Section Break 2. Colorado Regional Extension Center (CO-REC) Transforming Healthcare in Colorado through Optimization of Technology

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1 Section Break 2 Colorado Regional Extension Center (CO-REC) Transforming Healthcare in Colorado through Optimization of Technology Robyn Leone Director, CO-REC July 28, 2010

2 Advancing Health Information Technology in Colorado REC HIE Workforce Development EHR Incentives American Recovery & Reinvestment Act passed in 2009 (federal stimulus bill) HIT Provisions designed to address adoption of health information technology & exchange of information CORHIO received HIE and REC grants Statewide REC & HIE activities Workforce development programs through Community Colleges and higher level institutions Beacon Grant in Western Colorado led by Rocky Mountain Health Plans, Mesa County Independent Physicians Practice Association, Quality Health Network and St. Mary s Regional Medical Center 2

3 What is a Regional Extension Center? CO-REC is a CORHIO Initiative from a federal grant award under ARRA and HITECH Grant Period is February 2010 February 2012 Program may continue for second two-year grant cycle based on performance 60 centers established across the country to offer technical assistance, guidance, and information on best practices to support and accelerate health care providers efforts to become meaningful users of Electronic Health Records CO-REC is collaborative partnership between CORHIO and 6 Partner Organizations

4 Colorado s REC Model Six Partner Organizations Committed to Advancing HIT and Improving Care for all Coloradoans 4

5 Partners Reach Across CO Partner Organization REC Provider/Practice Type Targeted Colorado Community Managed Care Network (CCMCN) Colorado Foundation for Medical Care (CFMC) Colorado Rural Health Center & ClinicNet Health TeamWorks Primary REC for FQHC s and CHC s in CO Private Practices along the Front Range or other Practices with existing relationships Primary REC for rural hospitals, CAH, rural health clinics, Community Funded Safety Net Clinics Private Practices along the Front Range or other Practices with existing relationships Physician Health Partners Private Practices associated with 4 IPAs in Denver: PPP, CPP, KEY, South Metro (alignment with ACO development) Quality Health Network Primary REC for private practices on the Western Slope; alignment of Beacon & REC Services 5

6 Who s Eligible for No-Cost REC Services Physicians, or other healthcare providers such as physician assistants and nurse practitioners with prescribing privileges Family medicine, general medicine, pediatrics, OB/GYN and geriatrics in individual and small group practices (ten or fewer professionals) Public and Critical Access Hospitals Community Health Centers (CHCs) Rural Health Clinics (RHCs) and Rural Hospitals Other settings that predominately serve uninsured, underinsured and medically underserved populations such as Community Funded Safety Net Clinics or other free clinics 6

7 Population Served: Priority Primary Care Providers 4,267 PCPs in CO 415 in KP and 135 in UPI (Not eligible for REC Services) Targeting small practices aka Priority Primary Care Providers = 3,700 providers Two year goal = 2,295 PCPs to Meaningful Use of EHR 7

8 Primary Goal of REC = Meaningful Use Goal for CO-REC = 2,295 PPCPs to Meaningful Use by February 2012 Total Rate of EMR Adoption in Colorado = 34% Total Rate of EMR Adoption in Practices with < 10 Providers = 32% Increasing adoption to nearly 50% in small primary care practices Specialty Current Adoption Rate Family Practice 38% General Practice 31% Internal Medicine 26% OB/GYN 27% Pediatrics 35% Source: SK&A Physician Office Usage of EHR Software, June 1,

9 How CO-REC Can Help PCPs & Eligible Facilities REC Services are offered free of charge to primary care providers in small practices wishing to adopt and meaningfully use Electronic Health Records to improve the quality and value of care to patients in Colorado. No-Cost Services include: Education & Outreach Recruitment & Sign-up HIT Needs Assessment Incentive Eligibility Vendor Selection Improved pricing Standard conceptual models SLA & Contracts EHR Implementation Necessary prework for project success Pre, During & Post Support for Adoption Practice & Workflow Redesign Adoption and MU processes Privacy & Security Best Practices State & Federal req. HR training resources Path to Meaningful Use through REC Services 9

10 Meaningful Use In Practice Stage Stage Stage Electronically capturing health information in coded format Using that information to track key clinical conditions Communication of information for care coordination purposes Initiating the reporting of clinical quality measures and public health information Disease Management Clinical Decision Support Medication management Support for patient access to their health information Quality measurement and research Bi-directional communication with public health agencies Improvements in quality, safety and efficiency Decision support for national high-priority conditions Access to selfmanagement tools Access to comprehensive patient data, improving population health outcomes 10

11 EHR Vendor Selection EHR Preferred Vendor Application Posted Evaluation & Selection Process based on Interoperability, Price & Functionality Main criteria for CO-REC EHR Preferred Vendors is Interoperability Sample Contract Language and Service Level Agreements REC EHR Vendor Short-list Standard Configuration Methods to Support MU & HIE To ensure success for Colorado providers, our standards require that vendors go beyond Stage 1 Meaningful Use 11

12 Alignment of Hospital/Physician Relationships with REC Services CO-REC has developed partnerships with many local hospitals to align existing EHR implementation strategies with REC services Designed to compliment the work of the hospital HIT staff with REC Services to improve provider s abilities to obtain meaningful use in a short time period REC Services support the practice s ability to be 100% prepared for EHR Implementation and will work with practice s after implementation to ensure meaningful use of EHR achieved 12

13 CO-REC Web Site 13

14 Questions for Attendees: 1. How many are eligible for REC services? 2. How many already have an EHR? 3. How many would like help selecting an EHR? 4. How many will be registering with CMS for EHR Incentives? 14

15 Thank you for your time today Questions? Robyn Leone Director, CO-REC

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