Funding Resources]]===<br />
===[[State-based Initiatives]]===<br />
===[[RHIOs and PublicHealth|RHIOs and Public Health]]===<br />
<br />
[[:Category:RHIO|All articles related to Regional Health Information Organizations (RHIOs)]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Summary_of_Findings_from_the_RHIO_Finance_SurveySummary of Findings from the RHIO Finance Survey2007-03-29T13:17:35Z<p>MichaelChristopher: </p>
<hr />
<div>'''NOTE: The 2007 Survey of Regional Health Information Organization Finance is open to respondents March 23 through April 20, 2007. RHIO personnel and organizers are invited to learn more and take the survey at [http://hittransition.com/rhio2007/ http://hittransition.com/rhio2007/].'''<br />
<br />
<br />
'''''What follows is the executive summary from the 50-page report, Funding RHIO Startup and Financing for Life: The Survey of Regional Health Information Organization Finance. Full text is available at [http://hittransition.com/RHIO_Survey_2006 http://hittransition.com/RHIO_Survey_2006].''''' <br />
<br />
<br />
The Survey of Regional Health Information Organization Finance asked RHIOs to report on organization financial information, and stakeholders’ leadership and financial participation over the lifecycle of the organization, from startup through a transitional period and on into the production stage, where live patient information is exchanged between multiple partners. Data were gathered in March and April 2006. Our report discusses financial leadership/management, as well as contributed and earned revenue participation, that have come at each lifecycle stage. <br />
<br />
Respondents reported on the involvement of 32 specific stakeholder entities encompassing nine stakeholder classes such as Government, Providers, Health Plans, etc. The survey was distributed to a list of about 20,000 health IT professionals in an effort to reach out and identify new and unknown projects, as well as those known to the field. <br />
<br />
Qualified responses represented fifty RHIOs. Nearly half of respondents (48%) self-identified as being at the startup stage, 22% were in transition, and 30% in production. The majority of respondents are operating as nonprofit organizations; only 10% indicated that they were not. Our analysis indicates that the leading participants in financial leadership are from the government and provider sectors, followed by health plans and vendors. Government involvement may actually increase somewhat as RHIOs reach maturity, rather than declining. Hospitals, physicians and physician groups are key stakeholders involved in financial planning, they are among the most frequently identified contributors of gift and grant income during startup, and are identified by respondents ever more frequently as providing earned income (including membership payments and transaction fees) through the transition stage and into production. <br />
<br />
A key finding was that respondents indicated a strong, ongoing reliance on grants and/or other forms of contributed income as the organizations mature. While 68% said that they either are or plan to be self-sufficient, over 80% in each stage of development said that they anticipate applying for grants. Only 44% of RHIOs that self-identified as being in “mature production,” the most advanced stage, said that they had achieved operational self-sufficiency. 89% of the self-supporting mature RHIOs said that they still anticipate applying for grants. This seemingly contradictory finding is in part explained by the use of contributed capital to leverage operational earned income toward self-sufficiency. Perhaps this is a distinction only a CPA could fully appreciate, but it is a key to understanding how RHIOs leverage contributed income to build the means of producing ongoing revenue. It also provides an important clue to identifying the RHIO business model.<br />
<br />
As RHIOs mature, there is some movement towards funding operations through earnings. In the startup stage, more than 70% of RHIO income, on average, comes from grants and other forms of contributed income. This declines during transition to about 50% during the production stage. However, in the production stage, less than 30% of RHIO income arrives in the form of membership/subscription payments and transaction fees, while about than 20% comes from other sources identified as earned income. Our analysis discusses a trend towards diversification of revenues.<br />
<br />
We found that the often-repeated phrase “If you’ve seen one RHIO, you’ve seen one RHIO” is, in some critical ways, untrue. This “One RHIO Myth” – that RHIO organizations are profoundly dissimilar – is not supported by the survey data, which shows strong correlations among RHIO efforts at the same level of development and even over time. A related assertion, that RHIOs have not yet found a business model, may be more an issue of familiarity than of fact. <br />
<br />
While the emerging profile of the RHIOs surveyed does not represent that of a commercial enterprise or fee-based nonprofit healthcare provider organization, it closely resembles other established business models in among charitably-supported nonprofit organizations (NPOs); particularly in terms of governance and tax structures, in ongoing reliance on contributed income to build capacity and expand services, and in the production of services for the public good. <br />
<br />
A third notion, that the way RHIOs are now operating is unsustainable, may be less compelling once this new business model is understood and applied. External references are used to show that the resources which sustain such nonprofit organizations are not only available, but are growing at a substantial rate. <br />
<br />
The data collected in this survey and others are supportive of a recognition that, at this stage in the build-out of a national health information infrastructure, RHIOs represent a public good and are appropriately being supported through public and private grants and in-kind contributions. Our data suggest that, while there is movement toward operational self-sufficiency, it is prudent to expect that as much as one-third of total RHIO revenues will continue to come from government grants and philanthropy, perhaps into the foreseeable future. We will cite external sources as evidence that this is consistent with other nonprofit organizations which supplement operational revenues with contributed funds to leverage increased capacity and expansion of services. <br />
<br />
Because healthcare providers – the top-cited stakeholders in RHIO financial leadership – may be less familiar with a charitably-supported model than the dominant commercial model driven almost exclusively by fee-for-service income and reimbursements, we provide a section titled Analysis and Strategies that speaks prescriptively of how RHIOs may take advantage of the charitably-supported NPO model.<br />
<br />
(Published by Healthcare IT Transition Group, [http://hittransition.com http://hittransition.com])<br />
<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2007-03-29T13:15:17Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''This section is being expanded with findings from [http://hittransition.com/RHIO_Survey_2006 The Survey of Regional Health Information Finance]. If you seek immediate assistance, please contact Michael Christopher at [mailto:mchristopher@hittransition.com mchristopher@hittransition.com]'''.<br />
<br />
<br />
'''NOTE: The 2007 Survey of Regional Health Information Organization Finance has been opened to respondents. The survey is open March 23 bthrough April 20, 2007. RHIO personnel and organizers may learn more and take the survey at [http://hittransition.com/rhio2007/ http://hittransition.com/rhio2007/].'''<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
The RHIO finance survey does not try to probe the entire operational structure of the RHIO from top to bottom, but focuses narrowly on finance.<br />
<br />
'''Review a [[Summary of Findings from the RHIO Finance Survey]].'''<br />
<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2007-03-29T13:12:14Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
'''U.S. Federal HIT Initiatives'''<br />
<br />
'''Visit [http://www.hittransition.com/fedhit.htm http://www.hittransition.com/fedhit.htm] for updated federal HIT initiative details.'''<br />
<br />
*[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
*[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
*[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
*[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
*[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
*[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
*[[National Institutes of Health (NIH)]]<br />
<br />
*[[Indian Health Service (IHS)]]<br />
<br />
*[[Health Services and Resource Administration (HRSA)]]<br />
<br />
*[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
*[[U.S. Department of Commerce]]<br />
<br />
*[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
*[[Department of Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2007-03-29T13:11:39Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
'''U.S. Federal HIT Initiatives'''<br />
<br />
'''Visit [http://www.hittransition.com/fedhit.htm http://www.hittransition.com/fedhit.htm] for updated federal HIT initiative details.'''<br />
<br />
*[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
*[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
*[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
*[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
*[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
*[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
*[[National Institutes of Health (NIH)]]<br />
<br />
*[[Indian Health Service (IHS)]]<br />
<br />
*[[Health Services and Resource Administration (HRSA)]]<br />
<br />
*[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
*[[U.S. Department of Commerce]]<br />
<br />
*[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
*[[Department of Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Summary_of_Findings_from_the_RHIO_Finance_SurveySummary of Findings from the RHIO Finance Survey2006-06-23T03:11:22Z<p>MichaelChristopher: </p>
<hr />
<div>'''''This is the executive summary from the 50-page report, Funding RHIO Startup and Financing for Life: The Survey of Regional Health Information Organization Finance. Full text is available at [http://hittransition.com/RHIO_Survey_2006 http://hittransition.com/RHIO_Survey_2006].''''' <br />
<br />
<br />
The Survey of Regional Health Information Organization Finance asked RHIOs to report on organization financial information, and stakeholders’ leadership and financial participation over the lifecycle of the organization, from startup through a transitional period and on into the production stage, where live patient information is exchanged between multiple partners. Data were gathered in March and April 2006. Our report discusses financial leadership/management, as well as contributed and earned revenue participation, that have come at each lifecycle stage. <br />
<br />
Respondents reported on the involvement of 32 specific stakeholder entities encompassing nine stakeholder classes such as Government, Providers, Health Plans, etc. The survey was distributed to a list of about 20,000 health IT professionals in an effort to reach out and identify new and unknown projects, as well as those known to the field. <br />
<br />
