Registry Technical Infrastructure and EHR Alignment

Transcription

1 Registry Technical Infrastructure and EHR Alignment CMSS Registries Summit May 7, 2015 Dino Damalas Chief Information Officer American College of Cardiology

2 Baseline our understanding of a Registry Impact of NCDR to date Discuss Health Systems Under Pressure Technology for Better NCDR Objectives

3 DEFINED

4 DEFINED

5 Registries community driven quality improvement about what works in the real world

6 Registries community driven quality improvement about what works in the real patients world societies staff volunteers administrators clinicians government institutions practices vendors

7 Registries community Quality Improvement Guideline Development driven Research research Benchmarks about Drives what works in the real world

8 technology as a catalyst

9 1Outpatient Registry 5 Hospital Based Registries IMPACT TVT Diabetes Collaborative Registry 2Multispecialty Registry ACTION-GWTG PINNACLE CARE (now PVI) CathPCI ICD

10 Back in 1998 Google filed for incorporation 36% of American adults were online According to The Pew Research Center NCDR registry submissions sent overnight on a 3.5 floppy Registry participation was very labor intensive..»

11 1998 Snail Mail 2005 Internet Submissions 2010 Dashboards & NCDR

12 New Technology Adoption = Rapid Growth of Registries Diabetes Collaborative Registry Internet Submissions Began PINNACLE IMPACT TVT ACTION-GWTG 7 Years CARE (now PVI) CathPCI ICD

13 Increasing burdens HITECH Act Triple Aim Accountable Care Reduced Readmissions Meaningful Use Bundled Payments Registries Value-based Purchasing

14 Simply translated HITECH Act DO MORE Accountable Care Meaningful Use DO BETTER Triple Aim Reduced Readmissions Bundled Payments Registries WITH LESS Value-based Purchasing

15 shouldn t things be easier? We need to do better at supporting our customers and members Reduce burden of data entry Reduce barriers for registry adoption Improve health systems integration

16 Interoperability is key Complex Health Systems Require Better System Integration Better Data Exchange Better Cooperation by Vendors & Societies

17 better integration for NCDR UMTS IHE RFD Vendors APIs Unified Model & Transmission Standards Integrating the Healthcare Enterprise Retrieve Form for Data Capture Health IT Vendor Collaboration Web Application Program Interface

18 Data Harmonization UMTS ACTION Registry-GWTG PVI Registry CathPCI Registry STS/ACC TVT Registry ICD Registry Diabetes Collaborative Registry IMPACT Registry PINNACLE Registry share common definitions

19 Standards Alignment UMTS Leverage existing standards to Facilitate Adoption Reduce Time-to-market Eliminate Data Mapping

20 Transmission UMTS Migrate registries to use Clinical Document Architecture (CDA) Industry & International Standard Health IT Vendors Know It Human Readable proprietary to standards-based

21 IHE an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information international standards-based addresses specific clinical needs support of optimal patient care

22 standards are like ingredients IHE Blueberry Squares to make something meaningful you need a recipe Blueberry Squares from AllRecipies.com

23 IHE Profiles are recipes IHE Ingredients Recipe they provide precise definitions of how standards can be implemented to meet specific clinical needs

24 Retrieve Form for Data Capture RFD standards-based integration profile co-developed by CDISC and IHE Health Systems Integration supported by most EMR vendors provides a method to gather data within an EMR minimal work required to invoke\display forms within EMR forms can be pre-populated with data from EMR data collection forms can be incorporated into existing workflow

25 Goals & Objectives RFD Pilot RFD Improve time-to-market for new data collection forms or updates Facilitate supplemental studies Reduce development & maintenance costs Reduced adoption latency Reduce barriers for registry participation Less resources required Leverage existing systems / technology Lower costs of participation Reduce burden of data entry & collection Reduced data entry Data re-use through leveraging industry standards Reduced transcription errors by leveraging RFD for direct system integration

26 How will it work? RFD Step 1: Press Button to Submit to Registry Step 2: Push CCDA to NCDR or IT Vendor User Working Within EMR Step 3: Retrieve ICD Form Partial Completed CCDA to Form Mapping (A.K.A IT Magic) Step 4: Submit Completed Form to Registry

27 Health IT Vendor Collaboration Vendors Integrated data collection & CV documentation within workflow Worked with vendors to create and test IHE profiles for NCDR

28 CardioEncounters Vendors Click & Point Interface Dynamically Generated Notes Supports Workflow Properly Documents an Encounter and also captures everything we need for our PINNACLE registry

29 Web APIs Seamless Integration API Web APIs enable systems to connect and interact behind the scenes Access to NCDR tools and reports from within existing EMR and Health IT systems Machine-to-Machine

30 Easier Adoption by Health IT Vendors The Impact Better systems integration Reduced Burden of Data Entry Reduced Payer Reporting Burden less time entering data & more time improving care