ONC Program Update

NCVHS MeetingFebruary 28 2013February 28, 2013

u yJ d   urp y, M h RN, FACMI FHIMSS FAANJ d M h RN FACMI, FHIMSS, FAAN Deputy National Coordinator for Programs and Policies, ONC

Meaningful Use –Professionals Reggistered and Paid

400,000

500,000

200 000

300,000

Total Professionals Registered: 350,844 

(67%)

100,000

200,000

Total Professionals Paid: 186,582 

(36%)2012 Goal

2013 Goal

0

2012 Goal

521,600 Total Eligible Professionals

Source: CMS EHR Incentive Program Data as of 12/31/2012

Meaningful Use –Hosppitals Reggistered and Paid

5,011 Total Eligible Hospitals

5,000Total Hospitals

4,000

Total Hospitals

Total Hospitals Registered: 4,224

(84%)

2,000

3,000

Total  HospitalsPaid: 3,525

(70%)

2013 Goal

1,000

2012 Goal

0

Source: CMS EHR Incentive Program Data as of 12/31/2012

Total EHR Incentive Payments to All Eligible Providers by Month

$

Cumulative Total$10,699 

$12,000 

$ 00

$1,600 

$1,357 

$8,000 

$10,000 

$1,200 

$1,400 

ions)

ons)

$836 

$629$659 

$

$702 

$905 

$6,000 

$ ,

$800 

$1,000 

Amou

nt Paid (M

illi

id per M

onth (M

illi

$276

$387 

$607 $564 

$629  $620 $586 

$429 $404 

$522 $579 

$4,000 

$400 

$600 

Cumulative 

Amou

nt Pai

$22  $16  $26  $31 

$109 $80 

$116 

$276 $237 

$0 

$2,000 

$0 

$200 

Source: CMS EHR Incentive Program Data as of 12/31/2012

http://dashboard.healthit.gov/

http://dashboard.healthit.gov/HITAdoption 

6

Health Information Exchange

• 94% of pharmacies are actively e‐Prescribing• 43 states and territories have directed exchange

– 60,359 clinical and administrative staff nationwide have access to directed exchange

– During Q3 2012 there were 79,957,695 directed exchange messages

• 20 states have statewide query‐based exchange–

(b12 additionalut not s at t

 id

state)s have query‐based exchange within regions 

(b t t t tewide)– 71,610 clinical and administrative staff nationwide have access 

to query‐based exchangeDuring Q3 2012 there we2012 there  re– During Q3 were 2 794 705 patient queries2,794,705 patient queries

• Only 4 states and 4 territories report not having any directed or query‐based exchange

• C idConsent guidance issued to i d ONC S HIEONC State HIE grantees b dbased on HITPC recommendations

Office of the National Coordinator for Health Information Technology

7

Beacon Community Update

• Featured successes include:– Early results featuring improvements in quality, cost and population health (all 

17 communities have at least 2 measures trending positively)

– Launch of new exchange capabilities in communities like New Orleans and San Diego

– Innovative methods to engage patient through remote patient monitoring and mobile health 

• Collaboration between 8 Beacon Communities and 6 EHR vendors to advance interoperability and exchange– T  h ce ollaboration has now enabled 51 primary care practice locations 

representing 432 providers and 447,000 patients to exchange a consistent patient summary care document to better manage transitions of care and to populate community data repositories or registries

• For more information,, view the Fact sheets demonstratingg progrep g ss for each of the 17 Beacon Communities (www.healthit.gov) 

8

Workforce Training – Community College Program Enrollment and Graduation

7,000

9473,4915,000

6,000

,

Students Enrolled or Completed: 21,917Attrition Rate: 29.5%

3,904 3,8183 151 3 100

360

947

891

2,000

3,000

4,000

2,2553,151 3,100

0

1,000

Northwest(8 Colleges)

Southwest(13 Colleges )

Midwest(17 Colleges)

South(20 Colleges)

Northeast(22 Colleges)(8 Colleges) (13 Colleges ) (17 Colleges) (20 Colleges) (22 Colleges)

Successfully Completed* Actively Enrolled

Community College Students as of December 2012

* Enrollment to date includes unique students reported in November 2012 cycle

9

Workforce Training ‐University‐BasedProgram Enrollment & Graduation

300

350 As of November 30, 2012

106

250

300

71

130

8876

150

200

226

53

4762100

150

138

46

133

34

12688

68

12453

51

0

50

0Columbia  Duke George 

WashingtonIndiana Johns 

HopkinsOHSU Texas State Colorado Minnesota

Graduated Enrolled Target

10

Consumer eHealth Access

AttitudesAction

ACCESSACCESS• 88 million Americans have access to 

Blue Button• 1 4 million Blue Button1.4 million Blue Button downloadsdownloads• 450 organizations joined the Blue 

Button Pledge Program

ACTIONACTION• 68 volunteer organizations joined 

Automate Blue Button S&I Framework Initiative #ABBIFramework Initiative #ABBI

• 230 submissions for the Health Record Design Challenge

• 3Winningg Apppps from the Blue Button Mash‐up Challenge

• Model PHR Privacy Notice 

ATTITUDESATTITUDES• 100,000 views of the Healthy New Year 

Video Contest alone. Ran six more video contests througghout 2012.

