Transcript Health Information Technology in Health Centers and the

MSCG Consultant Quality Series:
Using Health Information Technology to
Improve Quality in Health Centers
Thursday, November 6, 2012
Jane Segebrecht
U.S. Department of Health and Human Services
Health Resources and Services Administration
Bureau of Primary Health Care
1
Webinar Overview
 Health Center Quality Strategy
 Why Health Information Technology (HIT)?
 Current State of EHR Adoption in Health Centers
 Health Information Technology Deep Dive
Health Center Program and HIT
Meaningful Use of Electronic Health Records (EHR)
Implementation Approaches & Consideration
HIT Issues
HCCN Models
 Consultant Resources
 Assessment
2
Health Center
Quality Strategy
Better Care ⃘ Healthy People & Communities ⃘ Affordable Care
Strategy
Implementation
INTEGRATED
HEALTH SYSTEM
1. Programs/Policies
2. Funding
Priorities & Goals
1. Implementation of QA/QI Systems
All Health Centers fully implement their
QA/QI plans
2.
Adoption and Meaningful Use of EHRs
All Health Centers implement EHRs
across all sites & providers
3.
COMPREHENSIVE
SERVICES
Patient Centered Medical Home
Recognition
All Health Centers receive PCMH
recognition
4.
Improving Clinical Outcomes
All Health Centers meet/exceed
HP2020 goals on at least one UDS
clinical measure
ACCESS
5.
Workforce/Team-Based Care
All Health Centers are
employers/providers of choice and
support team-based care
INTEGRATED
SERVICES
3. Technical Assistance
4. Data/Information
5. Partnerships/Collaboration
3
Shared Accountability for
Quality in Health Centers
4
Why Health Information
Technology in Health Centers?
 Enables reporting and benchmarking to elucidate quality of care provided in
health centers and provides opportunity for continuous quality improvement.
 Enhances health center role in broader connected healthcare landscape and
supports exchange of information between providers/care settings and
patients/care settings.
 Positions health centers at an advantage for the evolving health care
landscape.
 Supports practice transformation efforts including providing a strong
foundation for Patient Centered Medical Home.
5
2011 UDS EHR Data
EHR Adoption By Division, 2011 UDS
2015 Goal:
100% of
Health
Centers use
EHR at All
Sites
100%
90%
80%
70%
60%
2012 Goal:
50% of Health
Centers use
EHR at All
Sites
50%
40%
30%
20%
All Sites
10%
Some Sites
0%
National
CSD
NCD
NED
SWD
6
Percentage of Health Center EHR
Adoption by State
7
Patient Centered Medical
Home Recognition
8
Selected HIT Investments to Date
• Health Resources and Services Administration:
– Health Center Controlled Networks
o Approximately $120 million to over 60 HCCNs since 2007
– Health IT Recovery Act Funds for implementation and innovation grants
o $27.8 million in September 2009 and $84 million in June 2010
– Capitol Improvement Program
o Recovery Act funding for infrastructure improvements and included Health
IT projects for the enhancement or the purchase of new EHR system
– Beacon Communities
o
$8.5 million to fund 85 health centers in 15 Beacon Communities in 2011
to enable center participation in community-wide healthcare
improvement initiatives
9
Selected HIT Investments to Date
• Centers for Medicare & Medicaid Services
– Medicare and Medicaid EHR Incentive Program
• Office of the National Coordinator for Health Information Technology
– Selected sample of HITECH Act funding: State HIE, Regional Extension Centers,
Job Training, Beacon Communities
10
Health Center Controlled Networks
(HCCN) FY13 Funding Overview
Purpose: To support the adoption, implementation, and
meaningful use of Health Information Technology (HIT) and
technology-enabled quality improvement strategies in
Section 330 funded health centers.
 Project period start date: December 2012
 Project period: up to 3 years
11
11
HCCN Program
Requirements
1. Adoption and Implementation
Activities to assist participating health centers to effectively adopt and
implement an ONC-certified EHR system at all sites.
2. Meaningful Use
Activities to assist participating health centers to become meaningful
users of EHR systems and have their providers receive EHR incentive
payments.
3. Quality Improvement
Activities to assist participating health centers to improve operational
quality, reduce health disparities, and improve population health
through HIT, including becoming recognized as a Patient-Centered
Medical Home.
