Improving the Quality of Health and Care through Information and Technology

Improving the Quality of Health and Care

through Information and Technology

9/27/15

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Thomas A. Mason, M.D., Chief Medical Officer

Office of the National Coordinator for Health IT

• Office of the National Coordinator (ONC):

– Created in 2004 by executive order and Legislatively

mandated in the Health Information Technology for

Economic and Clinical Health Act (HITECH Act) of 2009

– Principal federal entity charged with coordination of

federal and nationwide efforts to implement and use the

most advanced health information technology and

2009 2015

EHR Incentive Program and 62

Regional Extension Centers Widespread adoption & _{meaningful use of EHRs}

HITECH Act Current State

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The Star and Swoosh, Putting the I in Health IT, the Putting the I in Health IT composite logo, HealthIT.gov, the HealthIT.gov composition logo, HealthITBuzz, and the HealthITBuzz composite logo are service marks or registered service marks of the U.S. Department of Health and Human Services.

Office of the National Coordinator for Health Information Technology

Program Goal:

Support the adopting and use of Health IT by assisting 100,000 of the nations 302,000 primary care providers

Every REC:

• Has a defined service area and specific number of providers

• Provides unbiased, practical support throughout process

• Serves as two-way pipeline to federal and local resources

REC Competencies Supporting

Practice Transformation

• Practice Health IT Education • EHR Vendor Selection

• EHR Implementation

• Practice Workflow Redesign • Meaningful Use Optimization • Health IT Change Management

• Financial Management and Reporting • Patient/Consumer Engagement

• Data Analytics for Population Health Management

• Clinical Quality Measurement • Clinical Quality Reporting

• Privacy and Security Assessments • Health IT Interoperability

• Project Management

• Health Information Exchange • EHR and Health IT Readiness

Assessments

• Long-Term Care Support Services • HIT Optimization

• Provider Outreach and Education • Strategic Planning

• Enable Partnerships with Local

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Current Impact

All Providers

CRM report: External Stakeholder Dashboard as of 2/2/15

An October 2013 GAO report found that Medicare providers working with RECs were over 1.9 times more likely to receive an EHR incentive payment then those who were not partnered with an REC

Source: GAO, Electronic Health Records: Number and Characteristics of Providers

Awarded Medicare Incentive Payments for 2011-2012, GAO-14-21R (Washington, D.C.: October 24, 2013)

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8

Physicians e-prescribing Using an

EHR

Office of the National Coordinator for Health Information Technology. 'Percent of Physicians e-Prescribing through an Electronic Health Record,' Health IT Quick-Stat, no.18 July 2014.

Hospital EHR Adoption

Increase in Adoption Nationwide

Office of the National Coordinator for Health Information Technology 9

¾

Source: ONC Data Brief No 23 April 2015: http://healthit.gov/sites/default/files/data-brief/2014HospitalAdoptionDataBrief.pdf

Provider EHR Adoption

Increase in Adoption Nationwide

Office of the National Coordinator for Health Information Technology 10

Sources: CDC NCHS Data Brief Number 143 http://www.cdc.gov/nchs/data/databriefs/db143.htm

http://dashboard.healthit.gov/dashboards/physician-health-it-adoption.php

% of all Physician Practices that Have Adopted Any EHR

National Average = 78%

21% Increase between 2012-13 of

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Next Phase of Evolution

• Interoperability

Interoperability Roadmap Vision

• Health IT Ecosystem where Health IT is readily

available to:

– Empower Consumers

– Support Clinical Decision Support

– Inform Population and Public Health

– Inform Value-Based Payment

– Advance Science

U.S. Department of Health and Human Services

Delivery System Reform

• Interoperable learning health system

– Better Care

– Smarter Spending

– Healthier Communities

• Key areas of focus:

1 - Improve the way providers are paid

Delivery System Reform:

Barriers

• Fragmentation of health care and social

services

• Addressing of determinants of health

• Community setting challenges

Delivery System Reform

• Meet people and communities where they are

– Every community is different

– Patient engagement and empowerment

• Person-centered care coordinated across the

care continuum.

– Exchange of information

• Ex. Dynamic shared electronic care plans

• Technology and Data infrastructure needed.

Delivery System Reform

• Standardize Technological Standards

• Motivate the use of Standards and Information Exchange

through appropriate incentives

• Leveraging the health information technology to address

social determinants of health and improve efficiency

– Practical and Useful at the Point of Care

• Need for interoperable health system to unlocking health

data to promote population health management

– Moving beyond care to improving health

– Advancing Health IT beyond EHRs