Qualified responses represented fifty RHIOs. Nearly half of respondents (48%) self-identified as being at the startup stage, 22% were in transition, and 30% in production. The majority of respondents are operating as nonprofit organizations; only 10% indicated that they were not. Our analysis indicates that the leading participants in financial leadership are from the government and provider sectors, followed by health plans and vendors. Government involvement may actually increase somewhat as RHIOs reach maturity, rather than declining. Hospitals, physicians and physician groups are key stakeholders involved in financial planning, they are among the most frequently identified contributors of gift and grant income during startup, and are identified by respondents ever more frequently as providing earned income (including membership payments and transaction fees) through the transition stage and into production. <br />
<br />
A key finding was that respondents indicated a strong, ongoing reliance on grants and/or other forms of contributed income as the organizations mature. While 68% said that they either are or plan to be self-sufficient, over 80% in each stage of development said that they anticipate applying for grants. Only 44% of RHIOs that self-identified as being in “mature production,” the most advanced stage, said that they had achieved operational self-sufficiency. 89% of the self-supporting mature RHIOs said that they still anticipate applying for grants. This seemingly contradictory finding is in part explained by the use of contributed capital to leverage operational earned income toward self-sufficiency. Perhaps this is a distinction only a CPA could fully appreciate, but it is a key to understanding how RHIOs leverage contributed income to build the means of producing ongoing revenue. It also provides an important clue to identifying the RHIO business model.<br />
<br />
As RHIOs mature, there is some movement towards funding operations through earnings. In the startup stage, more than 70% of RHIO income, on average, comes from grants and other forms of contributed income. This declines during transition to about 50% during the production stage. However, in the production stage, less than 30% of RHIO income arrives in the form of membership/subscription payments and transaction fees, while about than 20% comes from other sources identified as earned income. Our analysis discusses a trend towards diversification of revenues.<br />
<br />
We found that the often-repeated phrase “If you’ve seen one RHIO, you’ve seen one RHIO” is, in some critical ways, untrue. This “One RHIO Myth” – that RHIO organizations are profoundly dissimilar – is not supported by the survey data, which shows strong correlations among RHIO efforts at the same level of development and even over time. A related assertion, that RHIOs have not yet found a business model, may be more an issue of familiarity than of fact. <br />
<br />
While the emerging profile of the RHIOs surveyed does not represent that of a commercial enterprise or fee-based nonprofit healthcare provider organization, it closely resembles other established business models in among charitably-supported nonprofit organizations (NPOs); particularly in terms of governance and tax structures, in ongoing reliance on contributed income to build capacity and expand services, and in the production of services for the public good. <br />
<br />
A third notion, that the way RHIOs are now operating is unsustainable, may be less compelling once this new business model is understood and applied. External references are used to show that the resources which sustain such nonprofit organizations are not only available, but are growing at a substantial rate. <br />
<br />
The data collected in this survey and others are supportive of a recognition that, at this stage in the build-out of a national health information infrastructure, RHIOs represent a public good and are appropriately being supported through public and private grants and in-kind contributions. Our data suggest that, while there is movement toward operational self-sufficiency, it is prudent to expect that as much as one-third of total RHIO revenues will continue to come from government grants and philanthropy, perhaps into the foreseeable future. We will cite external sources as evidence that this is consistent with other nonprofit organizations which supplement operational revenues with contributed funds to leverage increased capacity and expansion of services. <br />
<br />
Because healthcare providers – the top-cited stakeholders in RHIO financial leadership – may be less familiar with a charitably-supported model than the dominant commercial model driven almost exclusively by fee-for-service income and reimbursements, we provide a section titled Analysis and Strategies that speaks prescriptively of how RHIOs may take advantage of the charitably-supported NPO model.<br />
<br />
(Published by Healthcare IT Transition Group, [http://hittransition.com http://hittransition.com])</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Summary_of_Findings_from_the_RHIO_Finance_SurveySummary of Findings from the RHIO Finance Survey2006-06-23T03:11:02Z<p>MichaelChristopher: </p>
<hr />
<div>This is the executive summary from the 50-page report, Funding RHIO Startup and Financing for Life: The Survey of Regional Health Information Organization Finance. Full text is available at [http://hittransition.com/RHIO_Survey_2006 http://hittransition.com/RHIO_Survey_2006]. <br />
<br />
The Survey of Regional Health Information Organization Finance asked RHIOs to report on organization financial information, and stakeholders’ leadership and financial participation over the lifecycle of the organization, from startup through a transitional period and on into the production stage, where live patient information is exchanged between multiple partners. Data were gathered in March and April 2006. Our report discusses financial leadership/management, as well as contributed and earned revenue participation, that have come at each lifecycle stage. <br />
<br />
Respondents reported on the involvement of 32 specific stakeholder entities encompassing nine stakeholder classes such as Government, Providers, Health Plans, etc. The survey was distributed to a list of about 20,000 health IT professionals in an effort to reach out and identify new and unknown projects, as well as those known to the field. <br />
<br />
Qualified responses represented fifty RHIOs. Nearly half of respondents (48%) self-identified as being at the startup stage, 22% were in transition, and 30% in production. The majority of respondents are operating as nonprofit organizations; only 10% indicated that they were not. Our analysis indicates that the leading participants in financial leadership are from the government and provider sectors, followed by health plans and vendors. Government involvement may actually increase somewhat as RHIOs reach maturity, rather than declining. Hospitals, physicians and physician groups are key stakeholders involved in financial planning, they are among the most frequently identified contributors of gift and grant income during startup, and are identified by respondents ever more frequently as providing earned income (including membership payments and transaction fees) through the transition stage and into production. <br />
<br />
A key finding was that respondents indicated a strong, ongoing reliance on grants and/or other forms of contributed income as the organizations mature. While 68% said that they either are or plan to be self-sufficient, over 80% in each stage of development said that they anticipate applying for grants. Only 44% of RHIOs that self-identified as being in “mature production,” the most advanced stage, said that they had achieved operational self-sufficiency. 89% of the self-supporting mature RHIOs said that they still anticipate applying for grants. This seemingly contradictory finding is in part explained by the use of contributed capital to leverage operational earned income toward self-sufficiency. Perhaps this is a distinction only a CPA could fully appreciate, but it is a key to understanding how RHIOs leverage contributed income to build the means of producing ongoing revenue. It also provides an important clue to identifying the RHIO business model.<br />
<br />
As RHIOs mature, there is some movement towards funding operations through earnings. In the startup stage, more than 70% of RHIO income, on average, comes from grants and other forms of contributed income. This declines during transition to about 50% during the production stage. However, in the production stage, less than 30% of RHIO income arrives in the form of membership/subscription payments and transaction fees, while about than 20% comes from other sources identified as earned income. Our analysis discusses a trend towards diversification of revenues.<br />
<br />
We found that the often-repeated phrase “If you’ve seen one RHIO, you’ve seen one RHIO” is, in some critical ways, untrue. This “One RHIO Myth” – that RHIO organizations are profoundly dissimilar – is not supported by the survey data, which shows strong correlations among RHIO efforts at the same level of development and even over time. A related assertion, that RHIOs have not yet found a business model, may be more an issue of familiarity than of fact. <br />
<br />
While the emerging profile of the RHIOs surveyed does not represent that of a commercial enterprise or fee-based nonprofit healthcare provider organization, it closely resembles other established business models in among charitably-supported nonprofit organizations (NPOs); particularly in terms of governance and tax structures, in ongoing reliance on contributed income to build capacity and expand services, and in the production of services for the public good. <br />
<br />
A third notion, that the way RHIOs are now operating is unsustainable, may be less compelling once this new business model is understood and applied. External references are used to show that the resources which sustain such nonprofit organizations are not only available, but are growing at a substantial rate. <br />
<br />
The data collected in this survey and others are supportive of a recognition that, at this stage in the build-out of a national health information infrastructure, RHIOs represent a public good and are appropriately being supported through public and private grants and in-kind contributions. Our data suggest that, while there is movement toward operational self-sufficiency, it is prudent to expect that as much as one-third of total RHIO revenues will continue to come from government grants and philanthropy, perhaps into the foreseeable future. We will cite external sources as evidence that this is consistent with other nonprofit organizations which supplement operational revenues with contributed funds to leverage increased capacity and expansion of services. <br />
<br />
Because healthcare providers – the top-cited stakeholders in RHIO financial leadership – may be less familiar with a charitably-supported model than the dominant commercial model driven almost exclusively by fee-for-service income and reimbursements, we provide a section titled Analysis and Strategies that speaks prescriptively of how RHIOs may take advantage of the charitably-supported NPO model.<br />
<br />
(Published by Healthcare IT Transition Group, [http://hittransition.com http://hittransition.com])</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Summary_of_Findings_from_the_RHIO_Finance_SurveySummary of Findings from the RHIO Finance Survey2006-06-23T03:01:07Z<p>MichaelChristopher: Findings from the 2006 Survey of Regional Health Information Organization Finance</p>
<hr />
<div><br />
<br />
The Survey of Regional Health Information Organization Finance asked RHIOs to report on organization financial information, and stakeholders’ leadership and financial participation over the lifecycle of the organization, from startup through a transitional period and on into the production stage, where live patient information is exchanged between multiple partners. Data were gathered in March and April 2006. Our report discusses financial leadership/management, as well as contributed and earned revenue participation, that have come at each lifecycle stage. <br />
