it bricks and mortar to optimize patient centered medical homes

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(Twitter: #ITPCMH ) November 17, 2011 IT Bricks and Mortar to Optimize Patient Centered Medical Homes 2011 ONC Annual Meeting

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Page 1: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

(Twitter: #ITPCMH )

November 17, 2011

IT Bricks and Mortar to Optimize Patient Centered Medical Homes

2011 ONC Annual Meeting

Page 2: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

IT Bricks and Mortar to Optimize PCMH

Session Agenda

– Session Aims and Introduction: 5 min

– The Macro-opportunity and The Micro-challenge: 10 min

– Progress at the Community Level (panelists): 40 min

– Getting to scale/building the agenda for different stakeholders and Q&A: 25 min

– Recap/Lessons Learned: 5 min

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Office of the National Coordinator for Health Information Technology 11/17/11

Page 3: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

IT Bricks and Mortar to Optimize PCMH

Session Aims

Janhavi Kirtane, Director of Clinical Transformation, Beacon Community Program, ONC

1. Understand the tremendous opportunity for IT to deliver on the promise of PCMH

2. Appreciate the current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results

3. Propose priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level

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Office of the National Coordinator for Health Information Technology

Page 4: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

The Macro-opportunity and The Micro-challenge

Featuring Guests:

– David Nace, MD, Vice President and Medical Director, McKesson Corporation

– Steven Waldren, MD, MS, Director, Center for Health Information Technology, American Academy of Family Physicians ([email protected] @techydoc)

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IT Bricks and Mortar to Optimize PCMH

11/17/11

Office of the National Coordinator for Health Information Technology

Page 5: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

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What is PCMH?

11/17/11

Page 6: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

• There is not just one

• Requires detailed descriptions of PCMH

• Must take into account all relevant attributes

• Much more than check the box functionality

• Ultimately requires effective use Image Source: http://www.flickr.com/photos/wscullin/3770015203

IT PCMH Blueprint

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Office of the National Coordinator for Health Information Technology

Page 7: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

Accountable Care Organizations

Patient-centered medical home

Meaningful Use

Health Reform

ICD-10

Pay for Performance

Quality Reporting Care Coordination

Patient Empowerment

Weak Economy

Looming SGR Cuts

Seeing patients

Certified EHR technology

Comprehensive Primary Care

Private practice vs. Employed

HIE

E-prescribing Incentive

Welcome to the Practice’s World

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Office of the National Coordinator for Health Information Technology

Page 8: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

Accountable Care Organizations

Meaningful Use

ICD-10

Quality Reporting

Comprehensive Primary Care

E-prescribing Incentive

Accountable Care Organizations

Meaningful Use

ICD-10

Quality Reporting

Comprehensive Primary Care

E-prescribing Incentive

PCMH PCMH

Aligning for Synergy

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Office of the National Coordinator for Health Information Technology

Page 9: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

Quick Community Round-Robin (7-8 min each)

– Crescent City Beacon Community (New Orleans): • Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane

Community Health Centers

• Elizabeth Pharo, Director of Client Services at SuccessEHS, Project Facilitator, CCBC/PCMH project

– Rhode Island Beacon Community: • Darby Buroker, Director, Beacon Program Management / Rhode

Island Quality Institute

• Chuck Jones, President and CEO / Thundermist Health Center

– Western NY Beacon Community: • Sarah Fleming Cotter, Director, Ambulatory Health Information

Technology at Catholic Medical Partners

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Progress at the Community Level

11/17/11 Office of the National Coordinator for Health Information Technology

Page 10: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

• Opportunity: Decrease the noise by setting clear priorities for an IT-PCMH agenda

– What do we need to every time in a practice, and do well?

– What will drive greater scale and uptake of promising IT-enabled interventions and practice transformation?

– What are the top priorities for other stakeholders who could accelerate improvement at the macro level: employers, payers, states, vendors, professional organizations, collaborative?

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Getting to scale/building the agenda for different stakeholders and Q&A

11/17/11

Office of the National Coordinator for Health Information Technology

Page 11: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

• In this session, we reviewed: – Progress at the Community Level:

• Crescent City Beacon Community (New Orleans) • Rhode Island Beacon Community • Western NY Beacon Community

– The tremendous opportunity for IT to deliver on the promise of PCMH

– The current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results

– Priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level

– Evaluation Reminder

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Recap/Lessons Learned

11/17/11

Office of the National Coordinator for Health Information Technology

Page 12: IT Bricks and Mortar to Optimize Patient Centered Medical Homes

• “Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations“ - http://www.pcpcc.net/guide/better_to_best

• “The House that Tech Built” - http://digital.healthcaregroup.advanstar.com/nxtbooks/advanstar/medec_20110710/index.php?startid=26

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Additional Resources