• 14,000 views of Health IT Animated Video 

• 1,400 participants in the first Annual Consumer Health IT Summit in September 2011. 

• Pilot to evaluate the role of patients in improving accuracy of information in medical record

p g y

• Hearing and report on Patient Generated Health Data 

• 3 Innovation roundtables ((Cancer Care, Gaming, Patient Access Summit)

• Interactive Strategic Plan (coming in late Feb 2013)

11

Policy and Planning

• Final Rules for Meaningful Use Stage 2 and 2014 Edition Standards & Cert Criteria publishedStandards & Cert Criteria published

• RFC for Meaningful Use Stage 3 closed Jan 15th

– CommenCommenttss rerevviieewweedd atat JanuaryJanuary && FFeebruarybruary HITPCHITPC MeetingsMeetings 

• RFC for Health IT Patient Safety Action & Surveillance Plan closed Feb 4th – Comments being compiled

• Using information from RFI on governance for nationwide health information exchange to develop a non‐regulatory approachh– Governance Funding Opportunity Pilots proposals under review  

• Progress made in making PDMP information availableProgress made in making PDMP information available electronically in real‐time for prescribers and dispensers

CERTIFICATION

UPDATE 12

Certification Update:2014 EDITION Testingg

Transitioned to the Permanent Certification Program in 2012.

Completed development of the 2014 Edition Test Method materials, in close collaboration with the National Institute of Standards and Technology (NIST). 

• Seven waves of•  draftSeven waves of draft test procedures, testtest procedures test data and test tool weredata and test tool werereleased for public review and input between September 2012 and November 2012.

• The revisedh   dd 2014 Edition Test Meth d lhod materials were approved fd foruse on December 14th 2012 by the National Coordinator and feature:

49 Test Procedures (17% more than the 2011 Edition)

29 ONC‐supplied Test Data sets (100% more than 2011 Edition)

9 Test Tools (over 5 times more than the 2011 Edition) –

includes sppecialized toolsets for Clinical Qualityy Measuresand HIE Transport Testing

Certified Health IT Product List (CHPL) Summary Data 02/14/13

• 2,994 Certified EHR Products

Ambulatory Inpatient Total

Complete EHRComplete EHR 12381238 284284 15221522

Modular EHR 781 691 1472

TotalTotal 20192019 975975 29942994

• 930 Unique EHR Vendors/Developers

ThisThis  tatabbllee  showshowss thethe tototatall cocouunntt ofof prproductsoductsThisThis tatabbllee showshowss  thethe  tototatall  cocouunntt  ofof  prproductsoducts..    AllAll  prproductoduct  veverrssiioonnss  araree  included.included.

14

E‐Quality Measures (eCQM)

•Across HHS ProgramsAlilign Measures

Report Once •Get credit for manyReport Once Get credit for many

•Built on common components: Standardize Logic & Value Sets

15

HHS Quality Improvement Tools

• CQM Developer and Implementer ToolsVSAC:  Value Set Authority Center (NLM)– VSAC: Value Set Authority Center (NLM) 

• Posted every value set in every CQM in the 2014 set– DEC:  Data Element Catalogg (ONC/NLM) ( )

• Posted every data element in every CQM in the 2014 Set

CYPRESS:  Certification Testing Software (ONC)– CYPRESS: Certification Testing Software (ONC)• Software that test vendor capture, calculation and submission

• Provider Tools: QI Population Dashboard– PopHealth: Patient‐level view of e‐measures

Initiative Portfolio Snapshot

Direct Project(S&I Archetype)

Transitions of Care

Q H lth

Lab Results Interface 

Balloted

Balloted

ProviderDirectories

Query Health 

Data Segmentation for Privacy 

esMD 

Public Health Reporting

Longitudinal Coordination of CareLaboratory Orders InterfaceInterface

Health eDecisions

Automate Blue Button  Plus

Pre‐Discovery Use Case Harmonization RI, Test & Pilot Evaluation

HealthIT.gov Redesigned

HealthIT.gov – lots of new info!

http://challenge.gov/

http://challenge.gov/ONC• Mobile Apps• Designs• Videos

Thank you!Thank you!For more information, contact:

judyj y.murphp y@y@hhs.govg