Health Information Technology
Request for Grant Applications
Applicants Conference
November 21, 2006
10:00am - 1:00pm
Conference Panelists
•Bill Schroth - Moderator
•Anna Colello - Evaluation Co-Chair
•Ellen Flink - Evaluation Co-Chair
•Marybeth Hefner-DOH - GrantsAdministrator
•Janice Dee – DOH – HEAL NY
•Bob Veino - DOH - Legal
•Tracy Raleigh - DASNY - Finance
•Sara Richards - DASNY - Legal
HEAL NY - Phase III
• Support Federal Strategic HIT Plan
• Broad definition of Clinical Data
Information Sharing Projects
• Principle: Large public interest in building
clinical data sharing infrastructure
• Majority of funds to existing stakeholders
• Show community benefit and support
Financial Issues
•Funding for capital costs - Statutory
•60% match funds required
–Leverage grants
–“Skin in the game”
–Reduce to 50% in certain circumstances
•Financial viability
–Real implementation, not temporary
–Encourage payer involvement
Multi-stakeholders/Community
Buy-in
•Across corporate/stakeholder
boundaries
•Minimum requirements
•The more the merrier
•Openness to new stakeholders
•CAUTION: Make sure applicant is
“eligible”
Technology
•Interoperability
•Existing standards, certification for EHRs
•Choice of platforms/vendors
•Prescriptive standards for e-Imaging and eRx
•Requirements
•Recommendations
Three Project Categories
•
e-Imaging
$10MM
•
Public Health
$10MM
•
Clinical data sharing
$32.875+ Million
•
Increase proportionally if total Phase 3 amount increased
1- e-Imaging: Interoperable Sharing of
Imaging Data across a Community
•Imaging is the fastest growing medical expense
•Digital imaging increases diagnostic capability: resolution,
contrast, historical images
•Opportunity to avoid duplication & unnecessary images
•Advanced technical standards
•Four (4) Requirements
•Decision/Recommendations
•Financial support from payers, possibly vendors
•Required: 20% funding from Payers
•Higher scores for larger payer and/or vendor financing
•Only 50% match required for projects utilizing existing
PACS
2 – Public Health
•Projects with specific public health functionality:
•Clinical laboratory data
•Medical records
•Connect with the clinical
•Detailed specifications and standards
3 – Clinical Data Sharing – Provider infrastructure
& connecting software for various projects
•E H R, eRX, and other
•Connect others to existing projects
•Connect Existing projects
•Projects in Geographic Areas where none exist
•E H R Certification
•eRX standards
•3 Requirements
•Recommendations/Discussion
Regional Allocations
• Evaluation combines project quality and
category with geographic distribution
• Right to alter grant/project size – hope not to
use
• Three steps:
• Fill e-Imaging & public health categories
• Geographic distribution to specific 6 regions
• Remainder to highest scores statewide
Example: Step One - e-Imaging & Public Health
20
M
I
L
L
I
O
N
S
18
16
14
12
10
8
6
$5MM
$5MM
$5MM
$2MM
4
$0
2
0
$4MM
Western
Central
Northern
Hudson
Valley
NY
LI
Example: Step Two – Geographic Quotas
20
$11MM
18
M
I
L
L
I
O
N
S
16
14
12
10
8
6
$5MM
$5MM
4
$4MM
$2MM
$3.1MM
Northern
Hudson
Valley
2
0
Western
Central
e-Imaging & PH
NY
LI
Geographic Quotas
Example: Step Three – Highest Remaining Scores
$20MM
$20
M
I
L
L
I
O
N
S
$16
$8
$9MM
$8MM
$12
$5MM
$7MM
$4MM
$4
$0
Western
Central
e-Imaging & PH
Northern
Geographic
Hudson
Valley
NYC
LI
Highest Remaining Scores
Capital Costs and Matching
Funds
• Project Phases
– Preliminary design phase
– Software development phase
– Post-implementation/operational phase
Preliminary Design Phase
• Costs apply only to matching costs
• Direct costs only
• Must be incurred 10/1/06 or later
Software Development Phase
• Costs can apply to match or be reimbursable
• Direct costs only
• If used for match, must be incurred 10/1/06
or later
• If used for reimbursement, must be incurred
after contract start
Post-Implementation/Operational
Phase
• Costs apply only to matching costs
• Direct costs only
• Must be incurred after contract start date
Examples of Allowed Costs
•
•
•
•
•
•
Payroll for staff directly involved
Payroll related costs (employee benefits)
Travel for direct staff
Hardware
Software purchase - specific to project
Software development by third party
Eligible Applicants
• Legally existing corporation licensed to
operate entity Section 3.2 in NYS of RGA
• May be an eligible applicant for only one
application, but may be a stakeholder in one
or more applications
• May be Clinical Information Data Exchange
made up of Section 3.2 entities and must
exchange data with stakeholder of a
different category
Stakeholders
• Same entities as eligible applicants with the
addition of adult homes with assisted living
programs, hospices, payers, pharmacies and
labs
• Must be medical entity to qualify and the
more appropriate organizations that partner
the better
• May be part of multiple applications
Requirement to Certify that:
 I will make every effort to ensure that the applicant will be consistent with the
goals and recommendations, when available, of the Commission on Health Care
Facilities in the Twenty-First Century, as established pursuant to Section 31 of Part
E of Chapter 63 of the Laws of 2005.
 I will make every effort to ensure that the applicant will design a project which is
interoperable and adheres to the national standards for their type of Project.
 I certify that the work covered by the Grant Disbursement Agreements (“GDAs”)
shall be deemed “public work” subject to and in accordance with Articles 8, 9 and
10 of the Labor Law, if applicable.
 I certify that the applicant will collaborate with other grant recipients in their
region and with the Department of Health on the development of statewide
standards.
 I certify that the information contained in this application and attached materials
are accurate and true.
 I certify that the funds received pursuant to subdivision 1 of section 2818 of the
Public Health Law will be expended solely for the purposes for which the monies
were awarded under the RGA for __________________________________.
Attachment 6
(Name of Facility)
Evaluation Criteria
• The Technical component is worth 70% and the
Financial component is worth 30%
• Minimum score of 65 to be eligible for
consideration
• Within the technical component, the areas of most
importance are: quality, technology and
community buy-in/commitment
• The technical component and financial component
will be reviewed by separate teams
• An awards committee will make the final award
determinations
Evaluation Criteria
• Project Description- 40 points
•
Technology - 20 points
•
Project Evaluation / Monitoring - 10 points
•
Financial - 30 points
• Cost effectiveness
• Financial viability
Review Teams
• Program Teams
• Technology Teams
• Financial Teams
Award Criteria Considerations
• Strength and scope of overall Project
• Availability of funds
• Responsiveness to the goals and objectives
of HEAL NY and RGA
• Evidence of substantial applicant
organizational capability, support, and
commitment
• Financial commitment and viability
Submitting the Application
• Applications must be prepared using the forms on the
website, including the budget and certification.
Attachments can be found at:
http://www.nyhealth.gov. /funding/rfa/0610100951/index.htm
• Applications should be submitted to:
Robert Schmidt
Director, HEAL NY Implementation Team
New York State Department of Health
Hedley Building, 6th floor
Troy, NY 12180
Key Dates
• Questions due by November 27, 2006
• Questions & Answers will be posted
December 1, 2006 at
http://www.nyhealth.gov/funding/rfa/06101009
51/index.htm
• Application due date - January 8, 2007
• Anticipated Award Date - Spring 2007