AHRQ’s Role in Building Evidence to Advance the Accessibility and

Usability of Health ITTiffani J. Bright, PhD

Senior Staff Fellow, Health ITSeptember 18, 2015

Agenda

• HHS Organizational Focus

• AHRQ’s Mission

• Health IT at HHS

• AHRQ Health IT Funding

• Building the Evidence of Health IT Impact

• Conclusion

HHS Organizational Focus

NIH

Biomedical research to prevent, diagnose,

and treat disease

CDC

Population health and the role of

community-based interventions to improve health

AHRQ

Long-term and system-wide

improvement of health care quality and effectiveness

AHRQ’s Mission

• To produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used.

Health IT at HHS

AHRQBuilding Evidence

of Health IT Impact on Health Care Quality and

Safety

ONC Coordinating

Health IT Policy and Programs

CMSSetting Rules for Payment

AHRQ Health IT Funding

• Projects awarded to over 180 distinct institutions in 46 States and the District of Columbia

• FY15 Budget: $28M

• AHRQ Health IT Investment: $450 million

How AHRQ Build’s the Evidence of Health IT Impact

• Research grants► Program announcements

(PA)► Request for applications

(RFA)

• Research contracts► Demonstration projects► Systematic literature

reviews

Evidence of Health IT Impact

• Enabling Healthcare Decisionmaking Through Clinical Decision Support and Knowledge Management

• Enabling Patient-Centered Care Through Health IT Grant Initiative

• Barriers and Drivers of Health IT Use for the Elderly, Chronically Ill, and Underserved

• Designing Consumer Health IT: A Guide for Developers and Systems Designers

Health IT Usability Research

PI Institution Project Title

Zia Agha Veterans Medical Research/San Diego

Quantifying Electronic Medical Record Usability to Improve Clinical Workflow

John Windle University of Nebraska Medical Center

Optimizing the Electronic Health Record for Cardiac Care

David Flum University of Washington

Developing Design Principles to Integrate PROs into clinical practice through HIT: Data, user experience, and workflow requirements for PRO Dashboards

Richelle J Koopman

University of Missouri-Columbia

Optimizing Display of Blood Pressure Data to Support Clinical Decision Making

Elizabeth Chrischilles

University of Iowa

Personal Health Records and Elder Medication Use Quality

Empowering Older Adults and Caregivers Research

PI Institution Project Title

Judith Matthews University of Pittsburgh

Self-management via Health Kiosk by Community-residing Older Adults

Charles Safran Beth Israel Deaconess Medical Center

InfoSAGE Information Sharing Across Generation and Environments

Anne Turner University of Washington

Addressing the Personal Health Information Management Needs of Older Adults

Health IT Accessibility Research

PI Institution Project Title

Rupa Valdez University of Virginia

Accessibility and beyond: designing consumer Health IT for disabled individuals

Conclusion

• Substantial contributions in developing and disseminating evidence and evidence-based tools demonstrating how Health IT can improve the quality of care and patient safety ► Health IT strategic planning► Innovative ways to address those evidence needs

• Producing future evidence of Health IT impact on quality of care and patient safety requires understanding how to “effectively” design systems that are more usable and accessible

Questions

• For more information:

• www.healthit.ahrq.gov

•  @AHRQNews