EHR Accessibility Module Challenge Overview Webinar

Webinar Presentation Friday, April 6th

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On today’s call:

JL Neptune

Senior Vice President

Health 2.0

Adam Wong

Program Analyst

Office of the

National Coordinator

David Baquis

Accessibility Specialist

U.S. Access

Board

Rosaly Correa-de-

Araujo

Deputy Director

Office on Disability,

HHS

Alok Doshi

CCIIO

Office of Health

Insurance Exchange,

CMS

Matt Quinn

Computer Scientist

National

Institute of Standards and

Technology

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Agenda for Today’s Meeting

ONC and the Investing in Innovation (i2) Program An Introduction to Accessibility and Usability An Overview of the EHR Challenge

Q&A About the Challenge

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ONC and i2

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EHR Accessibility

David Baquis U.S. Access Board

Matt Quinn

NIST 5

What is the Access Board?

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U.S. Access Board

• Independent Federal agency

• Promulgates guidelines and standards for accessible design

• Provides technical assistance and training

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What is Accessibility?

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Accessible Design

• Accessibility is design criteria which removes barriers that make it difficult or impossible for some people with disabilities to use HIT

• It’s rooted in civil rights with the intention to provide an assurance of technological non-discrimination

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Standards and Guidelines

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Section 508 Standards (2000) www.section508.gov

Web Content Accessibility Guidelines (2008) (WCAG 2.0: http://www.w3.org/TR/WCAG/)

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Stakeholders

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Who Benefits?

Disabilities: • Hearing • Vision • Speech • Mobility • Dexterity • Cognitive

User groups: • Patient/clients • Guests/customers • Clinicians • Caregivers/families • Students/instructors • Admin personnel • Payers/insurance reps • Analysts, researchers

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Accessibility Examples

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Internet Sites

• Are text equivalents provided for non-text elements?

• Are multimedia videos captioned? • Are row and column headers

identified in data tables?

PHR Development Software

• Non mouse use: Can I create and update a PHR using only a keyboard?

• Do electronic forms allow assistive technology to access the information and functionality necessary for completion and submission of the forms?

• Alternative means of identifying elements, for people who are color blind?

Handheld Devices

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How to Reach the U.S. Access Board

• Telephone (voice): – 202-272-0013 (direct to David Baquis) – 800-872-2253 (toll-free in U.S.)

• E-mail: 508@access-board.gov

• Internet: http://www.access-board.gov

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Accessibility and Usability in a Prototype Ambulatory Electronic

Healthy Record Pilot Project Rosaly Correa-de-Araujo, MD, MSc, PhD

Deputy Director, Office on Disability U.S. Department of Health and Human Services

Office of the National Coordinator’s Challenge Grant Webinar April 6, 2012

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Background • People with Disabilities

– 54 million – 19.3% non-institutionalized population ≥ 5 years – 4 times as likely to report fair or poor health – $400 billion in health care expenditure

• Health Information Technology (HIT) – Significant federal investment, adoption of EHRs & PHRs – Patient portals available to support health care management – Development and implementation of systems/services is far advanced,

but no HIT accessibility specifications/policies – Infrastructure limitations, inaccessible designs/content precludes use

by people with disabilities – Accessibility & usability are high priority for the disability community

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Background (cont’d)

• We are unaware of any published prototype accessible EHR/PHR systems. One grant award has been made by the Department of Education recently on this topic.

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Background (cont’d)

• Benefits of EHRs – Accessible EHRS will allow people with disabilities

to benefit from personalized online interactions with health care information

– Create more efficient clinical practices: • reduced duplication of tests • enhanced quality/safety of care • Improve care coordination

– Reduce paperwork – Regulatory compliance

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Background (cont’d)

• Costs – EHRs/PHRs expected to contribute to reduction in

health care costs, but operating alone, these systems are not designed to address the current challenges around cost and quality of care.

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Challenge Grant Brief Description

• Design, test, implement a module prototype application that is not only compatible and consistent with certified EHR system, but ensures accessibility and easy interaction by people with disabilities.

Focus on CONSUMER

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Standards for Compliance

• Web Content Accessibility Guidelines (WCAG 2.0), W3C Web Accessibility Initiative for website accessibility

• Section 508 Standards by the Access Board • Section 508, Rehabilitation Act • Communications Act, standards for

telecommunication services and equipment

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Grant Submission Requirements

Acceptable Platforms

Data Used

General

Security

Functionality Accuracy

No ONC Logo

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Evaluation Criteria

• Design and usability • Creative and innovative use of technologies • Compliance with disability and accessibility

standards • Integration of EHR Module with HIT and EHR

Systems • Potential Impact and ability to drive adoption and

engagement • Use of NwHIN standards

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Timeline

• Submission Period Begins: 1:00 pm, EDT, January 30, 2011 • Submission Period Ends: 11:59 pm, EDT, July 23, 2012 • Evaluation Process Begins: 12:01am, EDT, July 27, 2012 • Evaluation Process Ends: 11:59pm, EDT, August 10, 2012 • Winners Notified: August 13, 2012 • Winner Demo at Relevant Industry Conference: TBD

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Challenge Grant

Awards • Prize Categories

– 1st Place: $60K – 2nd Place: 20K – 3rd Place: $5K

Evaluation & Awards • Evaluation by an Expert

Panel, America COMPETES Act

• Award Announcement: August 13, 2012 (12:00 PM EDT)

• Demos at relevant industry conference

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For More Information and Registration:

www.health2challenge.org

Jean-Luc: jl@health2challenge.org

Adam: Adam.wong@hhs.gov

David: baquis@access-board.gov

Rosaly: Rosaly.correa@hhs.gov

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