HITECH and Meaningful Use: What it means for patients & families Gena Cook CEO, Navigating Cancer Five Major Goals of HITECH Improvements through a transformed delivery system 1 Improve the quality, safety & efficiency of our healthcare system 2 Engage patients & their families to improve care coordination 3 Improve population & public health 4 Improve care coordination between providers 5 Ensure privacy & security provisions 2 HITECH and Meaningful Use ARRA AMERICAN RECOVERY & REINVESTMENT ACT HITECH HEALTH IT FOR ECONOMIC & CLINICAL HEALTH ACT MEANINGFUL USE OBJECTIVES TO MEET HITECH INCENTIVES $787B stimulus package signed in 2009 Includes $150B for healthcare reform $22B allocation toward digitizing healthcare $18B of which is incentives for meaningfully using EHR systems Meaningful Use (MU) incentives up to $63,750 per physician beginning in 2011, through 2016 MU criteria defined by HHS July 2010 3 1
Meaningful Use Patient Objectives Patients portals will become necessary Stage 1 2011 Clinical summaries provided Timely electronic access Specific patient education Stage 2* 2013 Patient reminders Discharge instructions after visit Web based download Patient communication preferences Online secure messaging Stage 3* TBD Offer electronic self management tools EHRs exchange data with PHRs, using standard formats Patient reported experience online Patient data into EHR and clinic s workflow * Stage 1 is final, stage 2 & 3 criteria are still preliminary 4 Regina Holliday Patient Rights Advocate & Artist Speaking at the HITECH Meaningful Use Announcement, July 2010 5 Traditional Doctor/Patient Interactions Remain stuck in the past Phone calls Appointments Prescriptions Medical issues Billing Handouts Instructions Treatment information Managing side effects Clipboards Registration Medical History Agreements for each Doctor 6 2
Each Use Technology Independently Clinic Info Systems ELECTRONIC MEDICAL RECORDS PRACTICE MANAGEMENT SYSTEMS Patient Tools INTERNET SEARCH & BROWSING COMMUNITIES, BLOGS, & SHARING SITES 7 Bridging the Gap Patient Portals Connect Patients & Doctors Online What are a clinic s options? EMR Vendors Patient Portal Vendors 8 Simplification Through Integration Data Exchange Standards are Emerging Continuity of Care Documents (CCD) Continuity of Care Records (CCR) creating opportunities for integrated, aggregated patient & clinic solutions 9 3
What s the Patient Experience? Multiple portals may be too much of a good thing TODAY OVER NEXT 2+ YEARS COMMUNITY FAMILY CONTENT COMMUNITY FAMILY CONTENT RESEARCH PHR/TOOLS RESEARCH PHR/TOOLS RADIOLOGIST ONCOLOGIST SURGEON PRIMARY CARE 10 Early Patient Portals Launched in institutions over the past decade 11 What are consumers saying? 75% want access online to medical records, lab results and appointment schedules 2009 Report in Journal of Medical Internet Research 94% rated easy access to their own medical records as either important, or very important to them 2008 survey by the Commonwealth Fund 80% are interested in gaining access, through their physicians to an integrated medical record containing their test results, physicians visits and other information. 2010 survey by Deliotte Center for Health Solutions 12 4
What are consumers doing? Looking for health information online! Reading health information is the 3 rd most popular online activity among all demographics, accounting for 83% of all internet users* 100% 80% 60% Older Adults Online 81% 76% 58% 40% 20% 0% 30% 46-55 56-64 65-73 74+ *After general search and email. Pew Internet Research, Generations 2010 Report, 12/16/2010 13 National Internet Usage Over 85% 75% 85% 65% 75% Below 65% 14 Patient Portals in Oncology Clinics are preparing for Meaningful Use We re saving money & our patients love the process We re getting our insurance information faster which helps our process 5
Patient Satisfaction Online Registration at Hematology Oncology Consultants Appreciate the entire process very easy 85% agree or strongly agree that the process was easy to use 86% agree or strongly agree that the questions were clear to understand 84% agree or strongly agree that the process online was better than filling out paper forms in a waiting room 79% agree or strongly agree that they value having their medical information securely online Much better than doing the paperwork at the first appointment Having been to many doctors offices recently, this is by far the best process and having a copy for me is a great idea 16 Dr. Charles Safran President, American Medical Informatics Association In our country, patients are the most underutilized resource, and they have the most at stake. They want to be involved and they can be involved. Their participation will lead to better medical outcomes at lower costs with dramatically higher patient-customer satisfaction. Testimony before the Subcommittee on Health, The House Committee on Ways & Means, June 2004 17 APPENDIX 6