Strategic & Operational Plan
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Status of SMHPs as of October 2011

The following is a map of the status of the State Medicaid HIT Plans for the eligible states and territories.  All of the Pacific territories are in the planning phase, including the State of Hawaii.  Other states, however, have launched and/or have begun to issue Medicaid EHR Incentives.

The CNMI HIT Initiative is guided by several important, interrelated, and integrated plans:

State Medicaid HIT Plan - States and Territories may elect participation in the Medicaid EHR Incentive Program.  The state or territory must develop a State Medicaid HIT Plan or SMHP.  The CNMI is in the process of developing a plan.  This will enable the Eligible Providers to qualify for the Medicaid HIT Incentive program.


Health Information Exchange - The CNMI Health Information Exchange (CHIE) will interconnect healthcare providers and enable the exchange of information within the CNMI, the Pacific region, and the United States.  The CNMI HIE received funding from the Office of the National Coordinator for Health Information Technology (ONC) to develop and submit a Strategic and Operational Plan for review and approval. The plan went through several iterations and was approved in 2011.


CHCC RPMS Project and EHR - The Department of Public Health, over 17 years ago, implemented the Resource and Patient Management System with assistance from the Indian Health Service of the U.S. Department of Health and Human Services.  The RPMS is a "certified" EHR system and used by the hospitals, clinics, and urban centers.  Additionally, the RPMS


Electronic Health Record (EHR) Plan - The CNMI CHCC, together with several stakeholders, applied for a grant to enable private providers and the Kagman Community Health Center (CHC) to use the RPMS which is being implemented by the CHCC. The RPMS will be implemented in the hospital and clinics of the CHCC, the Kagman Community CHC, the Rota Clinic, the Tinian Clinic, and other providers. By sharing the use of the EHR, the providers will have better technical and operational support for the EHR. Additionally, the providers will have direct access to patient data, although billing and accounts receivable packages are restricted for only the provider.  The CNMI RPMS EHR Network is funded, in part, through a Network Development Grant from the Health Resources and Services Administration of the U.S. Department of Health and Human Services.