IT Bricks and Mortar to Optimize Patient Centered Medical Homes

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IT Bricks and Mortar to Optimize Patient Centered Medical Homes

  1. 1. 2011 ONC Annual MeetingIT Bricks and Mortar to Optimize PatientCentered Medical Homes(Twitter: #ITPCMH ) November 17, 2011
  2. 2. IT Bricks and Mortar to OptimizePCMH Session Agenda – Session Aims and Introduction: 5 min – The Macro-opportunity and The Micro-challenge: 10 min – Progress at the Community Level (panelists): 40 min – Getting to scale/building the agenda for different stakeholders and Q&A: 25 min – Recap/Lessons Learned: 5 min Office of the National Coordinator for 11/17/11 Health Information Technology 1
  3. 3. IT Bricks and Mortar to OptimizePCMH Session Aims Janhavi Kirtane, Director of Clinical Transformation, Beacon Community Program, ONC 1. Understand the tremendous opportunity for IT to deliver on the promise of PCMH 2. Appreciate the current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results 3. Propose priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level Office of the National Coordinator for 11/17/11 Health Information Technology 2
  4. 4. IT Bricks and Mortar to OptimizePCMH The Macro-opportunity and The Micro-challenge Featuring Guests: – David Nace, MD, Vice President and Medical Director, McKesson Corporation – Steven Waldren, MD, MS, Director, Center for Health Information Technology, American Academy of Family Physicians (swaldren@aafp.org @techydoc) Office of the National Coordinator for 11/17/11 Health Information Technology 3
  5. 5. What is PCMH? 11/17/11 4
  6. 6. IT PCMH Blueprint • There is not just one • Requires detailed descriptions of PCMH • Must take into account all relevant attributes • Much more than check the box functionality • Ultimately requires effective use Image Source: http://www.flickr.com/photos/wscullin/3770015203 Office of the National Coordinator for 11/17/11 Health Information Technology 5
  7. 7. Welcome to the Practice’s World Health Reform Comprehensive Primary Care Accountable Care Organizations Certified EHR technology E-prescribing Incentive ICD-10 Meaningful Use Patient Empowerment Quality Reporting Care Coordination Looming SGR Cuts HIESeeing patients Patient-centered medical home Pay for Performance Weak Economy Private practice vs. Employed Office of the National Coordinator for Health Information Technology 6 11/17/11
  8. 8. Aligning for Synergy PCMH PCMH Comprehensive Primary Care Accountable Care Organizations Comprehensive Primary Care Meaningful Use Accountable Care Organizations ICD-10 Meaningful Use ICD-10E-prescribing Incentive E-prescribing Incentive Quality Reporting Quality Reporting Office of the National Coordinator for 11/17/11 Health Information Technology 7
  9. 9. Progress at the Community Level Quick Community Round-Robin (7-8 min each) – Crescent City Beacon Community (New Orleans): • Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane Community Health Centers • Elizabeth Pharo, Director of Client Services at SuccessEHS, Project Facilitator, CCBC/PCMH project – Rhode Island Beacon Community: • Darby Buroker, Director, Beacon Program Management / Rhode Island Quality Institute • Chuck Jones, President and CEO / Thundermist Health Center – Western NY Beacon Community: • Sarah Fleming Cotter, Director, Ambulatory Health Information Technology at Catholic Medical Partners 11/17/11 Office of the National Coordinator for 8 Health Information Technology
  10. 10. Getting to scale/building the agendafor different stakeholders and Q&A • Opportunity: Decrease the noise by setting clear priorities for an IT-PCMH agenda – What do we need to every time in a practice, and do well? – What will drive greater scale and uptake of promising IT- enabled interventions and practice transformation? – What are the top priorities for other stakeholders who could accelerate improvement at the macro level: employers, payers, states, vendors, professional organizations, collaborative? Office of the National Coordinator for 11/17/11 Health Information Technology 9
  11. 11. Recap/Lessons Learned • In this session, we reviewed: – Progress at the Community Level: • Crescent City Beacon Community (New Orleans) • Rhode Island Beacon Community • Western NY Beacon Community – The tremendous opportunity for IT to deliver on the promise of PCMH – The current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results – Priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level – Evaluation Reminder Office of the National Coordinator for 11/17/11 Health Information Technology 10
  12. 12. Additional Resources • “Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations“ - http://www.pcpcc.net/guide/better_to_best • “The House that Tech Built” - http://digital.healthcaregroup.advanstar.com/nxtboo ks/advanstar/medec_20110710/index.php?startid=2 6 11

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