<br />
Respondents reported on the involvement of 32 specific stakeholder entities encompassing nine stakeholder classes such as Government, Providers, Health Plans, etc. The survey was distributed to a list of about 20,000 health IT professionals in an effort to reach out and identify new and unknown projects, as well as those known to the field. <br />
<br />
Qualified responses represented fifty RHIOs. Nearly half of respondents (48%) self-identified as being at the startup stage, 22% were in transition, and 30% in production. The majority of respondents are operating as nonprofit organizations; only 10% indicated that they were not. Our analysis indicates that the leading participants in financial leadership are from the government and provider sectors, followed by health plans and vendors. Government involvement may actually increase somewhat as RHIOs reach maturity, rather than declining. Hospitals, physicians and physician groups are key stakeholders involved in financial planning, they are among the most frequently identified contributors of gift and grant income during startup, and are identified by respondents ever more frequently as providing earned income (including membership payments and transaction fees) through the transition stage and into production. <br />
<br />
A key finding was that respondents indicated a strong, ongoing reliance on grants and/or other forms of contributed income as the organizations mature. While 68% said that they either are or plan to be self-sufficient, over 80% in each stage of development said that they anticipate applying for grants. Only 44% of RHIOs that self-identified as being in “mature production,” the most advanced stage, said that they had achieved operational self-sufficiency. 89% of the self-supporting mature RHIOs said that they still anticipate applying for grants. This seemingly contradictory finding is in part explained by the use of contributed capital to leverage operational earned income toward self-sufficiency. Perhaps this is a distinction only a CPA could fully appreciate, but it is a key to understanding how RHIOs leverage contributed income to build the means of producing ongoing revenue. It also provides an important clue to identifying the RHIO business model.<br />
<br />
As RHIOs mature, there is some movement towards funding operations through earnings. In the startup stage, more than 70% of RHIO income, on average, comes from grants and other forms of contributed income. This declines during transition to about 50% during the production stage. However, in the production stage, less than 30% of RHIO income arrives in the form of membership/subscription payments and transaction fees, while about than 20% comes from other sources identified as earned income. Our analysis discusses a trend towards diversification of revenues.<br />
<br />
We found that the often-repeated phrase “If you’ve seen one RHIO, you’ve seen one RHIO” is, in some critical ways, untrue. This “One RHIO Myth” – that RHIO organizations are profoundly dissimilar – is not supported by the survey data, which shows strong correlations among RHIO efforts at the same level of development and even over time. A related assertion, that RHIOs have not yet found a business model, may be more an issue of familiarity than of fact. <br />
<br />
While the emerging profile of the RHIOs surveyed does not represent that of a commercial enterprise or fee-based nonprofit healthcare provider organization, it closely resembles other established business models in among charitably-supported nonprofit organizations (NPOs); particularly in terms of governance and tax structures, in ongoing reliance on contributed income to build capacity and expand services, and in the production of services for the public good. <br />
<br />
A third notion, that the way RHIOs are now operating is unsustainable, may be less compelling once this new business model is understood and applied. External references are used to show that the resources which sustain such nonprofit organizations are not only available, but are growing at a substantial rate. <br />
<br />
The data collected in this survey and others are supportive of a recognition that, at this stage in the build-out of a national health information infrastructure, RHIOs represent a public good and are appropriately being supported through public and private grants and in-kind contributions. Our data suggest that, while there is movement toward operational self-sufficiency, it is prudent to expect that as much as one-third of total RHIO revenues will continue to come from government grants and philanthropy, perhaps into the foreseeable future. We will cite external sources as evidence that this is consistent with other nonprofit organizations which supplement operational revenues with contributed funds to leverage increased capacity and expansion of services. <br />
<br />
Because healthcare providers – the top-cited stakeholders in RHIO financial leadership – may be less familiar with a charitably-supported model than the dominant commercial model driven almost exclusively by fee-for-service income and reimbursements, we provide a section titled Analysis and Strategies that speaks prescriptively of how RHIOs may take advantage of the charitably-supported NPO model.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2006-06-23T02:53:30Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''This section is being expanded with findings from [http://hittransition.com/RHIO_Survey_2006 The Survey of Regional Health Information Finance]. If you seek immediate assistance, please contact Michael Christopher at [mailto:mchristopher@hittransition.com mchristopher@hittransition.com]'''.<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
The RHIO finance survey does not try to probe the entire operational structure of the RHIO from top to bottom, but focuses narrowly on finance.<br />
<br />
'''Review a [[Summary of Findings from the RHIO Finance Survey]].'''<br />
<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2006-06-08T23:18:09Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''NOTE: This section will expand as analysis becomes available from [http://hittransition.com/RHIO_Survey_2006 The Survey of Regional Health Information Finance], expected in June, 2006. If you seek more immediate assistance, please contact the survey team at [mailto:team_rfs2006@hittransition.com team_rfs2006@hittransition.com]'''.<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
The RHIO finance survey does not try to probe the entire operational structure of the RHIO from top to bottom, but focuses narrowly on finance.<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Loans_and_Investor_ProceedsLoans and Investor Proceeds2006-04-19T22:08:26Z<p>MichaelChristopher: </p>
<hr />
<div>'''Loans, other repayable assets, and investor proceeds''' are cash and in-kind resources which were not given or earned for services, but were loaned or which in some way must be repaid at a later date (through excused future membership dues, transaction fees, contract proceeds or other deferred payments), or which were received from investors in exchange for equity ownership of the organization. <br />
<br />
Investor proceeds in exchange for equity are not available to 501(c)3 tax exempt organizations, in which equity ownership is not permissible under the federal tax code. However, nonprofit organizations may participate in for-profit enterprises which, subject to very specific and detailed limitations, may partner with investors.<br />
<br />
(Variations in the way income is classified for a particular RHIO may depend on legal and accountancy advice, local and state statutes and regulations, form of incorporation and IRS determination. In general, information in this section relate to RHIOs organized under section 501(c)3.)<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:36, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Earned_IncomeEarned Income2006-04-19T22:08:07Z<p>MichaelChristopher: </p>
<hr />
<div>'''Earned Income''' is defined as payments received for services or privileges, and does not include Contributed Income (gifts/grants) loans, other repayable assets, or investor proceeds.<br />
<br />
(Variations in the way income is classified for a particular RHIO may depend on legal and accountancy advice, local and state statutes and regulations, form of incorporation and IRS determination. In general, information in this section relate to RHIOs organized under section 501(c)3.)<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:35, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Contributed_Income:Contributed Income:2006-04-19T22:07:36Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]] and [[Federal HIT Initiatives]]<br />
<br />
'''Contributed Income''' is defined as cash or in-kind resources that were given (not loaned) to the organization in the form of a gift or grant, and does not include Earned Income (membership dues, transaction fees, other earned revenue), loans or investor proceeds. <br />
<br />
(Variations in the way income is classified for a particular RHIO may depend on legal and accountancy advice, local and state statutes and regulations, form of incorporation and IRS determination. In general, information in this section relate to RHIOs organized under section 501(c)3.)<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:35, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2006-04-17T23:22:20Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''NOTE: This section will expand as analysis becomes available from [http://hittransition.com/RHIO_Survey_2006 The Survey of Regional Health Information Finance], expected in June, 2006. If you seek more immediate assistance, please contact the survey team at [mailto:team_rfs2006@hittransition.com team_rfs2006@hittransition.com]'''.<br />
<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/RHIO_Financial_ModelsRHIO Financial Models2006-04-17T23:22:01Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''NOTE: This section will expand as analysis becomes available from [http://hittransition.com/RHIO_Survey_2006 The Survey of Regional Health Information Finance], expected in June, 2006. If you seek more immediate assistance, please contact the survey team at [mailto:team_rfs2006@hittransition.com team_rfs2006@hittransition.com]'''.<br />
<br />
Regional health information organizations rely on a combination of revenue sources, generally including:<br />
<br />
<br />
'''[[Contributed Income:]]'''<br />
<br />
- Grants (government and private)<br />
<br />
- Gifts (cash and in-kind)<br />
<br />
<br />
'''[[Earned Income:]]'''<br />
<br />
- Membership/Subscription Payments<br />
<br />
- Transaction Fees<br />
<br />
- Contract proceeds<br />
<br />
<br />
'''[[Loans and Investor Proceeds:]]'''<br />
<br />
- Conventional loans and lines of credit with financial institutions<br />
<br />
- Capital from investors in exchange for equity<br />
<br />
<br />
As we study developing RHIO projects, a few identifiable financial models appear to be emerging. We divide the financial lifecycle of RHIOs into three general time frames:<br />
<br />
1. '''[[Startup]]'''<br />
<br />
2. '''[[Transition]]'''<br />
<br />
3. '''[[Production]]'''<br />
<br />
<br />
Each of these periods in the life of a RHIO finds differing challenges and consequently varying financial aspects.<br />
<br />
