Transcript Overview of HRSA’s Office of Health Information Technology and its January 2009

Overview of HRSA’s Office of Health
Information Technology and its
Activities and Tools
January 2009
Johanna Barraza Cannon, Director,
Division of Health Information Technology Policy
U.S. Department of Health and Human Services
Health Resources and Services Administration
Office of Health Information Technology
Office of Health Information
Technology (OHIT)
• Mission:
The Office of Health Information Technology (OHIT)
promotes the adoption and effective use of health
information technology (HIT) in the safety net
community.
OHIT Includes:
– Division of Health Information Technology Policy
– Division of Health Information Technology State and
Community Assistance
– Office for the Advancement of Telehealth
What OHIT Does
• Award planning and implementation grants for
telehealth, electronic health records, and other
health information technology innovations.
• Provide technical assistance to HRSA grantees
and staff (e.g., project officers and Office of
Performance Review) related to effective HIT
adoption and Federal and state policies and
legislation.
• Provide leadership and representation for HRSA
grantees with Federal and state policymakers,
researchers, and other stakeholders.
What is the HRSA Health IT
Community
Developed in collaboration with the AHRQ
National Resource Center for Health IT
(NRC)
– Designed to provide news, tools, serves as a
virtual community for health centers and
access to research for HRSA's safety net
providers interested in health IT.
What other features are on the
Community?
• Repository of information:
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What’s New in HRSA and Updates
HRSA Health IT Toolbox
EHR Selection Guidelines
Grantee Spotlight
Emerging Lessons
Private Communities
HIT Technical Assistance Webinars
Specialized Areas of Interest (e.g. HIV/AIDS,
telehealth, maternal and child health)
• Password protected except for toolbox
HRSA Health IT Community
Landing Page
HRSA Health IT Community
Landing Page –(cont’d)
What is the HRSA Health IT
Toolbox?
 A compilation of health IT planning, implementation and
evaluation resources to support HRSA’s Section 330 federally
funded Community Health Center grantees.
 A tool designed to serve the needs of a broad audience
within health centers and Health Center Controlled Networks.
 http://healthit.ahrq.gov/toolbox
HRSA Toolbox: Initial Concept
Problem: Information Overload, Lack of Trustworthy,
Comprehensive Set of Resources to Support Health IT in CHCs
Toolbox Objectives:
 Organize available resources online
 Use Q&A format to seed thinking
 Promote network formation, expansion
 Walk grantees through an implementation lifecycle
 Be useful to grantees at different levels of
knowledge/stages of implementation
 Integrate toolbox with the HRSA portal for sharing and
exchange among grantees in a “safe” environment
List of Toolbox Modules
1. Introduction to Health IT
2. Getting Started
3. Opportunities for Collaboration
4. Project Management and Oversight
5. Planning for Technology Implementation
6. Organizational Change Management and Training
7. System Implementation
8. Evaluating, Optimizing, and Sustaining
9. Advanced Topics – Quality improvement
10. Open Source & Public Domain Software
11. Privacy and Security
TA - HIT TA Center
• Provide consistent HIT TA to HRSA grantees.
• TA “One to Many" Calls
– HIT 101
– Workflow Analysis and HIT
– Slides, transcripts and recordings of calls
are on the HRSA Health IT Community.
• Peer-to-peer technical assistance to obtain
TA from an experienced peer in HIT.
• Consultant technical assistance to obtain TA
from an experienced consultant in HIT.
OHIT TA Webinars
• OHIT is holding regular webinars on HITrelated topics that have been very successful
in terms of attendance and feedback. The
calls held to date include:
– September 2007 – HIT 101
– December 2007 – Important Factors to Consider
When Selecting an EHR System
– February 2008 – Collaboration (How do I
collaborate with networks, other groups, state
entities, etc.)
– February 2008 – Telehealth 101
– March 2008 – Financing HIT
OHIT TA Webinars (cont.)
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April 2008 – Stark/Safe Harbor
April 2008 – Open Source
May 2008 – Readiness Assessments for HIT
May 2008 – HIE 101
June 2008 – Success Stories, Lessons Learned
June 2008 – Internal/External Interfaces
July 2008 – Efficient Deployment of HIT
July 2008 – HIT for Special Populations
OHIT TA Webinars (cont.)
