A COLLABORATIVE JOURNEY FOR HEALTHCARE TRANSFORMATION THROUGH HEALTH IT

Antonio Fernández Director

Regional Extension Center Ponce School of Medicine and Health Science

The CMS “Three-Part Aim”

ARRA & High Tech Act

Stage I: Where are We in PR? (Physicians)

)

Primary Care

Physicians  

Dentists &

Specialists  Hospitals   Totals  

Selected & Contracted CEHRs   4,524   1103   42   5,446  

Implementing CEHRs 3,659   683   20   4,362  

Meaningful Users   820   182   1   1003  

The federal government’s approach to addressing the “three part aim” centers on developing a National Quality Strategy. Justification for pursuing this strategy includes the federal role in addressing health disparities, population health, and quality of care for underserved groups. Among other activities, the strategy calls for an alignment of quality measures that can be used to assess national progress, including those appropriate for monitoring progress related to reducing health disparities.

National Quality Strategy

“The National Coordinator shall assess and publish the impact of health information technology in communities with health disparities and in areas with a high proportion of individuals who are uninsured, underinsured, and medically underserved individuals (including urban and rural areas) and identify practices to increase the adoption of such technology by health care providers in such communities, and the use of health information technology to reduce and better manage chronic diseases.” American Recovery and Reinvestment Act of 2009, Pub. L. No. 111-5, § 13101, 123 Stat. 232 - 233 (2009) (adding § 3001(c)(6)(C) of the Public Health Service Act).

ARRA & HITECH

Aligning CQMs Across Programs • CMS’s commitment to alignment includes finalizing the same CQMs used in multiple quality reporting programs for reporting beginning in 2014

•  Other programs include Hospital IQR Program, PQRS, CHIPRA, and Medicare SSP and Pioneer ACOs

Implications *Changes in MU Goals & Metrics, Alignment of Clinical Quality Measures (HEDIS, CMS 5 Stars) *Health IT Essential for Practice Transformation •  Accountable Care Organizations (ACO) •  Patient Centered Medical Homes (PCMH) *Care Coordination & Care Transitions *Patient-Family Engagement *Privacy and Security Protection

Medicare ACO Requirements

TOOLS FOR BUILDING THE PATIENT – CENTERED MEDICAL HOME

Costly Readmission Rates

AVOIDING (RE) ADMISSIONS

Building HIT Bridges to Serve the Underserved

PR AS A SOURCE OF INNOVATION IN HEALTH IT

PATIENT ENGAGEMENT FOR COLLABORATIVE, PERSONALIZED CARE

POPULATION HEALTH

MANAGEMENT

PAYER-PROVIDER

MANAGED CARE

PROVIDER- MANAGED CARE

Collaborative Service Model

“Where there is a Will, there is Way.

Modern Science and Technology show us the Way.

The issue is do we have the Will to follow the Way.”

Sir Jonas Salk

Ponce School of Medicine Regional Extension Center

Call center: (787) 651-4070 Website: http://psmrec.org

Antonio I. Fernandez afernandez@psm.edu

Contact Information:

Gracias