putting the meaning into “meaningful use”
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Putting the Meaning into “Meaningful Use”. Joshua Seidman, PhD Acting Director, Meaningful Use Office of Provider Adoption Support Office of the National Coordinator for HIT. A Seasonal View of Meaningful Use. A Seasonal View of Meaningful Use. Grass. Meaningful Use of Grass. - PowerPoint PPT PresentationTRANSCRIPT
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Putting the Meaning into “Meaningful Use”
Joshua Seidman, PhDActing Director, Meaningful UseOffice of Provider Adoption SupportOffice of the National Coordinator for HIT
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A Seasonal View of Meaningful Use
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A Seasonal View of Meaningful Use
Grass Meaningful Use of Grass
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A Personal View on Meaningful Use……Because Getting to MU Can Be a Painful (But Rewarding) Experience
Running ShoesMeaningful Use of Running Shoes
2010 Boston Marathon
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Getting to Meaningful Use……To Improve Health & Health Care
TECHNOLOGY ADOPTION
PRACTICE REDESIGN
CONSUMER ENGAGEMENT
HEALTH INFORMATION
EXCHANGE
MEANINGFUL MEANINGFUL USEUSE
OUTCOMES•Better Health•Transformed Care Delivery
•Reduce Health Disparities
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Staging of “Meaningful Use”
Focus of:
Stage 1
Stage 3
Stage 2
• HITECH goals– Not about technology– Improving health and transforming health care through
meaningful use of HIT
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Framework: HIT Policy Committee’s Recommended Five Priorities
• Improve quality, safety, efficiency and reduce health disparities
• Engage patients & families in their health care• Improve care coordination• Improve population and public health• Ensure adequate privacy & security protections for
personal health information
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……Time to GetTime to GetMUVingMUVing
Getting There…Getting There…
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Meaningful Use Vanguard Cohort (MUVers)
• MUVers will be role models and practices of excellence
• Early adopters and thought leaders
• Provide input in evaluation of achievement of Stage 1 MU objectives
• MUVers can be a testing ground for other initiatives –e.g., PCMHs
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What the MUVCohort Will Do
Gaps Advance MU Train
Spotlight HITRCtool needs
Build MUmomentum
Highlightbest practices
Identify neededMU CoPs
Case studies ofearly adopters
Open-sourceQM tools
Educate on Medicaid/state-specific issues
MU testing system
Identify challenges/trip wires
POSITION FOR PCMH, ACOs, OTHER HEALTH REFORM INNOVATIONS
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Thinking Long-Term AboutMeaningful Use
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Stage 2 MU Development Process
Stage 2 MU
Real-WorldExperience
With Stage 1
HITPC Stage 2Recommendations
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HIT Policy Committee MU Workgroup: Patient/Family Engagement Hearing
• Public hearing held April 20• FACA (Federal Advisory Committee) blog
– 50+ comments – Input accepted at http://healthit.hhs.gov/blog/faca/
• Part of planning trajectory for evolution of MU definition (Stages 2 & 3)
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Themes Emerging from Hearing & Blog
• Provide real-time patient access to data • Incorporate patient-generated data into EHR • Encourage innovation
– Connect home/community to care delivery settings– Consider a bold initiative (e.g., 50% of care rendered at home)
• Create sense of community among patients & with health team– Achieve 4 Es: engage, educate, empower, and enable– Meet needs of diverse population
• Focus more on patient outcomes measures– vs. traditional process measures
• Engage with the public about MU– Consider re-orienting MU criteria to what's meaningful to patients
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June 4 HITPC/MU WG HearingFocused on Health Disparities
• Using HIT to reduce disparities– Focus on solutions
• Three panels– Health literacy & data collection– Culture (includes language)– Access — to:
• Health care
• Health information
• Technology
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Agenda OverviewPanel 1: Health Literacy & Data Collection• Moderator: Neil Calman• Sara Czaja, University of Miami• Cynthia Solomon, MiVia• Gena Wilson, The Institute for Family Health [invited]• Silas Buchanan, The Cave Institute
Panel 2: Culture• Moderator: Joshua Seidman• Russell Davis, National Health IT Collaborative for the Underserved• M. Chris Gibbons, Johns Hopkins Urban Health Institute• Dianne Hasselman, Center for Health Care Strategies• Deena Jang, Asia/Pacific Islander American Health Forum
Panel 3: Access• Moderator: George Hripcsak• Carolyn Clancy, Agency for Healthcare Research & Quality, HHS• Howard Hays, MD, Indian Health Service, HHS• Ian Erlich, Maniilaq Association, Alaska [invited]• R. Scott Hawkins, Boston Healthcare for the Homeless• Cesar Palacios, Proyecto Salud Clinic
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Questions to Panelists
• What are greatest risks of HIT implementation in increasing disparities?
• What innovations can prevent these risks?• What research can guide HIT implementers?• What patient/family engagement strategies
can help support future MU of HIT?• How can MU of HIT reduce disparities?• What HIT applications can improve literacy,
access, cultural relevance of health info?
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Some Strategies to Pursue
• Ignoring technology not a viable strategy• Ethnographic observation to identify needs
– Meet people where they are
• EHR-generated data to tailor health info• Implications of making chart patient-accessible
Changing what clinicians record• Translation of clinical & administrative data• Multimedia: Not only text-based health info• Interactive approaches
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Engaging with ONC in Blogosphere & Twittersphere
Health IT Buzz• http://healthit.hhs.gov/blog/onc/
Federal Advisory Committee Hearings• http://healthit.hhs.gov/blog/faca/
Real-Time Updates on Twitter• https://twitter.com/ONC_HealthIT