Transcript Health Information Technology y Puerto Rico

Health Information Technology
and Puerto Rico
Juan Eugenio Rodríguez de Hostos
Chief Information Officer, Government of Puerto Rico
Dr. José Piovanetti
Chief Medical Information Officer / CIO, Health Umbrella
Facts
Quality of Health Care in America Committee
of the Institute of Medicine (IOM)
- September 1999 -
• “44,000 to 98,000 people die in hospitals each year due
to preventable medical errors…”
– Equivalent to 120 to 260 persons / day
• One jet airliner crash, daily, for one year…
Boeing 767
± 200 Passengers
Health IT and the Government
• The Government of Puerto Rico has awakened to
the fact that our healthcare system is broken and
that IT can play a pivotal role in enhancing the
health of our citizens.
• The CIO’s strategic plan is based on connectivity,
service, integration, interoperability and data
security across the entire Government and Island.
• Healthcare is a main focus. Why? The benefits to
citizens are IMMENSE
Action Plan
• Reevaluate how PR-DoH does business
• Look for ways to serve our customers better:
– Integrate ASES and PAM from technological point of
view
• MMIS
– Improve Reforma’s offerings through operational and
technological integration with other welfare agencies
• TGP and data-exchanges
– Digitize and integrate medicine in Puerto Rico
• HIE and EMR
– Provide better connectivity for the Health Ecosystem
• PREPA.net and Broadband
How can Broadband facilitate better health?
• Connected patients
– Telemedicine requires bandwidth to transmit images in real time
– Personal Health Records (PHR): Patients control information and
participate in their health
• Connected health care providers, laboratories, pharmacies
– Supports a system that provides the right information to define
the right care at the right time for any patient.
– Allows access to information from anywhere on the island.
• Connect PR to the National Health Information Network
Funding Sources
• ARRA Broadband
– Mapping and Planning*: $1.4 million approved
– Infrastructure, Public Computer Centers, Adoption
• $12.6 million to INTECO for Infrastructure
• Second round will be closing in a couple of weeks
• ARRA HITECH
–
–
–
–
HIE Planning and Implementation*: $7.8 million approved
Regional Extension Centers
EMR and Health Informatics educational curricula
EMR incentives
• Other Health IT non-ARRA
– MMIS* – planning grant approved
– HIT* – working on grant approval
* States Only
Health Information Exchange
Hospitals / IDNs
State and Federal
Healthcare-related CDC
Agencies
FDA
Labs.
SSA
DoH
Medicare /
Medicaid
Pharmacies
Business /
Sector Rules
Patient Care
Resolution
Transformation
& Translation
MPI and
Record Locator
Hosted or
On-Site EHRs
State, Nationwide and
International HIE Networks
PHR’s
Payers / Health Plans
Community
Hospital Record
Laboratory Results
Specialist Record
Records
Returned
Requests
for Records
Patient
Authorized
Inquiry
Index of Where
Patients Have Records Temporary Aggregation
of Patient History
PR-HIO
Clinical Encounter
Patient Data
Delivered to
Physician
Nationwide
Hospital Record
Laboratory Results
Specialist Record
Records
Returned
Requests
for Records
Authorized
Inquiry
from HIO
Another
HIO
Index of Where
Patients Have Records Temporary Aggregation
of Patient History
PR-HIO
Patient Data
Delivered to
Other HIO
Approach
• “Health Umbrella” CIO, José Piovanetti, MD
• Health Information Exchange
– Environmental assessment, strategic and operational
plans to be completed by September 2010
– Steering body to be created with local stakeholders
– Clinical/Public Health, Technical, Operational,
Legislation, Financial, and Governance working groups
– HIE Implementation, 2-3 years
• Accelerate Government’s HIT/EMR project(s)
• Government ensures money used correctly,
Meaningful Use criteria are met and plan followed
Our involvement with you!
• We will be…
– Providing periodic updates and info about ARRA programs
and deadlines
– Asking stakeholders to participate in various concurrent
initiatives, committees and workgroups
– Holding Town Hall meetings to communicate progress with
HIE planning and hear ideas and concerns
– Educating citizens on Electronic Medical Records and their
benefits and address concerns regarding privacy
– Interested in meeting consultants, product and service
providers as we finalize HIE planning
– Recruiting your help communicating with Association
members and enlisting their responses
– Asking you to call Washington so PR gets its fair share of
funds
HIT/HIE Timeline
2009 2010 2011 2012 2013 2014 2015 2016
NHII / NHIN
State Health Information Exchange Cooperative Agreement Program
MMIS / MITA
NPRM
Dec 30, 2009
“Meaningful Use”
MU Stage 1
MU Stage 2
Medicare Incentives
MU Stage 3
Penalties
Medicaid Incentives
HIPAA v5010 Transactions
ICD-10 CM/PCS Adoption
Oct 1, 2013