Transcript Title of slide show - Public Health Informatics Conference

A health department-led initiative to
advance and monitor the statewide HIT
infrastructure to support public and
population health in Minnesota
Karen Soderberg
Office of Health Information Technology (OHIT)
Minnesota Department of Health
Public Health Informatics Conference
April 29, 2014
1
Topics
•
•
•
•
•
Framework for monitoring e-health
Policy levers
E-Public Health Minnesota
Resources
Emerging issues
2
Collaborators
•
•
•
•
Marty LaVenture, OHIT
Kari Guida, OHIT
MDH Office of Performance Improvement
The Minnesota e-Health Initiative
3
Minnesota e-Health Initiative
A public-private collaboration established
in 2004

Legislatively chartered

Coordinates and recommends
statewide policy on e-Health

Develops and acts on statewide ehealth priorities

Reflects the health community’s strong
commitment to act in a coordinated,
systematic and focused way
“Vision: … accelerate the adoption and effective use of Health Information
Technology to improve healthcare quality, increase patient safety, reduce
healthcare costs, and enable individuals and communities to make the best possible
health decisions.”
4
Policy Levers
• Minnesota Law:
– E-prescribing mandate
– Interoperable EHR mandate
– HIE oversight
– Health records act
• CMS meaningful use incentives (HITECH Act)
5
About Minnesota
2010 Population: 5.3 Million
(source: US Census Bureau)
Local Public Health
(Community Health Boards)
6
MN’s e-Health Framework
• Adoption of electronic health record (EHR) systems
• Effective use of EHRs
• Interoperability
– the secure and standardized exchange of health
information among providers/organizations
The Minnesota Model
Continuum
of EHR
Adoption
Adopt
Assess
Plan
Utilize
Select
Implement
Exchange
Effective Use
Readiness
Interoperate
7
MN e-Health Profile
• Surveys that measure provider/organization ehealth status using the framework of the MN
Model
– Adoption of EHRs
– Effective use
– Interoperability
• Identify gaps and barriers
• Help develop programs and inform decisions at
the local, state and federal levels of government,
and support community collaboration efforts.
8
Methods
• Online surveys; option to complete hard copy
• Participation required for hospitals/labs, clinics, local
public health
• Collaborate with the community to develop and field
Year
Response
Resp Rate
Hospitals
2013
140/148
95%
Clinics
2013
1,180/1,399
84%
Clinical labs
2012
137/137
100%
Local Health Departments*
2013
52/52
100%
Nursing Homes
2011
316/382
83%
Chiropractic Offices
2011
277/803
34%
* MN has 71 city and county-based health departments, 34 of which belong to combined
jurisdictions called Community Health Boards
9
Minnesota Adoption of EHRs
~ Community Health Boards, some of which have >1 local health department
* Clinical Labs use lab information systems rather than EHRs
Source: Minnesota Department of Health, Office of Health Information Technology
10
LPH Electronic Systems Used, 2012
EHR System
PH-Doc
CHAMP
CareFacts
Digital Health Department
Custom-built local system
Decade
Other
No system in place
Total*
Number
Percent
24
20
8
3
3
1
4
2
52
46%
38%
15%
6%
6%
2%
8%
4%
* More than one system may be in use in multi-county jurisdictions
11
Changes Planned for EHR in 2013
12
Informatics Activities Conducted in
2012
13
Public Health HIE Activity, 2012
Gap
-6
-7
-18
0
-2
-9
14
Clinical HIE Activity, 2012
Gap
-40
-38
-19
-16
-9
-4
15
Health Information Exchange
Activities Used, 2012
16
Hospital and Clinic
HIE with Public Health, 2013
Hospital N = 139; Clinic N = 1,114
17
EHR-related Skills and/or Roles
Needed, 2012
18
MN e-Health Guidance
• MN e-Health Guides
– Guide 1: Addressing Barriers to EHR Adoption
– Guide 2: Recommended Standards
– Guide 3: e-Prescribing
– Guide 4: Effective Use of EHRs
– Guide 5: Health Information Exchange
http://www.health.state.mn.us/e-health/reports.html
• Stratis Health HIT Toolkit
http://www.stratishealth.org/expertise/healthit/
localpublichealth/index.html
19
Continuing and Emerging Issues
•
•
•
•
•
•
MDH readiness for HIE
Privacy and security
Workforce training
Patient/consumer engagement
Accountable care models
Learning health system
– http://www.iom.edu/Activities/Quality/LearningHealthCare.aspx
20
Contact Information
Karen Soderberg
Phone: (651) 201-3576
[email protected]
http://www.health.state.mn.us/e-health
Assessment reports and survey instruments:
http://www.health.state.mn.us/e-health/assessment.html
21