HIT Commons

Oregon Health Authority (OHA) and Oregon Health Leadership Council (OHLC) teamed to develop the Health information technology (HIT) Commons that will govern EDIE along with other priority statewide HIT initiatives, with the express purpose of accelerating and advancing OHA’s vision of an HIT-optimized health care delivery system in Oregon.

Background:

In 2015 the EDIE Utility was formed to enable a common service or utility of patient hospital event information from across the state with a shared funding model and stakeholder led governance. Based on the success of the EDIE Utility and EDIE governance model, in 2017 the Oregon Health Authority (OHA), in collaboration with the Oregon Health Leadership Council (OHLC), and with support and input of stakeholders, explored the creation of an HIT public/private governance model to accelerate and advance HIT across the state. An HIT public/private governance model is meant to leverage and build on the success of collaborative efforts to date, and in particular the EDIE governance model. Through this collective work, the “HIT Commons” model, is designed to coordinate, standardize, govern and support statewide HIT efforts.

Principles:

The following as principles to guide the work of the HIT Commons:
• Work for common or public good
• “Raise all Boats” - Establish Minimums (vs maximums)
• Inclusive – Work to ensure “all-in” or critical mass
• Rules of the Road for data sharing – set guard rails to promote trust
• Democratize the data – exchange common data within guard rails
• Spread HIT successes
• Transparency – create clarity around how and why decisions are made
• Identify and communicate value

Scope/Timeline:

Initial implementation of an HIT Commons began in late 2017, with the transition of the EDIE Governance Board to the new HIT Commons Board. Initial management of the HIT Commons will be under the direction of the OHLC and a management contractor. Initial scope of the HIT Commons will include EDIE and Statewide Prescription Drug Monitoring Program (PDMP) Gateway. As the governance structure develops and matures, other projects, as determined by the Governance Committee may be considered for inclusion in the HIT Commons. It is anticipated that the legal and management structure of the HIT Commons will evolve into a more formal and independent structure over time. This has been referred to as a “crawl, walk, run” strategy to build on what has worked, monitor for effectiveness and evolve and expand as deemed appropriate.
Funding the HIT Commons will be built on the current EDIE financing structure and be funded by authorized state HIT funds, and dues paid by insurers, CCOs (OHA will initially sponsor CCO share), hospitals, and potentially other providers down the road.

HIT Commons Governance Board:

The role of the HIT Commons governance is to accelerate the selection, procurement, financing, implementation and adoption of health information technology initiatives in Oregon, improving the effective use and oversight of statewide HIT initiatives.
The HIT Commons Governance is responsible to carry out the responsibilities of governing the initiatives which are included under its purview. Initially, those initiatives will be continuing the governance of the EDIE Utility and the statewide PDMP gateway. Decisions related to these statewide initiatives may be binding with respect to Sponsoring Organizations, project participants, stakeholders and others.