Transcript Document

Regional HIT Extension Center –
Michigan Center for Effective IT Adoption
(M-CEITA)
Presentation to the Michigan Primary Care Consortium
October 19, 2009
Regional Extension Centers
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Health IT Regional Extension Centers will provide technical
assistance and disseminate best practices to support and accelerate
efforts to adopt, implement, and effectively utilize health information
technology. (ARRA Sec. 3012(c))
Michigan’s REC applicant is M-CEITA – the Michigan Center for
Effective IT Adoption (www.mceita.org)
M-CEITA will advance the meaningful use of HIT across Michigan
promoting improvements in quality and enabling patient-centered
medical home.
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Broaden
understanding
Computational Aid
Presents new ideas from existing
information reducing the need to
mentally group, compare or analyze
information.
Documentation Tool
Provide
Data
Technology Role
Role of Technology in Supporting Care Delivery
Supports the entry, storage and
display of information to reduce the
need to rely on memory alone to
complete tasks.
Decision Support
Combines patient characteristics with
standards and protocol to enhance the
ability to make evidence based
decisions.
Communication Tool
Enhances the ability to communicate
information and findings to other
providers and patients in a manner
consistent with their needs and
understanding.
Internal to
Practice
Combined with
External Sources
Information Complexity
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Key IT Capabilities to Support PCMH
“While (PCMH) characteristics, in theory, may be achieved without the use of
health IT….health IT can be an empowering facilitator to the establishment
of a medical home…..”1
1. Collect, store and access relevant
health information
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2. Report on and review individual and
population processes, outcomes and
care quality
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3. Enhance communication between
providers, patients and other
members of care team
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4. Improve support for evidence based
care delivery
5. Support patient self management
and health literacy
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1 Center
for eHealth Information Adoption and Exchange (2009). Meaningful Connections: A resource guide for using health IT to support
the patient centered medical home, Patient Centered Primary Care Collaborative.
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M-CEITA Development
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Current organizations participating in full application
development:
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Altarum Institute (Prime Applicant & Program Management)
University Research Corridor: MSU, U of M, Wayne State
Michigan Peer Review Organization (MPRO)
Michigan Primary Care Association (MPCA)
Michigan Public Health Institute (MPHI)
Central Michigan University Research Corp (CMU-RC)
February
M-CEITA Collaborative
Formed
September 8
Preliminary Application
August 20
FOA Released
September 28
Preliminary Approval
M-CEITA Planning
December 11
Awardee Selection
November 3
Full Application
M-CEITA Roll Out
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Activities in Progress
M-CEITA Workgroups
Current Planning Activities
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Governance
Finalize Organizational
Structure
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Operations
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Define Scope of Services
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Direct Assistance
Core Support
Develop Sustainability Plan
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Sustainability
Alignment with other HIT efforts
Effective Governance
Operational Model
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Grant funding
Matching Funds
Provider payments
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Governance
M-CEITA Structure
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Executive Committee (EC) members will consist of the Charter Member
organizations and other qualified nonprofit organizations
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Steering Committee (SC) members will be representative end-users of
REC services, i.e. primarily priority PCPs
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Advisory Committee (AC) members will include nationally-recognized
health IT experts, including the American Academy of Family Physicians,
the Patient Centered Primary Care Collaborative, TransforMED, and the
National HIT Collaborative for the Underserved
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Program Management includes project oversight, management of subcontracts, and meeting federal / grant reporting requirements
M-CEITA Steering
Committee
M-CEITA Executive
Committee
M-CEITA Advisory
Committee
M-CEITA Program
Management
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Governance
M-CEITA Operational Model
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The M-CEITA operational model is based on the agricultural
regional extension service model, and will meet the needs of both
priority and other participating providers across Michigan.
