Ponce School of Medicine & Health Sciences



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Ponce School of Medicine & Health Sciences HEALTH INFORMATION TECHNOLOGY: Expanding the Horizons and Globalization Opportunities In Health Care, Education and Research Puerto Rico Health & Insurance Conference 2011 Panel on Outlook on Health Expansion February 2, 2011

HITECH: Catalyst for Transformation Paper records HITECH Act EHRs & HIE Today 2009-10 2014 A system plagued by inefficiencies EHR Incentive Program 62 Regional Extension Goal: Widespread adoption and Centers and State HIE meaningful use of EHRs Programs 2

3 THE EVOLUTION OF HEALTHCARE IN 21 ST CENTURY EHR: Electronically Capturing & Processing Patient Information CDS: Improved Care Decisions & Coordination HIE: Exchanging Health Information

Patient-Centric Care Health Information Exchange

Federal HITECH Legislation: A Solutions- Based Strategy for Implementation Financial Resources CORE AREAS INTERVENTION Medicare & Medicaid Incentives Program for Meaningful Use FUNDS ALLOCATED $ 27 B Technical Assistance Regional Extension Centers $643 M Human Resources Workforce Training $118 M Information Sharing National Health Info. Network & Standards of Certification $64.3 M Exchange Health Information Exchange $564 M Technology Examples Break Throughs Strategic Health Info. Technology Advanced Research Projects Beacon Communities Programs Source: Office of the National Coordinator, Dr. Blumenthal $60 M $235 M

Ponce School of Medicine HIT Initiative Consortium with Colegio de Medicos Cirujanos de Puerto Rico, Puerto Rico Primary Care Association, & Virgin i Islands Medical Society, PR Hospital Association, University of Puerto Rico Medical Sciences Campus, Universidad Central del Caribe & San Juan Bautista Medical School Collaboration with ONC-funded HIE Plan for Puerto Rico, the proposed Puerto Rico Health Information Network (PRHIN), CMS, and the Department of Health, Medicaid Program Eighth largest REC out of 62 Centers throughout the United States Goal of reaching 4,038 out of 100,000 nationwide Working with ONC Certified EHRs (local, national, international)

Our Services: Enabling Our Providers to Become Meaningful EHR Users Support for EHR Planning & Implementation ti EHR Go Live Implementation Support Attainment of Meaningful Use Assistance to providers in EHR Evaluation and Selection Guidance on EHR/Vendor Selection and Group Purchasing Opportunities EHR Selection and Scheduling of Go Live EHR Date Continuing Education Programs to support EHR adoption and Meaningful Use On Site Technical Assistance to prepare for EHR Implementation On Site Assistance with Workflow and Practice Redesign Practice Support at time of EHR Installation Technical and Staff Support in EHR Implementation and Adoption Monitoring and reporting of provider s use of e prescription Assistance with utilization of quality reporting functionalities Coordination of Access and participation to Health Information Exchange (HIE) Assistance in compliance with federal and state privacy and security requirements Monitoring of Progress towards meaningful use as measured by External Reports Practice Specific Technical Assistance to support progress towards meaningful use Assistance with certification and attainment of Meaningful Use Ongoing monitoring of quality reports, and continuing compliance with meaningful use Ongoing Technical Support and Continuing Education Updates

the Entire EHR Implementation Process 1 Plan 2 Transition 3 Implement 4 Operate & Maintain Readiness assessment Practice workflow redesign EHR implementation Achieving meaningful use EHR system selection HIT education & training Partnering with state and local HIEs Prepare for future pay for performance 8

Puerto Rico s Unique Position ACCREDITED SCHOOLS OF MEDICINE AND ALLIED HEALTH SCIENCES CLINICAL AREAS OF EXCELLENCE RESEARCH CENTER INFRASTRUCTURE CONTINUING MEDICAL EDUCATION/DISTANCE EDUCATION LOCAL COMPANIES WITH CERTIFIED PRODUCTS LEADERSHIP IN HEALTH INFORMATION TECHNOLOGY TRAINED BI-LINGUAL HUMAN RESOURCES ACCESSIBLE AND AFFORDABLE PROGRAM OFFERINGS

POTENTIAL PROGRAMS Mini-Residency Training Programs for Physicians and Health Professionals Continuing Education Programs for Physicians and other Health Professionals Distance Learning/E-Education Certificate and Degree Programs Clinical Research on Prevalent Diseases in Latino/Minority Health Development and Management of Disease and Population Health Registries Health Information Technology Training and Technical Assistance Design and Management of Regional Health Information Exchange Organizations

Implications for Puerto Rico and Beyond Creation of Centers of Excellence in area of Health Information Technology and Health Information Exchange Workforce Development for New Careers in Health Informatics Design and Evaluation of Models of Care to address priority health care problems affecting Latino populations Development of Training Capabilities to serve Latino Professionals in the U.S. and in Latin American and Caribbean countries Tele-Medicine Applications to support Regional Healthcare Systems

Thank You! Contact Info: Antonio Fernandez PSM Regional Extension Center (REC) P: 787-840-2575 ext. 2254 E: afernandez@psm.edu W: http://rec.psm.edu