The Massachusetts ehealth Institute

Transcription

1 The Massachusetts ehealth Institute

2 Agenda for Day Massachusetts ehealth Institute.

3 Roundtable Goals! Create a statewide Health IT thought leadership forum! Gain feedback and ideas for 2014 EHR Adoption Plan! Discuss the real needs of care providers and solutions that will accelerate adoption and use! Create a forum to prioritize and accelerate healthcare innovations Massachusetts ehealth Institute.

4 Roundtable Format What to Expect Massachusetts ehealth Institute.

5 Participants Association for Behavioral Healthcare Atrius Health Baystate Health Beth Israel Deaconess Medical Center Boston Children s Hospital Boston Medical Center Century Health Systems, Inc. Certification Commission for Health Information Technology Chelsea Jewish Nursing Home Commonwealth of Massachusetts Community Health Programs, Inc. DentaQuest East Boston Neighborhood Health Center EOHHS Health Policy Commission High Point Treatment Center Home Care Aide Council Home Health Foundation Jewish Geriatric Services LeadingAge Massachusetts MA Board of Registration in Medicine MA League of CHCs Mass Dental Society Massachusetts Association of Behavioral Health Systems Massachusetts Attorney General s Office Massachusetts Dental Society Massachusetts Hospital Association Massachusetts League of Community Health Centers Massachusetts Medical Society Massachusetts Psychological Association Massachusetts Senate: Office of Senator James T. Welch Massachusetts Senior Care Association MassHealth Mattapan CHC Mental Health Legal Advisors Committee MetroWest Accountable Healthcare Organization MHQP National Association of Social Workers MA chapter Partners HealthCare, Inc. Salter Healthcare Sancta Maria Nursing Facility Seniorlink ServiceNet Inc. South Shore Mental Health Spectrum Health Systems, Inc. Umass Memorial VNA of Cape Cod VNANE Massachusetts ehealth Institute.

6 IYAH ROMM Director for System Performance & Strategic Investment Health Policy Commission Massachusetts ehealth Institute.

7 Health Policy Commission Health IT Roundtable on EHR Adoption 2014 January 29, 2014

8 Health Policy Commission: At a glance Who we are The Massachusetts Health Policy Commission is an independent state agency governed by an 11-member board with diverse experience in health care. Mission Our mission is to promote informed dialogue, evidence-based policy, and innovative models to foster transformation through ongoing evaluation of the Massachusetts health care system. Vision Our vision is a transparent, accountable health care system that ensures quality, affordable, and accessible health care for the Commonwealth s residents. Health Policy Commission 8

9 Chapter 224 establishes the HPC Governor Attorney General State Auditor Health Policy Commission Board Dr. Stuart Altman, Chair Executive Director HPC Staff Health Policy Commission 9

10 Health Care Spending: Crowding out investments in other areas FY2001 FY2011 Massachusetts State Budget Comparison, FY2001 and FY2011 $ billion $16 $14 $12 +$5.1 B (+59%) -$4.0 B (-20%) $10-15% $8 $6-13% $4-38% -33% -23% -50% -11% $2 $0 Mental Health Infrastructure/ Housing Local Aid SOURCE: Massachusetts Budget and Policy Center Budget Health Policy Commission 10

11 Health Policy Commission 11

12 Health Policy Commission 12

13 Health Policy Commission 13

14 Health Policy Commission 14

15 Community Hospital Acceleration, Revitalization, and Transformation Charting a course for the right care at the right time in the right place Invest Sustain Innovate Evaluate Health Policy Commission 15

16 CHART: Community Hospital Acceleration, Revitalization, and Transformation Overview of CHART Investments Funded by the one-time assessment on payers and select providers Total amount of $119.08M $128.25M, less $9.17M provided in mitigation to qualifying acute hospitals Unexpended funds may to be rolled over to following year and do not revert to General Fund Competitive proposal process to receive funds Strict eligibility criteria: ~25-30 eligible community hospitals Non-teaching, non-profit, low relative price Primary Goals Promote efficient, effective, integrated care delivery Improve quality and patient safety while reducing costs Develop capacity to become an accountable care organization Advance adoption of health information technology and the electronic exchange of information between providers Increase capacity to bear risk and adopt alternative payment methodologies Phased allocation process, beginning with a small (~$10M) opportunity in Fall eligible hospitals for Phase 1 Achieve sustainable, scalable interventions that benefit communities Health Policy Commission 16