12
MSCG Consultant Quality Series:
Health Centers and the Use of Health
Information Technology
Thursday, November 6, 2012
Diane Gaddis, FHIMSS, CPHIMS, CPHIE, CEO/President
Community Health Centers Alliance
13
Outline
• Meaningful Use and Regional Extension Centers
• Types of Health IT Tools
• Health Center Program Requirements
– How can Health IT assist/Impact
– Meaningful Use Tie In
– Other considerations/questions for Health Centers
• Overview of Implementation Approaches &
Consideration
• HIT Issues – Deciphering Fact vs Perception
• HCCN Models
14
Meaningful Use & Regional
Extension Centers





Better clinical outcomes
Improved population health outcomes
Increased transparency and efficiency
Empowered individuals
More robust research data on health
system
15
Meaningful Use & Regional
Extension Centers
16
Meaningful Use & Regional
Extension Centers
Medicare EHR Incentive
Program
Medicaid EHR Incentive
Program
Year 1 options
Must be a meaningful user in
Year 1
Adopt/Implement/Upgrade
option in Year 1
Who is eligible?
5 types of EPs, subsection (d)
hospitals and CAHs
5 types of EPs, acute care
hospitals (including CAHs)
and children’s hospitals
Important dates
Last year to start is 2014
Last payment is in 2016
Last year to start is 2016
Last payment is in 2021
Fee schedule
reductions
Begin in 2015 for EPs that are
not meaningful users
None
Meaningful use
definition
MU definition will be common
for Medicare
States can adopt a more
rigorous definition (based on
common one)
Who will
implement?
Federal government (will be
an option nationally)
Voluntary for states to
implement
Use of EHRs,
visit: EHR Incentive Program
For more information on Meaningful
Sources: Medicare
and Medicaid
http://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asp#TopOfPage
17
Meaningful Use & Regional
Extension Centers
Medicare EHR Incentive
Payments
• Maximum incentives are $44,000 over
5 consecutive years
• Incentive payments decrease if
starting after 2012
• Incentive payments based on Fee-forService allowable charges
• Must begin by 2014 to receive
incentive payments; last payment
year is 2016
• Extra amount available for EPs
practicing in predominantly Health
Professional Shortage Areas
Medicaid EHR Incentive
Payments
• Maximum incentives are $63,750 over
6 years (do not need to be
consecutive)
• The first year payment is
$21,250; $8,500 for next 5 years
• Must begin by 2016 to receive
incentive payments; last payment
year is 2021
18
Meaningful Use & Regional
Extension Centers
HITECH Act
• $677 million in funding established 62 RECs nationwide to:
– Provide training and support services to assist doctors and
other providers in adopting EHRs
– Support and serve health care providers to help them quickly
become adept and meaningful users of EHRs
– Offer information and guidance to help with EHR selection,
implementation, project management, and attainment of MU
19
Types of Health IT Tools
• Practice Management Systems
• Electronic Health Records
• Electronic Oral Health/Dental Records
• Population Management Registries
• Data Warehouses
• Reporting Tools
• Patient Portals
• Health Information Exchanges
• Tele-health technologies
20
Practice Management
Systems(PMS)
• Appointments/registration
• Enhanced CHC specific demographic data
• Charge capture/time of visit collections
• Fee schedules and contract adjustments
• Insurance and patient billing/collections
• Non-clinical outcome based UDS reporting
• Revenue/adjustments/collections reporting
21
Electronic Health Records
(EHRs)
• Nursing and provider care documentation
• Protocols, flags, care alerts
• Templates to prompt documentation
• Labs and images
• Clinical outcome reporting
• ePrescribing, drug-allergy interactions
• Orders
• Scanned documentation
22
Electronic Oral Health/Dental
Records (EOHR/EDR)
• Technical, hygienist, dentist documentation
• Treatment plans
• Xrays/images
• Notes
23
Population Management
Registries
• Disease/Condition specific listings
• Criteria based alerts or reminders
• Summaries/dashboards for key indicators
• Patient reminder letters
24
Data Warehouses
• Confused with Data Marts
• Combines data from multiple systems
• Standardizes terms from disparate systems
• Allows more complex reporting/analysis
• Advanced views into data
• Health Center comparatives
25
Reporting Tools
• Ad hoc/quick inquiries within products
• Crystal reporting
• SQL (structured query language)reports
• Separate systems vs production systems
26
Patient Portals
• Patients, parents, family care teams
• Request appointments
• Access to lab results/ Visit summaries
• Medication refill requests
• Messages to provider care teams
• Password protected
• Not yet common; driven by Meaningful Use
27
Health Information Exchanges
(HIE)
• Maturity varies by state and
market
• Centralized vs federated
models
• Provider-to- provider secure
messaging
• Composite chart views or
• Record locator/patient lookups
• Patient access to HIEs vary
28
Tele-health Technologies
• Video conferencing for consultation
• Upload of patient device monitoring data
• Specialized examination equipment
29
1-Needs Assessment
Health IT Possibilities/Impact
• Uniform Data Systems reports by zip
• Zip code by location
• # of referrals outbound by specialty
• # of patients by chronic condition
• # of patients by preferred language
30
1-Needs Assessment
Meaningful Use Tie In
MU Core 3: Maintain up-to-date problem list/diagnoses
MU Core 7: Capture demographics, including preferred
language, ethnicity, race
MU Menu 3: Generate lists by specific condition
Other Considerations/Questions
• Health Centers should run UDS reports more than once a year. Valuable
analysis tool
• Does the health center know the quantity of referrals by service type in
generates?