– August 2008 – Overview of the HRSA Health IT
Community and Health IT Adoption Toolbox
– September 2008 – Using EHRs to Drive Quality
Improvement
– October 2008 – HIT Privacy and Security
– November 2008 – Kids and HIT – Pediatric EHRs
• Future Calls:
– December 2008 – Telehealth and Kids
– January 2009 – Rural HIT
Advancing HIT through Networks
• Collaboration of health centers and other
safety net providers
• Economies of scale/cost efficiencies
• Enhanced efficiencies in business and
clinical core areas
• Higher performance and value
• Sharing of expertise and staff
HRSA Health Center Controlled
Networks (HCCN)
• Led by HRSA-funded health centers
• Supports the creation, development, and
operation of networks of safety net
providers to ensure access to health care
for the medically underserved populations
through the enhancement of health center
operations, including health information
technology
New Funding for FY 2008
HIT Planning
HIT
Innovations
(3 yr + High
Impact)
HIT EHR
(3 yr + High
Impact)
Number
of Awards
6
10
12
28
Total $
Awarded
$739,765
$3,770,561
$14,372,054
$18,882,380
Number of
Urban/Rural
Grantees
2 Urban
4 Rural
4 Urban
6 Rural
2 Urban
6 Rural
4 Both
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Total
HIT Planning Grants
• Objective
– To support health centers in structured planning activities that
will prepare them to adopt EHRs or other HIT innovations
• Project Period – One Year
• Examples of Activities Supported by Grant
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Planning for EHR adoption-readiness assessment
Workflow analysis
Due diligence in selecting vendor
Business planning
Determining specific network HIT function
Network of health centers has formed to purchase an EHR but
needs funds to help with the readiness assessment and
procurement process.
– Network of health centers wants to form a health information
exchange with other partners in the state and needs funds for
planning and hardware purchases
FY 08 HIT Planning Grants
• Barceloneta Primary Hlth. Care Svcs. Inc
Barceloneta, Puerto Rico
• Chicago Family Health Center, Inc
Chicago, IL
• Clinica Adelante, Inc
Surprise, AZ
• Community Health Net
Erie, PA
• Near North Health Service Corporation
Chicago, IL
• Sacopee Valley Health Center
Parsonsfield, ME
EHR Implementation Grants
• Objective
– To implement electronic health records (EHRs)
• Project Period
– Three Years
• Examples of Activities Supported by Grant
– Implementation of EHRs across network and is within
6 months to issuing a request for proposals, but
needs additional funds to purchase the EHR system,
training, hardware, and the conversion process from
paper to electronic
– Include networks interested in spreading their
capacity to other centers, via ASP or other means
FY 08 EHR Implementation
Grantees
• Alliance for Rural Community Health –
Ukiah, CA
• Barrio Comprehensive Family Health Care
Center, Inc – San Antonio, TX
HIT Innovation Grants
• Objective
– To implement health information technologies other
than EHRs
• Project Period
– Three Years
• Proposed Activities Include:
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E-prescribing
Patient Disease Registry
HIE
Data warehouse
Integrated Mental, Behavioral, Oral, and Primary Care
Health Record
FY 2008 HIT Innovations
Grantees
• Community Health Access Network –
Newmarket, NH
• Maine Primary Care Association – Augusta, ME
• Michigan Primary Care Association – Lansing,
MI
• St. Louis Integrated Health Network – St.
Louis, MO
Summary of Innovation Grantee
Projects
• Maine Primary Care Association
– E-prescribing, one-way transmission of emergency
depart. discharge data to network providers
• Michigan Primary Care Association
– Point-of-care clinical tool to build off of current HIT
that gives clinicians to enter key quality data
measurements at the point of care
• Community Health Access Network
– HIE, data warehouse and e-prescribing
• St. Louis Integrated Health Network
– Master Patient Index
High Impact Grants
• Objective
– Promotes the high impact implementation of an EHR or an
innovative HIT; Goals include the adoption and effective use of
EHRs and other HIT; the creation of sustainable business
models for deploying HIT in HCCNs and large multi-site health
centers; enhancing the ability of safety net providers to leverage
initiatives and resources as well as improving quality and health
outcomes in the CHC Program.
