Health Literacy & Meaningful Use of Health IT

Transcription

1 Health Literacy & Meaningful Use of Health IT Joshua Seidman, PhD Acting Director, Meaningful Use Office of Provider Adoption Support Office of the National Coordinator for HIT

2 A Seasonal View of Meaningful Use

3 A Seasonal View of Meaningful Use Grass Meaningful Use of Grass

4 Getting to Meaningful Use To Improve Health & Health Care TECHNOLOGY ADOPTION HEALTH INFORMATION EXCHANGE PRACTICE REDESIGN MEANINGFUL USE CONSUMER ENGAGEMENT OUTCOMES Better Health Transformed Care Delivery Reduce Health Disparities

5 Staging of Meaningful Use HITECH goals Not about technology Improving health and transforming health care through meaningful use of HIT Focus of: Stage 3 Stage 2 Stage 1

6 Framework: HIT Policy Committee s Recommended Five Priorities Improve quality, safety, efficiency and reduce health disparities Engage patients & families in their health care Improve care coordination Improve population and public health Ensure adequate privacy & security protections for personal health information

7 Thinking Long-Term About Meaningful Use

8 HIT Policy Committee MU Workgroup: Patient/Family Engagement Hearing Public hearing held April 20 FACA (Federal Advisory Committee) blog 50 comments Input still accepted at Part of planning trajectory for evolution of MU definition (Stages 2 & 3)

9 Themes Emerging from Hearing & Blog Provide real-time patient access to data Incorporate patient-generated data into EHR Encourage innovation Connect home/community to care delivery settings Consider a bold initiative (e.g., 50% of care rendered at home) Create sense of community among patients & with health team Achieve 4 Es: engage, educate, empower, and enable Meet needs of diverse population Focus more on patient outcomes measures vs. traditional process measures Engage with the public about MU Consider re-orienting MU criteria to what's meaningful to patients

10 Next HITPC/MU WG Hearing Focusing on Health Disparities Using HIT to eliminate disparities Focus on solutions Three panels Health literacy & data collection Culture (includes language) Access to: Health care Health information Technology

11 Agenda Overview Panel 1: Health Literacy & Data Collection Moderator: Neil Calman Sara Czaja, University of Miami Cynthia Solomon, MiVia Gena Wilson, The Institute for Family Health [invited] Silas Buchanan, The Cave Institute Panel 2: Culture Moderator: Joshua Seidman Russell Davis, National Health IT Collaborative for the Underserved M. Chris Gibbons, Johns Hopkins Urban Health Institute Dianne Hasselman, Center for Health Care Strategies Deena Jang, Asia/Pacific Islander American Health Forum Panel 3: Access Moderator: George Hripcsak Carolyn Clancy, Agency for Healthcare Research & Quality, HHS Howard Hays, MD, Indian Health Service, HHS Ian Erlich, Maniilaq Association, Alaska [invited] R. Scott Hawkins, Boston Healthcare for the Homeless Cesar Palacios, Proyecto Salud Clinic

12 Questions to Panelists What are greatest risks of HIT implementation in increasing disparities? What innovations can prevent these risks? What research can guide HIT implementers? What patient/family engagement strategies can help support future MU of HIT? How can MU of HIT reduce disparities? What HIT applications can improve literacy, access, cultural relevance of health info?

13 Some Strategies to Pursue Ignoring technology not a viable strategy Ethnographic observation to identify needs Meet people where they are EHR-generated data to tailor health info Implications of making chart patientaccessible Changing what clinicians record Translation of clinical & administrative data Multimedia: Not only text-based health info Interactive approaches

14 Engaging with ONC in Blogosphere & Twittersphere Health IT Buzz Federal Advisory Committee Hearings Real-Time Updates on Twitter