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PROFILESOF
PROGRESS 
State Health ITInitiatives
November 2006
 
PROFILESOFPROGRESS:STATEHEALTHITINITIATIVES 1
What began as a relatively lofty goal set forth in a2004 Executive Order by President George W.Bushcalling for most Americans to have electronichealth records by 2014,has emerged into a nation-wide scramble to increase the use of health infor-mation technology (HIT).In August 2006,PresidentBush issued another Executive Order calling forfederal government health care programs to pro-mote quality and efficient delivery of health careand increased transparency through the use of health information technology.With the additionalestablishment of an Office of the NationalCoordinator for Health IT and the creation of organizations such as the American HealthInformation Community designed to help advanceefforts in order to meet President Bush's 2014deadline,this issue is gaining a considerableamount of attention inside the Beltway.However,the issue has not been lost on states.Healthcare and Health IT remain top priorities forthe National Governors Association (NGA),and onOctober 19,2006,NGA announced the formationof the State Alliance for e-Health,which provides aforum through which governors,elected state offi-cials and other policymakers can work together toidentify inter- and intrastate-based HIT policies andbest practices.
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Also on the state level,a recentstudy released by eHealth Initiative found that 36bills were passed in 24 states during 2005 and2006 that called for the use of HIT.
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During 2004-2006,eleven Governors thus far have issuedExecutive Orders also calling for various HIT initia-tives.Nearly every state has addressed HIT in somecapacity,with some even reaching the implemen-tation stage.Interoperability,transparency and pri-vacy and security implications for electronic healthrecords dominate discussions surrounding HIT pro-gression.But where do state CIOs stand in the midst of theprogress? In this compendium,a "snapshot" of where each state stands in regards to their HITefforts is outlined,as well as what role,if any,theCIO has in the process.In early 2006,NASCIO'sHealth IT Committee released "The (IT) Doctor Is In: The Role of the State CIO in Health IT,"
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which sug-gested ways CIOs could get involved with emerg-ing HIT trends in their respective states.This com-pendium highlights the ways in which CIOs are uti-lized in state-driven HIT development.While this compendium does not necessarily rep-resent all HIT efforts in each state,it focusesinstead on measures that state governments haveeither initiated or endorsed through legislation,executive order,or by engaging in public/private ornon-profit partnerships with outside organizations.Successful implementation of health informationtechnology is only going to become more impor-tant as health care costs continue to rise and statesbecome increasingly burdened by strained budg-ets.Health care efficiency and cost-effective strate-gies continue to be debated and health informa-tion technology is playing a major role in these dis-cussions that are being heard around the country.
INTRODUCTION
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National Governors Association.<www.nga.org> November 14,2006.
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eHealth Initiative (eHI),"Improving the Quality of Healthcare Through Health Information Exchange," September 25,2006.Page 2."The (IT) Doctor Is In:The Role of the State CIO in Health IT," is a product of NASCIO's Health Information Technology Committee.
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 To learn more about the Committee,please see its webpage at:http://www.nascio.org/nascioCommittees/healthIT/members/.
 
Alabama...................................................................................4Alaska........................................................................................5Arizona.....................................................................................6Arkansas..................................................................................7California.................................................................................8Colorado..................................................................................9Connecticut.........................................................................10Delaware...............................................................................11Florida....................................................................................12Georgia.................................................................................13Hawaii....................................................................................14Idaho......................................................................................15Illinois.....................................................................................16Indiana...................................................................................17Iowa........................................................................................18Kansas....................................................................................19Kentucky...............................................................................20Louisiana...............................................................................21Maine......................................................................................22Maryland...............................................................................23Massachusetts.....................................................................24Michigan...............................................................................25Minnesota.............................................................................26Mississippi............................................................................27Missouri.................................................................................28
2PROFILESOFPROGRESS:STATEHEALTHITINITIATIVES
TABLEOFCONTENTS
Montana................................................................................29Nebraska...............................................................................30Nevada...................................................................................31New Hampshire..................................................................32New Mexico..........................................................................33New York...............................................................................34North Carolina.....................................................................35Ohio........................................................................................36Oklahoma.............................................................................38Oregon...................................................................................39Pennsylvania........................................................................40Rhode Island......................................................................41South Carolina.....................................................................42South Dakota.....................................................................43 Tennessee.............................................................................44 Texas.......................................................................................45Utah........................................................................................46Vermont.................................................................................47Virginia...................................................................................48Washington..........................................................................49West Virginia........................................................................50Wisconsin..............................................................................51Wyoming...............................................................................52District of Columbia..........................................................53
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