HOUSE COMMITTEE ON

INFORMATION MANAGEMENT AND TECHNOLOGY

 

March 24, 2005   Hearing Room 357

1:00 P.M. Tapes 29 – 30

 

MEMBERS PRESENT:            Rep. John Dallum, Chair

Rep. Jerry Krummel, Vice-Chair

 

MEMBERS EXCUSED:            Rep. Chuck Burley

Rep. Brad Witt

Rep. Kelley Wirth, Vice-Chair

 

STAFF PRESENT:                  Dallas Weyand, Committee Administrator

Louann Rahmig, Committee Assistant

 

MEASURES/ISSUES HEARD:

                                                Electronic Health Records Task Force Report–Informational Meeting

 

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 29, A

004

Chair Dallum

Calls the meeting to order at 1:05 p.m.  Announces that they will serve as a subcommittee due to Rep. Witt and Rep. Burley traveling and Rep. Wirth being “in transit.”  Opens the informational meeting on electronic health records task force report.

Electronic health records task force report – INFORMATIONAL MEETING

016

Gretchen Morley

Director, Health Policy Commission.  Gives history of the Commission.  Provides background of the Electronic Health Records Task Force.

036

Jody Pettit

Internist, Providence Medical Center.  Refers to the Oregon Health Policy Commission Electronic Health Records and Data Connectivity report (EXHIBIT A).  Explains the goal of the subcommittee which is to improve the quality, safety and efficiency of health care, and the flow of patient information and medical knowledge.   

070

Pettit

Describes the membership of the subcommittee and their charge, which was to make recommendations regarding the role of the state to make Oregonians’ health information available anytime and anywhere.  

093

Pettit

Summarizes the subcommittee’s recommendations, which include the use of national standards. 

120

Pettit

Believes the financing for start-up costs should come from the private sector, ultimately building a financially sustainable model for data exchange.  Discusses the Public Employees Benefit Board (PEBB) work on the use of health information technology.  Explains that a study has been undertaken to determine who has electronic medical records and the readiness of others to accept the technology.   

152

Pettit

Believes the state should coordinate with the private sector on communication campaigns to promote public awareness of the importance of health information technology.   

173

Pettit

Concludes with a recommendation that the state participate in pilot projects and that a health information technology coordinator be appointed through the Office of Health Policy and Research. 

190

Chair Dallum

Comments that there was a discussion in the interim committee that there would be savings realized if the Oregon Health Plan was moved into a technological setting.  Asks if there would be savings.

197

Pettit

Answers, yes.  Explains that there is enormous redundancy with data being collected that has already been collected at some point.  States that patient history should be documented only once. 

216

Pettit

Continues that the savings would be in administrative time. 

228

Chair Dallum

Expresses concern with the Oregon Health Plan.  Asks if the subcommittee looked at possible savings.

237

Pettit

Describes a group in Boston called the Center for Information Technology Leadership that did a study which showed a $78 billion saving, and Oregon would be about one percent of that. Continues that was on the “end point.”

254

Chair Dallum

Inquires if the veterans system offers a model that might work for Oregon Health Plan recipients.

261

Pettit

Replies that the Veterans Administration is a shining example of health information technology and is a good model.  Advises that the software is public domain. 

269

Chair Dallum

Asks for an estimate of time to put a model in place.

277

Pettit

Responds, several years up to a decade.

294

Rep. Krummel

Asks if SB 541 (EXHIBIT B) is along the lines of the recommendations.

302

Pettit

Answers that they didn’t recommend a task force but there is overlap.   Believes there would be more impact with a funded, staffed position.

320

Rep. Krummel

Refers to the Medicare electronic billing process.  Asks how to provide incentive for the small clinics.

359

Pettit

Responds that Medicare is playing a role in demonstration projects trying to align financial incentives.  Believes the state could do something similar through the Oregon Health Plan. 

TAPE 30, A

006

Rep. Krummel

Asks about the possibility of using a “smart card” that would create a health savings account type of system within the Oregon Health Plan.