During [[Startup]], organizations must acquire capital with little immediate promise of quid pro quo, so that earned income is difficult or impossible to secure. Contributed income from grants and other forms of gifts -- including in-kind office space and personnel leasing -- are the primary source of income. During early startup, most income is directed toward simply keeping the organizational structure cohesive and (generally) growing, rather than to provision of services. Later in the startup phase, many successful organizations tend to begin move toward applying some funds toward the planning of earned income-bearing services. In this way, contributed income is leveraged to acquire the means of production which can lead to at least partial self-sufficiency.<br />
<br />
During the [[Transition]] period, organizations begin expending funds on piloting one or a few basic services, which in some cases may lead very quickly to early (if small) earned revenues. However, transition is a period of shaping future services, and is generally not expected to yield substantial earnings. Contributed income may still be critical to ongoing operations.<br />
<br />
Transition moves into the [[Production]] period, during which the organization much more quickly brings its services and partners online, and consequently begins earning more significant revenue. This offers the potential to shift some degree of reliance away from contributions. RHIOs which work toward financial self-sufficiency often cannot achieve it immediately upon entering full production, but must rely on contributions for some period of time.<br />
<br />
'''DISCLAIMER:''' No portions of this section or its linked pages are offered as legal advice, and should not be taken as such. Rather, they are provided as general public information only. Organizations and individuals should seek formal legal counsel and appropriate accounting advice.<br />
<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 11:21, 17 April 2006 (CDT)</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2006-04-17T23:21:28Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
'''U.S. Federal HIT Initiatives'''<br />
<br />
*[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
*[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
*[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
*[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
*[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
*[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
*[[National Institutes of Health (NIH)]]<br />
<br />
*[[Indian Health Service (IHS)]]<br />
<br />
*[[Health Services and Resource Administration (HRSA)]]<br />
<br />
*[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
*[[U.S. Department of Commerce]]<br />
<br />
*[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
*[[Department of Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2006-04-17T23:20:44Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
'''U.S. Federal HIT Initiatives'''<br />
<br />
*[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
*[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
*[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
*[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
*[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
*[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
*[[National Institutes of Health (NIH)]]<br />
<br />
*[[Indian Health Service (IHS)]]<br />
<br />
*[[Health Services and Resource Administration (HRSA)]]<br />
<br />
*[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
*[[U.S. Department of Commerce]]<br />
<br />
*[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
*[[Department of Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
--[[User:MichaelChristopher|Michael]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2006-04-17T23:20:00Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
<br />
*[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
*[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
*[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
*[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
*[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
*[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
*[[National Institutes of Health (NIH)]]<br />
<br />
*[[Indian Health Service (IHS)]]<br />
<br />
*[[Health Services and Resource Administration (HRSA)]]<br />
<br />
*[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
*[[U.S. Department of Commerce]]<br />
<br />
*[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
*[[Department of Veterans Affairs Initiatives]]<br />
<br />
*[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
--[[User:MichaelChristopher|Michael]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2006-04-17T23:19:13Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
<br />
[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
[[National Institutes of Health (NIH)]]<br />
<br />
[[Indian Health Service (IHS)]]<br />
<br />
[[Health Services and Resource Administration (HRSA)]]<br />
<br />
[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
[[U.S. Department of Commerce]]<br />
<br />
[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
[[Department of Veterans Affairs Initiatives]]<br />
<br />
[[U.S. Department of Homeland Security]]<br />
<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
--[[User:MichaelChristopher|Michael]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Federal_HIT_InitiativesFederal HIT Initiatives2006-04-17T23:18:35Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Funding Resources]].<br />
<br />
''Original source: Office of the National Coordinator for Health Information Technology (ONCHIT), July 21, 2005. Only minor updates have been made as of April 17, 2006.''<br />
<br />
NOTE: There have been changes in federal initiatives and organization since the date of the source material. I hope to persuade ONCHIT to check and edit this section soon.<br />
<br />
<br />
[[Assistant Secretary for Planning &amp; Evaluation]]<br />
<br />
[[Office of the National Coordinator for Health Information Technology (ONC)]]<br />
<br />
[[Council on the Application of Health Information Technology (CAHIT)]]<br />
<br />
[[Agency for Healthcare Research and Quality (AHRQ)]]<br />
<br />
[[Centers for Medicare and Medicaid Services (CMS)]]<br />
<br />
[[U.S. Food and Drug Administration (FDA)]]<br />
<br />
[[National Institutes of Health (NIH)]]<br />
<br />
[[Indian Health Service (IHS)]]<br />
<br />
[[Health Services and Resource Administration (HRSA)]]<br />
<br />
[[Centers for Disease Control and Prevention (CDC)]]<br />
<br />
[[U.S. Department of Commerce]]<br />
<br />
[[Combined U.S. Department of Defense / Veterans Affairs Initiatives]]<br />
<br />
[[U.S. Department of Defense (DoD) Initiatives]]<br />
<br />
[[Department of Veterans Affairs Initiatives]]<br />
<br />
[[U.S. Department of Homeland Security]]<br />
<br />
<br />
--[[User:MichaelChristopher|Michael]] 14:55, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:18:07Z<p>MichaelChristopher: </p>
<hr />
<div>See also [[Federal HIT Initiatives]].<br />
<br />
'''National Funding Sources'''<br />
<br />
*'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
*'''[http://www.cms.hhs.gov/ResearchGenInfo/ Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
*'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
*'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
*'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
*'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
*'''[http://www.wkkf.org/ W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
*'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
*'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
*'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
*'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
<br />
'''Capital Development Planning and Grantwriting'''<br />
<br />
*'''[http://hittransition.com/funding.htm Healthcare IT Transition Group capital development consulting]'''<br />
<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:13:59Z<p>MichaelChristopher: </p>
<hr />
<div>'''National Funding Sources'''<br />
<br />
*'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
*'''[http://www.cms.hhs.gov/ResearchGenInfo/ Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
*'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
*'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
*'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
*'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
*'''[http://www.wkkf.org/ W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
*'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
*'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
*'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
*'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
<br />
'''Capital Development Planning and Grantwriting'''<br />
<br />
*'''[http://hittransition.com/funding.htm Healthcare IT Transition Group capital development consulting]'''<br />
<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:09:16Z<p>MichaelChristopher: </p>
<hr />
<div>'''National Funding Sources'''<br />
<br />
*'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
*'''[http://www.cms.hhs.gov/ResearchGenInfo/ Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
*'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
*'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
*'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
*'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
*'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
*'''[http://www.wkkf.org/ W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
*'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
*'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
*'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
*'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
*'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
*'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:06:01Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/ResearchGenInfo/ Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/ W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:03:32Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/ResearchGenInfo/ Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T23:00:07Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/ Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:59:20Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.<br />
<br />
--[[User:MichaelChristopher|Michael Christopher]] 17:59, 17 April 2006 (CDT)<br />
[[Category:RHIO]]<br />
[[Category:Blogposium]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:58:13Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''' for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:57:40Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through [http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management]. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:56:31Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's [http://www.hetinitiative.org/ Health e-Technologies Initiative] funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management grant programs]'''. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:54:43Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (U.S. Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. (U.S. Department of Commerce)<br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare. (U.S. Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' supports healthcare information development projects through in a variety of ways. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (U.S. Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''' through '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''') for healthcare access improvements through efficiencies and private sector participation. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (U.S. Department of Health and Human Services, [http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA)])<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's '''[http://www.hetinitiative.org/ Health e-Technologies Initiative]''' funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' provides assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' for innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management grant programs]'''. (U.S. Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (U.S. Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (U.S. Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (U.S. Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:49:30Z<p>MichaelChristopher: </p>
