NASCIO Resources

State CIO Top Ten Policy and Technology Priorities for 2014

  • November 2013
  • Number of views: 6017
State CIO Top Ten Policy and Technology Priorities for 2014
Each year NASCIO conducts a survey of the state CIOs to identify and prioritize the top policy and technology issues facing state government. The top ten priorities are identified and used as input to NASCIO’s programs, planning for conference sessions, and publications.

The Health IT Landscape: Through the Lens of the State CIO

  • June 2013
  • Number of views: 5924
The Health IT Landscape: Through the Lens of the State CIO

The Healthcare Information and Management Systems Society (HIMSS) and National Association of State Chief Information Officers (NASCIO) formed a collaboration to determine how the State Chief Information Officer (CIO) views the current health information technology landscape. Specific areas of focus for this study included Medicaid Management Information Systems (MMIS), Medicaid Eligibility Systems, Data Governance and Identity Management, State Level Health Information Exchanges, Shared Services and Collaborations. This study combined HIMSS' expertise in health information technology and information exchange with NASCIO's expertise representing state CIOs and information technology executives from the states, territories and the District of Columbia. The results of this collaborative survey will serve those seeking to understand the current environment of State healthcare technology initiatives ranging from governance models to data exchange activities. This analysis will also facilitate understanding of the intersection of the state CIO's role with state health information technology (HIT) projects. This collaboration represents one of the first holistic analyses focused on the state CIO perspective of State HIT projects.

State CIO Top Ten Policy and Technology Priorities for 2013

  • October 2012
  • Number of views: 5661
State CIO Top Ten Policy and Technology Priorities for 2013

Each year NASCIO conducts a survey of the state CIOs to identify and prioritize the top policy and technology issues facing state government. The top ten priorities are identified and used as input to NASCIO's programs, planning for conference sessions, and publications.

A Golden Opportunity for Medicaid IT Transformation: State CIOs and the MITA Framework

  • May 2012
  • Number of views: 3999
A Golden Opportunity for Medicaid IT Transformation: State CIOs and the MITA Framework
This is an unprecedented time for health IT in the United States, and the backbone of achieving lower costs, better health outcomes, and system interoperability relies on an enterprise view. In response to the CMS release of Medicaid Information Technology Architecture (MITA) 3.0, the NASCIO Health Care Working Group has formulated guidance to states as they navigate Medicaid IT transformation. NASCIO continues to be an advocate for enterprise solutions and view the MITA framework as a way state CIOs can decouple legacy systems and break down existing silos in state government. State CIOs grasp the importance of modernizing the Medicaid enterprise in a way that is flexible, interoperable, and takes into consideration emerging technologies like cloud computing. In addition to emphasizing conformity to the MITA vision, the report calls attention to emerging security threats in the states and the importance of protecting personally identifiable information and personal health information.

State CIO Top Ten Policy and Technology Priorities for 2012

  • October 2011
  • Number of views: 5652
State CIO Top Ten Policy and Technology Priorities for 2012
Each year NASCIO conducts a survey of the state CIOs to identify and prioritize the top policy and technology issues facing state government. The CIOs top ten priorities are identified and used as input to NASCIO's programs, planning for conference sessions, and publications.

Sustainable Success: State CIOs and Health Information Exchange

  • September 2011
  • Number of views: 4446
Sustainable Success: State CIOs and Health Information Exchange
While NASCIO has continued to track the role of the State CIO in Health Information Exchange (HIE), the recently released issue brief highlights the importance of a sustainable public HIE. Included in the brief are best practices for creating potential revenue streams, considerations for systems development, and innovative options that may reduce maintenance and lower costs. State CIOs and state policy officials need to consider the business drivers that will ensure that revenues exceed costs to plan, implement and operate an interoperable HIE. State CIOs recognize that there is no better opportunity than now for carrying out these goals, but continued ingenuity will be imperative in ensuring a state-run HIE is independently sustainable when public grants may no longer be available.

On the Fence: IT Implications of the Health Benefit Exchanges

  • June 2011
  • Number of views: 4326
On the Fence: IT Implications of the Health Benefit Exchanges
Despite the contentious debate over national health care reform there seems to be one trend that has gained some degree of consensus at the state level – planning for implementation of state health benefit exchanges. The Patient Protection and Affordable Care Act (PPACA) has already provided $2.8 billion in funding to states to build benefit exchanges, expand Medicaid eligibility and continue prevention efforts. In addition to the substantial amount of funding states have already received, they will receive billions more during 2011 and beyond. The Affordable Care Act provides states with the unique opportunity to either develop and run their own exchange or default to the federal government to establish and operate the exchange. State CIOs will play varying roles in health care reform, but irrespective of their responsibilities it will be imperative to provide sound leadership and provide feedback to governors on any IT gaps that may exist during this momentous time.

State CIO Top Ten Policy and Technology Priorities for 2011

  • October 2010
  • Number of views: 5461
State CIO Top Ten Policy and Technology Priorities for 2011
Each year NASCIO conducts a survey of the state CIOs to identify and prioritize the top policy and technology issues facing state government. The CIOs top ten priorities are identified and used as input to NASCIO's programs, planning for conference sessions, and publications.

Profiles of Progress 4: State Health IT Initiatives

  • July 2010
  • Number of views: 5245
Profiles of Progress 4: State Health IT Initiatives
Since Profiles of Progress was last released in April of 2009, there has been a tremendous flurry of activity due to the Office of the National Coordinator for Health Information Technology (ONC) announcing the recipients of the State Health Information Exchange Cooperative Agreement Program (State HIE). In addition, the funding from the American Recovery and Reinvestment Act (ARRA) has started to be dispensed to state and regional efforts across the nation and will be used to invest, solidify and make sustainable health IT efforts in the states. The updated compendium, “Profiles of Progress 4: State Health IT Initiatives,” serves as a snapshot of how states are responding to the challenge of leading the implementation of health IT and what role, if any, the state CIO is playing in these efforts. The numerous revisions within the compendium reflect the expeditious growth and adoption of health IT over the past year. As government leaders increasingly support Health IT as a means to improve patient care and reduce costs it is imperative that states implement an enterprise-wide architecture for the statewide exchange of health information.

HITECH in the States: Action List for State CIOs

  • August 2009
  • Number of views: 4120
HITECH in the States: Action List for State CIOs
In recent years, health information technology has grown from a burgeoning trend to a top policy priority for NASCIO as state CIOs from across the nation have become increasingly involved in health IT initiatives in their states. With billions of dollars now allocated to flow into health IT and health information exchange (HIE) initiatives around the country under the American Recovery and Reinvestment Act (ARRA), this trend is only poised to accelerate. HITECH in the States: Action List for State CIOs examines the impact on states—and the implications for state CIOs—of the HITECH Act (ARRA’s health IT requirements) and outlines four broad areas in which state CIOs can have an immediate, and long-term, impact in regards to HIE: Planning, Governance, Financing/Sustainability and Policy. Additionally, this brief highlights the questions that state CIOs should be asking as they work to begin exploring their role within these HIE efforts and also features the affect of the HITECH Act on the Medicaid IT Architecture (MITA) initiative.
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