Improving the Quality of Health and Care through Information and Technology

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1 Improving the Quality of Health and Care through Information and Technology Thomas A. Mason, M.D., Chief Medical Officer Office of the National Coordinator for Health Information Technology (ONC) U.S. Department of Health and Human Services 9/27/15 1

2 Office of the National Coordinator for Health IT Office of the National Coordinator (ONC): Created in 2004 by executive order and Legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009 Principal federal entity charged with coordination of federal and nationwide efforts to implement and use the most advanced health information technology and advance the electronic exchange and interoperability of electronic health information and the policies that support data movement

3 HITECH Act : Catalyst for Transformation HITECH Act EHR Incentive Program and 62 Regional Extension Centers Current State Widespread adoption & meaningful use of EHRs \ 3

4 62 Regional Extension Centers (RECs) Cover 100% of the USA Program Goal: Support the adopting and use of Health IT by assisting 100,000 of the nations 302,000 primary care providers Every REC: Has a defined service area and specific number of providers Provides unbiased, practical support throughout process Serves as two-way pipeline to federal and local resources Office of the National Coordinator for Health Information Technology The Star and Swoosh, Putting the I in Health IT, the Putting the I in Health IT composite logo, HealthIT.gov, the HealthIT.gov composition logo, HealthITBuzz, and the HealthITBuzz composite logo are service marks or registered service marks of the U.S. Department of Health and Human Services.

5 REC Competencies Supporting Practice Transformation Practice Health IT Education EHR Vendor Selection EHR Implementation Practice Workflow Redesign Meaningful Use Optimization Health IT Change Management Financial Management and Reporting Patient/Consumer Engagement Data Analytics for Population Health Management Clinical Quality Measurement Clinical Quality Reporting Privacy and Security Assessments Health IT Interoperability Project Management Health Information Exchange EHR and Health IT Readiness Assessments Long-Term Care Support Services HIT Optimization Provider Outreach and Education Strategic Planning Enable Partnerships with Local Stakeholders 5

6 Current Impact All Providers RECs work with over 150,000 providers in the US CRM report: External Stakeholder Dashboard as of 2/2/15 6

7 GAO reports on EHRs and Medicare Payments An October 2013 GAO report found that Medicare providers working with RECs were over 1.9 times more likely to receive an EHR incentive payment then those who were not partnered with an REC Source: GAO, Electronic Health Records: Number and Characteristics of Providers Awarded Medicare Incentive Payments for , GAO-14-21R (Washington, D.C.: October 24, 2013) 7

8 Physicians e-prescribing Using an EHR The percent of physicians e-prescribing using an EHR has increased in all 50 states and in the District of Columbia. Office of the National Coordinator for Health Information Technology. 'Percent of Physicians e-prescribing through an Electronic Health Record,' Health IT Quick-Stat, no.18 July

9 Hospital EHR Adoption Increase in Adoption Nationwide ¾ Hospitals have a Basic EHR System State Adoption rates have increased from Source: ONC Data Brief No 23 April 2015: Office of the National Coordinator for Health Information Technology 9

10 Provider EHR Adoption Increase in Adoption Nationwide 21% Increase between of adoption of Basic EHR systems by Office-based Physicians % of all Physician Practices that Have Adopted Any EHR National Average = 78% Sources: CDC NCHS Data Brief Number Office of the National Coordinator for Health Information Technology 10

11 Next Phase of Evolution Interoperability Innovation in Payment and Care Delivery Optimization 11

12 Interoperability Roadmap Vision Health IT Ecosystem where Health IT is readily available to: Empower Consumers Support Clinical Decision Support Inform Population and Public Health Inform Value-Based Payment Advance Science Collaborative effort with Federal, State, Community and Private Partners

13 U.S. Department of Health and Human Services Delivery System Reform Interoperable learning health system Better Care Smarter Spending Healthier Communities Key areas of focus: 1 - Improve the way providers are paid 2 - Improving and innovative care delivery models 3 - Broadly share information with providers and consumers to support informed decisions

14 Delivery System Reform: Barriers Fragmentation of health care and social services Addressing of determinants of health Community setting challenges Demand of customized, tailored solutions Improvement needed in payment models

15 Delivery System Reform Meet people and communities where they are Every community is different Patient engagement and empowerment Person-centered care coordinated across the care continuum. Exchange of information Ex. Dynamic shared electronic care plans Technology and Data infrastructure needed. Data model, user interface

16 Delivery System Reform Standardize Technological Standards Motivate the use of Standards and Information Exchange through appropriate incentives Leveraging the health information technology to address social determinants of health and improve efficiency Practical and Useful at the Point of Care Need for interoperable health system to unlocking health data to promote population health management Moving beyond care to improving health Advancing Health IT beyond EHRs Using policy and incentive levers beyond Meaningful Use

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