Hit 2 0 moving to performance based health care
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HIT 2.0; Moving to Performance Based Health Care. Dr. Tom Stevenson Chief Medical Officer Covisint Healthcare. Phase one; HIT Adoption. More than 30 years in the making Still a long ways to go Dynamic time, expect many changes in the technology used for ; Ambulatory care Hospital care

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HIT 2.0; Moving to Performance Based Health Care

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Hit 2 0 moving to performance based health care

HIT 2.0;Moving to Performance Based Health Care

Dr. Tom Stevenson

Chief Medical Officer

Covisint Healthcare


Phase one hit adoption

Phase one; HIT Adoption

  • More than 30 years in the making

  • Still a long ways to go

  • Dynamic time, expect many changes in the technology used for ;

    • Ambulatory care

    • Hospital care

    • Care coordination

  • Still limited by silos of information without meaningful exchange

  • Next level is to move towards ‘Performance Based Care’


Phase 2 performance based care

Phase 2; Performance Based Care

  • The ability to not only attempt to enhance the quality of the patient’s interaction, but to also measure it and make the changes necessary to continually improve it

  • Requires several elements;

    • HIT adoption on a robust level

    • Meaningful HIE

    • Coordinated care

    • Establishing quality measure benchmarks

    • The ability to engage the provider at the point of care to bridge gaps in care

    • Doing real time and retrospective analysis to make sure we are achieving the goals established


Why is this different

Why is this different?

  • Many of the current HIEs are not set up to do ‘meaningful exchange’

  • Many are also without plans to establish benchmarks, or the ability to monitor the changes taking place

  • It is important to be able to do analytics at several levels;

    • Patient level- identify gaps in care to be addressed by clinicians at the point of care, or by care coordinators

    • Practice level- manage your own performance against established benchmarks to meet P4P and other programs

    • Population level- the ability to identify problem areas, address them, and measure performance changes

  • A good example is the Beacon Initiative in Tulsa- GTHAN


Thank you

Thank you


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