Health Care Broadband Applications: Michael Hawton, MN Health


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A Presentation for the Blandin Foundation 2008 Broadband Conference, Connecting Communities: Making the Net Work in Minnesota.

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  • Health Care Broadband Applications: Michael Hawton, MN Health

    1. 1. Advancing Electronic Prescribing & Interoperable Electronic Health Records in Minnesota Blandin Broadband Conference Connected Communities: Making the Net Work for Minnesota December 4, 2008 Michael Hawton Project Manager Center for Health Informatics & e-Health Minnesota Department of Health
    2. 2. Topics for Discussion <ul><li>Information on Minnesota e-Health initiative </li></ul><ul><li>An overview of e-prescribing </li></ul><ul><li>An overview of interoperable electronic health records (EHRs) </li></ul><ul><li>The critical need to advance the broadband infrastructure </li></ul>
    3. 3. The Minnesota e-Health Initiative <ul><li>A public-private collaboration established in 2004 </li></ul><ul><li>Legislatively chartered </li></ul><ul><li>Coordinates and recommends statewide policy on e-Health </li></ul><ul><li>Develops and acts on statewide e-health priorities </li></ul><ul><li>Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way </li></ul>
    4. 4. Minnesota e-Health Initiative Vision “… accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions.” Source: e-Health Initiative Report to the MN Legislature, January 2004
    5. 5. State Mandates that Advance e-Health <ul><li>2011 e-Prescribing Mandate </li></ul><ul><li>All providers, group purchasers, prescribers, and </li></ul><ul><li>dispensers establish and maintain an electronic prescription drug </li></ul><ul><li>program that complies with applicable standards by January 2011 </li></ul><ul><li>2015 Interoperable EHR Mandate: </li></ul><ul><li>All healthcare providers and hospitals have interoperable EHRs by 2015 </li></ul><ul><li>MDH to develop a statewide plan to meet the mandate </li></ul><ul><li>Establish uniform health data standards by January 2009 </li></ul><ul><li>All EHRs must be certified by CCHIT or it successor assuming a certified EHR product for the provider’s particular setting is available </li></ul>
    6. 6. An Overview of e-Prescribing <ul><li>What is e-Prescribing? </li></ul><ul><li>Why e-Prescribing by 2011? </li></ul><ul><li>What are the benefits & challenges? </li></ul>
    7. 7. What is e-Prescribing? <ul><li>E-Prescribing&quot; means the transmission using electronic </li></ul><ul><li>media of prescription or prescription-related information </li></ul><ul><li>between a prescriber, dispenser, pharmacy benefit </li></ul><ul><li>manager, or group purchaser, either directly or through an </li></ul><ul><li>intermediary, including an e-Prescribing network. </li></ul>Source: Minnesota Statutes, section § 62J.497
    8. 8. Patient Visit Patient Eligibility Patient Benefits Drug Formulary Drug Medication History Pharmacy Router Payer/PBM Electronic Prescription Claim Remittance/ Payment Check Benefits Pick-up Rx What is e-Prescribing Process Flow? Source: MN e-Health Initiative, 2005 Doctor
    9. 9. What are the Benefits? <ul><li>Improving patient safety and quality of care </li></ul><ul><li>Reducing time spent on phone calls and call-backs to pharmacies </li></ul><ul><li>Reducing time spent faxing prescriptions to pharmacies </li></ul><ul><li>Automation of prescription renewal requests and authorization </li></ul><ul><li>Increasing patient convenience and medication compliance </li></ul><ul><li>Improving formulary adherence; lower cost drug substitutions </li></ul><ul><li>Allowing greater prescriber mobility. </li></ul><ul><li>Improving drug surveillance/recall ability. </li></ul><ul><li>Others… </li></ul>Source: National eHealth Initiative “A CLINICIAN’S GUIDE TO ELECTRONIC PRESCRIBING” October 2008