<hr />
<div><br />
'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. <br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare.(Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' help develop, test, and implement new health care financing and payment policies. They also evaluate the impact of CMS programs on beneficiaries, providers, States, and other customers and partners. The scope of these activities embraces all areas of health care: costs, access, quality, service delivery models, and financing and payment approaches. (Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA) ]''', through the '''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''', through the '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''' for healthcare access improvements through efficiencies and private sector participation;'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (Department of Health and Human Services)<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's '''[http://www.hetinitiative.org/ Health e-Technologies Initiative]''' funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management grant programs]'''. (Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:49:05Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/ Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/ Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. <br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare.(Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/ California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp Centers for Medicare and Medicaid Services (CMS) research programs]''' help develop, test, and implement new health care financing and payment policies. They also evaluate the impact of CMS programs on beneficiaries, providers, States, and other customers and partners. The scope of these activities embraces all areas of health care: costs, access, quality, service delivery models, and financing and payment approaches. (Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://www.hrsa.gov/default.htm Health Resources and Services Administration (HRSA) ]''', through the '''[http://bphc.hrsa.gov/ Bureau of Primary Health Care]''', through the '''[http://bphc.hrsa.gov/cap/Default.htm Healthy Community Access Program]''' for healthcare access improvements through efficiencies and private sector participation;'''[http://telehealth.hrsa.gov/ Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (Department of Health and Human Services)<br />
<br />
'''[http://www.rwjf.org/ Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's '''[http://www.hetinitiative.org/ Health e-Technologies Initiative]''' funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/ Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/ Joseph H. Kanter Foundation]''' assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1 W.K. Kellogg Foundation's Health Progam]''' innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/ Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/ National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html Resource Support for Information Management grant programs]'''. (Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/ Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/ Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:48:34Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/" Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (Department of Commerce)<br />
<br />
'''[http://www.ahrq.gov/fund/" Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. <br />
<br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm" Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare.(Department of Health and Human Services) <br />
<br />
'''[http://www.chcf.org/grantinfo/" California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
<br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp" Centers for Medicare and Medicaid Services (CMS) research programs]''' help develop, test, and implement new health care financing and payment policies. They also evaluate the impact of CMS programs on beneficiaries, providers, States, and other customers and partners. The scope of these activities embraces all areas of health care: costs, access, quality, service delivery models, and financing and payment approaches. (Department of Health and Human Services)<br />
<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm" Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (Department of Agriculture)<br />
<br />
'''[http://www.cdc.gov/epo/index.htm" Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (Department of Health and Human Services)<br />
<br />
'''[http://www.ahima.org/fore/about.asp" Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
<br />
'''[http://www.hrsa.gov/default.htm" Health Resources and Services Administration (HRSA) ]''', through the '''[http://bphc.hrsa.gov/" Bureau of Primary Health Care]''', through the '''[http://bphc.hrsa.gov/cap/Default.htm" Healthy Community Access Program]''' for healthcare access improvements through efficiencies and private sector participation;'''[http://telehealth.hrsa.gov/" Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (Department of Health and Human Services)<br />
<br />
'''[http://www.rwjf.org/" Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's '''[http://www.hetinitiative.org/" Health e-Technologies Initiative]''' funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
<br />
'''[http://www.kff.org/" Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
<br />
'''[http://www.healthlegacy.org/about_foundation/" Joseph H. Kanter Foundation]''' assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1" W.K. Kellogg Foundation's Health Progam]''' innovations in design, delivery and oversight toward better access to healthcare.<br />
<br />
'''[http://www.markle.org/" Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
<br />
'''[http://www.nlm.nih.gov/ep/" National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html" Resource Support for Information Management grant programs]'''. (Department of Health and Human Services)<br />
<br />
'''[http://www.sba.gov/sbir/" Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (Small Business Administration)<br />
<br />
'''[http://www.ntia.doc.gov/top" Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (Department of Commerce)<br />
<br />
'''[http://www.tatrc.org/" Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (Department of Defense)<br />
<br />
'''[http://www.universalservice.org/default.aspx" Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Funding_ResourcesFunding Resources2006-04-17T22:47:18Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.atp.nist.gov/">Advanced Technology Program (ATP)]''' within NIST encourages research in technology. Includes a healthcare informatics emphasis. (Department of Commerce)<br />
'''[http://www.ahrq.gov/fund/">Agency for Healthcare Research and Quality (AHRQ)]''' funds research in evidence-based medicine, quality improvement, healthcare efficiency and access. <br />
'''[http://www.gatesfoundation.org/GlobalHealth/Grantseekers/grantmakingpriorities.htm">Bill and Melinda Gates Foundation's Global Health program]''' funds advances in healthcare.(Department of Health and Human Services) <br />
'''[http://www.chcf.org/grantinfo/">California HealthCare Foundation]''' (CHCF) for healthcare delivery and insurance decision assistance in California. <br />
'''[http://www.cms.hhs.gov/researchers/priorities/grants.asp">Centers for Medicare and Medicaid Services (CMS) research programs]''' help develop, test, and implement new health care financing and payment policies. They also evaluate the impact of CMS programs on beneficiaries, providers, States, and other customers and partners. The scope of these activities embraces all areas of health care: costs, access, quality, service delivery models, and financing and payment approaches. (Department of Health and Human Services)<br />
'''[http://www.usda.gov/rus/telecom/dlt/dlt.htm">Distance Learning and Telemedicine Grant Program]''' to encourage and improve the use of telecommunications, computer networks, and related technologies for rural communities to improve access to education or health care. (Department of Agriculture)<br />
'''[http://www.cdc.gov/epo/index.htm">Epidemiology Program Office (EPO) ]'''for public health surveillance, collection of statistics and epidemiology data, outbreak prevention. (Department of Health and Human Services)<br />
'''[http://www.ahima.org/fore/about.asp">Foundation of Research and Education]''' (American Health Information Management Association) for advances in health information management.<br />
'''[http://www.hrsa.gov/default.htm">Health Resources and Services Administration (HRSA) ]''', through the '''[http://bphc.hrsa.gov/">Bureau of Primary Health Care]''', through the '''[http://bphc.hrsa.gov/cap/Default.htm">Healthy Community Access Program]''' for healthcare access improvements through efficiencies and private sector participation;'''[http://telehealth.hrsa.gov/"> Office of the Advancement of Telehealth (OAT)]''' for telemedicine projects. (Department of Health and Human Services)<br />
'''[http://www.rwjf.org/">Robert Wood Johnson Foundation]''' funds training, education and research toward increased effectiveness of healthcare delivery. The foundation's '''[http://www.hetinitiative.org/">Health e-Technologies Initiative]''' funds research in eHealth applications toward health behavior improvement and better chronic disease management.<br />
'''[http://www.kff.org/">Henry J. Kaiser Family Foundation]''' funds research and surveys of public health issues <br />
'''[http://www.healthlegacy.org/about_foundation/">Joseph H. Kanter Foundation]''' assistance with outcomes research and public understanding toward quality improvements and reduction of medical errors.<br />
'''[http://www.wkkf.org/Programming/NewsList.aspx?CID=1">W.K. Kellogg Foundation's Health Progam]''' innovations in design, delivery and oversight toward better access to healthcare.<br />
'''[http://www.markle.org/">Markle Foundation]''' for application of information and communication technology by consumers toward improved health.<br />
'''[http://www.nlm.nih.gov/ep/">National Library of Medicine (NLM) Office of External Programs]''' funds development of health information tools through '''[http://www.nlm.nih.gov/ep/Grants.html">Resource Support for Information Management grant programs]'''. (Department of Health and Human Services)<br />
'''[http://www.sba.gov/sbir/">Small Business Innovation Research (SBIR)]''': Funding for small businesses performing healthcare informatics R&amp;D toward commercialization. (Small Business Administration)<br />
'''[http://www.ntia.doc.gov/top">Technology Opportunities Program (TOP)]''' for public safety, healthcare delivery and economic development. (Department of Commerce)<br />
