LCF Research Overview

Transcription

1 LCF Research Overview Presentation to National Governors' Association May 21, 2010 Maggie Gunter, PhD President and Executive Director 1

2 Created in 1990 as Lovelace Clinic Foundation Early years: national pioneers with Lovelace in provider-based disease management Now known as LCF, and is led by large community Board (35-40) representing all major stakeholders

3 A critical factor--governor s designation of LCF/NMHIC as state s official health information exchange network for ARRA purposes Positioned NMHIC and LCF to apply successfully for federal State HIE funding, SSA funding, and HIT Regional Extension Center funding Help from the State, the Congressional Delegation, and our community partners (NMMRA, NMPCA) and stakeholders was essential. 3

4 Bob Mayer New Mexico HIT Coordinator May 21, 2010

5 Statewide public health clinic system Serves everyone Family planning services Immunizations STD screening and treatment Women, Infants and Children program Breast cancer screening 9,000 encounters per month

6 All clinics use EMR and Practice Management system All clinics generate invoices for services electronically All clinics participate in electronic billing (through third party clearinghouse)

7 All clinics will join HIE State Scientific Lab will join HIE Public Health supports the use of HIE for surveillance and reportable conditions Expansion of HIE to include filtering for certain conditions Operations begin June, 2010 Expansion of HIE to include reporting of all ED visits Possible expansion to include all hospital discharge data

8 New Mexico Health Information Technology Regional Extension Center (NM HITREC) A Consortium of LCF Research, New Mexico Medical Review Association, and New Mexico Primary Care Association Lyndi Dittmer-Perry, NM HITREC Project Director (505) info@nmhitrec.org

9 NM HITREC - Service Area PCPs in service area: 2,906 Priority PCPs in service area: 1,593 Priority PCPs to be served: 1,035 Total Population (2008 Census): 1,984,356 9

10 NM HITREC - Timeframe & Tasks 2010 EHR Planning, Deployment & Adoption Recruit PPCPs Engage Stakeholders Assessments Vendor Selection Process/Existing System Evaluation Process and Workflow EHR Adoption Process Management 2011 Meaningful Use Preparation & Deployment EHR Adoption Process Management Education & Training MU Adoption Guidance HIE Integration EHR/Workflow Updates Evaluation Medicaid & Medicare Incentives Begin $$ 10

11 NM HITREC - Project Status Office of National Coordinator (ONC) Kick-off Meeting ONC Operations Plan & Updated Budget Project Structure Communications, Outreach, & Recruitment Technical Assistance & Services Team Development Education & Training Planning NM Stakeholders Sustainability Model 11

12 Finalize Technical Assistance Approach, Teams, & Tools Engage & Recruit Physician Practices Provide Practice Readiness Assessments; Assess EHR adoption Analyze Vendor Market Capabilities & Capacity Identify Education & Training Finalize NM HITREC Planning Partner with State Medicaid, State HIT, & Medicare

13 FOA Supplemental Critical Access and Rural Hospitals (50 beds or less) Aggressive Timeline Provider Adoption Barriers Vendor Capacity Bandwidth & Connectivity Increased EHR Adoption & Improved Health Outcomes

14 New Mexico Health Information Collaborative (NMHIC) May 21, 2010 Bob White, NMHIC Medical Director David Perry, Chief Information Officer LCF Research 2010

15 Patient State Public Health Depts. Clinician HIE Network Locates the Patient s Records PRIVACY PROTECTED Gathers and Assembles the Patient s Records Hospital Emergency Room Clinician Office Lab Nationwide Health Information Network (NHIN) LCF Research 2010

16 Patient State Public Health Depts. Clinician HIE Network Match Patients and Locate Their Records Across Different Sites Hospital Clinician Office Lab Emergency Room Nationwide Health Information Network (NHIN) LCF Research 2010

17 NMHIC created in $9 million invested to date One of nine HIEs awarded the Nationwide Health Information Network (NHIN) Trial Implementation Contract, Sept Designated by the State of New Mexico to lead the Health Information Security and Privacy Collaborative (HISPC), Initiated legislation to clarify state privacy laws and enact electronic medical record act 2009 LCF Research 2010

18 Designated by the Governor as New Mexico s statewide HIE network for ARRA, May 2009 Designated by the NM DOH as agent for e-reporting Currently Connected (in order of connection) Holy Cross Hospital, Presbyterian Healthcare Services TriCore Laboratories, Albuquerque Ambulance ABQ Health Partners (20 clinic sites) Our Community Master Person Index (MPI) contains 1,170,000 unique patients LCF Research 2010

19 Lovelace Health System and SED Labs May Christus St. Vincent - June Electronic reporting to NMDOH - June University of NM Hospital August Clinician production use starts 2 nd half of 2010 NHIN Production Nov (SSA, IHS, and VA) LCF Research 2010

20 RWJF Project to measure NMHIC ( ) $150 k LCF, NMPCA, and NMMRA will create the NM Regional Extension Center ( ) $6.175 M State HIE Project ( ) $7.07 M Social Security Admin. Project (2010) $1.08 M Coalition of New Mexico DOH, LCF, UNM, NMMRA, and NMPCA submitted a proposal for the Beacon opportunity ( ) $15 M LCF Research 2010

21 Value (savings/cost reduction) to New Mexico payers $11.9 million per year extrapolated conservatively from national study $6 million per year based on very conservative estimates from local data Between late 2010 and 2014, federal support must be matched with increasing financial support from local healthcare organizations and the community LCF Research 2010