    10. 10. An Overview of Interoperable Electronic Health Records (EHRs) <ul><li>Statewide Implementation Plan </li></ul><ul><li>Minnesota Model for Adopting EHRs </li></ul>
    11. 11. Minnesota’s Statewide Implementation Plan for Interoperable Electronic Health Records Components of the Plan Part 1: Background Part 2: Minnesota Model for EHR Adoption Part 3: Emerging Issues Part 4: Recommendations Appendices Guide 1: Addressing Common Barriers Guide 2: Minnesota e-Health Standards Special Interest Area: # 1 Long Term Care # 2 Public Health Available at:
    12. 12. Which providers are covered by the mandate? <ul><li>All licensed providers and the settings in which they practice </li></ul><ul><li>Primary Care </li></ul><ul><li>Specialty care </li></ul><ul><li>Hospitals </li></ul><ul><li>Pharmacy </li></ul><ul><li>Laboratories </li></ul><ul><li>Radiology </li></ul><ul><li>Urgent Care </li></ul><ul><li>Ambulatory care </li></ul><ul><li>Long Term </li></ul><ul><li>Home Health Agencies </li></ul><ul><li>Hospice </li></ul><ul><li>Local Health Departments </li></ul><ul><li>Habilitation </li></ul><ul><li>Dental </li></ul><ul><li>Mental Health Care </li></ul><ul><li>State Agencies </li></ul><ul><ul><li>Example Types of Settings – (Also see Appendix A) </li></ul></ul>
    13. 13. Minnesota Model for Adopting Interoperable Electronic Health Records <ul><li>Breaks achieving the 2015 Mandate into manageable steps </li></ul><ul><li>Applies across organizational settings </li></ul>Assess Plan Interoperate Readiness Effective Use Implement Select Achievement of 2015 Mandate Continuum of EHR Adoption Adopt Exchange Utilize
    14. 14. Using the Model to Measure EHR Adoption What strategies will shorten these lines and help move them to the right? Estimated range of adoption based on various surveys and other sources Minnesota Department of Health, February 2008 Primary Care Clinics Long Term Care Small hospitals Large Hospitals Pharmacies Assess Plan Interoperate Readiness Effective Use Implement Select Achievement of 2015 Mandate Continuum of EHR Adoption Adopt Exchange Utilize Radiology Local Health Departments
    15. 15. The Critical Need to Advance the Broadband Infrastructure <ul><li>Essential for using E-prescribing. </li></ul><ul><ul><li>Connects Physicians, Pharmacists and Payers </li></ul></ul><ul><li>Critical for achieving EHR interoperability (exchange of vital information) with stakeholders in the communities </li></ul><ul><ul><li>E.g. Hospital, clinics, LTC, Public Health </li></ul></ul><ul><li>Access is needed where care is delivered </li></ul><ul><li>Cost needs to be affordable </li></ul>
    16. 16. Other Ways You Can Help Advance e-health in Minnesota <ul><li>Communicate 2011 E-prescribing and 2015 EHR Mandates </li></ul><ul><li>Support adoption and use of EHRs, in your communities </li></ul><ul><li>Participate in policy development </li></ul><ul><li>Support pilot projects and incentives to bring broadband to health and health care settings </li></ul>
    17. 17. Minnesota e-Health Web Resources <ul><li>e-Health mandates </li></ul><ul><li>Reports & Recommendations </li></ul><ul><li>Advisory Committee </li></ul><ul><li>Standards </li></ul><ul><li>Workgroups </li></ul><ul><li>Factsheets, Tools & Templates </li></ul><ul><li>Links to resources </li></ul><ul><li>Center for Health Informatics </li></ul><ul><li>Minnesota e-Health Initiative </li></ul><ul><li> -health </li></ul><ul><li>[email_address] </li></ul>
    18. 18. Thank You! - Questions <ul><li>Michael Hawton </li></ul><ul><li>651-201-3598 </li></ul><ul><li>[email_address] </li></ul><ul><li>Center for Health Informatics & e-Health </li></ul><ul><li>Minnesota Department of Health </li></ul>