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Rural Health IT & ARRA 2009: How to Fund Your HIT Projects. • President Barack Obama “Health IT is Non-Negotiable”. Purpose of American Recovery & Reinvestment Act (ARRA 2009). The legislation aims to stimulate the economy through investments in infrastructure, unemployment benefits,
• President Barack Obama
The legislation aims to stimulate the economy through
investments in infrastructure, unemployment benefits,
transportation, education, healthcare; and includes over
$20 billion to aid in the development of a robust IT
infrastructure for healthcare and to assist providers and
other entities in adopting and using health IT.
Total funding included for health IT is as follows:
•$2 billion for the Office of the National Coordinator (ONC)
•$17.2 billion in incentives through the Medicare and Medicaid
reimbursement systems to assist providers in adopting EHRs
•$1.1 billion for comparative effectiveness research within the Agency
for Healthcare Research and Quality (AHRQ), National Institutes of
Health (NIH), and the Department of Health and Human Services
•$85 million for health IT, including tele-health services, within the Indian
•$1.5 billion for construction, renovation, and equipment for health
centers through the Health Resources and Services Administration
•$500 million for the Social Security Administration
•$50 million for information technology within the Veterans Benefits
•$2.5 billion for the U.S. Department of Agriculture’s Distance Learning,
Telemedicine, and Broadband Program
•$4.7 billion for the National Telecommunications and Information
Administration’s Broadband Technology Opportunities Program
This changes everything:
• HIT’s $20 Billion represents nearly 3% of the total stimulus
• Relative to the size of the HIT industry this is a mind-boggling
– HIT is estimated to be $19B - $50B / yr sector (variance due
to definitional and measurement differences).
– Thus the $20B figure is equal to, by some measures, the total
size of the industry!
• Has any other sector, relative to its size, received this degree of
economic stimulus funding?
− Advanced Electronic Communications
− Combined measure: HBA1C+microalbumin+LDL
− Eye exams
The success of any major technology initiative weighs heavily on three organization factors: People, Process and Technology.
Often times, organizations look to the technology itself as the core solution, neglecting the human and workflow impact on the overall organization
Above Average 34%
Process and Workflow Review
People and Process
…A strategic plan must be determined by a
combination of this data, goals, funding, staff, workflow, experience, initiatives and future planning…
Develop an IT Strategic Roadmap encompassing:
a. Standardized organization of the chart.
c. Access to the record by all staff who need it from any location either in the
facility or elsewhere given computer access and appropriate permissions.
d. Improve communication among the members of the care team.
e. Improved medication record keeping and improved safety for residents by
reducing the risk of medication errors.
f. Decrease in duplicate, redundant or unnecessary care with improved
g. Improved documentation by caregivers resulting in more accurate and
complete representation of care given.
h. Improved capture of care given and improved charge capture from the
i. Facilitation of information gathering and extraction from the record to
document outcomes and assist with quality improvement.
j. Allow residents to access health information and participate more fully in
k. Improved efficiency with data entry, abolishing the need for redundant
entry of data into different systems.