024

Pettit

Replies that there are vendors developing that technology.  Continues that people forget to bring information so the record probably needs to reside somewhere, perhaps on the internet.  Goes on that there is a concept for health records banks which would store data.

050

Rep. Krummel

Asks about practice management software becoming all-inclusive to allow for upgrades. 

081

Pettit

Advises that there are a number of practice management vendors that have an electronic health record component but they vary in the degree of interface.   

102

Chair Dallum

Asks if a pilot program will be a result of this health care committee.

113

Pettit

Responds that in other states there has been a public/private collaborative model where the state works with the private sector.  Sees the pilot evolving in that way. 

121

Chair Dallum

Expresses a sense of urgency to increase the number of people served or improving the quality of service. 

130

Pettit

Comments that health care issues are paramount and the focus of the pilot should be on the uninsured and underinsured. 

148

Chair Dallum

States that a way to pick up the pace of the project would be to put the savings back into the system at the beginning.

164

Rep. Krummel

Comments that the standards that are set need to have involvement of the state.  Refers to the action plan in EXHIBIT A.  Asks if we should encourage our insurance carriers to contract only with providers who utilize electronic medical records. 

191

Morley

Advises that PEBB built into a recent request for proposal process more quality measures, looking for plans that would be vesting in activities that would improve the quality of care. 

203

Pettit

Concludes with comments that health care is an issue that affects every one, and while monetary gains are there, it takes faith to streamline the system.

216

Dallas Weyand

Committee administrator.  Asks if any legislation is being drafted to implement the action plan.

220

Pettit

Replies that they have been working on SB 541 and there will be modifications.

228

Chair Dallum

Closes the informational meeting on electronic health records task force report.

229

Chair Dallum

Announces a planned road trip to Fossil, Oregon, on April 7, 2005, and outlines the proposed schedule.  

313

Chair Dallum

Adjourns the meeting at 1:50 p.m.

 

 

EXHIBIT SUMMARY

 

  1. Oregon Health Policy Commission, Electronic Health Records & Data Connectivity, printed report, Jody Pettit, 20 pp
  2. SB 541, printed bill, staff, 2 pp

HOUSE COMMITTEE ON

INFORMATION MANAGEMENT AND TECHNOLOGY

 

March 15, 2005   Hearing Room 357

1:00 P.M.  Tapes 25 - 26

 

MEMBERS PRESENT:            Rep. John Dallum, Chair

Rep. Jerry Krummel, Vice-Chair

Rep. Kelley Wirth, Vice-Chair

Rep. Chuck Burley

Rep. Brad Witt

 

STAFF PRESENT:                  Dallas Weyand, Committee Administrator

Louann Rahmig, Committee Assistant

 

MEASURES/ISSUES HEARD:

                                                High Performance Computing Briefing – Informational Meeting

 

                                               

These minutes are in compliance with Senate and House Rules.  Only text enclosed in quotation marks reports a speaker’s exact words.  For complete contents, please refer to the tapes.

 

TAPE/#

Speaker

Comments

TAPE 25, A

003

Chair Dallum

Calls the meeting to order at 1:00 p.m.  Introduces the high school students from Mitchell, Oregon, attending the committee meeting as guests.  Opens the informational meeting on high performance computing briefing.

HIGH PERFORMANCE COMPUTING BRIEFING – INFORMATIONAL MEETING

015

Brian Wornath

LCN Media & Consulting Group.  Announces that he represents the Oregon High Performance Computing Consortium.  Distributes hard copy of General Proposal for Establishing an Oregon High Performance Computing Infrastructure PowerPoint presentation (EXHIBIT A).  Begins the presentation with an overview and the goals of developing a supercomputing resource in Oregon. 

055

Wornath

Provides an explanation of supercomputing and who would use it. 

074

Wornath

Describes the old-style, traditional, single-purpose computer called a “monolith.”   

088

Wornath

Discusses types of supercomputers.  Refers to case studies in EXHIBIT A, Page 14.

117

Wornath

Discusses how much unused computing time is available after regular office hours, creating an affordable and powerful computing “grid.” 

149

Wornath

Continues with justification to develop affordable high performance computing resources within Oregon. 