'''[http://www.tatrc.org/">Telemedicine &amp; Advanced Technology Research Center (TATRC)]''' for projects that support delivery of healthcare to military personnel. (Department of Defense)<br />
'''[http://www.universalservice.org/default.aspx">Universal Service Fund]''' for connectivity and internet access for nonprofit providers.</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/U.S._Department_of_Homeland_SecurityU.S. Department of Homeland Security2006-04-17T21:46:07Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.dhs.gov/ U.S. Department of Homeland Security]'''<br />
----<br />
<br />
<br />
'''[http://www.dhs.gov/dhspublic/display?theme=34 National Biosurveillance Integration System (NBIS)]'''<br />
- NBIS will combine health data from CDC, agricultural data from the USDA, food data from a combination of USDA and HHS, and environmental monitoring from BioWatch to improve detection and response.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:32, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Department_of_Veterans_Affairs_InitiativesDepartment of Veterans Affairs Initiatives2006-04-17T21:45:52Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.va.gov/ U.S. Department of Veterans Affairs Initiatives]'''<br />
----<br />
<br />
<br />
'''Joint (VA/DoD) Patient Electronic Health Record (JPEHR)<br />
- The JPEHR plan will provide interoperability between the two health information systems of VA and DoD. The plan provides for the exchange of health data by the departments and development of a health information infrastructure and architecture supported by common data, communications, security and software standards, and high-performance health information systems. (See FHIE.)<br />
<br />
'''Allocation Resource Center (ARC) (Health Resources Management)'''<br />
- The ARC provides IT services for systems designed to support the VHA CFO's ability to develop, implement, and maintain resource allocation methodologies; gather and report on financial aspects of patient workload and cost; classify patients based on care and diagnosis rendered; and train and provide information to management officials throughout VA. <br />
<br />
'''Decision Support System (DSS)'''<br />
- The DSS transforms day-to-day operational data into tactical information that can be used by managers to make informed operational decisions.<br />
<br />
'''[http://www.herc.research.med.va.gov/DSS_sum.htm Decision Support System (DSS) Modernization]'''<br />
- The DSS will modernize the existing VA DSS information technology system through analysis, identification, development, and implementation of system architecture that interfaces with current and future VA-wide system information technology structures.<br />
<br />
'''Fee Basis Replacement (FBR)'''<br />
- The FBR will replace a claims-processing system used by VA that processes claims made by veterans and providers for non-VA care. The new system will ensure effective and efficient authorization and payment processing for all non-VA care, including state and home health care and community nursing home programs. <br />
<br />
'''[http://www.va.gov/hac/default/hacmain.asp Health Administration Center (HAC) IT Operations]'''<br />
- The HAC provides a variety of critical programs mandated by Congress and facilitates delivery of high-quality services to veterans and their family members.<br />
<br />
'''Patient Financial Services System (PFSS)'''<br />
- The PFSS will create a comprehensive business solution for revenue improvement utilizing improved business practices, commercial software, and enhanced VA clinical applications.<br />
<br />
'''Health Enrollment'''<br />
- Health Enrollment includes functionality to accept and process veterans’ applications for enrollment, share veterans eligibility and enrollment data with all VA health care facilities involved in veterans' care, manage veterans' enrollment correspondence and telephone inquiries, and support national reporting and analysis of enrollment data.<br />
<br />
'''Federal Health Information Exchange (FHIE)'''<br />
- Provides current and historical data feeds electronically from CHCS I to the FHIE repository node on selected data types for active-duty, retired, and separated service members.<br />
<br />
'''Health Data Repository (HDR)'''<br />
- Defined as a repository of clinical information normally residing on one or more independent platforms for use by clinicians and other personnel in support of patient-centric care.<br />
<br />
'''Pharmacy Reengineering and IT Support'''<br />
- Facilitates improved VA pharmacy operations, customer service, and patient safety, concurrent with pursuit of full re-engineering of VA pharmacy applications.<br />
<br />
'''Scheduling Replacement'''<br />
- Will develop a next-generation appointment application based on business process re-engineering and the Institute for Health Care Improvement guidelines for open and advanced access to care models.<br />
<br />
'''VistA Imaging'''<br />
- Will provide complete online patient data to health care providers, increase clinician productivity, facilitate medical decision making, and improve quality of care.<br />
<br />
'''VistA Laboratory IS System Reengineering'''<br />
- Will enhance the VA Laboratory Service's information technology system and associated business processes to address current deficiencies and meet future needs.<br />
<br />
'''VistA Legacy (includes staff)'''<br />
- The operating system software platform and technical infrastructure (associated with clinical operations) on which VA health care facilities operate their software applications.<br />
<br />
'''Health Infrastructure'''<br />
- The health infrastructure is primarily a hardware-refresh project designed to put VA general office automation support servers, workstations, and peripherals on a 4-year replacement schedule. It will consolidate the services of several smaller computer facilities into an existing larger computer facility on newer hardware, providing greater reliability while reducing overall computer space and IT staff. It will establish a working contingency plan for the consolidated site.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:31, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/U.S._Department_of_Defense_(DoD)_InitiativesU.S. Department of Defense (DoD) Initiatives2006-04-17T21:45:41Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.dod.gov/ U.S. Department of Defense (DoD) Initiatives]'''<br />
----<br />
<br />
<br />
'''Clinical Information Technology Program Office (CITPO)'''<br />
- CITPO is an acquisition office for centrally managed MHS clinical IT systems that support the delivery of health services throughout the MHS. The following are CITPO projects: Composite Health Care System II (CHCSII), Composite Health Care System Legacy, Clinical Information System (CIS), Preventive Health Care Application (PHCA), Defense Blood Standard System (DBSS), Defense Occupational and Environmental Health Readiness System (DOEHRS), Encoder Grouper (EG), Special Needs Program Management Information System (SNPMIS), TRICARE Online (TOL), Nutrition Management Information System (NMIS), and Veterinary Services Information Management System (VSIMS). <br />
<br />
'''[http://www.tricare.osd.mil/dmlss/ Defense Medical Logistics Standard Support (DMLSS)]'''<br />
- DMLSS replaces aging military departments' (Army, Navy, and Air Force MilDeps) specific legacy medical logistics systems with one standard DoD medical logistics system. DMLSS also manages Joint Medical Asset Repository (JMAR), Customer Support on the Web (CSW), Facility Management (FM), Customer Area Inventory Management (CAIM), Equipment &amp; Technology Management (E&amp;TM), Stockroom/Readiness Inventory Management (SRIM), Assemblage Management (AM), Universal Data Repository (UDR), Prime Vendor Program (PV), DMLSS - Wholesale (DMLSS - W), Customer Demand Management Information Application (CDMIA), National Mail Order Pharmacy (NMOP), Readiness Application (RMA), Medical Electronic Customer Assistance (MECA), Distribution and Pricing (DAPA) Management System (MS), and Electronic Catalog (ECAT). <br />
<br />
'''[http://www.tricare.osd.mil/peo/eids/ Executive Information/Decision Support (EI/DS)]'''<br />
- The EI/DS program provides timely, accurate, and appropriate decision information supporting the TRICARE Management Activity (TMA) and DoD MHS mission. The EI/DS program currently consists of a data warehouse and several operational data marts supporting nearly 3,000 system users, providing a robust database and suite of decision support tools to empower the effective management of MHS health care operations. The EI/DS systems support decision making by senior MHS personnel and post-decision monitoring of the effects of decisions. EI/DS products include: MHS Management Analysis and Reporting Tool (MHS MART), Managed Care Forecasting and Analysis System (MCFAS), Population Health Operational Tracking and Optimization (PHOTO), Medical Surveillance, TMA Reporting Tools (TMART), CHAMPUS/TRICARE Medical Information System (CMIS), CHAMPUS/TRICARE Utilization Reporting and Evaluation Systems (CURES), Care Detail Information System (CDIS), and Patient Encounter Processing and Reporting (PEPR).<br />
<br />
'''[http://www.tricare.osd.mil/peo/ritpo/default.htm Resources Information Technology Program Office (RITPO)]'''<br />
- The RITPO initiative is a project that consists of a family of capability-specific applications/systems that support the MHS "Manage the Business" and "Access to Care" and information technology requirements. The RITPO project scope includes providing information technology support for MHS personnel, scheduling, workload forecasting, and patient safety initiatives. The following are RITPO projects: Defense Medical Human Resources System - internet (DMHRSi), Central Credentials Quality Assurance System (CCQAS), Enterprise Wide Scheduling and Registration (EWS-R), Enterprise Wide Workload Forecasting (EWF), Patient Safety Reporting (PSR), and Patient Accounting System (PAS).<br />
<br />
'''Expense Assignment System IV (EAS IV)'''<br />
- EAS IV is a standard DoD cost accounting/assignment information technology system that consists of a cost-assignment application and a data repository. The system receives information electronically from a variety of DoD financial, manpower, and workload systems, and allocates this expense information to Medical Treatment Facility/Dental Treatment Facility (MTF/DTF) direct and indirect work centers. <br />
<br />
'''[http://www.tricare.osd.mil/peo/tmip/ Theater Medical Information Program (TMIP)]'''<br />
- TMIP provides a seamless, interoperable medical information system to support theater health services during combat or contingency operations within and across all echelons of care. The primary goal is to provide a global capability linking theater medical information databases and integration centers that are accessible to the warfighter anywhere, any time to support the mission. TMIP includes the following programs: Composite Health Care System in the Theater of Operations (CHCS NT), Composite Health Care System II - Theater (CHCS II-T), TRANSCOM Regulating and Command and Control Evacuation System (TRAC2ES), Defense Medical Logistics Standard Support Assemblage Management (DMLSS-AM), Medical Analysis Tool (MAT), Shipboard Non-Tactical Automated Data Processing Program Automated Medical System (SAMS), Medical Surveillance System (MSS), and Defense Blood Standard System (DBSS).<br />
<br />
'''Third Party Outpatient Collection System (TPOCS)'''<br />
- TPOCS is the MHS information system used to bill for ambulatory services. <br />
<br />
'''[http://www.pacifichui.org/about/hui_strategic_plan.pdf Telehealth]'''<br />
