On the way to
Interoperable Electronic Health Records
Minnesota Critical Access Hospital and
Rural Health Conference
June 16, 2009
Anne Schloegel
Office of Rural Health and Primary Care
Minnesota e-Health Initiative Vision
“… accelerate the
adoption and effective use
of Health Information
Technology to improve
healthcare quality,
increase patient safety,
reduce healthcare costs,
and enable individuals and
communities to make the
best possible health
decisions.”
Source: e-Health Initiative Report to the MN Legislature, January 2004
Minnesota Model for Adopting
Interoperable Electronic Health Records
Breaks achieving the 2015 Mandate into
manageable steps
Applies across organizational settings
Continuum
of EHR
Adoption
Achievement of
2015 Mandate
Adopt
Assess
Plan
Utilize
Select
Implement
Effective Use
Exchange
Readiness
Interoperate
e-Health Grants 2006-2009
Requested
Awarded
Requests Amount Awards Amount
Planning
Implementation
29
64
93
1,276,411 25
25,946,031 24
$27,222,442 49
821,000
7,479,000
$8,300,000
4
Minnesota e-Health Grantees & Community Partners
2006-2008
Award Year
2006
2007
2008
Roseau
Community
Partners
Cook
Ely
Bemidji
Bigfork
Grand
Marais
Deer River
Mahnomen
Ogema
Moorhead
Longville
Walker
New York
Perham Mills
Wadena
Alexandria
Wheaton
Ortonville
Staples
Bertha
Kennsington
Morris
Graceville
Appleton
Osakis
Moose Lake
Long Prairie
Brooten Albany
Mora
Milaca
Braham
North Branch
Cambridge
St. Cloud
Isanti
Willmar
Chisago City
Minneapolis
Glencoe
Redwood
Falls
Sleepy Eye
Tracy
Walnut Grove
Balaton
Sandstone
Little Falls
Sauk Centre
Glenwood
Holdingford
Starbuck
Avon
Madison
Dawson
Granite Falls
Cottonwood
Duluth
Crosby
Ottertail
Henning
Fergus
Falls
Browns
Valley
Cloquet
Pine River
Menahga
Pelican Rapids
Westbrook
Stewart
Lester
Prairie
Arlington
Gaylord
Winthrop Henderson
Bloomington
Red Wing
Wabasha
New Ulm
Rochester
Madelia
Owatonna
Plainview
St. Paul
Electronic Health Record Loans
Total Requests (27)
$ 14,156,018
Represents pre-application requests.
Some requests were not approved or the applicant
declined to continue loan process
Approved EHR Loans (8)
$ 6,300,000
−Critical Access Hospital (5)
−Rural Physician Clinic/Other Provider (2)
−Community Clinic (1)
Estimated unmet need
4,605,045
1,541,000
153,955
$ 4,056,356
On Their Way
e-Health Grant Projects
• John Lillie, SISU Medical Systems
2008 Implementation Grant
• Mark Roisen, Lac qui Parle Health Network
2009 Implementation Grant
• Candace Fenske, Madelia Community Hospital
2009 Planning Grant