Transcript Slide 1

A Meaningful Look at EHRs
and Health Information
Exchange
ISCEBS Symposium - September 7, 2011
Susan Brown, Telligen
Kory Schnoor, IDPH
Objectives
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Describe federal and state health IT environments
Provide background on HITECH & meaningful use of health IT
Discuss Telligen’s HIT Regional Extension Center
Explain the background and services of the Iowa Health
Information Network (IHIN)
 Describe how IHIN can improve quality, safety and efficiency
of health care
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Objectives #1 & #2
 Describe federal and state health IT environments
 Provide background on HITECH & meaningful use of health IT
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If you want to promote better
coordination between doctors,
you need to be able to quickly
move health information
wherever it’s needed. If you
want to empower consumers
to take charge of their health
care, they need to be able to
access their health information
without calling up five different
doctor’s offices.
― Kathleen Sebelius
Secretary of Health and
Human Services
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Improved Quality, Safety and Efficiency
Better
Communication and
care coordination
Safer
Treatment via
e-Prescribing
Faster
Delivery of
information and
results
More efficient
Coding and billing
HITECH: Catalyst for Transformation
Paper records
Pre 2009
A system plagued by
inefficiencies
HITECH Act
EHRs & HIE
2009
2014
Meaningful Use Incentive
Program and 62 Regional
Extension Centers
Widespread adoption and
meaningful use of EHRs
Why Meaningful Use of Health IT?
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Improve quality, safety, efficiency
Engage patients and families in their health care
Improve care coordination
Improve population and public health
Ensure privacy and security of electronic health information
Adapted from National Priorities Partnership. National Priorities and Goals: Aligning Our Efforts to Transform America’s Healthcare. Washington, DC:
National Quality Forum; 2008
Snapshot of EHR Benefits
For Providers:
 Quick access to patient records from
inpatient and remote locations for more
coordinated, efficient care
 Enhanced decision support, clinical
alerts, reminders, and medical
information
 Performance-improving tools, real-time
quality reporting
 Legible, complete documentation that
facilitates accurate coding and billing
 Interfaces with labs, registries, other
EHRs and HIEs
 Safer, more reliable prescribing
For Patients:
 Reduced need to fill out the same forms
at each office visit
 Reliable point-of-care information and
reminders notifying providers of
important health interventions
 Convenience of e-prescriptions
electronically sent to the pharmacy
 Patient portals for online interaction with
providers
 Electronic referrals allow for easier
access to follow-up care with specialists
Opinions
 Over 90% of all physicians with EHRs are satisfied with their
EHR
-New England Journal of Medicine 2008, 359:50-60.
 78% of Americans favor the use of electronic medical records
(NORC study: U of Chicago)
– No more clipboards!
– E-Prescribing!
– Better informed!
– Less duplicate testing!
The Key to Healthier Living
“Take a Walk, Eat
More Plants”
Physician EHR Adoption is Limited
 According to preliminary
estimates from a CDC
survey released December,
2010, 24.9% of office-based
physicians had access to a
“basic” EMR system, while
only 10.1% had a “fully
functional” system.
AMA, January 17, 2011, American Medical News
EHR Adoption in Iowa
 Less than 50 percent of Iowa physicians have adopted EHRs
 As late as 2009, 89 percent of Iowa’s hospitals still used some
paper records
EHR Adoption Challenges
Financial
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Technical
• Concerns about technically supporting a system
• Lack of necessary computer skills
• Finding right EHR to suit practice needs (“usability”)
• Having the right IT staff in place
• Possibility of information overload
Organization
Change
Expense of system
Uncertainty around ROI
Provider and staff productivity
Uncertainty about financial incentives
• Disruption of workflow and productivity
• Privacy and security concerns
• Maintaining patient centeredness and satisfaction
Meaningful Use Incentive Programs
 Medicare
– Up to $44,000 per eligible provider
– Hospital: Payment formula
– Payments began May 2011
– Penalties begin 2015
 Medicaid
– Up to $63,750 per eligible provider
– Hospital: Payment formula
– Payments began in Iowa January 2011
– Over $13M paid in Iowa to date
Stage 1 Objectives: Medicare
Objective #3
 Discuss Telligen’s HIT Regional Extension Center.
THE TRUSTED HEALTH IT ADVISOR
Regional Extension Centers
Regional Extension Centers assist providers seeking to
adopt & become meaningful users of certified
electronic health records (EHRs)
Regional Extension Center Program
Assisting small primary care practices, rural health
clinics, and critical access/rural hospitals with EHRs and
meaningful use through 2014!
Telligen REC
 Territory: State of Iowa
 Assisting:
 1200 Primary Care Providers
 87 Critical Access & Rural Hospitals
Telligen REC
 Advocates for the provider
 Team approach to services
– EHR Advisors
– Clinical Advisors
– Help desk
– Information architect
– Physician informaticist
– Attorney
Comprehensive Support
1
Plan
2
Transition
3 Implement
4 Operate & Maintain
Common Vendors
Iowa REC:
•Advocates for the provider
•Works with any EHR chosen by our clients
•Has no financial interest in products
•Does not purchase or install EHRs
Iowa REC Sign-Ups
Ambulatory Providers: 883
Critical Access/Rural Hospitals: 57
“Trusted Health
IT Advisors”
HITECH: How the Pieces Fit Together
Objectives #4 & #5: IDPH
 Explain the background and services of the Iowa Health
Information Network (IHIN)
 Describe how IHIN can improve quality, safety and efficiency
of health care
[email protected]
866-924-4636
www.IowaeHealth.org
[email protected]
800-373-2964
www.IowaHITREC.org
[email protected]
515-974-3071
www.ime.state.ia.us
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