M-CEITA Administration
Executive, Steering and Advisory committees
Program Management
9 Regional MTA Managers, subject matter experts
Tribal Health Clinics;
other settings with
underserved
populations
Small Primary Care
practices <10 providers
FQHCs / CHCs / Rural
Health Centers
Critical Access and
Public Hospitals
Other participating
providers
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Operations
M-CEITA Scope of Services
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The service area for M-CEITA is the entire state of Michigan
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Around 18,000 PCPs; 7,000 priority PCPs; Over 200
Federally-supported practice networks; 14 HIE efforts
FOA Requirements
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Each Regional Center will provide assistance to a minimum of
1,000 priority PCPs in the first two years (serve at least 20%
of the PCPs in the area)
M-CEITA’s goal is to reach 4,000 priority PCPs and 6,000
providers total over the first 2 years
Direct Assistance Support
Core Support
Prioritized to priority primary care providers
Available to all participating providers
- Vendor selection and group purchasing
- Implementation and project management
- Practice and workflow redesign
- Functional interoperability and health
information exchange
- Privacy and security best practices
- Progress towards meaningful use
- Education and outreach
- Local workforce support
- Participation in peer-learning and
knowledge transfer activities, facilitated
by the national Health Information
Technology Resource Center / National
Learning Consortium
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Primary-care providers
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MDs, DOs, NPs, CNMs & PAs
who practice family, general
internal or pediatric medicine
or obstetrics and gynecology
Priority PCPs
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Individual and small group
practices (<10) primarily
focused on primary care
Public and Critical Access
Hospitals
Community Health Centers
and Rural Health Clinics
Settings that serve uninsured,
underinsured, and medically
underserved populations
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Operations
Direct Assistance Approach
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M-CEITA will provide a variety of individualized services to
priority providers supporting effective IT adoption and use.
Adoption
Selection
Organization
•Readiness Assesment
•Workplan Development
Goal Setting
•EHR Objectives
•Process Mapping
Documentation
•Communication Plan
•Docment Review
Change Management
•Leadership and Culture
•EHR Transformation
Business Case
•Budget
•Practice Goals
Due Dilligence
•Vendor Review
•Provider Rights
Contracting
•Group Purchasing
•Vendor Agreements
Implementation
Effective Use
Implementation Plan
Evaluation
•Goals & Workflows
•Hardware & Strategies
•Evaluation Metrics
•Evaluation Plan
Functional Transition
Process Improvement
•Templates and Forms
•Chart Conversion
•Meaningful Use
•EHR Optimization
Installation
•Issues Management
•Guidelines/Security
System Go Live
•System Testing
•User training
Reporting
•Public Health Reporting
•Meaningful Use Eval
Care Management
•Disease Registries
•Decision Support
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Operations
Core Support Approach
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M-CEITA will ensure all Michigan providers have access to
current best practices and federal guidance in HIT adoption
and use.
M-CEITA Knowledge Broker Model
Access
Outreach &
Collaboration
Knowledge Transfer
Leverage research, Federal guidance and local
experiences to identify, analyze, filter and
disseminate best practices for effective HIT use.
Maintain effective communication channels with
Federal partners, local providers and staff to create
a collaborative community of informed HIT
adopters.
Facilitate peer to peer knowledge sharing and
feedback of lessons learned to the National HIT
Research Center.
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Sustainability
Sustainability Plan
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Total amount of funding available: $598,000,000;
approximately 70 awards
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Project period length: four-year project period with two
separate two-year budget periods
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Funding is distributed upon milestone completion which
includes signed provider contracts, EHR “go live” and
meaningful use achievement including e-prescribing and
quality reporting
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Self-sustaining business plan is required in full
application, and must be executed to support REC activities
beyond Federal funding
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Sustainability plan will include award funding, matching
funds and direct provider payments
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What is Needed from MPCC
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Ideas / assistance in obtaining provider commitments,
Steering and Advisory committee membership
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Provider commitments are needed and letter templates can be
found at mceita.org.
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Steering or Advisory Committee interest must be submitted to
[email protected] no later than October 27, 2009 to be
included in final November 3rd application
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Use of your communication channels to spread the word
about M-CEITA and its services to providers
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Additional letters of support to include in full application
Contact: [email protected]
Or: [email protected]
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