- The use of electronic information and telecommunications technologies to provide or support clinical health care, patient and professional health-related education, public health and health administration when distance separates the participants. Current projects include Business cases, e-Learning, Policy, Teleconsultation, Pediatric Consultation, Telecardiology, Teledermatology, TeleENT, Tele Mental Health, Teleneurosurgery, Teleorthopedics, Telepathology, Teleradiology, Telementoring, and Telemonitoring. <br />
<br />
--[[User:MichaelChristopher|Michael]] 15:30, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Combined_U.S._Department_of_Defense_/_Veterans_Affairs_InitiativesCombined U.S. Department of Defense / Veterans Affairs Initiatives2006-04-17T21:45:29Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.dod.gov/ Combined U.S. Department of Defense]''' / '''[http://www.va.gov/ Veterans Affairs Initiatives]'''<br />
----<br />
<br />
<br />
'''Joint Plan for the Electronic Health Record (JPEHR)'''<br />
- The JPEHR will provide interoperability between the two health information systems of VA and DoD. The plan provides for the exchange of health data by the departments and development of a health information infrastructure and architecture supported by common data, communications, security, and software standards and high-performance health information systems. The plan will support Healthy People (federal), Federal Health Information Exchange (FHIE), Clinical Data Repository/Health Data Repository (CHDR), Consolidated Mail Outpatient Pharmacy (CMOP), Lab Data Sharing and Interoperability (LDSI), and the Centralized Credentials Quality Assurance System (CCQAS)/VetPro, Scheduling, and E-portal Systems. (Joint DoD and VA funding.) <br />
<br />
'''[http://www.pacifichui.org/about/hui_strategic_plan.pdf Telehealth]'''<br />
- Development and adoption of telehealth capabilities within the DoD Military Health System (MHS) and the VA continues to advance. The steady increase in cooperation between the two agencies allows for further leveraging of assets, knowledge, and development of integrated or interoperable programs. There are six joint telehealth initiatives in progress: VA/DoD Imaging Subgroup, Teleradiology, Telepsychiatry, Hawaii Integrated Federal Health Care Partnership, Alaska Federal Health Care Access Network, Case Management (Diabetes), and e-Learning. <br />
<br />
--[[User:MichaelChristopher|Michael]] 15:29, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/U.S._Department_of_CommerceU.S. Department of Commerce2006-04-17T21:45:18Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.doc.gov/ U.S. Department of Commerce]'''<br />
----<br />
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<br />
'''[http://www.ntia.doc.gov/top Technology Opportunities Program]'''<br />
- Awards matching grants that demonstrate how digital networks assist in the delivery of health care, public health services, and a wide variety of other local services.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:29, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Centers_for_Disease_Control_and_Prevention_(CDC)Centers for Disease Control and Prevention (CDC)2006-04-17T21:45:05Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.cdc.gov/ Centers for Disease Control and Prevention (CDC)]'''<br />
The CDC is working to advance public health activities through standards-based information systems. These systems need to work with each other and with clinical care systems to support public health needs. Through PHIN, the CDC and its public and private partners have been advancing software components and data and technical specifications that are compatible with federal standards activities such as CHI, NCVHS, and eGov.<br />
----<br />
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'''[http://www.cdc.gov/nedss/ National Electronic Disease Surveillance System (NEDSS)]'''<br />
- NEDSS is an initiative that promotes the use of data and information system standards to advance the development of efficient, integrated, and interoperable surveillance systems at federal, state, and local levels.<br />
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'''[http://www.cdc.gov/phin/ PHIN: National HealthCare Safety Network System]'''<br />
- PHIN is an Internet-based system to collect patient data on measures of health care quality.<br />
<br />
'''Public Health Monitoring'''<br />
- Most pubic health surveillance and monitoring systems, either directly or indirectly, get some data from clinical care activities. These data are used to facilitate public health surveillance through the timely and efficient transfer and processing of appropriate public health, laboratory, and clinical care data. Vital statistics systems also at times get data that originate in other places in the health system. <br />
<br />
'''Clinically Oriented National Center for Health Care Statistics (NCHS) Monitoring'''<br />
- National Health Care surveys provide a picture of how health care is delivered in the U.S. by collecting data from hospitals, emergency and outpatient departments, ambulatory surgery centers, nursing homes, office-based physicians, home health agencies, hospices, and others on a periodic basis. These surveys address measurement of diagnosis and treatment, characteristics of health care providers, trends in use of services, characteristics of patients, patterns of disease, use of drugs and other treatments, and emergence of alternative care sites.<br />
<br />
'''Public Health Preparedness Systems'''<br />
- Preparedness activities such as early event detection, quantification of outbreak or event magnitude, localization of an event, investigation of event etiology, the management of possible cases, the laboratory confirmation of true cases, the tracing of communicable disease contacts, the administration of vaccines, prophylaxis, and isolation all potentially interact with clinical-care data and systems. The PHIN standards have been requirements of the CDC and HRSA preparedness supplements to help see that the over 2 billion in preparedness funds that have gone to state and local health departments and hospitals can meet these information exchange goals.<br />
<br />
'''[http://www.cdc.gov/epix/ EPI-X]'''<br />
- EPI-X is the CDCs Web-based communications solution for public health professionals. Through EPI-X, CDC officials, state and local health departments, poison control centers, and other public health professionals can access and share preliminary health surveillance information quickly and securely. Users can also be actively notified of breaking health events as they occur. Key features of EPI-X include scientific and editorial support, controlled user access, digital credentials and authentication, rapid outbreak reporting, peer-to-peer consultation, and CDC-assisted coordination of investigations. <br />
<br />
--[[User:MichaelChristopher|Michael]] 15:27, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Health_Services_and_Resource_Administration_(HRSA)Health Services and Resource Administration (HRSA)2006-04-17T21:44:53Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.hrsa.gov/ Health Services and Resource Administration (HRSA)]'''<br />
----<br />
<br />
<br />
'''[http://bphc.hrsa.gov/chc/ Shared Integrated Management Information Systems (SIMIS)/ Information and Communication Technology (ICT)]'''<br />
- The SIMIS/ICT provides hardware, software, and support services for integration of practice management systems among federally supported health centers (SIMIS), and integration of electronic health records with practice management systems at consolidated health centers (ICT).<br />
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'''[http://bphc.hrsa.gov/chc/ Integrated Services Development Initiative (ISDI)]'''<br />
The program supports integration efforts in five areas one of which is information management.<br />
<br />
'''[http://bphc.hrsa.gov/cap/Default.htm Healthy Communities Access Program (HCAP)]'''<br />
- The HCAP is a community-based program to develop or strengthen health care safety net delivery systems through providing an infrastructure that will coordinate health care for the uninsured. Development of information systems is fundamental to supporting coordination of efforts that increase access to care.<br />
<br />
'''Sentinel Centers Network (SCN)'''<br />
- The SCN is investing in the information systems of participant health centers and networks to provide timely, patient-level data to inform policy decisions and quality improvement activities across all health centers.<br />
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'''Patient Electronic Care System (PECS)'''<br />
- The PECS is a program that is developing patient registry information systems for centers participating in the Health Disparities Collaboratives. <br />
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'''[http://telehealth.hrsa.gov/grants.htm Office for the Advancement of Telehealth grants (OAT)]'''<br />
- Grants support for community-based activities in informatics, electronic medical records, and telemedicine, including telepharmacy. <br />
<br />
'''[http://ruralhealth.hrsa.gov/funding Office of Rural Health Policy Network Development Grants]'''<br />
- The Network Development Grants are designed to further ongoing collaborative relationships among health care organizations by funding rural health networks that focus on integrating, clinical, information, administrative, and financial systems across members.<br />
<br />
'''[http://list.nih.gov/archives/careware.html CAREWare]'''<br />
- CAREWare is a patient, encounter-level software application distributed to HIV/Aids Bureau (HAB) grantees and providers of HIV care to help them manage, monitor, and report on all clinical and supportive care services. The software was originally built in Microsoft Access, but is now being developed in dotNET to enable Internet and wide-area connectivity of care providers and grantees. CAREWare is also being developed for use internationally (in Africa especially) under the Presidents Emergency Plan for AIDS Relief. <br />
<br />
--[[User:MichaelChristopher|Michael]] 15:26, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Indian_Health_Service_(IHS)Indian Health Service (IHS)2006-04-17T21:44:39Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.ihs.gov/ Indian Health Service (IHS)]'''<br />
----<br />
<br />
<br />
'''Integrated Behavioral Health System (BH)'''<br />
- The BH graphical user interface software application that includes the ability to track services provided by social work, alcohol/substance abuse counselors, psychologists, and psychiatrists. Application includes suicide tracking system (with bi-directional notification within HIPAA guidelines) as well as embedded guidelines. The requirements determination has been completed and the software development process will begin in FY04.<br />
<br />
'''Patient Account Management System (PAMS)'''<br />
- The PAMS is an enhanced third-party billing system. <br />
<br />
'''[http://www.ihs.gov/cio/crs/ Clinical Indicator Reporting System (CIRS)]'''<br />
- The CIRS is a robust reporting system that tracks over 40 indicators in a standard reporting format. The standards reporting format is a delimited file that exports locally into Excel and can be exported for regional aggregation.<br />
<br />
'''Integrated Case Management System'''<br />
- An integrated case management application is being developed to facilitate three views of data: patient, provider, and population health. These systems will allow for integration of varied disease case management applications that currently exist (diabetes, asthma, immunizations, etc.).<br />
<br />
'''[http://www.ihs.gov/CIO/DataQuality/warehouse/index.asp National Data Warehouse Initiative]'''<br />
