Purpose of the Core Set of Minnesota e-health Slides
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1 Purpose of the Core Set of Minnesota e-health Slides To increase awareness, understanding and support for achieving 2011 e-prescribing mandate and the 2015 interoperable electronic health record (EHR) mandate. To highlight actions you and your organization can do now. To identify resources for more information. To serve as a tool for organizations to supplement their ongoing training program.
2 Intended Audiences Health care providers, professionals and health care delivery settings. Professional and trade associations committed to supporting their members in learning more about e-health and how it impacts health and health care systems. Individuals seeking to learn more about e- health, and how it can help transform practice in the settings in which they work.
3 Advancing Electronic Prescribing & Interoperable Electronic Health Records in Minnesota Name of Event Date Presenters Name Title Organization
4 Topics for Discussion Background Information on e-health in Minnesota An Overview of e-prescribing Actions You or Your Organization Can Take Towards Advancing e-prescribing in Minnesota
5 Background Information on e-health Connections with Health Care Reform The Minnesota Environment The Minnesota e-health Initiative Requirements to Advance e-health
6 Connections with 2007/2008 Health Care Reform Cost/Quality transparency and Payment Reform Access increases Prevention and Health Improvement Care coordination for people with complex and chronic health conditions Administrative Efficiency Health Information Technology and Infrastructure for Exchange
7 Factors Leading to Minnesota Success Commitment to effective public-private collaboration Strong support for e-health from the legislature and Governor Pawlenty Strong private sector commitment to EHRs Willing to use mandates to accelerate adoption of interoperable EHRs and standards Commitment to addressing needs of individuals and communities
8 The Minnesota e-health Initiative A public-private collaboration established in 2004 Legislatively chartered Coordinates and recommends statewide policy on e- Health Develops and acts on statewide e-health priorities Reflects the health community s strong commitment to act in a coordinated, systematic and focused way
9 Minnesota e-health Initiative Vision accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions. Source: e-health Initiative Report to the MN Legislature, January 2004
10 State Mandates that Advance e-health 2011 e-prescribing Mandate All providers, group purchasers, prescribers, and dispensers establish and maintain an electronic prescription drug program that complies with applicable standards by January Interoperable EHR Mandate: All healthcare providers and hospitals have interoperable EHRs by 2015 MDH to develop a statewide plan to meet the mandate Establish uniform health data standards by January 2009 All EHRs must be certified by CCHIT or it successor assuming a certified EHR product for the provider s particular setting is available
11 An Overview of e-prescribing What is e-prescribing? What is the e-prescribing process flow? Why e-prescribing by 2011? What are the benefits & challenges? Actions You & Your Organization Can Take
12 What is e-prescribing Process Flow? Pharmacy Electronic Prescription Router Patient Visit Check Benefits Remittance/ Payment Doctor Patient Eligibility Patient Benefits Drug Formulary Drug Medication History Source: MN e-health Initiative, 2005 Payer/PBM
13 Standards used for e-prescribing in MN Based on Minnesota Statutes, section 62J.497
14 Why e-prescribing by 2011? Minnesota is consistent with national efforts: CMS will begin financial incentives/disincentives in 2009 A priority of the MN e-health Initiative to support widespread e-prescribing adoption across all settings of health care The Initiative will focus on identifying and addressing barriers to widespread adoption of e-prescribing in Minnesota.
15 Who is impacted? Prescribers /Providers at All Practice Sites (e.g. persons licensed to prescribe) Dispensers/Pharmacists Group Purchasers/Payers/PBMs/ or Other Intermediaries
16 Important Actions You or Your Organization Can Take Towards Advancing e-prescribing in Minnesota Clinicians/Prescribers Payers Associations
17 Important Actions for Clinicians to Advance e-prescribing in MN Assessing Your Practice Readiness Defining Your Practice Needs Understanding Costs & Financing Options Selecting a System Deployment and Effective Use Source: National ehealth Initiative A CLINICIAN S GUIDE TO ELECTRONIC PRESCRIBING October 2008
18 Important Actions for Payers to Advance e-prescribing in MN Become educated on the medication management process and outcomes Work directly with the individuals on opportunities and incentives Incentivize provider adoption of e-prescribing Bring together certain community stakeholders Collaborate with other payers Provide patients with information about medication adherence Source: National ehealth Initiative A GUIDE FOR HEALTH CARE PAYERS TO IMPORVE MEDICATION MANAGEMENT June 2008
19 Important Actions for Associations to Advance e-prescribing in MN Use existing and new venues to exchange lessons learned and best practices Create the venue for collaboratively Create ongoing or ad hoc workgroups Develop policy statements/issue briefs Source: MN e-health Statewide Interoperable EHR Plan, June 2008
