1 / 22

San Diego Beacon Community

San Diego Beacon Community. Ted Chan, MD Anupam Goel, MD Principal Investigators. Overview. National perspective ONC, ARRA & HITECH Act Beacon Communities Program Local perspective San Diego Beacon Community Beacon and the Right Care Initiative. 2. ARRA HITECH Priority Grant Programs.

alma
Download Presentation

San Diego Beacon Community

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. San Diego Beacon Community Ted Chan, MD Anupam Goel, MD Principal Investigators

  2. Overview • National perspective • ONC, ARRA & HITECH Act • Beacon Communities Program • Local perspective • San Diego Beacon Community • Beacon and the Right Care Initiative 2

  3. ARRA HITECH Priority Grant Programs • Medicare and Medicaid Meaningful Use Incentive Payments • Health IT Regional Extension Center Program • Grants to states and state-designated entities for Health Information Exchange (HIE) • Beacon Community Program • $250m in funding to strengthen the health IT infrastructure and health information exchange • Pilot communities to health IT to make marked & sustainable improvements in health care quality, safety, and efficiency 3

  4. Beacon Community Program “These pioneering communities are going to lead the way in bringing smarter, lower-cost health care to all Americans through use of electronic health records.” Vice President Joseph Biden, May 2010 White House Announcement of Beacon Community Awardees

  5. Local Perspective: San Diego Beacon Community

  6. San Diego Beacon Community • Build Regional HIE Infrastructure • Target Improvements in Specific Clinical Outcomes • Integrate Health IT into Care Delivery 7

  7. San Diego Beacon Community • Build Regional HIE Infrastructure • Benefits of community exchange • Challenges and obstacles • Proposed structure and plan • Target Improvements in Specific Clinical Outcomes • Integrate Health IT into Care Delivery 8

  8. Health Information Exchange • Improve ability to integrate data across EHR platforms • Ability to view clinical information from other providers and health systems • Access to and sharing patient data improves healthcare quality and reduces errors • Enhances clinical decision making to change health care outcomes • Achieve cost-efficient care by reducing redundant imaging, ED visits, re-admissions

  9. Health Information Exchange • Clinical data for patients who obtain care at multiple institutions (e.g., DOD, VA, CMS patients) • Aggregate information across San Diego for population and public health initiatives • Immunizations • Other public health initiatives • Assist providers, medical groups and centers • Achieve Meaningful Use and other Federal incentive/requirement programs • Better position for other future potential healthcare reforms (Primary Care Medical Home, Accountable Care Organizations, etc.)

  10. HIE Challenges & Obstacles • Technical • Diverse EHR systems, capabilities amongst providers • Agreement on standards, security, architecture • Non-Technical • Highly competitive provider organizations • Coordination of data sharing • Agreement on operational policies (e.g., consent, governance, liability)

  11. Precedents for sharing data in San Diego • SD VA-Kaiser Pilot Program • National Health Information Network (NHIN) protocol with a subset of patients • Data elements include patient demographics, treating provider, problem list, medications/allergies, immunizations • Other local efforts • San Diego Immunization Registry • ED-Community Clinic linkages • CDC Biosense 12

  12. SD Beacon Approach • Local Agreement on HIE Architecture • Working Groups • Technical, Clinical and Privacy Working Groups • Representatives include UCSD, VA, Navy, Scripps Health System, Sharp Health System, Palomar-Pomerado Health System, City EMS, County Human and Health Services Agency, Council of Community Clinics, others • Coordination with State and Federal Organizations • Cal eConnect, CalOHI, HRSA/ONC

  13. Proposed HIE Infrastructure • Hybrid Federated Model • NHIN-compliant (VA, DOD) • SD Beacon Hub to allow greater flexibility for providers, and more utility with links to SD City EMS, County PH, SDIR • Compliance with state and national standards • Consolidated view of patient’s care • Web portal for those providers without an electronic medical record • Can also be embedded with electronic medical records • No Clinical Data Repository 14

  14. State/Local Government Community B NHIN VA/DOD County PH San Diego Beacon CDC Community A SD VA/DOD EMS Clinics

  15. San Diego Beacon Community • Build Regional HIE Infrastructure • Target Improvements in Specific Clinical Outcomes • Quality goals • Population health goals • Cost-efficiency goals • Integrate Health IT into Care Delivery 16

  16. Specific Outcome Targets • Quality: Cardiovascular & Cerebrovascular disease • Prevention: Risk factor control with statin and ACE-inhibitor use among high-risk patients • Acute care: EKG transmission from EMS to STEMI-receiving centers, reduce field-to-balloon times • Chronic care: Improve care transitions to reduce 30 day re-admissions • Population Health • Immunization rates for children & at-risk adults • Syndromic surveillance • Cost Efficiency • Reduce repeat ED visits and hospital admissions • Reduce repeat imaging tests 17

  17. San Diego Beacon Community • Build Regional HIE Infrastructure • Target Improvements in Specific Clinical Outcomes • Integrate Health IT into Care Delivery • Coordinate clinical efforts • Evaluate success in achieving clinical targets 18

  18. Health IT & Care Delivery • Examples from SD Beacon partners • UCSD/Rady’s coordinating CDS prompts for influenza vaccination in children • NMCSD primary care home audit/feedback for lipid, BP screening and management • UCSD CDS for lipid screening and management • Resources available for other initiatives • HIE-related Initiatives • Discharge planning and notification to primary care • Tracking immunization rates with SDIR connectivity • Ordering fewer imaging tests with data exchange

  19. Beacon Resources & RCI Opportunities: Data Reporting • Medical Groups • Routine data reporting to state agencies and plans, instead of auditor-approved transaction (fewer costs) • More frequent performance evaluation, audit/feedback with peer comparisons • Health Plans • Facilitate quality measure data reporting and evaluation • Consider altering payment structure to allow for payment based on all tracked patients instead of just the managed care population

  20. Opportunity for San Diego • One of only 17 communities chosen to lead HIT innovation in the nation • Funding to build and expand regional HIT infrastructure over next three years • Benefits • Patient care with more complete information • Meet Meaningful Use criteria and other reform efforts • Payors (e.g., Medicare, MediCal) may require HIE participation in the future • Framework to deliver interventions to improve the community’s health

  21. Questions?

More Related