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NOVA Regional Conference ~ Health Information Management. @ aneeshchopra Candidate for Democratic Nomination, Lt. Governor of Virginia. Health Innovation Seeds Planted in 2006-8.

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Nova regional conference health information management

NOVA Regional Conference ~ Health Information Management


Candidate for Democratic Nomination, Lt. Governor of Virginia

Nova regional conference health information management

Health Innovation Seeds Planted in 2006-8

NOVARHIO: Access to patient medical histories in ERs; comprehensive outreach campaign for a voluntary web-based “File for Life” that could be accessed by emergency responders

UVA: Telemedicine initiative to identify high-risk poor pregnant woman to minimize pre-term labor in the Valley*

Centra: Nation’s first outpatient EHR link with ACC’s outpatient cardiac registry to benchmark adherence to practice guidelines and measures

MedVirginia: EMR adoption by free clinics with HIE interfaces for secure messaging, Rx history, vitals, aligned with NHIN; assessment of e-Rx for mental health providers

CareSpark: Comprehensive approach to regional HIE aligned to NHIN goals; specific attention to rural health disparities in region

CCNV: Fully funded EHR implementation at all clinic sites (15 live today) with pilot connectivity to public health services in Southside

Boosting productivity is the key to growth
Boosting Productivity is the Key to Growth

Public Sector-Influenced Firms Have Struggled to Harness Tech

MIT Study finds “data-driven decision-making” boosts productivity 5-6%

Publicly-influenced sectors comprise 20+% of GDP

Source: U.S. Bureau of Economic Analysis; U.S. Bureau of Labor Statistics; “Strength in Numbers: How Does Data-Driven Decisionmaking Affect Firm Performance?”, Prof. Erik Brynjolfsson; McKinsey Global Institute analysis

Notes (1): Excludes sectors with contributions with an absolute value of less than 0.015%. Numbers may not sum due to rounding.

Nova regional conference health information management

Argument in Brief: There Has Never Been a Better Time to Be an Innovator in Health Care

Information Liberation


New Incentives


Rocket Fuel for Innovation

Open health data
Open Health Data

Engaging Citizens in Health Improvement at the Community-Level

Community Health

Govt Spending

Provider Directories & Quality


(Growing) Catalog of Liberated Data


Scientific Knowledge

“Blue Button”

Consumer Product Information

Source: Asthmapolis, iTriage, Symcat, Healthline

Blue button standard for health
“Blue Button” Standard for Health

Virginia On the Cusp of Leading in Consumer Empowerment

Healthcare Adopts “Blue Button”

Scaling Beyond Government

“Blue Button for Virginia”


President challenges VA to deliver simple health download from PHR on 08/10; delivered 10/10 and has >1,000,000 users to date

Nova regional conference health information management

New Incentives, Part I: “Meaningful Use”

Growing Evidence Linking Quality to Health IT Adoption

Quality of Diabetes Care

Cleveland Clinic Providers using EHRs vs. Paper Records

Office-Based Physicians an EHR

ePrescribing on the Surescripts Network

Care Processes: Measure Hemoglobin; Kidney Mgmt; Pneumococcal Vaccine; Eye Exam

Outcomes: LDL<100 mg/dl; smoking; glycated hemoglobin <8%; BP <140/80; BMI<30

Dramatic uptick in EHR adoption – more than half of eligible professionals and 80 percent of eligible hospitals have demonstrated “meaningful use”

Source: Office of the National Coordinator for Health IT; Source: Cebul, Randall D., et al. New England Journal of Medicine, August 2011; Surescripts

New incentives part ii payment reform
New Incentives, Part II: Payment Reform

Pay for “Value” to Drive New Markets for Care Coordination

Innovations Needed:

Data Mining/Analytics

Care Integration Tools

Timely Clinical Data, Decision-Support

Technology to Extend Physician Reach

Consumer Engagement Tools/Platforms/Apps