NOVA RHIO FINANCE COMMITTEE

MEETING MINUTES

FRIDAY, OCT. 20, 2006

Follow-up action	Person	Date
Next Meeting	All	8:00 -10:00 a.m., Friday, Nov. 3, 2006.  Arlington County Dept of Human Services Conf. call line 800-937-0042, passcode 8247735
Next Meeting	All	Define our stakeholders and provide list of specific names of organizations (see list to add to on page 2 of the minutes)
Next Meeting	All	Bring a list of ideas for initial grant funding organizations, private funds, vendors (specific organization names and points of contact, if known)
Next Meeting	All	Expand to the list of drivers/incentives for stakeholders
Next Meeting	All	Read CareSpark HIE Business Plan for funding mechanism ideas and “market financial opportunities.”
Next Meeting	Chris Green	Definition of geographic boundaries for the Northern Virginia RHIO
Locate & distribute the NJ RHIO RFI for review	Colleen Rooney	Early November
Future Meetings	All	8:00-10:00 a.m., Friday, Nov. 10, 2006 8:00-10:00 a.m., Friday, Nov 17, 2006
Finance Committee deliverables due & next joint plenary session	All	Friday, Dec. 1, 2006

Meeting Attendees	Members Not Present
Margaret Ezell	Emily Graham
Chris Green	Sunkiti Ponkshe
John Roberts	John Richards
Colleen Rooney	Aaron Seib
	James Thur
	Thao Tran

Agenda:

• Discuss start-up funding possibilities
• Discuss sustainable business model possibilities

Discussion, Decisions, Assignments:

First agenda item.  The committee members decided that we needed to have a broad discussion as to:  what are the geographic boundaries of the Northern Virginia RHIO, who are the stakeholders in this area, what are the drivers/incentives for the stakeholders, and what we are trying to accomplish in the short term (by Dec. 1^st) before we can bring specific ideas as to start up funding and sustainable business model possibilities (next and follow-on meetings).   

• Geographic boundaries.  Chris Green will speak with Jane Woods to define the geographic boundaries of the Northern Virginia RHIO.
• Stakeholders.

Types of Stakeholders	Stakeholder Names
County/city governments	Arlington, City of Alexandria, Fairfax, Prince William, Loudon
Hospitals	INOVA Health System, HCA Reston Hospital Center, Virginia Hospital Center, Dominion Hospital, Prince William Health System, Loudoun Hospital Center, Northern Virginia Community Hospital
Physicians groups
Nursing homes	Sunrise
Assisted living facilities
Public health agencies
County/city safety net programs
Patients
Insurers
Employers
Universities
Pharmacies
Pharmaceutical companies
Behavioral health
Radiology centers
Laboratories
CMS – Medicare (payor)
Commonwealth of Virginia
Virginia Medicaid (payor)
Federal government (payor)
Military health system
Veterans Affairs
First responders	Fire departments, police, emergency management
Vendors	Microsoft, Intel, Revolution Health

• Drivers/incentives for stakeholders.  We discussed the CareSpark RHIO and the similarities and differences between their HIE and the NOVA RHIO.  The similarities include their focus on sharing medication and diagnostic information in their health information exchange and their drivers and incentives translate to our market area.  These drivers/incentives are as follows:

Medication System	Diagnostic Services
Adverse drug events Generic substitution Callbacks Formulary compliance Medication compliance Mail order service	Reduce radiology utilization by reduction in duplicate and unnecessary testing Reduce laboratory utilization by reduction in duplicate and unnecessary testing Reduce physician administrative costs

CareSpark has graciously offered to share their business plan with the NoVA RHIO Finance Committee to review.  Please be aware that it is a proprietary and confidential document not to be shared outside our committee without approval of the CareSpark Executive Director, Liesa Jo Jenkins. 

Second agenda item.  The committee needs to consider the two levels of pursuit and bring specific ideas to share with the group at the November 3^rd meeting on:

• Initial funding – Start-up/launch money via contributions/grants
• Long-term sustainability – Revenue, contribution/grants, etc. 

Additional items. 

Item One. The committee spoke of the need for market analysis for base data for the business plan.  This research is also immediately applicable for determining the drivers and incentives for the stakeholders which impacts the potential sources the committee pursues for contributions and grants.  This could be a potential project for a graduate student. 

• Need to learn:  Who are the stakeholders?  What problems do they face and what would they pay to access?  What will sell and what won’t?   

Item Two.  Margaret Ezell referenced the company, You Take Control, www.y-t-c.com, as a potential partner to work with for a benefit to the RHIO and some of its stakeholders and be a potential revenue source.  Background:  James Thur in his email of 10/19/2006 (Fairfax County Gov) suggested that we consider adding a Personal Health Record from an organization and share the profit with that company.  You Take Control has such a PHR product plus many other features and is currently working with several RHIOs and HIEs. 

YTC’s main selling points are:

• Allows the Patient/Individual to take control/be the gatekeeper of their own records/ information (health care provider, bank, and insurance company records).  The patient is notified when a request for release of their information is received.  They can opt in or out of sending their record through the RHIO.  The patient can also preauthorize sending information for future expected requests (emergencies, etc.)
• Allows the Patient to opt in and out of drug studies, potentially a source of revenue to the RHIO, the hospital, the physician and the patient.
• YTC does not maintain a record of the patients’ data, but it does maintain the record of to whom it was disclosed.

The product raises revenue for the RHIO / HIE.  Base membership is free to everyone, with levels of membership if the patient wants to be considered for different levels of participation in revenue generating studies.  Margaret’s point of contact at YTC knows and can refer us to Revolution Health, Steve Case’s company that James Thur also mentioned in his email.  This YTC POC also knows the folks at Intel so we potentially use them as an entrée to Intel to engage in discussions about their PHR efforts. 

Agenda for Next Meeting, Fri, Nov 3rd:

• Discuss who are the NoVA RHIO stakeholders
• Discuss initial grant funding organizations, private funds, vendors
• Discuss drivers/incentives for stakeholders

Meeting Logistics:

Arlington County Department of Human Services, 3033 Wilson Boulevard, Arlington, VA.  Park in the garage below the building and get your ticket validated or park on the street (metered parking).  Clarendon Metro is across the street.  http://www.arlingtonva.us/departments/HumanServices/HumanServicesDirections.aspx

• Meeting room location TBD 
• Meeting room point of contact:  Chris Green, cell 571-238-1690

Email or call Colleen Rooney with additions or corrections to these minutes.