• What is the health center’s reach for each of its locations?
31
2-Required & addt’l Services
Health IT Possibilities/Impact
• Data capture for enabling services offered and provided
• Capturing all procedures/services – including non-billable
• Referrals to internal & external services tracked through to
completion
• Preloaded list of vetted community resources/partners
• Generation of care related patient reminders (ie flu)
32
2-Required & addt’l Services
Health IT Possibilities/Impact
• Automated appointment reminders via ancillary call systems
• Flags or care alerts for required screenings
• Customized care documentation templates to prompt
thoroughness
• Patient education libraries – English, Spanish most common
• Custom upload of patient education in different languages
33
2-Required & addt’l Services
Health IT Possibilities/Impact
• Patient assessment templates- learning, home environment
• Behavior health assessment – PHQ9
• Hospitalization tracking and follow through (ie Estimated Delivery
Dates)
• Patient call documentation
• Tele-health for rural / remote access
34
2-Required & addt’l Services
Meaningful Use Tie In
 MU Core 9: Record smoking status
 MU Menu 4: Send preventive/follow up care reminders to patients
 MU Menu 6: Patient education resources provided
 MU Menu 7: Medication reconciliation for transitions from another
setting
 MU Menu 8: Transition of care record to another setting
 MU Menu 9: Immunization registry interface/uploads
35
2-Required & addt’l Services
Other Considerations/Questions
• Ease of use in customization may compromise reporting, vendor
support, standardization
•‘Click only’ templates raise concern
• How does the health center capture services provided that are
not billable?
• How are providers or care teams prompted to provide required
services?
• How are systems used to identify populations requiring reminders
or follow up?
36
3-Staffing Requirement
Health IT Possibilities/Impact
• Selection of preferred primary provider
• Visits by age or condition can predict staffing needs
• Patient volume to staffing ratios
• Timeliness of appointment availability tracking
• Audit trails allow monitoring of staff access/timeliness
37
3-Staffing Requirement
Health IT Possibilities/Impact
• Staffing Analytics
• Role based access to systems
• Referrals – appointment wait times
• Patient call/response tracking for timeliness/delays
• Role based workflows/task lists
38
3-Staffing Requirement
Health IT Possibilities/Impact
• Use of tele-health to expand provider or consultation reach
• Centralized medical record functions
• Coordinated and streamlined referral authorization requests
• ePrescribing/ electronic refill requests
• Patient flow tracking
39
3-Staffing Requirement
Other Considerations/ Questions
• Again, UDS reports are valuable
• Absence of regular analysis and trending is cause for concern
• Must ensure enough software licensing for appropriate access
based on required users
• What data is evaluated monthly to gauge productivity or expected
efficiencies?
• How far out is next available appointment for new patients?
• Under open access, how many patients deferred? Is there
tracking mechanism for this?
40
4-Accessible Hours/Locations
Health IT Possibilities/Impact
• Identify populations best served by non-standard hours
• Patient portals/secure messaging allow after-hours communication
• EHR access via partnered locations (ie hospitals, mental health
facilities)
• Scheduling templates for open access
• No show tracking
• Centralized scheduling/flexible scheduling views
• Tele-health for expansion into limited reach areas
41
4-Accessible Hours/Locations
Other Considerations/Questions
• Is there tracking to understand difficulties in transportation for
locations?
• Is zip code analysis performed?
• What no-show analysis is performed to understand reasons for
high rates?
• What is assessed to determine that hours of operations best
meet the needs of the local population?