17 Alignment with investments across agencies and programs Private Foundation Funding HPC CHART Grants HPC Innovation Grants Payer Incentives Wellness and Prevention Trust CMMI Funding Maximizing Gain from Statewide Investments Delivery System Transformation Initiative ehealth Institute Fund Workforce Transformation Trust Massachusetts SIM Grant PCPRi Health Policy Commission 17

18 Six goals for CHART investments Efficient, Effective Care Delivery Enhance care coordination, advance integration of behavioral and physical health services, promote evidence-based care practices and efficient care delivery, and provide culturally and linguistically appropriate services Sustainable, Scalable Interventions with ROI Advance HIT Adoption Advance HIE Spread Increase APM Adoption Develop Capacity for ACO Cert. Enhance interoperable electronic health records systems and clinical support tools Accelerate the ability to electronically exchange information with other providers to ensure continuity of care and enhanced coordination across the continuum of providers and organizations in the community served by the Applicant Enhance analysis performance management tools, including to promote transparency, to aggregate and analyze clinical data, and to facilitate appropriate care management, especially for vulnerable populations and those with complex health care needs Aid in the development of care practices and other operational standards necessary for certification as an accountable care organization Improve Affordability & Quality Enhance patient safety efforts, increase access to behavioral health services, and coordination between hospitals and community-based providers and organizations SOURCE: 958 CMR 5.00 Health Policy Commission 18

19 Phase 1 includes foundational activities leading to Phase 2 Phase 1: Fall 2013 Foundational Activities to Prime System Transformation $10 million total opportunity with many eligible hospitals receiving funds Short term, high-need expenditures Participation not requisite for receipt of Phase 2 funds nor a guarantee of Phase 2 award Identified need to assess capability and capacity of participating institutions Opportunity to develop engagement and foster learning Phase 2: Spring 2014 Driving System Transformation Deeper investment in limited set of hospitals competitive application process Multi-year, system or service line transformations in Commission-identified areas of focus Testing models of system transformation Multiple potential funding models tailored to a variety of institutional needs/settings Close engagement between awardees and HPC Ongoing program development QI, Collaboration, and Leadership Engagement Measurement & Evaluation HPC Partnership with Awardees Health Policy Commission 19

20 Proposals reflect a wide variety of regulatory goals and program domains Applicants self-reported regulatory goals (often more than 1 indicated per application) Efficient, Effective Care Delivery Advance HIT Adoption Advance HIE Spread Increase APM Adoption Develop Capacity for ACO Certification Improve Affordability & Quality Staff identified program domains during preliminary Technical Review (often more than 1 indicated per application) Care Coordination EHR / HIT / HIE Behavioral Health Workforce Training & Development Data Management & Use Service Line Efficiency Patient Safety Health Policy Commission 20

21 HPC granted awards of nearly $10M for 28 hospitals Applicant Pathway Proposed Award Cap Addison Gilbert Hospital B $ 294,000 Anna Jaques Hospital B $ 333,500 Athol Memorial Hospital A, B, C $ 484,128 Baystate Franklin Medical Center B, C $ 476,400 Baystate Mary Lane Hospital A, B, C $ 499,600 Beverly Hospital C $ 65,000 BID - Milton Hospital B $ 261,200 BID - Needham Hospital B $ 300,000 Emerson Hospital B $ 202,575 Harrington Memorial Hospital B, C $ 491,600 HealthAlliance Hospital A, B $ 410,000 Heywood Hospital A, B, C $ 316,384 Holyoke Medical Center B $ 500,000 Jordan Hospital B $ 245,818 Lawrence General Hospital C $ 100,000 Lawrence Memorial Hospital A, B $ 362,058 Lowell General Hospital A, B, C $ 497,900 Melrose-Wakefield Hospital A, B $ 387,302 Mercy Medical Center B $ 223,134 Milford Regional Medical Center A, B, C $ 499,810 Noble Hospital B $ 344,665 North Adams Regional Hospital B $ 395,311 Signature Healthcare Brockton Hospital A, B, C $ 438,400 Southcoast - Charlton Memorial Hospital B, C $ 397,862 Southcoast - St. Luke's Hospital B, C $ 385,395 Southcoast - Tobey Hospital B, C $ 400,100 UMMHC - Wing Memorial Hospital B $ 357,000 Winchester Hospital B $ 286,500 Total proposed funding Health Policy Commission 21

