a presentation to the hie steering committee mendocino informatics thursday december 19, 2007 a....
TRANSCRIPT
A Presentation to the HIE Steering CommitteeMendocino Informatics
Thursday December 19, 2007A. John Blair, III, MD
CEO, MedAllies
MedAllies
EHR ImplementationHudson Valley Health Information
Exchange (HVHIE)Reporting Services
Public Health (PHRS) Quality (QRS)
Barriers to EHR Adoption
Prohibitive CostInadequate IT ExpertiseScarce ResourcesPoor Integration of Products
Inadequate IT Expertise
Practice Management System Legacy Systems Older Technology Less Network Complexity Lower Availability Requirement Lower Response Time Requirement
Internet Connectivity ASP
Strategy
IT Support Outsourcing Connectivity Healthcare Setting Application Familiarity New Understanding of Medical Practice Setting
Now clinical area and workflow effected in addition to administrative
Preventive Maintenance
Implementation Services
Coordinate ITPractice Consultant
MGMA Front office Billing office
Implementation Project management
Post Implementation CMIO Decision support Chronic disease management
Connectivity HIE
Physicians
Labs
Hospitals
Pharmacies
HVHIE
ReportingQuality
Public Health
CommunityHealth
Centers
Health Information Exchange
Evolution of Quality Reporting
Claims DataStructural Incentives
IT adoption and usage NCQA/POL
Clinical Data
Claims Based Incentives
2000 2004 20082006 20102002
Report Development
Transparency
P-4-P ProjectMulti-Payer
Single Payer P-4-P Project
Physician Feedback and Communication Efforts
Physician Feedback & Communication
Medical Council PCP Specialty Clinical leadership Strong quality focus
Initial Report Feedback Individual Group
Monthly Newsletter Physician Comment Period Prior to Incentive Payments
Structural Incentives
2000 2004 20082006 20102002
NCQA/PPC-MH
eRx
Community Viewer
Clinical Messaging
Physician Feedback and Communication
THINC RHIO, Quality Committee
NCQA Physician Practice Connections
Access / CommunicationPatient tracking / RegistriesCare Management Self Management Support Electronic Prescribing Test Tracking Referral Tracking Performance Reporting & Improvement Interoperability
2008 Incentive Pilot
FFS BaseStructural Incentive
PPC-MHProcess/Outcome Measure Incentives
Claims Data Multi-payer Aggregation
Clinical Measures CMS/AMA/NCQA/EHRVA Collaborative TCNY Project HL-7 Project
THINC RHIO, Inc.
Consumers
Operating Committees 1. Privacy & Consumer 2. Security & Technology 3. Quality & Clinical 4. Public Health 5. Finance
Board of Directors
Program Office
Hospitals
PayersPublic Health
Physicians
THINC RHIO
Board of Directors 1. Physicians 2. Hospitals 3. Community Health Center 4. Public Health 5. Consumer 6. Business
Committees
EmployersCommunity
HealthCenters
THINC RHIO, Quality Committee
Activities Determine performance measures Promote standards
HIE Measure metrics
Coordinate payment incentivesCommittee Composition
Physicians Hospitals Health plans Quality measures experts
Current Grants / Contracts
HEAL I 1,000 Ambulatory EHRs
MSSNY 50% Hardware Network Costs HEAL I EHRs
Pay For Performance Aggregated Claims Data and Report Medical Home
NHIN II Quality Reporting
CDC Public Health Reporting