42
5-After Hours Coverage
Health IT Possibilities/Impact
• Secure access to electronic records after hours
• ePrescribing with medication history
• Portals/messaging to reduce unnecessary calls
• Access to clinical information from hospital
43
5-After Hours Coverage
Meaningful Use Tie In
 MU Core 4: ePrescribing
 MU Core 5: Up-to-date medication list
 MU Core 6: Maintain active allergy list
 MU Core 15: Security risk analysis
44
5-After Hours Coverage
Other Considerations
• Are providers / triage team given remote access?
• When are the after-hours notes entered into medical records?
• How is this tracked?
45
6-Hospital Admitting/Continuum
Of Care
Health IT Possibilities/Impact
• Tracking for referrals to hospitals
• Import of discharge summaries
• Reports based on expectant mother Estimated Delivery Date
• Clinical visit summary reports
• Continuity of Care Document exports
Meaningful Use Tie In
 MU Core 14: Secure health information exchange
46
7-Sliding Fee (SF) Discounts
Health IT Possibilities/Impact
• Capture of required data for SF eligibility
• Scanning of supporting documentation
• Fee schedules by specialty (SF may differ for medical vs dental)
• Adjustments captured by different SF categories for analysis
• Automatic calculations by system
47
7-Sliding Fee (SF) Discounts
Other Considerations
• Flag - Calculators or cheat sheets used for SF discounts
• Where is supporting documentation stored?
48
8-Quality
Improvement/Assurance Plan
Health IT Possibilities/Impact
• Clinical decision support tools (ie drug interaction checking)
• Visual indicators for out of range results
• Protocol / guideline based compliance reminders
• Patient specific care alerts or flags
• Electronic peer chart review
49
8-Quality
Improvement/Assurance Plan
Health IT Possibilities/Impact
• Audit logs on care team entries
• Referral tracking and follow up
• Lab utilization vs necessity
• Custom medication lists by specialty/provider
• Standing order authorizations and issuance
50
8-Quality
Improvement/Assurance Plan
Health IT Possibilities/Impact
• Audit logs on care team entries
• Referral tracking and follow up
• Lab utilization vs necessity
• Custom medication lists by specialty/provider
• Standing order authorizations and issuance
51
8-Quality
Improvement/Assurance Plan
Health IT Possibilities/Impact
• Outcome reports by chronic disease states
• Reporting for co-morbidity indicators
• UDS clinical outcome reports
• Patient engagement (ie flowsheet trending, clinical summary
handouts)
52
8-Quality
Improvement/Assurance Plan
Meaningful Use Tie In
 MU Core 1: Computerized provider order entry
 MU Core 3: Maintain up-to-date problem list
 MU Core 8: Record vital signs/display charts including BMI
 MU Core 9: Record smoking status
 MU Core 10: Report quality measures
 MU Core 11: Clinical decision support rules
 MU Core 13: Clinical summary handouts
53
8-Quality
Improvement/Assurance Plan
Meaningful Use Tie In
 MU Menu 2: Lab results as structured data
 MU Menu 3: Generate lists based on specific conditions
 MU Menu 4: Send preventive/follow up care reminders
 MU Menu 5: Patient access to lab results, problem list, etc
 MU Menu 7: Medication reconciliation
54
8-Quality
Improvement/Assurance Plan
Other Considerations/Questions
• Canned system reports do not typically meet health center needs
• Advanced report development skills/knowledge often required
• Testing/validating report data is necessary
• Organization should have a methodical approach to using data for
assessment and improvement efforts
• Request to see reports generated against health center’s QI program elements.
• What flags/indicators are used in the EHR to prompt provider or serve as visual aid?
• Is health center able to demonstrate how electronic charts are reviewed by peers?
• What reports are available daily to monitor against expected quality efforts?
