Mobile Health disrupts Meaningful Use By GORA DATTA gora@cal2cal.com HL7 International Ambassador Co-Chair HL7 Mobile Health Co-Lead HL7 EHR Interop USA Delegate ISO TC215 mict Expert Meaningful Use SME 1 Group Chairman CAL2CAL Corporation
BACKGROUND 2 2004 US Presidential Executive Order majority of Americans to have access to electronic health records (EHRs) by 2014 2006 US Presidential Executive Order promote quality and efficient delivery of health care through the use of health IT 2009 ARRA: HITECT ACT program to improve health care quality, safety, and efficiency through the promotion of health IT, including electronic health records and private and secure electronic health information exchange
MEANINGFUL USE (MU)? 3 GOAL: to promote the spread of electronic health records to improve health care in the United States WHAT: A set of rules defined by the CMS Incentive Program that governs the use of electronic health records BENEFITS Complete & accurate information Better access to information Patient Empowerment
MU: 3 Stage of Implementation Meaningful use implemented in 3 Stages All Eligible Providers (EP) and Eligible Hospitals (EH) must achieve meaningful use by 2015 or face sanctions 2011 2012 2014 2016 Health IT Enabled Health Reform 4 2011-2015 Stage 1 Capture Data in Coded Format 2014-2016 Stage 2 Expand Exchange of Information in Structured Format Possible 2016-2018 Stage 3 Improved Outcomes: Focus on Clinical Decision Support for High Priority Conditions, Patient Management, and Access to Comprehensive Data
MEANINGFUL USE (MU) & MOBILE HEALTH (MH) Stage 1 set the stage for Mobile Health Nothing explicit but subtle nudge towards MH! In particular, encouraging Patient engagement in the CARE process Stage 2 builds upon and creates opportunity for Mobile Health 5 Stage 3 & beyond MH WG predicts: MH will be key and central to healthcare delivery and access by one and all!
MU STAGE 1 & MH MU STAGE 1 Measures: 6 Provide clinical summaries for patients for each office visit Provide patients with an electronic copy of their health information, upon request Send reminders to patients per patient preference for preventive/follow-up care We start seeing how Mobile Health may increase patient involvement and engagement
MU STAGE 1 (cont.#1) A few more Measures: Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, and allergies) Use certified EHR technology to identify patientspecific education resources and provide those resources to the patient if appropriate 7 Provide patients with an electronic copy of their discharge instructions at time of discharge, upon request
MU STAGE 2 & MH 8 Let see how Stage 2 builds upon Stage 1: Provide patients the ability to view online, download and transmit their health information within : 36 hours after discharge from the hospital Within four business days of the information being available to the Eligible Provider (EP) More than 5% of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download, or transmit to a third party their health information
MU STAGE 2 & MH (cont#1) 9 A few more. Record patient family health history as structured data More than 20% of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives or an indication that family health history has been reviewed [!!! a Family History mobile app that the patient can prefill prior to the appointment!!!] Use secure electronic messaging to communicate with patients on relevant health information AND.5% of patients to communicate back
Something to ponder about: Impact of MH Standards: Messaging Document Architecture Functional Model Services 10 Impact of MH: Security - Social Media Usability - LMIC Affordability - Interoperability
MU & MH SUMMARY As we transition to a digital record framework (access, capture, dissemination of information), use of Mobile Health will continue to rise As Mobile Devices become more and more ubiquitous, accessing our Health Information is only a few tap/swipe away! 11
THANK YOU! If interested in Meaningful Use: new project to create a US Meaningful Use Functional Profile for ISO/HL7 EHR System Functional Model Release 2. Conf Calls: Team meets 2 nd and 4 th Tuesday of every month at 2pm EST Part of EHR Interop Group activity in collaboration with MH STD-GAP Group 12