Supporting Providers to Implement Electronic Health Records Systems and Achieve Meaningful Use

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1 Supporting Providers to Implement Electronic Health Records Systems and Achieve Meaningful Use Jane Gelbmann Office of Provider Adoption Support (OPAS) Office Of the National Coordinator for Health Information Technology (ONC)

2 Office of the National Coordinator for Health IT (ONC) Resource for the entire U.S. health system Supports and coordinates efforts to improve health care through: Adoption of health information technology (HIT) Nationwide health information exchange (HIE) Created in 2004, then mandated in 2009 in the Health Information Technology for Economic and Clinical Health (HITECH) Act

3 HITECH Vision A major transformation in American health care Help you ensure each patient receives optimal care through nationwide health information exchange Programs to help you overcome obstacles to adoption and Meaningful Use of electronic health records (EHRs)

4 Challenge: EHR Adoption Levels

5 Challenge: EHR Adoption Levels Hospital adoption levels: 1.5% percent of U.S. hospitals have a comprehensive electronic records system An additional 7.6% have a basic system Only 17% of hospitals have implemented computerized provider-order entry for medications Source: Jha A, DesRoches C, Campbell E, Donelan K, Rao S, Ferris T, Shields A, Rosenbaum S, Blumenthal D. Use of Electronic Health Records in U.S. Hospitals. New England Journal of Medicine: 360;16. April 16, 2009.

6 Barriers to EHR Adoption Percent of Physicians Reporting a Major Barrier 100% Have an EHR Do not have functional EHR 75% 50% 25% 44% 67% 51% 54% 36% 29% 45% 39% 41% 37% 24% 24% 0% Lack of capital Uncertainty of ROI Finding a system that meets your needs System becoming obsolete Capacity to implement Loss of productivity Source: DesRoches CM et al. Electronic health records in ambulatory care a national survey of physicians. N Engl J Med. 359(1):50-60, 2008 Jul 3.

7 Federal Government Responds: HITECH Act Part of American Recovery and Reinvestment Act of 2009 (ARRA) Goal: Every American to have an EHR by 2014 Systematically addresses major barriers to adoption and Meaningful Use: Money/market reform Technical assistance, support, and better information Health information exchange Privacy and security

8 ONC Organization

9 Office of the National Coordinator for Health Information Technology (ONC) Office of Provider Adoption Support (OPAS) Regional Extension Center (REC) Division Health Information Technology Research Center (HITRC) Core Support Division Provider Support Division Meaningful Use Division Community College Workforce Division

10 Regional Extension Center Division: Supporting REC Cooperative Agreements REC Overview: Expected to support providers achieve meaningful use through comprehensive boots on the ground services Focus on supporting primary care providers that are least likely to achieve meaningful use on their own Small practices with less then 10 providers Public and Critical Access Hospitals Community Health Centers and Rural Health Clinics Goal to ensure that at least 100,000 priority providers achieving meaningful use by 2012

11 REC Award Information Cycle Number of Awards Year 1 and 2 funding (millions) Population Covered (million) % % Total % % of US Pop FOA released for $25 million in supplemental funding to support EHR adoption/meaningful Use in Critical Access and Rural Hospitals

12 HITRC Core Support: Providing the Infrastructure to Accelerate Adoption/ Achievement of Meaningful Use HITRC National Learning Community Expertise/ Consulting Equip RECs REC 1 REC 60+ Portal PCP 1 PCP 2 PCP 3 PCP 1500 PCP 1 PCP 2 PCP 3 PCP 1500 PCP 1 PCP 2 PCP 3 PCP * CRM will be purchased via GSA schedule, while all other task orders will be made via AHRQ s IDIQ

13 Provider Adoption Support Division: Assisting Providers from Paper to EHR Implementation Providing technical assistance and expert advice to RECs on issues related to provider recruitment and implementation. Working with other ONC staff to provide support for the following services Education and Outreach to Providers Vendor Selection and Group Purchasing Implementation and Project Management Practice and Workflow Redesign Functional Interoperability and Health Information Exchange Other services to be identified by RECs

14 Meaningful Use Division: Assisting Providers Using EHR to Achieve Meaningful Use TECHNOLOGY ADOPTION PRACTICE REDESIGN HEALTH INFORMATION EXCHANGE MEANINGFUL USE CONSUMER ENGAGEMENT OUTCOMES Better Health Transformed Care Delivery

15 Community College Work Force Division: Supporting the Training Needs of Providers Who Achieve Meaningful Use Population and Target Grant Community Colleges by Region Region A B C D E Total Census Population 23,171,056 47,460,504 65,115,773 97,020,826 75,669, ,437,502 Percentage of National Population 8% 15% 21% 31% 25% 100% Minimum Students to be Trained Annually 750 1,650 2,250 3,300 2,550 10,500 Target Number of Member Community Colleges Funding Allocation $6,200,000 $10,750,000 $14,650,000 $21,150,000 $17,250,000 $70,000,000

16 Rural Focus: Office of Provider Adoption Support Create a coordinated effort among rural programs and leverage existing resources Working with the FCC and USAC on broadband-related issues OPAS works closely with CMS, HRSA, IHS, and ONC Health Information Exchange and Beacon programs ONC coordinates across agencies including with: the Veterans Administration, and the Departments of Agriculture, Commerce, and Defense.

17 Rural Focus: Broadband Source: Federal Communications Commission, National Broadband Plan, Chapter 10: Healthcare 2010

18 Rural Focus: Regional Extension Centers Critical Access and Rural Health Clinics are priority settings identified in REC original Funding Announcement Critical Access and Rural Hospital Supplemental Funding Announcement ONC recognizes the great importance of and challenges in working with these entities Established RECs were eligible to apply to work with CAHs and Rural Hospitals within their service area RECs are eligible to receive $12,000 per CAH or RH Awards are expected to be announced soon

19 Rural Focus: CAH Supplement Awards % Eligible Entities Expected

20 Rural Focus: Community of Practice REC Rural Health Community of Practice Identify and disseminate best practices among RECs and rural health experts ONC to provide REC-driven trainings Training RECs on Rural Health Care applications through Universal Service Administrative Company Plans for tool development and training related to Critical Access Hospitals Rural-focused recruitment, implementation and service models and tools

21 For more information about ONC programs Visit the ONC Website:

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