arizona health-e connection: an overview of arizona’s hit & hie initiatives

Advancing health and wellness through information technology

Arizona Health-e Connection: Arizona Health-e Connection: An Overview of Arizona’s HIT & HIE InitiativesAn Overview of Arizona’s HIT & HIE Initiatives

September 8, 2010

Melissa Rutala, MPHActing Executive DirectorDirector, Regional Extension Center


Agenda

• Arizona Health-e Connection• Arizona HIT/HIE Programs

– Arizona Regional Extension Center– HIE Cooperative Agreement Program

• Opportunities to Get Involved!


Arizona Health-e Connection


Arizona Health-e Connection (AzHeC)

exists to

Convene, Coordinate & Communicate

for Health Information Infrastructure

improvements that affect every Arizonan


AzHeC Governance Structure and Strategic Direction

5

Information Clearinghouse

Arizona Health-eConnection Board

Arizona Health-e Connection Staff

Per

man

ent A

dditional

Governor’s OfficeAHCCCSADHSAzHHAArMAAOMA GITA

Health Plans/InsurersEmployers

HospitalsPharmacy

Clinical LabsHigher Education

Medical Trading AreasAt-Large Seats

Policy Development

Support for HII Development


Definitions- HII, HIE and HIT

HIEHealth Information Exchange

“The Network”

The electronic movement of health-related information among organizations according

to nationally recognized standards.

HIIHealth Information Infrastructure

The wider arena of policies, procedures, technologies and industry standards that facilitate secure and accurate online sharing of electronic medical information between providers,

payors and ultimately, patients and their guardians via HIE/HIT.

HITHealth Information Technology

“The Record”Use of technology to support storage,

retrieval, sharing, and use of healthcare information for communication and decision

making within healthcare organizations.


Health Information Infrastructure


Arizona Regional Extension Center


Regional Extension Centers

• Nationwide…– Goal to assist 100,000 primary care providers

reach Meaningful Use (MU) in 2 years– 60 Regional Extension Centers (RECs)

funded– $635 million awarded

• Each REC has exclusive geographic area… so no overlap!


General REC Services


What is a PPCP?


• Collaborative program of four key organizations– Arizona Health-e Connection (AzHeC)– Arizona State University Department of Biomedical

Informatics (ASU-BMI)– Health Services Advisory Group (HSAG)– Purchasing & Assistance Collaborative for EHRs (PACeHR)

Arizona Regional Extension Center Overview


Arizona Regional Extension Center Target & Value

• Provider Target– Target of 1,958 PPCPs to MU by April 2012

• Mission / Value Statement– To create a trusted, neutral entity that offers

the tools, resources and communities of practice that Arizona healthcare providers need to foster Meaningful Use of electronic health records.


Conceptual Approach to Meaningful Use


Meaningful Use:Core Set of Objectives for Eligible

Professionals (1-5) Computerized physician order entry (CPOE)

> 30% of unique pts seen with meds listed have at least one ordered by CPOE

E-prescribing (eRx) > 40% permissible scripts written sent electronically

Report ambulatory clinical quality measures to CMS/States 6 measures (3 required, 3 elective)

Implement one clinical decision support rule yes/no

Provide patients with an electronic copy of their health information, upon request >50% who requestwithin 3 business days



Professionals (6-10) Provide clinical summaries for patients for each

office visit provide for > 50% all office visits w/in 3d Drug-drug and drug-allergy interaction checks

enabled

Record demographics > 50 % seen (5 specific items)

Maintain an up-to-date problem list of current and active diagnoses > 80% pts seen have at least one structured entry

Maintain active medication list > 80% pts seen have at least one structured entry



Professionals (11-15) Maintain active medication allergy list

> 80% pts seen with at least one structured entry

Record and chart changes in vital signs> 50% > age 2 seen have ht, wt BP (structured)

Record smoking status for patients 13 years or older > 50% unique pts seen (structured data)

Ability to exchange key clinical information among providers electronicallyAt least one test

Protect electronic health informationsecurity risk analysis, security updates and deficiency correction


Meaningful Use:Menu Set of Objectives for Eligible

Professionals (1-5)

Drug-formulary checksusing –at least one formulary

Incorporate clinical lab test results as structured data >40% of all ordered labs return as structured data

