1 / 38

Bringing Health Information to Life in Rural America

Explore the role of Health IT in improving healthcare access, quality, and efficiency in rural America. Learn about barriers to adoption and solutions provided by the Office of the National Coordinator for Health Information Technology.

akasma
Download Presentation

Bringing Health Information to Life in Rural America

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Bringing Health Information to Life in Rural America ELISABETH HANDLEY, MPA Deputy National Coordinator for Operations, Office of the National Coordinator for Health Information Technology, US Department of Health & Human Services

  2. Today’s Agenda • Health IT and Its Role • Barriers and Solutions • Rural Health Initiative • Questions and Answers Office of the National Coordinator for Health Information Technology

  3. Indiana: A Leader in Health IT Office of the National Coordinator for Health Information Technology

  4. Office of the National Coordinator for Health Information Technology

  5. 1. Health IT and Its Role Office of the National Coordinator for Health Information Technology

  6. A Familiar Story: A Broken System COST $Billions in unnecessary and wasteful spending QUALITY Despite rapid advances, thousands of patients die each year from medical error COVERAGE 51 million uninsured; many more underinsured Office of the National Coordinator for Health Information Technology

  7. Chasing fees. “It’s thornlike in appearance, but I need to order a battery of tests.” 7 Office of the National Coordinator for Health Information Technology

  8. Moving past Hippocrates • Information: • lifeblood of medicine. • We manage information as Hippocrates did in 400 B.C. • Health IT: • The circulatory system of modern health care. Office of the National Coordinator for Health Information Technology

  9. How many physicians learned to practice medicine: Office of the National Coordinator for Health Information Technology

  10. How the next generation will practice medicine Office of the National Coordinator for Health Information Technology

  11. More practically: EHR: Electronically capturing and processing information about patients HIE: Exchanging health information CDS: Improved care decisions Office of the National Coordinator for Health Information Technology

  12. 2. Barriers and Solutions Office of the National Coordinator for Health Information Technology

  13. Major Barriers to EHR Adoption Percent of physicians reporting a “major barrier” Source: DesRoches CM et al. Electronic health records in ambulatory care—a national survey of physicians. N Engl J Med. 359(1):50-60, 2008 Jul 3. Office of the National Coordinator for Health Information Technology

  14. The Federal Government’s Response: HITECH ACT Part of American Recovery and Reinvestment Act of 2009 (ARRA). Comprehensive approach Economic incentives Care improvement Quality measurement Reward “Meaningful use” of electronic health records Office of the National Coordinator for Health Information Technology

  15. Office of the National Coordinator for Health Information Technology 15

  16. Conceptual Approach to Meaningful Use 2015 2013 2011 Healthit.hhs.gov Office of the National Coordinator for Health Information Technology

  17. Meaningful Use Summary Office of the National Coordinator for Health Information Technology

  18. Meaningful Use Examples for Eligible Health Professionals and Eligible Hospitals Core Set Menu Set 18 • Use CPOE • Implement drug-drug, drug-allergy, drug-formulary checks • Maintain an up-to-date problem list • Maintain active medication list • Maintain medication allergy list • Record demographics • Record and chart changes in vital signs Incorporate clinical lab-test results into EHR as structured data Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach Report ambulatory quality measures to CMS Office of the National Coordinator for Health Information Technology

  19. Office of the National Coordinator for Health Information Technology

  20. HITECH ACT – Addressing Barriers Bipartisan support for key components Addresses major barriers through: Financial provisions, market reform. Technical assistance, support . Standards Health information exchange Privacy and security. Office of the National Coordinator for Health Information Technology

  21. HITECH FRAMEWORK: MEANINGFUL USE Regional Extension Centers ADOPTION Improved Individual and Population Health Outcomes Increased Transparency and Efficiency Improved Ability to Study and Improved Care Delivery Workforce Training Medicare and Medicaid Incentives and Penalties MEANINGFUL USE State Grants for Health Information Exchange EXCHANGE Standards and Certification Framework Privacy and Security Framework Research to Enhance Health IT Beacon Community Program Office of the National Coordinator for Health Information Technology

  22. Financial provisions • Medicare/Medicaid incentives: $9-27 billion starting 2011. • Physicians: $44,000/$63,750 over 5-10 years. • Penalties starting in 2015. • Hospitals: $2M bonus plus extra DRG payments. • Support for adoption: $2 billion to Office of National Coordinator for Health Information Technology (ONC). Office of the National Coordinator for Health Information Technology

  23. Technical Assistance with Adoption • $693 million • 62 Regional Extension Centers covering entire U.S. • Health Information Technology Research Center. • $118 million • Training over 40,000 new health IT support personnel • First class graduated 9/10 from UT Austin. Office of the National Coordinator for Health Information Technology

  24. The Health Information Technology Research Center • $50 million to help Regional Extension Centers identify and share best practices in: • EHR adoption • Meaningful use • Provider support Office of the National Coordinator for Health Information Technology

  25. Health Information Exchange • Laying the Basic Foundation • Multi-faceted approach: • Setting standards and certification criteria • Providing local leadership • Supporting exchange of information through the Nationwide Health Information Network (NHIN) Office of the National Coordinator for Health Information Technology

  26. State Health Information Exchange Program • $564 million • Promote HIE through State leadership Office of the National Coordinator for Health Information Technology

  27. Nationwide Health Information Network NHIN Exchange NHIN Direct Office of the National Coordinator for Health Information Technology

  28. Privacy and Security as a Foundation. Health IT Outcomes Privacy & Security Office of the National Coordinator for Health Information Technology

  29. FEDERAL GOVERNMENT’S ROLE:Privacy & Security Banned sale of health information without consent. Federal activity in enforcement Expanded patient rights to access their information Improved encryption technology to prevent breaches MORE to COME Office of the National Coordinator for Health Information Technology 29

  30. Workforce • ONC allocated $84 million • Community College Consortia to Educate Health Information Technology Professionals, $36 million • University-Based Health IT Training, $32 million • Curriculum Development Centers, $10 million • Competency Examination Program, $6 million Office of the National Coordinator for Health Information Technology

  31. Remaining challenges HITECH a great start, but many challenges to implementation. Getting regional centers up and running Assuring infrastructure for exchange Training necessary workforce Defining future stages of meaningful use Sustaining economic incentives for adoption and meaningful use Office of the National Coordinator for Health Information Technology

  32. 3. Rural Initiative Office of the National Coordinator for Health Information Technology

  33. Rural providers’ barriers to adoption Broadband access Financing Personnel and expertise Office of the National Coordinator for Health Information Technology

  34. Reducing Rural Health IT Disparities Need to address the specific needs of rural healthcare providers Office of the National Coordinator for Health Information Technology

  35. Federal Resources that Benefit Rural Healthcare Providers ONC programs, resources, and initiatives Regional Extension Centers Critical Access Hospital Supplement Communities of Practice State Health Information Exchange Workforce Training Beacon Community Program Health Resources and Services Administration programs Centers for Medicare and Medicaid programs Indian Health Service programs Office of the National Coordinator for Health Information Technology

  36. Coordination of Federal Resources Continued US Department of Agriculture Community Facilities Program Programs that support the development of broadband infrastructure Federal Communications Commission Rural Health Care Support Mechanism Office of the National Coordinator for Health Information Technology

  37. 5. Thinking Outside the Box • Be part of this inevitable revolution in modern medicine. Office of the National Coordinator for Health Information Technology

  38. 7. QUESTION & ANSWER Office of the National Coordinator for Health Information Technology 38

More Related