Iowa HIMSS

transcript

Meaningful Health ITChallenges for

Rural EHR Adoption

Iowa HIMSSBrian Ahier

HITECH Act Framework

Blumenthal D. Launching HITECH. N Engl J Med posted online Dec 30 2009. http://healthcarereform.nejm.org/?p=2669

The Broader AgendaFunding Initiative Focus CMS Incentives (Section 4201) For “meaningful use”

Incentive payments to eligible professionals and hospitals participating in Medicare and Medicaid programs that adopt and meaningfully use certified EHRs.

Regional Extension Centers(Section 3012)

Establish up to 70 Regional Extension Centers to support providers in adopting and becoming meaningful users of health information technology (HIT)

Health Information Exchange(Section 3013)

Support state programs to ensure the development of health information exchange

HIT Workforce Development(Section 3016)University-based Training; Community College Consortia; Curriculum Development; Competency development

Create several distinct programs that aim to support the education of HIT professionals. The goal is to train up to 45,000 new HIT workers to assist providers in becoming meaningful users of EHRs

Beacon Community Program(Section 3011)

Create up to 15 demonstration communities to show how the meaningful use of EHRs can achieve measurable improvement in the quality and outcomes

Strategic Health information technology Advanced Research Projects (SHARP) - (Section 3011)

Achieving breakthroughs to address well-documented problems that have impeded adoption of HIT, including: the security, cognitive support, health care application & network architectures, & secondary use of EHR data

Meaningful Use of EHR

http://www.cms.gov/EHRIncentivePrograms

Barriers to EHR

Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010

Barriers to EHR

Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010

Questions for Meaningful Use

• Vendor Certification: Am I hitched to the right horse?

Aligning Certification and Standards

Source: Farzad Mostashari, ONC Presentation to HIT Policy Committee January 13, 2010

Meaningful UseObjectives

E-RxE-Rx

Provide Patient Summary Record

Electronically Submit Data to Immunization Registries

Certification CriteriaCertification Criteria

Capability to E-Rx must be includedCapability to E-Rx must be included

Capability to electronically transmit a patient summary record must be included

Capability to electronically transmit immunization data must be included

StandardsStandards

NCPDP SCRIPT8.1/10.6 must be used

Continuity of Care Document (CCD) or Continuity of Care Record (CCR) must be used plus vocabulary standards

HL7 2.5.1 or HL7 2.3.1andCVX Code Set

• CPOE and Decision Support: Am I positioned for physician engagement?

• How will I deal with the eligible EHR cost definition ambiguity for CAHs?

• Am I ready for the clinical quality measures (ie. ER, VTE, and Stroke) data capture?

• Have you conducted your “meaningful use” gap analysis?

Website: http://www.himssanalytics.org

• What about Health Information Exchange (HIE)?

• Where is the trained health IT workforce going to come from?

» Community College Consortia

Contact DMACC: Stephanie WilsonCoordinator – Heath IT (HIT) Certificate Programsjwilson3@dmacc.edu(515) 964-6361

Contact Iowa e-Health: Kory Schnoor ehealth@idph.state.ia.us (515) 281-6068

Contact HITREC: Susan Harr sharr@ifmc.org (800) 373-2964

Contact IME: Kelly Peiper imeincentives@dhs.state.ia.us (515) 974-3071

Contact ICN: Dave LingrenICN.CSS@iowa.gov 1-877-426-4692

Who you gonna call?

Brian Ahier

brianahier@gmail.com

Cell: (541) 288-1066

Iowa HIMSS

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