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National Indian Health Board Regional Extension Center

National Indian Health Board Regional Extension Center. EHR for Meaningful Use October 2011. National Indian Health Board. Founded by Tribes in 1972 Advocates to Advance Health Care for All American Indian and Alaska Native People. Two Unique Programs – Common Goal Improving Patient Care.

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National Indian Health Board Regional Extension Center

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  1. National Indian Health BoardRegional Extension Center EHR for Meaningful Use October 2011

  2. National Indian Health Board Founded by Tribes in 1972 Advocates to Advance Health Care for All American Indian and Alaska Native People

  3. Two Unique Programs – Common GoalImproving Patient Care EHR Incentive Program • Program administered by the Centers for Medicare and Medicaid Services (CMS). • Provide incentive payments to eligible professionals and hospitals as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Regional Extension Center • Program administered by the Office of the National Coordinator for Health Information Technology (ONC). • Provide support services to assist Primary Care Providers in adopting Electronic Health Records (EHRs) and become meaningful users of EHRs.

  4. Health Information Technology Extension Centers • In 2010, the Office of the National Coordinator for Health IT (ONC) funded 62 HITECH Regional Extension Centers (RECs) in every geographic region of the U.S. Most RECs serve a single state. • NIHB is establishing the only National REC serving Tribes and Urban Indian populations located in 37 states throughout the U.S. – the American Indian/Alaska Native (AI/AN) REC.

  5. Primary Purpose of HITECH RECs • Established to ensure that Primary Care Providers receive technical health IT services to support implementation of Electronic Health Records and achieve Meaningful Use of Electronic Health Records.

  6. Primary Purpose of NIHB REC • Administer and provide NIHB REC funds to support delivery of technical health IT services to healthcare facilities serving Tribes and urban Indian populations across the U.S. • NIHB REC will fund delivery of health IT services to Primary Care Providers working in IHS, Tribal and Urban Indian health facilities.

  7. ONC Milestones - Incremental Fund Allocations Milestone 1 Secure signed agreements from Providers in the Indian Health System to work with the NIHB REC = ~$1,600/Provider. Milestone 2 Verify implementation of certified EHR software among those same Providers = ~$1,600/Provider. Milestone 3 Verify the Meaningful Use of EHRs among those same Providers = ~$1,600/Provider.

  8. Provider Sign Ups as of 10/14/11 • Total Providers Signed Up with REC = 1,891 • Total Providers with M1 Grant Credits = 1,023 • Total Providers with M2 Grant Credits = 223

  9. Sign Up with NIHB REC http://nihb.org/rec/rec.php

  10. Providers Eligible for REC Sign Up • Eligible Primary Care Providers • Medical Doctors (MDs) • Doctors of Osteopathic Medicine (DOs) • Nurse Practitioners (NPs) • Physician Assistants (PAs) • Certified Nurse Midwives (CNMWs)

  11. Collective Responsibility - Health IT in Tribal Communities NIHB needs the support of: • Tribal Leaders • Indian Health Service • Area Indian Health Boards • Regional Tribal Health Organizations • Urban Indian health Organizations

  12. How Will NIHB Deliver REC Services? Area Sub Awards will be provided to eligible Tribal Health Organizations to implement local NIHB REC services. Using award funds, Area Sub Awardees may choose to deploy their own staff or sub contract for the services of health IT specialists.

  13. Area Sub Awards – Current Status • United South and Eastern Tribes (USET) • Nashville Area REC Services • 9-Areas Coverage Zone - RPMS EHR and MU Team • Alaska Native Tribal Health Corporation (ANTHC) • Alaska Area REC Services • California Rural Indian Health Board (CRIHB) • California Area REC Services • National Commercial-off-the-Shelf EHR Team • Northwest Portland Area Indian Health Board (NPAIHB) • Portland Area REC Services

  14. USET-REC: Albuquerque Aberdeen Billings Bemidji Navajo Nashville Oklahoma Phoenix Tucson Alaska Native Tribal Health Consortium (ANTHC-REC) Alaska Area California Rural Indian Health Board (CRIHB-REC) California Area Northwest Portland Area Indian Health Board (NPAIHB-REC) Portland Area Sub Recipient Awards – Current Service Areas

  15. Operationalizing a REC Sub-Recipient Award USET REC Main Objectives • EHR Deployment Services • Pharmacy • Lab • Nursing • HIM • IT • MU Outreach & Education • EHR & MU Training & Workforce Development

  16. USET Sub Recipient Staff • USET-Sub Lead - Byron Jasper • NIHB-Sub MU Lead - Vicki French • USET-Sub EHR & HIE Project Manager Lead – Michelle Ruslavage • Other USET Support Staff • Data Coordinator (part-time) • Special Projects Coordinator (part-time) • TEC Programmer/Statistician (part-time)

  17. USET Funded - IT & Clinical Consultant Support • Mike Allen (Pharmacy) • Mary Ann Niesen (Pharmacy) • Carla Stearle (Pharmacy) • Lori Moore (Pharmacy) • Jennette Chase-Wilson (Lab) • Deborah Burkybile (Nursing & EHR Ambulatory Lead) • Mollie Ayala (EHR Training & Coordinator) • Pat Gowan, RHIA (HIM Clinical Consultant) • Rick Pullen (IT Site Manager Consultant) • Foster Pharmacy Services, LLC • Pharmacy & EHR Informatics, LLC

  18. Accessing REC Support Services • Step #1: Sites sign-up with the NIHB-REC by completing and returning the Provider Agreement Form. • Step #2: Work closely identified Area Office HIT staff. • Step #3: Communicate with Byron ,Vicki, and Michelle at USET or your Area’s NIHB-Sub-recipient Contractor (ANTHC, NPAIHB or CRIHB)

  19. USET Sub Recipient - RPMS-EHR Deployment Services Provided to I/T/U Health Facilities (Period - July-Sept, 2011)

  20. REC Training, Outreach & Education Training: • EHR Pharmacy Work-A-Thon • EHR for MU HIM Work-A-thon • EHR for MU Training • EHR Nurse End-User Trainings • RPMS Immunization package training • RPMS iCare package training • RPMS PCC Inputs & Outputs training • RPMS CRS Training MU Outreach & Education:

  21. USET EHR & MU Website www.usetinc.net/ehr • MU Tip Sheets • Privacy & Security Resources • CMS Incentive Program Resources • EHR & MU News • EHR & MU Frequently Ask Questions

  22. NIHB REC Contacts • Evangelyn Dotomain, NIHB Deputy Director edotomain@nihb.org (202) 507-4070 • Tom Kauley, NIHB REC Consultant tkauley@nihb.org (505) 977-6053 • Shawn Leckey, REC Deputy Director sleckey@nihb.org (202) 507-4079

  23. USET Staff Contacts • Byron Jasper: Project Lead byron.jasper@ihs.gov 615-467-1549 • Vicki French: MU Lead vicki.french@ihs.gov 615-467-1578 • Michelle Ruslavage: Health Informaticist/HIE michelle.ruslavage@ihs.gov 615-467-1551 Questions?

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