REPORT FROM HEALTH CARE PROVIDERS STAKEHOLDER GROUP

1. REPORT FROM HEALTH CARE PROVIDERS STAKEHOLDER GROUP Peter Basch, MD Carol Bickford, PhD, RN Jody Pettit, MD

2. Dentists Doctors Nurses Researchers Medical information managers Professional organization staff Vendor representatives Administrators Pharmacists Educators Pharmacy benefits managers (PBMs) Policy makers IT professionals Who contributed…

3. STAKEHOLDER RESPONSIBILITIES – Major Themes • Healthcare transformation • Clinician-patient collaboration • Clinician leadership and commitment • Interoperability and standards • Data and information sharing • Integrating IT into practice • Incentives and funding • Legal reform

4. Healthcare transformation • Clarity of vision and goals – focus is on the patient and improved care processes • Starts with IT and EHR adoption • But ends with use of IT that improves care • Clinicians need to be involved in design and measures of success • Collaborative model

5. Clinician-patient collaboration • Ensure that care transformation leads to an enhanced clinician-patient relationship • Ensure patient privacy • Encourage new model of patient collaboration in care • Sharing the record or “same page care” • Fostering the personal health record (PHR) • Educate patients as to importance of EHR and health IT

6. Clinician Leadership • Sense of urgency • Serve as champions • For IT adoption • Clinician education and change management • Serve as stewards • To ensure that care transformation results in improved quality and safety

7. Interoperability and standards • Vote with your dollar – insist on interoperability • Support EHR / IT certification process • Adopt a controlled vocabulary - Remember SNOMED (its already been paid for!) • Become aware of and actively involved in standards development (personally and through your professional associations)

8. Data and information sharing • Improve quality of data collected (garbage in = garbage out) • Better clinical data for reporting and outcomes = ↓ reliance on administrative / payer data • Think collaboration - new care paradigm is patient-centric • Encourage regional data-sharing partnerships • Foster collaboration with public health • Learn about the Continuity of Care Record (CCR)

9. Integrating IT into practice • Care transformation must improve care in all settings • Think workflow • Share successful workflow redesign • Share best practices • Develop and share specialty specific content for the EHR

10. Incentives and funding • Create and disseminate sustainable business case for information management and quality to include • Funding from all appropriate sources • Value and strategies of collaboration in all activities • Short-term incentives to “get the ball rolling” • Don’t forget incentives for the long-term vision • Care coordination • Disease and population management • Non-visit based care • Quality (pay for process improvement and outcomes)

11. Legal reform • Adequate safe harbors to Stark that allow for collaborative IT projects • Tort reform to reflect the new paradigm of patient-centric care • Malpractice reform

12. STAKEHOLDER PRIORITIES • Vision – focus on improved quality, safety, and efficiency through IT, while preserving the clinician – patient relationship • Engage providers, groups, organizations, local networks, collaboratives in common education, awareness, and advocacy initiatives • Endorse and promote local and regional partnerships and networks for LHII • Invest in technologies for interoperability, new business practices and efficiencies

13. STAKEHOLDER PRIORITIES • Integration of clear, usable standards and terminologies in systems development, implementation, and evaluation • Confidentiality and security of health records, with provider and patient accountability • Economic incentives (not just withholds) that are realistic, adequate, aligned with value, and focused on achieving the vision