Generate lists of patients by specific conditionsat least one list of EP with a specific condition

Send reminders to patients per patient preference for preventive/follow up care > 20 % (>64 or <6) sent one

Provide patients with timely electronic access to their health information >10% supplied access within 4 days


Meaningful Use:Menu Set of Objectives for Eligible

Professionals (6-10) Use certified EHR technology to identify patient-

specific education resources and provide to patient, if appropriate provided to > 10% seen

Medication reconciliation for >50% of transitions Summary of care record for each transition of

care/referrals provide summaries for > 50% of referrals Capability to submit electronic data to

immunization registries/systems* perform one test Capability to provide electronic syndromic

surveillance data to public health agencies* one test

*At least 1 public health objective must be selected.


Arizona Regional Extension Center


Arizona HIT Extension Center Spectrum of Services

MembershipGeneral Education

Member Community User Groups

Readiness Assessment & Planning Stage

Practice Transform’n & Workflow Planning

IT Infrast.Assessment

& Readiness

Optimization to

Meaningful Use

Vendor Contracting Education

EHR System Selection, Deployment & Implementation

Ancillary Product & Services Matching Service

#1

#3

#2

AllPPCPs

EHR Vendor Assessment

&MatchingService

EHR Implement’n Facilitation/High Project

Mgmt

Meaningful Use

Attestation

Paper to MU PPCPs

EHR to MU PPCPs


Funnel Approach to Meaningful Use

General Education

No EHR

EHR – Gap to MU

EHR – Optimized for MU

MU Attestation

1,958 PPCPs to Meaningful Use!

PPCPs


HIE Cooperative Agreement Program


Strategic Alliance is Key!

• Governor’s Office of Health Information Exchange (GOHIE) coordinating state’s federal HIE Cooperative Agreement Program

• 4 year program, $9.377M in federal funds

• Strategic and Operational Plans submitted


Receipt of Structured Lab

Results

2011 Meaningful Use Key Deliverables


Addressing the Key Deliverables

• Set statewide goals that align the Meaningful Use objectives of GOHIE, AHCCCS and REC– E-Prescribing– Structured Lab Results– Patient Care Summaries

• Ensure key messages around each goal are developed and communicated to all stakeholders


Opportunities to Get Involved!


AzHeC Calendar of Events

Arizona Health-e Connection 2010 Calendar of EventsFebruary 24, 8–9 AM

Webinar: Use of Electronic Medical Records and Physicians' Attitudes toward a Health Information Exchange

August 25, 5:30-7:30 PM Forum: Meaningful Use of Electronic Health Records

March 31, 8–9 AM

Webinar: Dr. John Halamka, Co-Chair of the (Federal) HIT Standards Committee

September 22, 8–9 AM Webinar: International Perspective on HIT

April 12-13Western States Health-e Connection Summit & Trade Show

October 27, 5:30-7:30 PM Forum: EHR Implementation “How To” Workshop

May 26, 8–9 AM Webinar: Health Transformation Institute Overview

November 17, 8–9 AM

Webinar: Personal Health Records

June 23, 5:30-7:30 PM Forum: Healthcare Informatics

December 15, 6-8 PMHoliday Gathering

July 28, 8–9 AM Webinar: ARRA, HITECH – Arizona Projects Update

*Please note that with the exception of November, all AzHeC events are held on the fourth Wednesday of the month (Webinars, 8-9AM; Forums, 5:30-7:30PM). **Webinars are complimentary for AzHeC members; $20 for non-members. Forums are $40 for AzHeC members, $55 for non-members.


Save the Date!

Western States Health-e Connection Summit & Trade Show

April 11-12, 2011Phoenix Convention Center


Stay Informed!

• Sign up for free AzHeC email newsletters– Email contact information to [email protected]

• Sign up for free Az Regional Extension Center updates– Email contact information to [email protected]

• Check out our website for latest updates and links to REC information!– www.azhec.org

mailto:[email protected]


http://www.azhec.org/


Arizona’s Point of Coordinationwww.azhec.org

www.azhecblog.org

[email protected]

[email protected]

http://www.azhec.org/

http://www.azhecblog.org/



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