- This Initiative is developing a data warehouse for use by epidemiologists, as well as clinical quality in order to enable analyses on quality improvement and interface with the clinical indicator reporting system.<br />
<br />
'''[http://www.ihs.gov/Cio/RPMS/index.cfm Resource and Patient Management System (RPMS)]'''<br />
- RPMS is the hospital information system utilized by 49 hospitals, 221 health centers, 120 health stations, and 170 Alaska village clinics.<br />
<br />
'''IHS - EHR Initiative'''<br />
- IHS-EHR provides order entry, results reporting, encounter documentation, and other clinical functionality to IHS, tribal, and urban Indian health care providers. IHS-EHR is a component of the Resource and Patient Management System (RPMS), IHS's enterprise health information system.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:25, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/National_Institutes_of_Health_(NIH)National Institutes of Health (NIH)2006-04-17T21:44:26Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.nih.gov/ National Institutes of Health (NIH)]'''<br />
----<br />
<br />
<br />
'''[http://www.nlm.nih.gov/ National Library of Medicine - Grants for Research, Training, and Access to Informatics Resources]'''<br />
- Research grants and contracts for advanced computer technologies to facilitate access, storage, and use of biomedical information, and for the value derived from the adoption, diffusion, and utilization of HIT.<br />
<br />
'''[http://www.nlm.nih.gov/ National Library of Medicine - Grants for Research, Training, and Access to Informatics Resources]'''<br />
- Support for training of informatics researchers and developers.<br />
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'''[http://grants.nih.gov/grants/guide/pa-files/PAR-02-081.html National Library of Medicine - Grants for Research, Training, and Access to Informatics Resources]'''<br />
- Support for Integrated Advanced Information Networks (IAIMS), Internet connections, and access to digital libraries.<br />
<br />
'''[http://www.nlm.nih.gov/ National Library of Medicine - Development and Implementation of Controlled Clinical Vocabularies]'''<br />
- Support for, and development of, selected CHI standard clinical vocabularies to enable ongoing maintenance and free use within the United States.<br />
<br />
'''[http://www.nlm.nih.gov/ National Library of Medicine - Development and Implementation of Controlled Clinical Vocabularies]'''<br />
- Uniform distribution and mapping of HIPAA code sets, CHI standard vocabularies, HL7 code sets, and other important vocabularies within the UMLS Metathesaurus. <br />
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'''[http://nihroadmap.nih.gov/clinicalresearch/overview-networks.asp National Electronic Clinical Trials and Research (NECTAR) Network]'''<br />
- NIH plans to develop NECTAR, which will link research sites and ultimately create a national network of networks, in coordination with the national health information network, by which research information and findings will be shared and scientific collaborations facilitated. NECTAR includes a research workflow model, a common lexicon of standard vocabularies to describe medical and scientific events, and analytical and dissemination tools. <br />
<br />
'''[http://www.cancer.gov/directorscorner/caBIG Cancer Biomedical Informatics Grid (caBIG)]'''<br />
- caBIG is a virtual cancer research network of interconnected data, individuals, and organizations that will create a common, widely distributed infrastructure that facilitates the sharing of data and applications and thereby enhances productivity and efficiency of research. caBIG infrastructure is based on HHS CHI standards. caBIG is being pursued as a pilot program that involves NCIs caCORE central resources, over 40 of NCIs cancer centers, and the FDA. The NCI has created a standards-supporting infrastructure called caCORE. It is composed of HHS-established controlled vocabularies, standard data elements, and domain models. <br />
<br />
--[[User:MichaelChristopher|Michael]] 15:24, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/U.S._Food_and_Drug_Administration_(FDA)U.S. Food and Drug Administration (FDA)2006-04-17T21:44:14Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.fda.gov/ U.S. Food and Drug Administration (FDA)]'''<br />
----<br />
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<br />
'''[http://www.fda.gov/cder/meeting/SPL.htm Structured Product Labeling (SPL) for prescription products (e.g., accessible drug information)]'''<br />
- The SPL provides information found in the approved FDA drug label or package insert in a computer-readable format for use in electronic prescribing and decision support. <br />
<br />
'''Bar Coding for Prescription Products'''<br />
- Standardized labeling.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:24, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Centers_for_Medicare_and_Medicaid_Services_(CMS)Centers for Medicare and Medicaid Services (CMS)2006-04-17T21:43:58Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.cms.hhs.gov/default.asp? Centers for Medicare and Medicaid Services (CMS)]'''<br />
----<br />
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<br />
'''[http://www.doqit.org/ Doctors' Office Quality - Information Technology (DOQ-IT)]'''<br />
- A special study to develop an approach to promoting adoption and use of information technologies in the physician office and reporting of information to Quality Improvement Organizations (QIOs). <br />
<br />
'''VistA - Office EHR<br />
- Modify / repackage VistA (the Veteran's Administration EHR software) for the physician office setting.<br />
<br />
'''Medicare Care Management Performance Demonstration'''<br />
- Establish a three-year, pay-for-performance pilot with physicians to promote the adoption and effective use of HIT to improve the quality of patient care for chronically ill Medicare patients. CMS will offer financial incentives to physician offices that meet performance standards in delivery systems and outcomes.<br />
<br />
'''[http://www.cms.hhs.gov/researchers/demos/mma646/ Medicare Health Care Quality Demonstration Program]'''<br />
- Section 646 of the Medicare Modernization Act (MMA) mandates a 5-year demonstration program under which CMS will test major changes to improve quality of care while increasing efficiency across an entire health care system. The Demonstration recognizes the use of health IT to improve quality.<br />
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'''[http://www.cms.hhs.gov/faca/ppac/phaseII_outline.pdf Physician self-referral exception: Phase II of physician self-referral regulations includes exception for community-wide health information systems]'''<br />
- Removes the regulatory barrier to allow for the furnishing of technology items or services to physicians to enable their participation in community-wide health information systems. <br />
<br />
'''[http://www.hhs.gov/healthit/e-prescribing.html E-prescribing hearings to develop, adopt, recognize, or modify initial e-prescribing standards. Pilot project to test initial standards.]''' <br />
- Participate in '''[http://www.ncvhs.hhs.gov/ NCVHS]''' hearings regarding e-prescribing standards in 2004 and 2005. Develop, adopt, recognize, or modify initial uniform standards not later than Sept. 1, 2005. During 2006 calendar year, conduct pilot project to test initial e-prescribing standards, unless the Secretary determines the industry has adequate experience with such standards.<br />
<br />
'''EMR Focus Groups'''<br />
- Pacific Consulting Group, under contract with CMS, will conduct 12 focus groups of providers to identify the issues and barriers that would prevent them from using electronic medical records, and suggestions they may have for addressing these issues. The focus groups will be organized as follows: three Part A, three Part B, three durable medical equipment (DME) providers, two rural providers, and one billing agent. Six of these focus groups will be in person, while six will meet via conference call. Focus groups are planned for the following cities: Boston or New York City, Florida or Atlanta, Chicago, Denver, San Francisco.<br />
<br />
'''CMS Virtual Call Center'''<br />
- The goal of CMS' Virtual Call Center is to improve beneficiary telephone customer service through the implementation of various initiatives for efficient and effective handling of all types of inquiries. The first phase involves, among other things, improvements in the Web-based application that allows phone representatives to retrieve clinical information about the beneficiary (such as date of last pap smear or colonoscopy). The second phase involves allowing beneficiaries to access clinical information about themselves through a Web-based application.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:22, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopherhttp://clinfowiki.org/wiki/index.php/Agency_for_Healthcare_Research_and_Quality_(AHRQ)Agency for Healthcare Research and Quality (AHRQ)2006-04-17T21:43:42Z<p>MichaelChristopher: </p>
<hr />
<div>'''[http://www.ahrq.gov/ Agency for Healthcare Research and Quality (AHRQ)]'''<br />
----<br />
<br />
<br />
'''[http://www.ahrq.gov/research/hitfact.htm Transforming Healthcare Quality Through Information Technology (THQIT)]'''<br />
- THQIT is a series of three grant programs (RFAs) released in FY04. The RFAs include the following: 1) demonstrating the value of HIT, 2) planning grants for future HIT implementations, and 3) providing HIT implementation grants for partnerships of three or more entities.<br />
<br />
'''State and Regional Health IT Demonstrations'''<br />
- AHRQ awarded 5 contracts to establish and implement state and regional demonstrations of interoperable health information systems.<br />
<br />
'''[http://healthit.ahrq.gov/home/index.html Health Information Technology Resource Center (HITRC)]'''<br />
- The Health Information Technology Resource Center (HITRC) will provide a state-of-the-art service center for grantees and organizations that are engaged in health IT diffusion activities (e.g., research, diffusion, or adoption).<br />
<br />
'''Coordination with CMS Medicare Care Management Performance (MCMP) Demonstration Project'''<br />
- AHRQ will be supporting a five-year evaluation of CMSs MCMP demonstration project to explore the integration of EHRs in the ambulatory environment. <br />
<br />
'''Indian Health Service (IHS) - Resource and Patient Management System (RPMS)'''<br />
- AHRQ recently provided funding to the IHS to support needed enhancements to the IHS EHR. This investment will help to create a user-friendly data system that can provide community-specific health care data as well as track the health status of the patient population. <br />
<br />
'''Patient Safety Health Care Information Technology Data Standards Program: Standards and Interoperability'''<br />
- This work on health data standards, done in coordination with the ASPE, will focus of the following four areas: 1) voluntary industry clinical messaging and terminology standards, 2) national standard nomenclature for drugs and biological products, 3) standards related to comprehensive clinical terminology, and 4) nomenclature and research related to accelerating the adoption of interoperable HIT systems.<br />
<br />
'''[http://www.ahrq.gov/clinic/epcix.htm Evidence Based Practice Center (EPC) - Evaluation of the Evidence Regarding Select Health IT Functions]'''<br />
- AHRQ's EPC Program has embarked on a 13-month program to explore and determine the evidence base associated with certain HIT functions.<br />
<br />
--[[User:MichaelChristopher|Michael]] 15:21, 17 April 2006 (CDT)<br />
[[Category:Blogposium]]<br />
[[Category:RHIO]]</div>MichaelChristopher