E health update cms perspective
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E Health Update CMS Perspective. Betsy L. Thompson, MD, DrPH Chief Medical Officer CMS, Region IX November 10, 2010. An Unsustainable Status Quo. 46 51 million uninsured Americans Health insurance premiums for family coverage at a small business increased 85% since 2000

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E Health Update CMS Perspective

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E health update cms perspective

E Health UpdateCMS Perspective

Betsy L. Thompson, MD, DrPH

Chief Medical Officer

CMS, Region IX

November 10, 2010

An unsustainable status quo

An Unsustainable Status Quo

  • 4651 million uninsured Americans

  • Health insurance premiums for family coverage at a small business increased 85% since 2000

  • 16%17.3%of our economic output tied up in the health care system

  • Without reform, by 2040, 1/3 of economic output tied up in health care--15% of GDP devoted to Medicare and Medicaid

  • Without reform, the number of uninsured would grow to 58 million in 2020*

    *Source: Urban Institute: “The Cost of Failure to Enact Health Reform: 2010-2020” March 15, 2010

Practice variation

Practice Variation

Source: http://www.dartmouthatlas.org/atlases

The triple aim goals of cms

The Triple Aim Goals of CMS

  • Better Care

    • Patient Safety

    • Quality

    • Patient Experience

  • Reduce Per Capita Cost

    • Reduce unnecessary and unjustified medical cost

    • Reduce administrative cost thru process simplification

  • Improve Population Health

    • Decrease health disparities

    • Improve chronic care management and outcome

    • Improve community health status

Cms quality improvement roadmap

CMS’ Quality Improvement Roadmap

Vision: The right care for every person every time through care that is:

  • Safe

  • Effective

  • Efficient

  • Patient-centered

  • Timely

  • Equitable

Value driven care

Value Driven Care

  • Goal: Transformation from passive payer to active purchaser of higher quality, more efficient health care

  • Tools:measurement, payment incentives, public reporting, conditions of participation, coverage policy, Quality Improvement Organizations

    Source: Jha A, DesRoches C, Campbell E, Donelan K, Rao S, Ferris T, Shields A, Rosenbaum S, Blumenthal D. “Use of Electronic Health Records in U.S. Hospitals”. New England Journal of Medicine: 360;16. April 16, 2009.

Physician ehr adoption

Physician EHR Adoption

Federal government responds hitech act

Federal Government Responds: HITECH Act

  • Part of American Recovery and Reinvestment Act of 2009 (ARRA)

  • Goal: Every American to have an EHR by 2014

  • Systematically addresses major barriers to adoption and Meaningful Use:

    • Money/market reform

    • Technical assistance, support, and better information

    • Health information exchange

    • Privacy and security

E health update cms perspective

HITECH: How the Pieces Fit Together

Regional Extension Centers

Workforce Training


Improved Individual &

Population Health



Transparency &



Ability to Study &

Improve Care Delivery

Medicare and Medicaid

Incentives and Penalties


State Grants forHealth Information Exchange

Standards & Certification Framework

Privacy & Security Framework


Health IT Practice Research


Health care delivery system transformation

Clinical Care



Health Care Delivery System Transformation


Health System Performance


Adoption of Health Information


Transformation Barrier










Health Care




  • We live in exciting times

  • Transformation is built on quality and value

    • Meaningful use of EMRs

    • All of us working together

  • Many opportunities and challenges ahead


Ehr resources

EHR Resources

  • Get information, tip sheets and more at CMS’ official website for the EHR incentive programs:


  • For more about MU measures:


  • Learn about certification and certified EHRs, as well as other ONC programs designed to support providers as they make the transition:


Thank you

Thank you!

Contact info:

[email protected]

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