20 Minnesota e-health Web Resources e-health mandates Reports & Recommendations Advisory Committee Standards Workgroups Factsheets, Tools & Templates Links to resources Center for Health Informatics Minnesota e-health Initiative
21 Thank You! - Questions Organization Name Phone Number Address
22 Optional Modules on Interoperable EHRs & Statewide Implementation Plan & Guides
23 An Overview of Interoperable EHRs & the Minnesota Guides for Addressing Common EHR Adoption Barriers Statewide Implementation Plan Minnesota Model for Adopting EHRs Interconnected EHR Grants & Loans Actions You & Your Organization Can Take
24 Minnesota s Statewide Implementation Plan for Interoperable Electronic Health Records Components of the Plan Part 1: Background Part 2: Minnesota Model for EHR Adoption Part 3: Emerging Issues Part 4: Recommendations Appendices Guide 1: Addressing Common Barriers Guide 2: Minnesota e-health Standards Special Interest Area: # 1 Long Term Care # 2 Public Health Available at:
25 Which providers are covered by the mandate? All licensed providers and the settings in which they practice Example Types of Settings (Also see Appendix A) Primary Care Specialty care Hospitals Pharmacy Laboratories Radiology Urgent Care Ambulatory care Long Term Home Health Agencies Hospice Local Health Departments Habilitation Dental Mental Health Care State Agencies
26 Minnesota Model for Adopting Interoperable Electronic Health Records Breaks achieving the 2015 Mandate into manageable steps Applies across organizational settings Continuum of EHR Adoption Achievement of 2015 Mandate Adopt Utilize Exchange Assess Plan Select Implement Effective Use Readiness Interoperate
27 Using the Model to Measure EHR Adoption Continuum of EHR Adoption Achievement of 2015 Mandate Adopt Utilize Exchange Assess Plan Select Implement Effective Use Readiness Interoperate What strategies will shorten these lines and help move them to the right? Small hospitals Large Hospitals Radiology Pharmacies Primary Care Clinics Long Term Care Local Health Departments Estimated range of adoption based on various surveys and other sources Minnesota Department of Health, February 2008
28 Primary Care EHR Adoption Fully/Partially Implemented 46% 62% Implemented within 24 Months 27% 24% Source: Stratis Health
29 Recommendations for Minnesota e-health Standards Acquire only certified EHR products Enacted in the 2008 legislative session e-prescribing and medication management Enacted in the 2008 legislative session Laboratory results reporting Immunization data exchange
30 CCHIT Certification Certification offered for the following settings: Ambulatory Inpatient Emergency Dept Child Health Cardiovascular Network/HIE (scheduled to begin Oct 08) Two new settings to be added in 2009 PHR Behavioral Health
31 e-health Funding Legislature appropriated $14.6 million to support adoption of interoperable EHRs targeted to rural and safety net providers Grants: $ 8.3 million $1.3 million awarded in 2006 $3.5 million in grants awarded in 2007 $3.5 million awarded in 2008 Loans: $ 6.3 million
32 e-health Planning Grants $1.3 million to 6 collaboratives Planning and Assessment Grants EHR (Lac qui Parle, Ortonville) e-prescribing (Roseau, Sauk Centre) Health Information Exchange (Bloomington, St. Paul)
33 e-health Implementation Grants $1.3 million to 5 collaboratives Implementation Grants EHR (Crosby, Sandstone, Wadena) Personal Health Record (WiIlmar) Health Information Exchange (Duluth)
34 e-health Planning Grants $3.5 million for 8 projects Planning and Assessment Grants EHR (Bemidji, Cloquet, Duluth, Little Falls,Minneapolis [2], Sleepy Eye)
35 e-health Implementation Grants $3.5 million for 8 projects Implementation Grants EHR (Fergus Falls, Isanti, Minneapolis, St. Paul [2], Wabasha) Health Information Exchange (Duluth) e-prescribing (Roseau, Sauk Centre - continuing 2007 projects)
36 e-health Planning Grants $3.5 million for 10 projects Planning and Assessment Grants EHR (Minneapolis [2], New York Mills, Rochester, St. Paul [2], Starbuck, Wadena) Health Information Exchange (Alexandria, Madelia, Staples)
37 e-health Implementation Grants $3.5 million for 10 projects Implementation Grants Braham, Cottonwood, Little Falls, Madison, Mahnomen, Minneapolis [2], St. Paul [2], Tracy
38 Actions You or Your Organization Can Take Towards Advancing Electronic Health Records in Minnesota
39 Important Actions for Clinicians to Advance Electronic Health Records in MN Rely on your peers and your professional and/or trade associations. Review an EHR roadmap such as from the DOQ-IT program ( Go slow don t jump to software demos. Explore joining an existing community collaborative or forming your own. Source: MN e-health Statewide Interoperable EHR Plan, Guide I, June 2008
40 Important Actions for Clinicians to Advance Electronic Health Records in MN (cont ) Begin now to identify the business value of an EHR. Engage physicians, nurses and other stakeholders. Hire a trusted consultant experienced in EHR implementation. Source: MN e-health Statewide Interoperable EHR Plan, Guide I, June 2008
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