55
9-Key Management Staff
Health IT Possibilities/Impact
• Key performance indicator reports to management
• Pre-designed reports available for on-demand access
56
10-Contractual/Affiliation
Agreements
Health IT Possibilities/Impact
• Data access agreements
Meaningful Use Tie In
 MU Core 15: Security risk assessment
57
11-Collaborative Relationships
Health IT Possibilities/Impact
•
•
•
•
Participation with HIE efforts
Accountable Care Organization analytics
Beacon Community participation
Partnerships with Universities for population based studies
Meaningful Use Tie In
 MU Core 15: Health information exchange
 MU Menu 9: Immunization registry upload
 MU Menu 10: Syndromic surveillance data upload
58
12/14-Financial
Management/Budget
Health IT Possibilities/Impact
• E&M coding assistance
• Analysis of service utilization by condition
• ePrescribing to internal vs external pharmacies
• Managed care utilization vs capitation reporting
• Lab utilization reports
• Drug formulary checking (benefits ACO, profit sharing managed
care)
59
12/14-Financial
Management/Budget
Meaningful Use Tie In
 MU Core 3: Up-to-date diagnosis
 MU Core 4: ePrescribing
 MU Menu 1: Drug formulary checks
60
13-Billing And Collections
Health IT Possibilities/Impact
• Interfacing/integration between PMS and EHR
• Integrated Insurance/Medicaid eligibility-appt schedules
• Medicaid batch eligibility prior to bad-debt write off
• Centralized and standardized collection practices
• Systems for tracking individualized payment plans
• Flexible adjustment codes for deeper analysis
61
12/13/14-Financial Mgmt/ Billing
and Collections
Other Considerations/Questions
• Are reports run for use in managed care plan analysis?
• Does health organization use aging reports by D.O.S. vs date
billed to assess billing operations?
• What reports are run to assess extent of contractual adjustments
against actual valid contracts?
62
15 -Program Data Reporting
Systems
Health IT Possibilities/Impact
• PMS/EHR systems to produce UDS, Ryan White, or other
reports
Other Considerations
• Garbage in; garbage out.
• Reporting issues often tied to usage or configuration
• If a health center states that systems cannot generate required
reports, drill down into efforts to resolve.
63
16-19 Project Scope/Governance
Health IT Possibilities/Impact
• Reports to monitor patient population and services
• Reports to monitor patient population/services
• Reports on “user” criteria
• Summary reports on population and need
64
Implementation Approaches
For new EHRs….Baby Step vs Big Bang
Baby Step Pros:
• Productivity levels (revenue) return to normal more quickly
• Reduced culture shock
• Ease into workflow modifications
• Quicker rollout of modular functionality
Baby Step Cons:
• Full benefits of EHRs realized more slowly
• Computer savvy proponents need patience
65
Implementation Approaches
For new EHRs….Baby Step vs Big Bang
Big Bang Pros
Big Bang Cons
• Comprehensive
• Greater amount of time
deployment/ more functionality
• More time spent on
testing, training, workflow
assessments
required for build and
configuration
• Significant negative
productivity impact potential
• Larger upfront investment for
resources
• Elongated ROI timeline
66
Implementation Approaches
Rip and Replace….
Ripping out one PMS/EHR system and implementing another
Most EHRs do NOT have an easy or inexpensive data migration export feature.
•
Systems are multifaceted with complex data relationships
•
Migration to new system takes extensive planning and coordination
•
Erroneous mappings or unmapped data from migration affects patient care/safety
•
Vendor costs to pull data out of old system in meaningful /industry standard formats
•
There are costs from new vendor to import if possible
•
Many vendors do NOT import historical PMS data; must keep old system
67
HIT Issues –Fact vs Perception
• Core competency of health centers: Patient care and meeting
community Needs;
– NOT Health Information Technology
• One or two IT people within a health center cannot be experts at
all areas required in HIT management
• Decision should be driven by clinical and business needs NOT
an IT person
68
HIT Issues –Fact vs Perception
Rip & Replace – why?
• Blaming EHR system for care or documentation deficiencies –
Why? Why? Why? Why? Why?
• Note – There is NO perfect system!
• Can the practice document several concrete examples of major
problems to warrant a move?
• Can the practice document steps to resolve issues?
• Is there documentation of dialogue with vendor/support entity?
• Does a health center have influence with vendor/support entity?
69
HIT Issues –Fact vs Perception
• Budget/cost issues?
• 5 year Total Cost of Ownership (TCO) analysis highly recommended
• Double vendor recommendation for hardware costs under selfhosted/managed models
• Must factor in internal staff/consultant costs if comparing in-house vs
outsource models
• Intangible costs – staff stress, morale
• Extensive staff time for migration efforts, including QA
• Low cost acquisition may mean high recurring fees
• Low cost acquisition may mean extensive billable (unexpected)
resource hours
70
HIT Issues –Fact vs Perception
The consultant’s role is to ….
• Ask probing questions to clearly understand issues and steps taken to
resolve
• Advise on quality due diligence process for product selection or
migration considerations
• Caution against a switch when a reconciliation/ renegotiation might best
serve health center and patients
• Provide unbiased resource material or recommend additional technical
assistance
71
HIT Issues –Fact vs Perception
The consultant’s role is ….
