NASHP Conference October 6, 2010,Lessons Learned (Or Still Learning After All These Years),Tennessee Initiatives 2004-2009,2004 MidSouth eHealth Alliance $8M state, $5M AHRQ $2M for other initiatives (CareSpark, staffing) 2005 Shared Health contract with TennCare 2006 eHealth Council and Office of eHealth Initiatives 2008 ePrescribing Initiative $10M for grants, $500k recurring for staff 2009 Assessment and realignment in response to HITECH,Goetz,2,Initiatives 2009 Forward,August 2009 Health Information Partnership for Tennessee forms All major stakeholders recruited State grants $2M for development of core services Internal State Health Council forms Statewide HIE Coalition forms Office of eHealth Initiatives adds staff Southeast Regional Collaborative on Health Information Exchange forms,3,Goetz,eHealth Environment,Goetz,4,5,Goetz,5,Lessons Learned,Bind your stakeholders to you Give them real but clearly defined authority Find your champions Who in new administration will be over ehealth? Break down internal silos What need can you fill? Non-recurring funding works Recurring is better but can be much less Dedicate staff solely to the project Be responsive and flexible to change,Goetz,6,