Transcript Office of Provider Adoption Support (OPAS): Supporting Primary Care Providers to Achieve Meaningful Use February 29, 2012

Office of Provider Adoption Support (OPAS):
Supporting Primary Care Providers to Achieve
Meaningful Use
February 29, 2012
HITECH: Catalyst for Transformation
Pre 2009
A system plagued by
inefficiencies
2009
EHR Incentive Program and
62 Regional Extension
Centers
2014
Widespread adoption &
meaningful use of EHRs
Office of Provider Adoption
Support (OPAS)
Goal: Assist All Providers to Achieve Meaningful Use of EHR Systems
Regional Extension
Centers (RECs)
Provider
Adoption
Provider
Adoption
Services
Services
Community College
Consortium
Meaningful Use
Health Information
Technology
Research Center
(HITRC)
Big Picture Goal
Paper-Based
Practice
Support
Network
REC-Provider
Partnership
Fully Functional
EHR
• Regional Extension Center
• Community College
Workforce
• Communities of Practice
• Health Information
Technology Research Center
(HITRC)
Education and Outreach • Workforce • Vendor Relations •
Implementation • Workflow Redesign • Functional
Interoperability • Privacy and Security • Meaningful Use
Population Health
Health Care Efficiency
Patient Health
Outcomes
62 RECs Cover 100% of the USA
Initial Program Goal: 100,000 priority primary care
providers achieve meaningful use (MU) by 2014
• Not-for-profit organizations
• Experts in EHR adoption
• Provide “on-the-ground”
technical assistance
• Extensive stakeholder
partnerships
• Focused on achieving MU
REC Funding History
REC Cycle 3
REC Cycle 1
REC Cycle 2
Sept. 2012
Feb 2010
April 2010
32 Awards
28 Awards
2 new award, 2
supplements
$375 million
$267 million
$14 million
Critical Access
Hospital (CAH)
Cycle 1
REC CAH
Supplement 2
Targeted
support for
1,777 Hospitals
$12 million
additional
support to CAH
$19.8 million
Help as
many
providers
as possible
get to
Meaningful
Use of an
Electronic
Health
Record
System
United Purpose, Local Approaches
• Each REC has a:
– Defined service area
– Specific number of
providers to assist
• National perspective with
local expertise
• Approach differs by REC:
– Local/regional centers
(RECs within an REC)
– Hospital partnerships
– Payer partnerships
REC Locations
Comprehensive Support throughout the
Entire EHR Implementation Process
1
Plan
2
Transition
3
Implement
4
Operate
& Maintain
Readiness
assessment
Practice
workflow
redesign
EHR
implementation
Achieve
meaningful use
EHR system
selection
HIT education
& training
Partnering with
state & local
HIEs
Prepare for
future pay for
performance
Primary goal: Give providers as much support as
possible
RECs Cover the Full
Range of Services
Interoperability & HIE
Workforce
Assist providers in meeting
functional interoperability
requirements
Provide EHR training to
providers and staff
Vendor Selection
Assess practice’s IT needs
and help select/ negotiate
vendor contracts
Implementation Support
Provide EHR project
management support
REC
Services
Meaningful Use
Assist providers on achieving
Meaningful Use objectives
Practice & Workflow
Design
Outreach & Education
Share best practices to
select, implement, and
meaningfully use EHRs
Privacy & Security
Implement best practices to
protect patient information
Assist practices in
improvement of daily
operations
REC Focus:
Priority Primary Care Providers
While RECs are encouraged to
work with all providers, they will
initially focus on “Priority
Settings”:
– Individual/small group
primary care practices (<10
PCPs)
– Public Hospitals and CAHs
– Community Health Centers
and Rural Health Clinics
– Other settings that serve
medically underserved
populations
REC Program Success To-date:
Primary Care Providers
(PCP) Enrolled
PCP on EHR
Local Health Department Providers
•PCPs registered with RECs=1,452
•PCPs at Go-Live registered with RECs= 213
•PCPs at Meaningful Use=13
(2/27/12)
PCP to MU
RECs Currently Providing Services to Local
Health Department Providers
Alabama
•
Alabama REC (University of
South Alabama)
Arkansas
•
Arkansas Foundation for
Medical Care, Inc.
California
•
California Health Information
Partnership Services
Organization North and South
Florida
•
Center for the Advancement of
Health IT (FL)
•
Central Florida HIT Initiative(FL)
•
PaperFree Florida Collaborative
Health Information Technology
Regional Extension
•
South Florida Regional
Extension Center
Georgia
•
GA-HITREC
Guam
•
Hawaii Pacific REC
Illinois
•
Illinois HIT Regional Extension
Center
Indiana
•
Indiana Health Information
Technology Extension Center
(I-HITEC)
Iowa
•
Telligen (IA)
Kansas
•
Kansas Foundation for
Medical Care
Louisiana
•
Louisiana Healthcare Quality
Forum
Maine
•
HealthInfoNet
Michigan
•
Michigan Center for Effective
IT Adoption (M-CEITA)
Minnesota
•
REACH (Stratis Health)
Mississippi
•
Mississippi Regional
Extension Center
Missouri
•
Missouri Health Information
Technology Assistance Center
Nebraska
•
Wide River TEC (NE)
New Mexico
•
Lovelace Clinic
Foundation-LCF Research
North Carolina
•
North Carolina REC
Ohio
•
Ohio Health Information
Partnership
Oregon
•
O-HITEC (OHITREC) (OR)
Pennsylvania
•
PA REACH (West/East)
South Dakota
•
HealthPoint
Multi-State
•
Greater Cincinnati Health
Bridge Inc. (OH, KY, IN)
•
National Indian Health Board
(DC)
HITRC’s Central Role Supports
Health IT Optimization
Works with HITRC community and
shares knowledge
Tools
Beacon
HIE
CCC
REC
SHARP
Resources
Communities
of Practice
(CoPs)
Works with external communities and
shares knowledge
HITRC Resources
Customer
Relationship
Management
(CRM)
Knowledge Sharing
Network (KSN)
Communities of
Practice (CoPs)
Training Services
Learning
Systems
Practice
Transformation
Support
Tools &Support
for Adoption
and MU
Collaboration
Portal
Public Website
Community College Consortia
Workforce Program
REGION A
REGION C
REGION B
•
•
•
•
•
5 regions
$6 – $ 21 M per region
April 2010 award
2 Years
10,500 to be trained
REGION D
REGION E