• NOT to make recommendation on what product to choose
• NOT to recommend one solution partner over another
• NOT to assume that health center perceptions on issues are
reality
72
HCCN Models
Yesteryear
• Geographically centered
• Collaboration and centralized solutions across several area – not
just HIT
• Peer-to-peer health center rapport central to success and
governance
• Smaller number of members to support tighter collaboration
73
HCCN Models
Today
• Geography no longer a factor
• Health IT hosting/management seen as sustainable–vendor ASP
similarities
• HIT product centric
• Less consensus building; more one-on-one customized
consulting
• Large volume of CHC customers required for self-sustainability
74
HCCN Strengths
• Health center focus and understanding
• Manage many HIT administrative duties
• Leveraged vendor negotiation to benefit health centers
• Central knowledge base/solutions spread across several health
centers
• Possibly more influence on functionality roll out timelines
• More customized hand-holding
75
HCCN Considerations
• Sustainability risk without large customer base or other revenue
contributing business lines
• Health center governance may hinder business evolution due to
limited expertise
• Collaboration takes patience and deference for others’
contributions
• Bundled offerings not always valued appropriately by health
centers
• Depth of Key Staff
76
BPHC Consultant Resources:
Health Centers Replacing or Adopting a
New EHR System
•
HRSA’s Office of Health Information Technology and Quality EHR guideline
guide
•
HIT Health IT Adoption Tool Boxes
•
The Office of the National Coordinator for Health Information Technology
•
HIT Regional Extension Center program
•
The AHRQ National Resource Center for HIT
77
77
BPHC Consultant Resources:
Health Centers Navigating Meaningful Use
• Medicare and Medicaid EHR Incentive Programs
• HRSA’s Office of Health Information Technology and Quality
Meaningful Use Resource Page
• Certified HIT Product List
78
78
BPHC Consultant Resources: Health Centers
Navigating the Use of
HIT for Quality Improvement (1/2)
National Association of Community Health Centers
HRSA’s Office of Health Information Technology and Quality webinar series
HRSA Office of Health Information Technology and Quality main page
FTCA Resources
BPHC QI Plan Learning Series and Modules
BPHC Training and Technical Assistance
HIV/AIDS Bureau Quality Resources
79
79
Additional Resources
• Health Center Beacon Awards
http://www.hrsa.gov/about/news/2011tables/beaconawards.html
• Find a HCCN http://findanetwork.hrsa.gov/Search_OHIT.aspx
• Regional Extension Center Program
http://healthit.hhs.gov/portal/server.pt/community/hit_extension_p
rogram/1495/home/17174
• HRSA Network Guide http://www.hrsa.gov/healthit/networkguide/
80
BPHC Consultant HIT Resources:
Health Centers Navigating
Patient Centered Medical Home (2/2)
• PCMH Readiness Assessment Tools
– Primary Care Development Corporation (PCDC):
http://www.pcdc.org
– PCMH Assessment (PCMH-A) from the Safety Net Medical Home
Initiative: http://www.safetynetmedicalhome.org/practicetransformation/assessment
– Medical Home Implementation Quotient Assessment (MHIQ) from
TransforMED: http://www.transformed.com
• PCMH Change Concepts:
http://www.safetynetmedicalhome.org/change-concepts
• Patient-Centered Primary Care Collaborative (PCPCC):
http://www.pcpcc.net/content/pcmh-outcome-evidence-quality
81
BPHC Consultant HIT Resources:
Health Centers Navigating
Patient Centered Medical Home
•
Agency for Healthcare Research and Quality (AHRQ) PCMH Resource
Center:
http://www.pcmh.ahrq.gov/portal/server.pt/community/pcmh__home/1483
⁻
Clinical Practice Guidelines: http://www.ahrq.gov/clinic/cpgsix.htm
⁻
US Preventive Services Task Force:
http://www.uspreventiveservicestaskforce.org/tools.htm
⁻
Consumer Assessment of Healthcare Providers and Systems (CAHPS
patient experience survey): https://www.cahps.ahrq.gov/default.asp
⁻
Innovations Exchange: http://www.innovations.ahrq.gov/
⁻
Patient Health Literacy Toolkit: http://www.ahrq.gov/qual/literacy/
82
Contact Information
Bureau of Primary Health Care
Office of Quality and Data
Health Information Technology Branch
For any health center HIT related technical assistance or inquires:
[email protected]
83
Questions & Answers
84
84