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What Have We Learned?What Have We Learned?
Erin Grace MHA
Agency for Healthcare Research and Quality
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TQHITTQHIT
grants under the Transforming Qualitygrants under the Transforming Qualitythrough Health Information Technologythrough Health Information Technologyprogramprogram
33--year, $1.5 million grantsyear, $1.5 million grants Many included implementing healthMany included implementing health
information exchange at the communityinformation exchange at the community
Focus on rural and underservedFocus on rural and underserved
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TQHIT GoalsTQHIT Goals
medical errorsmedical errors In r h l h inf rm i n h rinIn r h l h inf rm i n h rin
between providers, laboratories,between providers, laboratories,
pharmacies and patientspharmacies and patients Help transition patients between careHelp transition patients between care
settingssettings
Reduce duplicative and unnecessaryReduce duplicative and unnecessarytestingtesting
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State and RegionalState and Regional
DemonstrationsDemonstrations
Health IT (referred to as SRDs)Health IT (referred to as SRDs) IN RI TN n T in 2 4 DE inIN RI TN n T in 2 4 DE in
20052005
55-- ear $5 million contractsear $5 million contracts Support data sharing and interoperabilitySupport data sharing and interoperability
activities on a State or regional levelactivities on a State or regional level
To improve the quality, safety,To improve the quality, safety,effectiveness and efficiency of healthcareeffectiveness and efficiency of healthcareor pa en s an popu a onsor pa en s an popu a ons
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SRD Re uirementsSRD Re uirements
data among unrelated entitiesdata among unrelated entities
Medicaid programMedicaid program
Develop a sustainability modelDevelop a sustainability model
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What Have We Learned?What Have We Learned?
--
to manualto manual En r r n f k h l rEn r r n f k h l r
Have a sound business planHave a sound business plan understand what our communit andunderstand what our communit andstakeholders are interested instakeholders are interested in
Secure funding early in the planningSecure funding early in the planning
processprocess Keep participation costs as low asKeep participation costs as low as
poss eposs e
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What Have We Learned?What Have We Learned?
of pros and consof pros and cons know what works forknow what works foryour communityyour community
Patient identification and matching is aPatient identification and matching is a
core challenge in HIEcore challenge in HIE Technology development is influencedTechnology development is influenced
by policy and operational considerations,by policy and operational considerations,
Identify clinical settings that areIdentify clinical settings that are
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What Have We Learned?What Have We Learned?
cost metricscost metrics
Incorporate flexibility into evaluationIncorporate flexibility into evaluation
Include liability insurance costs in yourInclude liability insurance costs in your
p ann ngp ann ng
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AHRQ National Resource Center forAHRQ National Resource Center for
Health IT Web SiteHealth IT Web Site
FeaturesFeatures
of health ITof health ITprojectsprojects
opportunitiesopportunities
News releasesNews releaseslessons and bestlessons and bestpracticespractices
Meetin s andMeetin s and
eventsevents
http://healthit.ahrq.gov/
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More InformationMore Information
Health ITHealth IT www.healthit.ahrq.govwww.healthit.ahrq.gov
Information OrganizationsInformation Organizations
L n L rn fr m AHR nL n L rn fr m AHR nRegional Demonstrations in Health ITRegional Demonstrations in Health IT(coming soon)(coming soon)
Synthesis of AHRQ State and RegionalSynthesis of AHRQ State and RegionalDemonstrations in Health IT (comingDemonstrations in Health IT (coming
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Search for AHRQSearch for AHRQ--FundedFunded
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