22 CHART awardees span the Commonwealth Health Policy Commission 36

23 Contact us For more information about the Health Policy Commission: Visit us: Follow us: Health Policy Commission 23

24 EHR Adoption in Massachusetts

25 Sources for Market Data 25! MeHI 2013/2014 Provider Organization Survey On-going, 500 organizations Oversample BH, LTC Surveys, interview! MeHI 2013/2014 Consumer Survey On-going, target 800 consumers Surveys, interviews! Discovery meetings with MA stakeholders, associations, providers! EHR Roundtable pre-event poll! Massachusetts industry segment research such as Leading Age, Mass Medical Society, others! National industry segment studies from associations, councils! The Office of the National Coordinator for Health Information Technology (ONC) data analytics and research

26 EHR Adoption Preliminary Survey Results Source: Massachusetts EHR Adoption Survey Massachusetts ehealth Institute.

27 Behavioral Health & Long-Term Care Attitudes Massachusetts ehealth Institute.

28 Health Information Exchange Adoption Massachusetts ehealth Institute.

29 Overall Drivers for Adoption Source: Massachusetts EHR Adoption Survey ; 2014 MeHI Polling & Interviews Massachusetts ehealth Institute.

30 Overall Barriers to Overcome Source: Massachusetts 2014 EHR Adoption Survey ; 2014 MeHI Polling & Interviews Massachusetts ehealth Institute.

31 Needs of Providers in Massachusetts Massachusetts ehealth Institute.

32 Outreach & Engagement Methods Massachusetts ehealth Institute.

33 Facilitators! Sean Kennedy & Katie Green! Rik Kerstens & Keely Benson! Tarsha Weaver & Brett Campbell! Laura Polas & Jim Brennan Massachusetts ehealth Institute.

34 Breakout Session #1

35 Discussion Topics! Adoption Drivers & Benefits! Adoption Barriers & Challenges! Outreach & Engagement Methods Massachusetts ehealth Institute.

36 Lunch

37 Preliminary Consumer ehealth Attitudes Source: Massachusetts EHR Adoption Survey ; 2014 MeHI Polling & Interviews Massachusetts ehealth Institute.

38 Provider & Consumer Preliminary Perspectives 38 Source: Massachusetts EHR Adoption Survey ; 2014 MeHI Polling & Interviews

39 JOHN D. HALAMKA, M.D. Chief Information Officer Beth Israel Deaconess Medical Center Massachusetts ehealth Institute.

40 The Promise of Healthcare IT in the Post-EHR Era

41 Massachusetts ehealth Institute.

42 Building on Meaningful Use! Need novel patient engagement tools! Need healthcare information exchange capabilities! Need quality measurement innovations Massachusetts ehealth Institute.

43 Optimizing Unstructured Data! Need Computer Assisted Coding! Need Clinical Documentation Improvement! Need to seamlessly link the problem list, the documentation and the bill Massachusetts ehealth Institute.

44 Enhancing Security and Privacy! 14 Security Workstreams in progress including identity management, network access control, security information and event management! Need more MSSP solutions! Need more endpoint controls Massachusetts ehealth Institute.

45 Empowering Population Health! Need novel business intelligence approaches that leverages unstructured data! Need prospective and retrospective reminders! Need care management and population health Massachusetts ehealth Institute.

46 Creating Economies of Scale and Massive Adoption! Cloud possibilities! Platforms not products! APIs and Modules Massachusetts ehealth Institute.

47 Questions! Massachusetts ehealth Institute.

48 Breakout Session #2

49 Discussion Topics! Consumer ehealth & Patient Engagement! Workforce Development! Health IT Innovations Massachusetts ehealth Institute.

50 Wrap-Up

51 Next Steps! Report out on Health IT ideas! Recap of today s discussion! Upcoming roundtables Services firms EHR vendors Workforce development! 2014 EHR Plan! Debrief document Massachusetts ehealth Institute.