iowa himss
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TRANSCRIPT
Meaningful Health ITChallenges for
Rural EHR Adoption
Iowa HIMSSBrian Ahier
HITECH Act Framework
Blumenthal D. Launching HITECH. N Engl J Med posted online Dec 30 2009. http://healthcarereform.nejm.org/?p=2669
The Broader AgendaFunding Initiative Focus CMS Incentives (Section 4201) For “meaningful use”
Incentive payments to eligible professionals and hospitals participating in Medicare and Medicaid programs that adopt and meaningfully use certified EHRs.
Regional Extension Centers(Section 3012)
Establish up to 70 Regional Extension Centers to support providers in adopting and becoming meaningful users of health information technology (HIT)
Health Information Exchange(Section 3013)
Support state programs to ensure the development of health information exchange
HIT Workforce Development(Section 3016)University-based Training; Community College Consortia; Curriculum Development; Competency development
Create several distinct programs that aim to support the education of HIT professionals. The goal is to train up to 45,000 new HIT workers to assist providers in becoming meaningful users of EHRs
Beacon Community Program(Section 3011)
Create up to 15 demonstration communities to show how the meaningful use of EHRs can achieve measurable improvement in the quality and outcomes
Strategic Health information technology Advanced Research Projects (SHARP) - (Section 3011)
Achieving breakthroughs to address well-documented problems that have impeded adoption of HIT, including: the security, cognitive support, health care application & network architectures, & secondary use of EHR data
Meaningful Use of EHR
http://www.cms.gov/EHRIncentivePrograms
Barriers to EHR
Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010
Barriers to EHR
Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010
Questions for Meaningful Use
• Vendor Certification: Am I hitched to the right horse?
Aligning Certification and Standards
Source: Farzad Mostashari, ONC Presentation to HIT Policy Committee January 13, 2010
Meaningful UseObjectives
Meaningful UseObjectives
E-RxE-Rx
Provide Patient Summary Record
Provide Patient Summary Record
Electronically Submit Data to Immunization Registries
Electronically Submit Data to Immunization Registries
Certification CriteriaCertification Criteria
Capability to E-Rx must be includedCapability to E-Rx must be included
Capability to electronically transmit a patient summary record must be included
Capability to electronically transmit a patient summary record must be included
Capability to electronically transmit immunization data must be included
Capability to electronically transmit immunization data must be included
StandardsStandards
NCPDP SCRIPT8.1/10.6 must be used
NCPDP SCRIPT8.1/10.6 must be used
Continuity of Care Document (CCD) or Continuity of Care Record (CCR) must be used plus vocabulary standards
Continuity of Care Document (CCD) or Continuity of Care Record (CCR) must be used plus vocabulary standards
HL7 2.5.1 or HL7 2.3.1andCVX Code Set
HL7 2.5.1 or HL7 2.3.1andCVX Code Set
Questions for Meaningful Use
• CPOE and Decision Support: Am I positioned for physician engagement?
Questions for Meaningful Use
• How will I deal with the eligible EHR cost definition ambiguity for CAHs?
Questions for Meaningful Use
• Am I ready for the clinical quality measures (ie. ER, VTE, and Stroke) data capture?
Questions for Meaningful Use
• Have you conducted your “meaningful use” gap analysis?
Questions for Meaningful Use
• What about Health Information Exchange (HIE)?
Questions for Meaningful Use
• What about Health Information Exchange (HIE)?
Questions for Meaningful Use
• Where is the trained health IT workforce going to come from?
» Community College Consortia
Contact DMACC: Stephanie WilsonCoordinator – Heath IT (HIT) Certificate [email protected](515) 964-6361
Contact Iowa e-Health: Kory Schnoor [email protected] (515) 281-6068
Contact HITREC: Susan Harr [email protected] (800) 373-2964
Contact IME: Kelly Peiper [email protected] (515) 974-3071
Contact ICN: Dave [email protected] 1-877-426-4692
Who you gonna call?
