BURLINGTON, VT—The State Alliance for e-Health (State Alliance) today adopted the following recommendations from two of its three taskforces. The State Alliance expects to present refined versions of these along with additional recommendations to states early in 2008. The taskforce reports that incorporate these recommendations are available at www.nga.org/center/ehealth.

The Health Care Practice Taskforce is charged by the State Alliance with identifying and addressing issues pertaining to the regulatory, legal and professional standards that have an impact on the practice of medicine and create barriers to interoperable, electronic health information exchange.

  • Recommendation 1.1: The State Alliance should recommend that state medical, nursing and pharmacy boards work to implement online licensure applications.
  • Recommendation 1.2: The State Alliance should recommend that all state nursing and pharmacy boards develop common core licensure application forms, and state medical boards adopt the Federation of State Medical Board Common Licensure Application Form. Individual states may include state specific requirements.

The Health Information Protection Taskforce is charged by the State Alliance with identifying and addressing issues pertaining to the privacy and security of consumer health information while allowing for seamless electronic health information exchange within and across states

  • Recommendation 1.0: The State Alliance should encourage states to recognize the certification of newly acquired electronic health record applications and network components by the Certification Commission for Health Information Technology (CCHIT) or other certification body designated by the Secretary of the U.S. Department of Health and Human Services.
  • Recommendation 1.1: The State Alliance should encourage the President to call on the Secretary of the U.S. Department of Health and Human Services to designate a single, national certification body (such as CCHIT) for use by all relevant federal agencies and require product and network certification for participants in all federally funded programs, grants and contracts for newly acquired products or network components.
  • Recommendation 1.2: The State Alliance should encourage states to become engaged and provide input into the certification process by supporting the participation of State Chief Information Officers (CIOs), public program CIOs and state health information technology coordinators (or equivalent-level personnel) in the CCHIT, Health Information Technology Standards Panel or similar federallyendorsed activities in order to ensure that the state perspective is incorporated and to ensure applicability of the requirements in the state environment.
  • Recommendation 2.0: The State Alliance should encourage states to continue to (1) educate leaders of the executive and legislative branches on the importance of interstate alignment of privacy protections and (2) sustain efforts through financial and political support or other means, to reduce the variability of state privacy requirements within and across states, in a manner that ensures appropriate consumer protections are in place.
  • Recommendation 2.1: The State Alliance should call on the Executive Branch of the federal government to work with the Alliance to identify challenges in current federal statutory and regulatory requirements and create mutually acceptable solutions that would allow for alignment of these requirements as they relate to the privacy and security of health information and health information exchange, in a manner that ensures appropriate consumer protections are in place.

The State Alliance for e-Health is an initiative designed to improve the nation's health care system through the formation of a collaborative body of governors, state legislators and other state leaders that enables states to increase the efficiency and effectiveness of the HIT initiatives they develop. The State Alliance for e-Health was developed under a contract with the U.S. Department of Health and Human Services' Office of the National Coordinator (ONC) for Health Information Technology. The recommendations above do not necessarily reflect that views of the ONC. To learn more about today's meeting and the work of the State Alliance, please visit www.nga.org/center/ehealth.

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Founded in 1908, the National Governors Association (NGA) is the collective voice of the nation's governors and one of Washington, D.C.'s most respected public policy organizations. Its members are the governors of the 50 states, three territories and two commonwealths. NGA provides governors and their senior staff members with services that range from representing states on Capitol Hill and before the Administration on key federal issues to developing and implementing innovative solutions to public policy challenges through the NGA Center for Best Practices. For more information, visit www.nga.org
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