Commentary on the promises and pitfalls of hit for improving children s healthcare
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“It is Time!”. Commentary on the Promises and Pitfalls of HIT for Improving Children’s Healthcare. Lisa A. Simpson, MB, BCh, MPH, FAAP National Director, Child Health Policy, NICHQ and Endowed Chair, Child Health Policy, University of South Florida. Five Questions.

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Commentary on the Promises and Pitfalls of HIT for Improving Children’s Healthcare

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Commentary on the promises and pitfalls of hit for improving children s healthcare

“It is Time!”

Commentary on the Promises and Pitfalls of HIT for Improving Children’s Healthcare

Lisa A. Simpson, MB, BCh, MPH, FAAP

National Director, Child Health Policy, NICHQ and Endowed Chair, Child Health Policy, University of South Florida


Five questions

Five Questions

  • Can we create and maintain the focus?

    • In general?

    • On children?

    • At what cost?

  • Can children “go where no one has gone before”?

  • What is the role of states in HIT for children?

  • How can the HIT agenda and Medicaid reform be linked?

  • What is the role of the CHSR community?


Can we create and maintain the focus

Can We Create andMaintain the Focus?

  • The indicators are positive…

    • It is a Presidential priority

    • It survived a Secretarial transition

    • There is public and private consensus

    • It even brought Bill and Hillary together


Can we create and maintain the focus1

Can We Create andMaintain the Focus?

  • The indicators are positive…

    • It is a Presidential priority

    • It survived a Secretarial transition

    • There is public and private consensus

    • It even brought Bill and Hillary together

      …Bill Frist, that is!


1 can we create and maintain the focus

1. Can We Create and Maintain the Focus?

  • The indicators are positive…

  • Children’s interests are gaining a voice…

    • Through activism within ONCHIT, CDC, AHRQ, HRSA and others

    • Through the efforts of the Pediatric Steering Group

    • Through the efforts of HL7

    • Through the efforts of the National Child Health Data Standards Workgroup & related NICHQ efforts


1 can we create and maintain the focus1

1. Can We Create and Maintain the Focus?

  • The indicators are positive

  • Children’s interests are gaining a voice

  • At what cost?

    • Having a clear priority means other issues are NOT

    • Broader quality efforts are sidelined

    • HIT is a means to an end only

    • It’s about quality after all!


2 can children go where no one has gone before

CHALLENGES

Child health providers are behind others in HIT adoption

Child health IT is “different” – but maybe not so much

Translation and diffusion challenges are multiplied by 50+ different states/programs

Evidence base on HIT & safety/quality/costs is smaller

2. Can Children “Go Where No One Has Gone Before”?


2 can children go where no one has gone before1

CHALLENGES

Child health providers are behind others in HIT adoption

Child health IT is “different” – but maybe not so much

The “business case” for quality is even harder

Translation and diffusion challenges are multiplied by 50+ different states/programs

OPPORTUNITIES

Child health community has a history of collaboration

Public policy could move the market

We have 50+ settings for testing out the best approaches

Hillary likes kids

2. Can Children “Go Where No One Has Gone Before”?


2 can children go where no one has gone before2

CHALLENGES

Child health providers are behind others in HIT adoption

Child health IT is “different” – but maybe not so much

The “business case” for quality is even harder

Translation and diffusion challenges are multiplied by 50+ different states/programs

OPPORTUNITIES

Child health community has a history of collaboration

Public policy could move the market

We have 50+ settings for testing out the best approaches

Hillary likes kids – and as far as we know, so does Bill – Fristthat is!

2. Can Children “Go Where No One Has Gone Before”?


3 role of states

3. Role of States

  • Use policy to promote HIT adoption

    • Florida Medicaid and PDAs

  • Test out models of PFP for HIT

  • Monitor and reduce the digital divide

  • Measure impact


4 hit and medicaid reform

4. HIT and Medicaid Reform

  • AHIC and Medicaid Commission

  • Legislative and administrative strategies

    • FFP rates

    • Provider Conditions of Participation

    • Incentives

    • Reporting requirements


5 charge to the chsr community

5. Charge to the CHSR Community

  • What difference will HIT make to children’s healthcare?

    • Its safety, quality, costs, timeliness, patient-centeredness and equity?

  • Can we develop, test and spread innovations that promote effective HIT applications?

  • Can we “speak truth to power”?


Thank you

Thank You!

  • Aladdin

  • Bambi

  • The Lion King

  • Finding Nemo

  • The Incredibles


Thank you1

Thank You!

  • Aladdin

  • Bambi

  • The Lion King

  • Finding Nemo

  • The Incredibles


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