America’s Voice for Community Health Care

2. America’s Voice for Community Health Care The National Association of Community Health Centers (NACHC) represents Community and Migrant Health Centers, as well as Health Care for the Homeless and Public Housing Primary Care Programs and other community-based health centers. Founded in 1971, NACHC is a nonprofit advocacy organization providing education, training and technical assistance to health centers in support of their mission to provide quality health care to medically underserved populations.

3. The NACHC Mission To promote the provision of high quality, comprehensive and affordable health care that is coordinated, culturally and linguistically competent, and community directed for all medically underserved populations.

4. For further information about NACHC and America’s Health Centers Visit us at www.nachc.com

5. A National Community Health Center Perspective Issues & Challenges for Medicaid Eligible Providers From AIU to Stage 1 Meaningful Use Shane C. Hickey, MBA, MSDirector, Information Technology AssistanceNational Association of Community Health Centers 3/16/2012

6. Health Center Strategic Priorities

7. EHR Adoption Among Health Centers Source: 2010 HRSA BPHC UDS Data

8. Outreach to 35% of Non-Adopters Primary Goals & Objectives

9. Issues and Challenges from Prior Non-Adopters

10. Issues and Challenges from Prior Non-Adopters

11. Health Center Issues & Barriers from a National Regional Extension Center Perspective Courtesy of:

12. REC Sites By Barrier Type Reported Data Source: ONC CRM Database (March 3, 2012).

13. Top Five Barriers for CHCs(Proportion of Providers Impacted) MU Measure Attestation Process Practice Issue VendorIssue Data Source: ONC CRM Database (March 3, 2012). Non-priority hospitals did not report any barriers.

14. Top Five MU Measure-Specific Barriers for CHCs(Proportion of Providers Impacted) Data Source: ONC CRM Database (March 3, 2012). Rural Hospitals and non-priority hospitals did not report any MU Measure Barriers. Users may select multiple measure-specific issues as barriers within one report, therefore, these numbers may overestimate the total number of Barrier reports for Measure-specific issues.

15. Proportion of Providers at CHCs that Reported MU Measure Barriers: Core Data Source: ONC CRM Database (March 3, 2012). Rural Hospitals and non-priority hospitals did not report any MU Measure Barriers. Users may select multiple measure-specific issues as barriers within one report, therefore, these numbers may overestimate the total number of Barrier reports for Measure-specific issues.

16. Proportion of Providers at CHCs that Reported MU Measure Barriers: Menu Data Source: ONC CRM Database (March 3, 2012). Private Practices with 11+ providers, Public Hospitals, Rural Hospitals, and non-priority hospitals did not report any MU Measure Barriers. Specialty Practices did not report any Menu-set specific Barrier Issues. Users may select multiple measure-specific issues as barriers within one report, therefore, these numbers may overestimate the total number of Barrier reports for Measure-specific issues.

17. Implications for Overcoming Challenges and Barriers Moving Forward • Health centers will require assistance with more sophisticated and costly functionalities such as e-Rx, Patient Portals, HIE, etc. • Patient Centered Medical Home intersects with Meaningful Use work and it will be beneficial to work on these goals together in lieu of silos • Stage 2 MU brings new requirements and criteria that require development of new tools and education materials to assist CHCs (e.g. patient portal and interoperability requirements)

18. Questions? Shane C. Hickey, MBA, MS Director, Information Technology Assistance National Association of Community Health Centers 301-347-0483 or shickey@nachc.com