• Project Period – One Year
• Examples of Activities Supported by Grant
– Implementation of EHR or Innovative HIT across network or
health center sites and is within 6 months to issuing a request for
proposals, but needs additional funds to purchase hardware,
training, HIT systems, and the conversion process from paper to
electronic
– Include networks interested in spreading their capacity to other
centers, via ASP or other means
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FY 2008 High Impact EHR
Grantees
OCHIN Portland, OR
Newark Community Health Centers Newark, NJ
Community Health Centers Alliance St. Petersburg, FL
Presbyterian Medical Services Santa Fe, NM*
Yellowstone City County Health Department
Billings, MT
Near North Health Service Corporation Chicago, IL
West Virginia Primary Care Network, Inc.
Scott Depot, WV
Alta Med Health Services Corporation
Los Angeles, CA*
Clinica Adelante, Inc Surprise, AZ
Illinois Primary Care Association Springfield, IL
*Multi site health center
FY 2008 High Impact Innovation
Grantees
• Council of Community Clinics San Diego, CA
• Boston HealthNet Boston, MA
• Family Health Centers of San Diego
San Diego, CA*
• Georgia Association for Primary Health Care
Decatur, GA
• Maine Primary Care Association Augusta, ME
• Health Choice Network, Inc. Miami, FL
*Multi site health center
FY 2008 High Impact
Innovations Grant Summary
• Council of Community Clinics
– Pharmacy management system that includes e-prescribing and
generates customized reports
• Boston HealthNet
– eReferral system that enables data exchange among primary
care providers & specialists in partner hospital
• Family Health Centers of San Diego, Inc
– PDA technology to enable real-time clinical documentation &
decision support at point of care
• Georgia Association for Primary Health Care, Inc
– HIE, exchange between behavioral health clinicians and primary
care clinicians
• Maine Primary Care Association
– Interface with state immunization registry and create decision
support tools that boast childhood immunization rates
• Health Choice Network, Inc
– Horizontal HIE
Telehealth 3-Year Grants (FY 2009)
• Telehealth Resource Center Grant Program
– 6 awards
• Telehealth Network Grant Program
(including home health)
– 16 awards
• Licensure Portability Grant Program
– 2 awards
Telehealth Network Grants
University of Arkansas for Medical Sciences, AR
Northern Sierra Rural Health Network, CA
Ware County Board of Health, GA
The Queen's Medical Center, HI
Public Hospital Cooperative SE Idaho Inc., ID
Illinois Department of Human Services, IL
University of Kansas Medical Center Research Institute, KS
Eastern Maine Healthcare Systems, ME
Tri-County Hospital, MN
Citizen's Memorial Hospital District, MO
St. Patrick Hospital & Health Foundation, MT
Duke University, NC
Children's Hospital Medical Center of Akron, OH
Home Nursing Agency & Visiting Nurse Association, PA
University of Washington, WA
Marshfield Clinic Research Foundation, WI
FY 2006 Telehealth Resource
Center Grantees/States Covered
• California Telemedicine and eHealth Center: California
• Northeast Telehealth Resource Center (Medical Center at Lubec):
Maine, Vermont, New Hampshire, Massachusetts
• Midwest Alliance for Telehealth and Technologies Resources
(Marquette Hospital) : Michigan, Kansas
• Northwest Regional Telehealth Resource Center (St. Vincent
Foundation): Alaska, Hawaii, Idaho, Montana, Oregon, Utah,
Washington State, Wyoming
• Great Plains Telehealth Resource and Assistance Center (Avera
Rural Health Institute): North Dakota, South Dakota, Nebraska,
Minnesota
• Center for Telehealth and E-Health Law: National Center
Contact Information
Johanna Barraza Cannon, Director
DHHS/HRSA/OHIT
5600 Fishers Lane, 7C-26, Rockville, MD 20857
Phone: 301-443-4651
Fax: 301-443-1330
[email protected]
http://www.hrsa.gov/healthit/