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IllinoisHIEStrategic&OperationalPlanSubmittedbytheIllinoisOfficeofHealthInformationTechnologyJuly30,2010UpdatedandResubmitted:October22,2010UpdatedandRevised:December10,2010IllinoisHIEStrategic&OperationalPlanDecember28,2010ILStrategic&OperationalPlanPage2TableofContentsIntroduction............................................................................................................................................5ExecutiveSummary.................................................................................................................................7GoalsandObjectives...............................................................................................................................8EnvironmentalScan.................................................................................................................................9CoordinationwithMedicaid..................................................................................................................24CoordinationwithOtherFederally-FundedPrograms............................................................................25GapAnalysisandStrategytoMeetMeaningfulUse...............................................................................32CommunicationsPlan............................................................................................................................32Governance...........................................................................................................................................40Finance..................................................................................................................................................44TechnicalInfrastructure.........................................................................................................................58BusinessandTechnicalOperations........................................................................................................78LegalandPolicy.....................................................................................................................................83OperationalPlan....................................................................................................................................97ListofAppendices...............................................................................................................................163IllinoisHIEStrategic&OperationalPlanDecember28,2010ILStrategic&OperationalPlanPage3StrategicPlanIllinoisHIEStrategic&OperationalPlanDecember28,2010ILStrategic&OperationalPlanPage4AcknowledgementsOnbehalfoftheOfficeofHealthInformationTechnology,wewouldliketothankthefollowingorganizationsandagencies(andthededicatedindividualswithinthosegroups)thatsupportedandguidedthisdocument:AARPAccessCommunityHealthNetworkAllianceofChicagoCommunityHealthServicesAmericanAcademyofPediatrics,IllinoisChapterBlueCrossBlueShieldofIllinoisChicagoCommunityTrustChicagoDepartmentofPublicHealthChicagolandChamberofCommerceChildren’sMemorialHospitalCityofChicagoCookCountyBureauofHealthServicesCommunityBehavioralHealthcareAssociationofIllinoisHealthcareConsortiumofIllinoisHealthInformationManagementSystemsSocietyIllinoisCriticalAccessHospitalNetworkIFMC-IllinoisIllinoisAcademyofFamilyPhysiciansIllinoisChamberofCommerceIllinoisHealthConnectIllinoisDepartmentofCentralManagementServicesIllinoisDepartmentofCommerceandEconomicOpportunityIllinoisDepartmentofHealthcareandFamilyServicesIllinoisDepartmentofFinancialandProfessionalRegulationIllinoisDepartmentofInsuranceIllinoisDepartmentofPublicHealthIllinoisHospitalAssociationIllinoisMaternalandChildHealthCoalitionIllinoisOfficeoftheAttorneyGeneralIllinoisPrimaryHealthCareAssociationIllinoisPublicHealthInstituteIllinoisScienceandTechnologyCoalitionIllinoisStateMedicalSocietyInfiniteSystemsSupportMetropolitanChicagoHealthcareCouncilMt.SinaiHealthSystemNorthernIllinoisUniversityNorthwesternUniversityQualityQuestforHealthofIllinoisSEIUHealthcareIllinoisSouthernIllinoisHealthcareFoundationSouthernIllinoisUniversitySchoolofMedicineSupervaluSureScriptsTriRiversHealthPartnersUniversityofIllinoisatChicagoWalgreensIllinoisHIEStrategic&OperationalPlanDecember28,2010ILStrategic&OperationalPlanPage5IntroductionTheStateofIllinoisisfacingunprecedentedfinancialchallengescausedbyeconomicrecessionandlong-termbudgetpressures,includingtheescalatingcostsandpublicdemandforhealthcare.TheentireeconomyofIllinois,includingallpublicandprivatesectors,isfacingever-greatercostsforprovidinghealthcareandtheconsequencesindiminishedworkercapacityandproductivitycausedbyillnessandchronichealthconditions.Double-digitannualcostincreasesinhealthcoverage,redundantandunnecessarytestingandprocedures,andthefracturednatureofhealthcaredeliveryamongmultipleproviders,particularlyforpatientswithchronicconditions,havepushedanalreadystrainedhealthcaresystemtothebreakingpoint.Inshort,currentcostandutilizationtrendsinhealthcareareunsustainable.AtpresentnationwideandinI