184

Wornath

Proposes to create a state resource that markets the unused capacity and the accompanying consulting services, offering “one-stop shopping” for high-performance computing.   

216

Wornath

Outlines sources for general initial capitalization.  States that earnings from operations would come from leasing affordable high-performance computing time.

237

Wornath

Shows comparison of estimated financial scenarios (EXHIBIT A)

313

Wornath

Discusses the percentage of return and cost per year of operating a computer grid. 

381

Wornath

Suggests implementing a pilot project to determine the best technical solution.  Displays the estimated pilot profitability. 

TAPE 26, A

019

Wornath

Discusses a possible organizational structure similar to an Oregon high-performance computing consortium.  Continues with explanation of challenges. 

069

Wornath

Has spoken with Chief Information Officers around the state, who believe the concept is good. 

083

Wornath

Summarizes by stating that the technology is proven, can easily be applied to numerous applications and uses, and is easily expandable. 

121

Chair Dallum

Asks about the “down side.”

125

Wornath

Responds that information technology people will say this is a very specialized area.  Believes that ideally the universities and the state would co-develop a pilot program.

148

Chair Dallum

Inquires if this concept is attractive to private enterprise.  

155

Wornath

Replies, it is.  Continues that there are certain niches that don’t have the financial resources to take on a project such as this.  Cites examples of researchers who believe they can use.  

192

Chair Dallum

Asks what proposed legislation should look like.

196

Wornath

Answers that funding for a pilot project could be requested. 

227

Rep. Burley

Inquires what is preventing us from using this now. 

233

Wornath

Responds, nothing.  Indicates from a financial standpoint, it is best to consolidate and not have many small clusters. 

261

Rep. Burley

Refers to the case studies in EXHIBIT A that were mostly done by private corporations.  Comments that if we were going to use public resources, that is a different set of circumstances particularly since we are concerned with security issues.

270

Wornath

Agrees.  Offers to provide more up-to-date information.  Reports on other states that are doing this for economic development. 

313

Rep. Burley

States that the corporate environment is more controlled than ours as we have computers all across the state.  Asks how we would insure security.

323

Wornath

Agrees that some environments are better suited than others. 

329

Rep. Krummel

Asks if setting something like this up in the new data center might generate the dollars to pay for it.

338

Wornath

Replies, absolutely.  Reports that high performance computing is being done on a limited basis at the Oregon State University Oceanic School. 

404

Rep. Krummel

Asks if there have been discussions with the Department of Administrative Services (DAS) or other privately owned data centers to see if there is an interest.

416

Wornath

Has spoken with DAS and some small companies affiliated with academics.

439

Rep. Witt

Inquires if one has to be a participant in the network to be able to utilize supercomputing capacity.

TAPE 25, B

 

 

011

Wornath

Responds, yes, for security reasons.  States that the criteria needs to be identified in the business model.    

020

Rep. Witt

Asks if he is aware of any claims in other states that there is not equal access.

025

Wornath

Answers that he has not heard of any.

027

Rep. Wirth

Inquires if anyone has expressed an interest in helping finance a pilot study.

032

Wornath

Replies, absolutely. 

038

Rep. Wirth

Asks how much private money might be available.

046

Wornath

Replies that there is interest, and some medical schools are trying to lure grants.  Believes discussions with interested parties to determine how much money is available would be needed.

069

Rep. Wirth

Inquires if other states have included some public financing, and how far along they are in the process.   

077

Wornath

Answers, it varies. 

089

Wanda Brennan

High School Science Teacher, Mitchell, Oregon.  Cites problems of areas with limited internet access.  Asks how high-performance computing will benefit them.

096

Wornath

Responds that not all rural areas will receive the same amount of benefit; however, areas with community colleges perhaps can provide access.   

140

Chair Dallum

Closes the informational meeting on high performance computing and adjourns the meeting at 2:08 p.m.

 

 

EXHIBIT SUMMARY

 

  1. High Performance Computing Infrastructure, General Proposal for Establishing, printed copy of PowerPoint presentation, Brian Wornath, 67 pp