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Putting the Meaning into “Meaningful Use”. Joshua Seidman, PhD Acting Director, Meaningful Use Office of Provider Adoption Support Office of the National Coordinator for HIT. A Seasonal View of Meaningful Use. A Seasonal View of Meaningful Use. Grass. Meaningful Use of Grass.

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Putting the Meaning into “Meaningful Use”

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Putting the Meaning into “Meaningful Use”

Joshua Seidman, PhD

Acting Director, Meaningful Use

Office of Provider Adoption Support

Office of the National Coordinator for HIT

A Seasonal View of Meaningful Use

A Seasonal View of Meaningful Use


Meaningful Use of Grass

A Personal View on Meaningful Use……Because Getting to MU Can Be a Painful (But Rewarding) Experience

2010 Boston Marathon

Meaningful Use of Running Shoes

Running Shoes

Getting to Meaningful Use……To Improve Health & Health Care




  • Better Health

  • Transformed Care Delivery

  • Reduce Health Disparities




Staging of “Meaningful Use”

  • HITECH goals

    • Not about technology

    • Improving health and transforming health care through meaningful use of HIT

Stage 3

Focus of:

Stage 2

Stage 1

Framework: HIT Policy Committee’s Recommended Five Priorities

Improve quality, safety, efficiency and reduce health disparities

Engage patients & families in their health care

Improve care coordination

Improve population and public health

Ensure adequate privacy & security protections for personal health information

…Time to GetMUVing

Getting There…

Meaningful Use Vanguard Cohort (MUVers)

MUVers will be role models and practices of excellence

Early adopters and thought leaders

Provide input in evaluation of achievement of Stage 1 MU objectives

MUVers can be a testing ground for other initiatives –e.g., PCMHs


Thinking Long-Term AboutMeaningful Use

Stage 2 MU Development Process

HIT Policy Committee MU Workgroup: Patient/Family Engagement Hearing

  • Public hearing held April 20

  • FACA (Federal Advisory Committee) blog

    • 50+ comments

    • Input accepted at http://healthit.hhs.gov/blog/faca/

  • Part of planning trajectory for evolution of MU definition (Stages 2 & 3)

Themes Emerging from Hearing & Blog

  • Provide real-time patient access to data

  • Incorporate patient-generated data into EHR

  • Encourage innovation

    • Connect home/community to care delivery settings

    • Consider a bold initiative (e.g., 50% of care rendered at home)

  • Create sense of community among patients & with health team

    • Achieve 4 Es: engage, educate, empower, and enable

    • Meet needs of diverse population

  • Focus more on patient outcomes measures

    • vs. traditional process measures

  • Engage with the public about MU

    • Consider re-orienting MU criteria to what's meaningful to patients

June 4 HITPC/MU WG HearingFocused on Health Disparities

  • Using HIT to reduce disparities

    • Focus on solutions

  • Three panels

    • Health literacy & data collection

    • Culture (includes language)

    • Access — to:

      • Health care

      • Health information

      • Technology

Agenda Overview

Panel 1: Health Literacy & Data Collection

  • Moderator: Neil Calman

  • Sara Czaja, University of Miami

  • Cynthia Solomon, MiVia

  • Gena Wilson, The Institute for Family Health [invited]

  • Silas Buchanan, The Cave Institute

    Panel 2: Culture

  • Moderator: Joshua Seidman

  • Russell Davis, National Health IT Collaborative for the Underserved

  • M. Chris Gibbons, Johns Hopkins Urban Health Institute

  • Dianne Hasselman, Center for Health Care Strategies

  • Deena Jang, Asia/Pacific Islander American Health Forum

    Panel 3: Access

  • Moderator: George Hripcsak

  • Carolyn Clancy, Agency for Healthcare Research & Quality, HHS

  • Howard Hays, MD, Indian Health Service, HHS

  • Ian Erlich, Maniilaq Association, Alaska [invited]

  • R. Scott Hawkins, Boston Healthcare for the Homeless

  • Cesar Palacios, Proyecto Salud Clinic

Questions to Panelists

  • What are greatest risks of HIT implementation in increasing disparities?

  • What innovations can prevent these risks?

  • What research can guide HIT implementers?

  • What patient/family engagement strategies can help support future MU of HIT?

  • How can MU of HIT reduce disparities?

  • What HIT applications can improve literacy, access, cultural relevance of health info?

Some Strategies to Pursue

  • Ignoring technology not a viable strategy

  • Ethnographic observation to identify needs

    • Meet people where they are

  • EHR-generated data to tailor health info

  • Implications of making chart patient-accessible  Changing what clinicians record

  • Translation of clinical & administrative data

  • Multimedia: Not only text-based health info

  • Interactive approaches

Engaging with ONC in Blogosphere & Twittersphere

Health IT Buzz

  • http://healthit.hhs.gov/blog/onc/

    Federal Advisory Committee Hearings

  • http://healthit.hhs.gov/blog/faca/

    Real-Time Updates on Twitter

  • https://twitter.com/ONC_HealthIT

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