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Health Information Technology: Perspective of the AAFP

Health Information Technology The Perspective of the AAFP Rosemarie Sweeney, M.P.A. Vice President Socioeconomic Affairs and Policy Analysis American Academy of Family Physicians. For today’s meeting… ► Highlight work of AAFP ► Perspective of AAFP on Medicare and HIT.

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Health Information Technology: Perspective of the AAFP

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  1. Health Information Technology The Perspective of the AAFPRosemarie Sweeney, M.P.A.Vice PresidentSocioeconomic Affairs and Policy AnalysisAmerican Academy of Family Physicians

  2. For today’s meeting… ► Highlight work of AAFP ► Perspective of AAFP on Medicare and HIT Health Information Technology: Perspective of the AAFP

  3. ABOUT THE AAFP 94,000 members total • 58,500 active members • 10,100 resident members • 18,700 student members Health Information Technology: Perspective of the AAFP

  4. Family physicians comprise about 8 % of the US physician workforce, accountable for 24% of total US ambulatory care visits • Majority of members practice in groups of 5 or fewer clinicians Health Information Technology: Perspective of the AAFP

  5. EHR Adoption in Family Medicine 30% in 2006 Tripled in 3 years! Health Information Technology: Perspective of the AAFP

  6. How has AAFP accomplished this? Analysis Leadership Collaboration Health Information Technology: Perspective of the AAFP

  7. Important entities in HIT: AHIC CCHIT AQA ONCHIT PEHRC AAFP interacts with ALL!!! Health Information Technology: Perspective of the AAFP

  8. AAFP CENTER FOR HEALTH INFORMATION TECHNOLOGY (CHiT) Established October 2003 Mission: To assist family physicians acquire and use EHRs and other HIT that are affordable and standards-based for the purposes of improving quality, enhancing safety, and making gains in efficiency. Health Information Technology: Perspective of the AAFP

  9. AAFP principles for EHRs: Affordability Compatibility Interoperability Data Stewardship The continuity of care record (CCR) is key to exchange of data Health Information Technology: Perspective of the AAFP

  10. BARRIERS TO ADOPTION Worried about partner’s acceptance Security and privacy issues Risk of vendor going out of business Decrease productivity Can’t afford EHR Health Information Technology: Perspective of the AAFP

  11. Current pricing for HIT in small and medium size medical practices (average cost per physician per year over 3 years) • Integrated EHR $7,232 • Stand alone EHR $5,537 • Stand alone PMS $4188 Health Information Technology: Perspective of the AAFP

  12. Who is investing in EHRs? PHYSICIANS Who is benefiting from EHRs? The ENTIRE health system What’s wrong with this picture??? Health Information Technology: Perspective of the AAFP

  13. The emerging market for HIT products will be in small and medium size medical practices • 8 million encounters in critical care units - $50 million revenue per encounter • 1 billion patient encounters in small physician offices -$200 revenue per encounter Source:; Mark Leavitt, M.D.. HIMSS, July 2004 Health Information Technology: Perspective of the AAFP

  14. HIT and Quality Measurement AAFP active in measure development (Consortium) and implementation (Ambulatory care Quality Alliance – AQA) HIT a core technology for efficient and effective quality measurement and reporting Health Information Technology: Perspective of the AAFP

  15. Medicare, quality and HIT Development of framework for phased in value-based purchasing of physician’s services in Medicare AAFP spearheaded the effort in 2005! Health Information Technology: Perspective of the AAFP

  16. The Medicare physician payment formula – the SGR – must be repealed if value-based purchasing is going to succeed SGR incompatible with strategy of paying more for higher quality performance Health Information Technology: Perspective of the AAFP

  17. Medicare Physician Voluntary Reporting Program (PVRP) AAFP worked with CMS to rationalize approach Limited number of measures Trial reporting system AAFP encouraging member sign-up Health Information Technology: Perspective of the AAFP

  18. Medicare reform to include value-based purchasing must recognize and reward the use of health information technology Health Information Technology: Perspective of the AAFP

  19. AAFP committed to continue to encourage family physicians to use EHRs • AAFP committed to improving quality of care provided to patients – the ultimate goal HEALTH INFORMATION TECHNOLOGY IS CRITICAL TO ACHIEVING THIS GOAL! Health Information Technology: Perspective of the AAFP

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