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The Impact of National and Regional Healthcare IT on Pay for Performance

John D. Halamka MD CIO, Harvard Medical School CIO, CareGroup CEO, NEHEN. The Impact of National and Regional Healthcare IT on Pay for Performance . Agenda. National Health IT projects Regional Health IT projects Pay for Performance impact.

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The Impact of National and Regional Healthcare IT on Pay for Performance

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  1. John D. Halamka MD CIO, Harvard Medical School CIO, CareGroup CEO, NEHEN The Impact of National and Regional Healthcare IT on Pay for Performance

  2. Agenda National Health IT projects Regional Health IT projects Pay for Performance impact

  3. Nation-Wide coordination of policies, resources and priorities – ONC Initiatives and Contracts for unifying regions The AHIC Community serves as hub for identifying breakthrough opportunities CCHIT focuses on developing a mechanism for certification of health care IT products HITSP bringing together all relevant stakeholders to identify appropriate IT standards HISPC is a partnership focused on addressing variations in business policy and state law that affect privacy and security NHIN focuses on interoperability pilots starting in 2006 Overcoming the Barriers The Certification Commission for Health Information Technology (CCHIT) Health Information Technology Standards Panel (HITSP) American Health Information Community Nation-Wide Health Information Network Architecture Projects (NHIN) The Health Information Security and Privacy Collaboration (HISPC) • Chaired by HHS Secretary Leavitt • Seven federal agency representatives • Six health industry members • One IT industry member (Intel) • One employer (Pepsi) • One state health department member (IN)

  4. The Massachusetts RHIO Community MHDC – The convener and educational organization, the business incubator NEHEN – The transactor of community administrative data MA-SHARE – The grid of community clinical utilities MAeHC – The last mile to the clinician offices for selected communities

  5. Foundation Transport layer: Routing, Guaranteed Delivery, Translation, Validation, Logging Access layer: Federated authentication/authorization, Trading Partner Registry Implementations Partners BWH/SSH BMC/CHCs Others BIDMC Others Applications RX Gateway CDX Gateway Routing (SureScripts & RxHub) Formulary (RxHub) Eligibility (RxHub) Record Locator Service Pull Services: medications, allergies, lab results, problems, radiology reports, notes Additional Payers (HPHC, Network Health, MassHealth) Automated Renewals (SureScripts & RxHub) Medication History (SureScripts & RxHub) Community MPI Data Aggregation Push Services

  6. Rx Gateway Concept Diagram

  7. Pay for Performance and Healthcare IT • E-prescribing • Interoperable Electronic Health Records • Decision Support • Quality measurement

  8. Questions and Answers

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