Health IT What Does it Mean to You? Susan Brown, Iowa REC Director September 19, 2012

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1 Health IT What Does it Mean to You? Susan Brown, Iowa REC Director September 19, 2012

2 HEALTH IT, EHRs & MEANINGFUL USE 2

3 Health IT Video Jsh_c&feature=endscreen&NR=1 3

4 What is Health IT? The comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, government and quality entities and insurers Health information technology is in general increasingly viewed as the most promising tool for improving health care quality, patient safety and efficiency of the health delivery system (Chaudhry et al., 2006) 4

5 Health IT: A National Priority 5

6 Health IT: A State Priority 6

7 Meaningful Use Clinicians must become "meaningful users of electronic health records before ARRA 2009 HITECH ACT 7

8 HITECH Paper records HITECH Act EHRs & HIE Pre Inefficient Meaningful Use Incentives RECs and HIEs Meaningful use of EHRs 8

9 National Coordinator for HIT Farzad Mostashari, MD, ScM Meaningful use is about the goals of care, not the technology. 9

10 Meaningful Use of Health IT Improve quality, safety and efficiency Engage patients and families in their health care Improve care coordination Improve population and public health Ensure privacy and security of electronic health information Adapted from National Priorities Partnership. National Priorities and Goals: Aligning Our Efforts to Transform America s Healthcare. Washington, DC: National Quality Forum;

11 Medicare Eligible Provider Eligible Providers in Medicare FFS Eligible Professionals Doctor of Medicine or Osteopathy Doctor of Dental Surgery or Dental Medicine Doctor of Podiatric Medicine Doctor of Optometry Chiropractor Acute Care Hospitals Critical Access Hospitals Eligible Hospitals 11

12 Medicaid Eligible Provider Eligible Providers in Medicaid Eligible Professionals Physicians Nurse Practitioners Certified Nurse Midwives Dentists Physician Assistants working in a Federally Qualified Health Center or rural health clinic that is so led by a PA Eligible Hospitals Acute Care Hospitals, including CAHs Children s Hospitals 12

13 Telligen REC Working with 1,329 primary care providers & 84 critical access/rural hospitals in Iowa 13

14 Telligen REC Team 14

15 EHR Adoption Challenges Financial Technical Organization Change 15

16 39 Vendors We Work With Advanced MD 6.5 Allscripts Amazing Charts American Medical Software Aprima Care 360 Cerner/Cerner Power Chart CPSI Digichart DocuTap DrFirst EHR eclinicalworks Eclipsys/Peak Practice emds Epic and Epic Care Ambulatory Core EMR GE Centricity Greenway Healthland HMS Home grown systems Ingenix Insight Intuition Keane LSS McKesson Med 3000 Medicom Soft Meditech Micro MD Next Gen Office Practicum Open EMR PenChart Practice Fusion Prog Notes Sage Soapware Success EHS 16

17 Comprehensive Support 1 Plan 2 Transition 3 Implement 4 Operate & Maintain Readiness Assessment Practice Workflow Redesign EHR Implementation Achieving Meaningful Use EHR System Selection HIT Education & Training Partnering with State & Local HIEs Prepare for future pay for performance 17

18 BENEFITS & SUCCESSES 18

19 Clinic Success Story Family Practice Physicians, Keokuk 19

20 Clinic Success Story Southwest Iowa Internal Medicine, Red Oak 20

21 The Family Care Clinic Decorah Amazing Charts user Attested to MU Attended ONC and White House Events Michelle Brunsen Telligen QI Advisor Dr. David Heine 21

22 Cass County, Iowa Medical Clinics It is very important to work collaboratively with the EHR vendor and the REC to make the transition to meaningful use. Having an EHR has improved my quality of care and the ability to track that quality of care. Dr. Elaine K. Berry 22

23 Great River Medical Group, Davenport Michelle Spranger, Clinic Manager We all agree on one thing We don t want to go back to paper charts. 23

24 Snapshot of EHR Benefits For Your Practice: Quick access to patient records Reduce repetitive tasks and time on the phone Decision support, clinical alerts, reminders, and medical information Performance improving tools, realtime quality reporting Legible, complete documentation that facilitates accurate coding and billing Interfaces with labs, registries, other EHRs and HIEs E prescribing For Patients: Reduced need to fill out the same forms at each office visit no more clipboards! Better care coordination Point of care information and reminders of important health interventions Convenience of e prescriptions Patient portals for online interaction with providers Electronic referrals to followup care with specialists 24

25 Opinions Over 90 percent of all physicians with EHRs are satisfied with their EHR New England Journal of Medicine 2008, 359: percent of Americans favor the use of electronic medical records (NORC study: U of Chicago) No more clipboards E Prescribing Better informed Less duplicate testing 25

26 Patient Testimonial HPw&feature=BFa&list=ULmsBYOYYeHPw 26

27 WHAT ABOUT PRIVACY? 27

28 Privacy is a National Concern The amount of privacy that health information should have is certainly in the eye (and heart) of the beholder creating a tug of war Tremendous work is going into these privacy and security concerns. National efforts by numerous organizations as well as vendor innovation, all working to provide both patient privacy AND exchange of health information Goal Access to relevant information while respecting patient privacy 28

29 Privacy Progress Iowa is working to balance providing both patient privacy and information exchange Iowa s workgroup efforts will be needed for some time, looking for ways to improve by increasing the granularity of patient choice Better tools or mechanisms for consent management called e consent have been identified and will be built in Privacy evolves in all electronic tools 29

30 IOWA S HEALTH INFORMATION NETWORK 30

31 State HIE Program Purpose: Facilitate and expand the secure electronic movement and use of health information among organizations according to nationally recognized standards 31

32 The IHIN is Here Note: Patients can Opt Out at any time, and Opt Back In at any time 32

33 Direct Secure Messaging Now! Quickly and Securely Exchange Information Patient Encounter Notes Continuity of Care Documents Referral Documents Hospital Discharge Summaries Summary of Care Documents 33

34 Full Query Functionality Coming Soon! 34

35 Sign Up for Direct Secure Messaging Go to Under the GET CONNECTED Tab INTEREST/PARTICIPATION FORM Enroll for IHIN Direct Secure Messaging using the Participation Agreement form in the green section at the bottom 35

36 RESOURCES 36

37 Resources

38 Upcoming Free Webinars Eligible Professional Stage 2 MU Final Rule September 20 Critical Access/Rural Hospital Attestation October 10 CMS Chat Room October 24 Social Media 101 November 7 What is Cybersecurity and Why Does it Matter? November 14 Cybersecurity 10 Best Practices for the Small Healthcare Environment November 21 All webinars provided at 12 noon Register at 38

39 Putting the I in Health IT 39

40 Contact: Susan Brown Iowa REC Director Telligen In Partnership with: The Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services grant 90RC0004/01. IA HITREC 09/

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