“safety net” recs: best practices for provider engagement panelist: ruth t. perot, managing...
TRANSCRIPT
“Safety Net” RECs: Best Practices for Provider Engagement
Panelist: Ruth T. Perot, Managing Director, NHIT
David R. Hunt, MD, FACSDominic H. Mack, MD, MBA
Antonio FernandezTom Kauley
August 6th, 2013
Webinar Overview
• This webinar is the second in a series, sponsored by the National Health IT Collaborative for the Underserved (NHIT), that highlights the impact of HIT on the underserved and health disparities. NHIT works to assure that providers and consumers, with a focus on communities of color, benefit from HIT advances and resources.
• This event will focus on the role of Regional Extension Centers (RECs) in assisting providers in and from these populations. Panelists are leaders of RECs that have helped providers adopt electronic health records and receive meaningful use (MU) incentives.
Webinar Objectives
• Understand the purpose and role of RECs
• Clarify requirements/timelines for REC services
• Learn about RECs focused on providers in and from communities of color – who they engage, activities and results
• Hear discussion of lessons learned – what works and what does not work to engage providers of focus
• Identify promising/best practices and strategies
• Foster discussion among webinar participants
David R. Hunt, MD, FACSMedical Dir., HIT Adoption & Patient SafetyONC, Office of the Chief Medical Officer
“Safety Net” RECs: Best Practices for Provider Engagement."
Practice Sustainability
Dominic H. Mack MD, MBA
GA-HITEC
GA-HITEC is Georgia’s only federally-funded and endorsed expert to assist primary care providers in achievement of meaningful use of electronic medical records technology.
GA-HITEC PPCP Zip Code Distribution
53 Hospitals & 4400+ Primary Care Provider Members
GA-HITEC Supports Georgia Providers & Hospitals
Road Map to Meaningful Use (MU)
Rural and CAHs GA-HITEC Education and Training
Session Attendees
HIPAA-Privacy, Security, & 5010 636
HIPAA Training & Certification 36
MU Series (1-6) for Hospitals 404
MU Sessions for Hospital physicians 145
Computing 433
Medicare/Medicaid/HIT 2298
CNO Workshop (2) 95
Fall Conference 240
GA Rural HIT Forum 73
MUVers Ceremony 82
ONC Workforce Development 42
Attestation Support Series (Nov-Dec) 32
Total Attendees 4516+
Membership Benefits
Dedicated resource Assistance with attaining MU goals
within 1 year* (Guaranteed!)• Stage 1 or 2
Access to CE training Discounted fee-for-service
offerings Access to “virtual” HIT lab
Meaningful Use
Your Trusted Advisor for Meaningful Use and HIT
www.ga-hitec.org
Antonio FernandezDirector
Ponce School of Medicine & Health Sciences Regional Extension Center
MISSION: The Ponce School of Medicine & Health Science Regional Extension Center (PSM REC) was organized to assist 4,038 Priority Primary Care Physicians, all serving Minority and Underserved Communities in the Adoption and Meaningful Use of Electronic Health Records and Health IT to improve access, quality of patient care and efficiency of their practices.
Ponce School of Medicine REC
Population in PR & USVI 3.9 Million1.7 Million are Medicaid Eligible700,000 are Medicare Beneficiaries400,000 are served at 50+ FQHC’s About1.4 Million Commercially InsuredAbout 400,000 are uninsured
Facts Slide
Over 60% of the population is served under “Medicaid” Managed Care Plans managed by Private Insurers, and sub-contracted with IPAs and Medical Groups78% of Medicare Population enrolled in Medicare Advantage ProgramsCommercial Sector mostly PPO/Open Access Fee-For-Service
Overview of Health System
As of August 4, 2013
Milestone 1 4,038 + (100% of Goal)
Milestone 2 2,411 (60% of Goal)
Milestone 3 318 (8%)
- 94% of Providers Serve Medicaid Population
- 93.8% in Small Group (mostly solo) Practices
Additional Providers served by REC
Specialists & Dentists 500
Acute Care Hospitals 30
Status & Goals
Enhanced Practice Support for EHR Adoption and MU for Small Practices Development of Spanish Modules for Patients and Families including Discharge/Clinical Summaries, CCDs, Patient RemindersE-Prescription Education CampaignBilingual HIT Workforce Development Curriculum and Programs
Areas of Opportunity
Best Practices & Collaboration – ONC, Other RECs Alignment with various federal initiatives and innovation programs (ACOs, PCMHs, CMMI)Medicaid HITECH Programs and Funding SupportCollaboration with Health Plans for quality, care coordination & continuity of incentivesFoster Customization of HIT SolutionsBilingual Patient & Family Engagement ProgramsExpansion of Scope to other Regions with Minorities and Under-served populations working with other RECs (NY, NJ, DL, IL, FL)
Strategic Approaches & Solutions
Tom Kauley, Senior Consultant, National Indian Health Board REC
National Indian Health Board REC
Provide health IT services to 2,700 primary care providers working in Indian Health Service/Tribal/Urban Indian (I/T/U) health facilities.
Providers serve approximately 2 million American Indians and Alaska Natives located in medically-underserved communities in 35 states across the U.S.
National Indian Health Board REC
Per Capita Health Care Expenditures Comparison
IHS expenditure on user population: $2,741
Total U.S. population expenditure:
$7,239Source:
http://www.ihs.gov/newsroom/factsheets/ihsyear2013profile/
*There are 33 urban programs, ranging from community health to comprehensive primary health care services.
Source: Indian Health Service Website http://www.ihs.gov/newsroom/factsheets/ihsyear2013profile/
Indian Health System
Indian Health System Facilities
HospitalsHealth Centers
Alaska Village Clinics
Health Stations
IHS 28 61 N/A 33
Tribal 16 235 164 75
National Indian Health Board (NIHB) REC
Serving “INDIAN COUNTRY”
Status as of August 2, 2013 – Eligible ProvidersNIHB REC Milestone 1 = 2,700 Providers = 100%NIHB REC Milestone 2 = 2,700 Providers = 100%NIHB REC Milestone 3 = 715 Providers = 26%Status as of August 2, 2013 – CAHs/RHsNIHB REC Milestone 1 = 26 CAHs/RHs = 100%NIHB REC Milestone 2 = 25 CAHs/RHs = 96%NIHB REC Milestone 3 = 19 CAHs/RHs = 73%
ONC Milestones NIHB REC Goals
NIHB REC“Boots-on-the-Ground”
National Service Delivery Strategy
Four Sub Recipients Alaska Native Tribal Health Consortium (ANTHC) – State of AlaskaCalifornia Rural Indian Health Board (CRIHB), Inc. – State of California and REC services to Tribal and Urban Indian health facilities that select to implement and use Commercial-Off-The-Shelf (COTS) Electronic Health Records (EHRs)Northwest Portland Area Indian Health Board (NPAIHB) – States of Oregon, Washington, and IdahoUnited South and Eastern Tribes, Inc. (USET) – 30 State service area (AL, AZ, CO, CT, FL, IL, IA, KS, LA, ME, MA, MD, MI, MN, MS, MT, NE, ND, NV, NM, NY, NC, OK, RI, SC, SD, TX, UT, WI, WY)
Interaction Among Panelist
Q&A
•Sponsor future webinars to share current information and successes from the field and foster exchange of views
•Congressional briefing in September to present multicultural perspectives on HIT adoption and use
•Report forthcoming on HIT successes involving people of color and other underserved
Visit www.nhitunderserved. org
Next Steps
Thank You!
Ruth T. PerotManaging Director, NHIT
Luis BelenSenor Consultant, NHIT
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