Performance Improvement 2008. How Do States Promote Health Information Technology and Exchange?


This study assessed State Medicaid agencies' initiatives to promote health information technology (HIT) and health information exchange (HIE). In 2004, the President announced his plan to ensure that electronic health records would be available to most Americans by 2014. Secretary Leavitt stated that he envisioned that Medicare and Medicaid would be viewed as leaders in the collaborative development and use of HIT. This study surveyed all State Medicaid directors and conducted structured telephone interviews with State Medicaid directors who reported that they had current or planned HIT and HIE initiatives. Researchers reviewed documentation of State initiatives and interviewed officials from the Centers for Medicare & Medicaid Services who were involved in this area or in the implementation of Medicaid Information Technology Architecture MITA), a system design developed help States modernize their Medicaid information systems.

Twelve State Medicaid agencies had implemented a total of 16 HIT initiatives. Twenty-five State Medicaid agencies were planning and developing Statewide HIE networks. Thirteen State Medicaid agencies included the Medicaid Information Technology Architecture as part of their planning. Researchers recommended that the Centers for Medicare and Medicaid Services continue to promote the use, by states, of the Medicaid Information Technology Architecture and that the agency collaborate with other Federal agencies in developing privacy and security policies.

Report Title: State Medicaid Agencies' Initiatives on Health Information Technology and Health Information Exchange.
Agency Sponsor:
OS-OIG, Office of Inspector General
Federal Contact:
Claire Barnard, 202-205-9523
Performer: Office of Inspector General
PIC ID: 8778

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