Your Input Is Needed! - Estimated 20 Minutes to Complete
As both a Collaborator and Payer, The Washington State Health Care Authority (HCA) has the opportunity to leverage 90% federal funding match to make targeted investments that help all Apple Health (Medicaid) providers participate more fully in contributing and accessing shared patient information electronically. HCA needs your input to validate previously identified investments and then prioritize those investments that will increase the flow of data across the care continuum in ways that support person centered care and improve health outcomes.

We hope for broad input from across the health care community.  Unfortunately, that goal might result in your receiving the survey invitation multiple times.  There is only one survey, so if you complete the survey please feel free to disregard subsequent invitations.  We apologize in advance for any duplicate invitations as we understand the overwhelming amount of email you receive.  

We will make the results available at the end of the survey without uniquely identifying any single respondent.
The Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs—commonly known as Meaningful Use—have been instrumental in increasing adoption and use of certified EHRs among hospitals and ambulatory care providers. Much of a patient’s care is currently provided by entities or professions not eligible for Meaningful Use incentives which include: behavioral health, public health, community based providers, long term care and correctional facilities, home health care workers, first responders, pharmacies, laboratories  and other ancillary service providers. As a consequence these groups often lag behind in the adoption of EHRs and other clinical information technology (IT) systems.
Despite there being eligible providers who have already received Meaningful Use dollars, their limited connectivity across systems and with non-eligible providers limits the potential of a shared clinical record.  Similarly, many non-eligible providers and facilities have not been able to develop robust IT systems that can share information across systems.

Because patients routinely receive care by both eligible and non-eligible providers, patient information needs to follow, regardless of the setting of care and the technology in place. Clinical information technology systems don’t often communicate well with each other, making it difficult for health care organizations to share patient information outside their own enterprise.

The Office of the National Coordinator for Health IT (ONC) and the Centers for Medicare and Medicaid Services (CMS) recognize this challenge.  In February 2016, CMS and ONC made federal funding available to promote health information exchange for providers not eligible for Meaningful Use incentives. 

Thank you for taking time to respond to the survey.  Your voice will help HCA choose the best investments to better collect, share and use patient information to improve care.

Please complete this survey ASAP to ensure your input is considered.  Please direct all questions and comments to with "Environmental Scan" in the subject line.