Shaping a brighter future advancements in health it ccg submission
Shaping a brighterFuture: Advancements in Health IT February 16-18, 2012 | Philadelphia, PA 1
Understanding Health IT and how it relates to you• What does Health IT mean to you?• Do you know what an EMR is?• How do you see Health IT playing a role in your personal life?• How do you see it affecting your business, if at all?• How do you feel overall about the health care system?• What opportunities do you foresee taking place with technology in health care?• Are there any particular advancements you would like to see? 2
Despite the current U.S health care investment of over $1.7 trillionannually, Americans are still plagued by quality care concerns• Per capita health care expenditure in the United States far outstrips expenditure in other nations, yet Americans suffer from the burden of chronic disease at a higher rate than their counterparts in other nations• Most providers lack the information systems necessary to: – Coordinate a patient’s care with other providers and share needed information – Monitor compliance with prevention and disease-management guidelines – Measure and improve performance• Incentives within the U.S. health care system are misaligned, contributing to the high costs of care Demand Side Incentives Supply Side Incentives Health Care Costs • Insured patients, who are largely • Physicians and hospitals are still largely insulated from the costs of care, paid under a fee-for-service model that demand the most/best treatment, provides additional payment for each including interventions, prescriptions, visit/procedure, offering little incentive etc. that may have little efficacy to control utilization • The media intensifies this feeling of • Liability concerns fuel the tendency to entitlement and highlights “miracle provide all possible interventions cures” 3
Over the last 10 years, recent and aggressive legislation has helpedguide the development of Health IT in an effort to improve health care Legislation Impact on HITPresident’s Health Information • Executive Order signed by President Bush in 2004Technology Plan • Outlined a broad ten year plan to increase the reach of Health IT (HIT) with a focus on patients’ needs, values, and education • Established the Office of the National Coordinator for Health Information TechnologyHealth Information Technology for • A component of the American Recovery and Reinvestment Act of 2009, signedEconomic and Clinical Health into law by President Obama in 2009 • Serves as the guiding framework for expansion of HIT(HITECH) Act • Defines “meaningful use” and provides incentives and support to providers who adopt “meaningful use” of HIT into their practices • Addresses privacy and security concerns and implemented new rules regarding the accounting of disclosure of patient health informationPatient Protection and Affordable • Signed into law by President Obama in March 2010, the ACA includesCare Act (ACA) requirements that the federal and state governments establish new electronic systems for enrolling individuals in health insurance plans • The ACA emphasizes: — Transparency of the online process — Guidance for consumers to make informed decisions — Accommodations for a range of users — Privacy and security 4
By adopting Health IT solutions, standards, and best practices,health care providers will be able to offer superior care• Health IT is the comprehensive management of health information across computerized systems and its secure exchange between consumers, providers, government and quality entities, and insurers and includes:• Implementing Health IT solutions would: Estimated Annual Benefits from Inpatient Computerized Physician Order Entry Systems, After Full Adoption – Improve care quality and reduce errors – Reduce overall health care cost by an estimated $77B per year* – Increase patient involvement and collaboration – Increase administrative efficiency, reducing cost, effort, and time to complete tasks• Current Health IT solutions include: – Electronic Medical records (EMRs) – Computerized provider order entry (CPOE) – E-Prescribing (eRx) – Electronic data immunization – Electronic syndromic surveillance data Source: Rand Corporation Study, Can HIT Lower Costs and Improve Quality? – E-copies of health info to patients 5
To enable a smooth adoption of Health IT, the industry must understand EMRs and the role it plays in future health services 8 Information TechnologiesElectronic Medical Record (EMR) is a computerized to Supplement EMRsmedical record created in an organization that delivers Electronic Transcribing – automated clinicalcare, i.e. hospital or physicians office note taking that creates document-sharing among multiple locations• Usage– only 10% of hospitals have integrated their Electronic Lab Reporting (ELR) – automated systems web-based lab reporting, that helps timeliness,• Legal Status– EMRs must be kept in its unaltered form, reduction of manual data entry errors, and by the health facility more complete reports• Tech Feature – EMRs enables patient records to be E-Prescribing – automated prescribing read & created on workstations and mobile devices; Clinical Content Repository – clinical content and access to Personal Health records to consumers management that offer users flexibility to• Event Monitoring – EMR systems monitor clinical change and manage content on their own events such as, predicting, preventing adverse events Document Imaging – scanning and paper i.e. discharges, transfers, lab results and others digitalization to assist with “medical grade”• Role in electronic Research network– connects medical documentation and productivity practitioners to researchers , promotes practice based Patient Registry and CRR Bulletin Board – basic patient population management, proven research networks and facilitates clinical research to improve chronic disease care Clinical Groupware – software that helps streamline work and automatically prioritizes the most time-consuming or needy patients 6
When utilizing Health IT, especially EMRs, it’s important to understand “Meaningful Use” and its impact on provider and patient services“Meaningful Use” seeks to drive clinicians toward improved decision-making, acknowledging thatadoption of EMRs alone is insufficient to transform care “Meaningful Use” of EMRs is an effort to: • Improve quality, safety, and efficiency • Ensure privacy and security • Reduce health disparities • Control costs • Engage patients and families • Improve public health • Improve care coordination • Facilitate research Furthermore: • Health information must be exchanged and used to inform clinical decisions at point of care • EMRs must provide a minimum set of required functionality and should be certified as such Ultimately, EMRS are just a vehicle, not the end goal; and it’s up to doctors, not technology, to help patients make the right decisions. 7
A phased implementation approach of “Meaningful Use” will guide thedevelopment of Health IT into the coming years • Electronic health data in a coded format • Tracking of key clinical conditionsStage 1 – Data Capture and • Communication of care outcomes & care coordination Sharing (Current state) • Implementation of clinical decision support tools for disease/ medication management • Reporting outcomes for public health purposes • Increase SSA’s capacity to hear and decide cases • Improve workload management practices of the hearings processStage 2 – Advanced Clinical • Encourages health IT use to enhance computerized provider order entry Processes (2013) • Transitions of care • Electronic transmission of diagnostic test results and research • Promotes improvements to quality and safety Stage 3 – Improved Outcomes (2015) • Focus on clinical decision support • encourages patient access and involvement to enhance health data
Despite tremendous adoption efforts, challenges to implementingand adapting to Health IT are inevitable• Laws prohibiting advancement, such as HIPPA• Paper based records are the most common method of recording patient information, and as such, a majority of doctors still use paper records compared to digital records• State requirements mandate that physical records be held for a minimum of seven years• Portability and Security vulnerabilities are incredibly concerning to many patients, as it is uncertain who will see what information, and how that information will be used 9
Opportunities for the advancement of Health IT------Update• Managing and improving Mayo Clinic your own health• Mobile app development• Systems development Cleveland• Change management Clinic• Medical device innovation• Cyber security needs• Hardware and software Johns innovation and migration Hopkins Can you identify other areas for opportunity, Clinic personally or professionally? 10
Understanding the health care environment will help you navigate yourpersonal health, and your business, in the years to come Be proactive in seeking new information Identify a source, be it a Update and manage your journal or online news personal medical records column, to stay currentBe inventive, and flag any Staying up to date in Build a network of opportunities that may the health care field, diverse professions, one relate to your business and making it being in the health field relevant to you Anticipate change in IT Get to know your health and be ready to environment, i.e., your react quickly physician and office Stay current on your work environment trends 11
Questions and Contact Information Kristine Martin Anderson Vice President Booz Allen Hamilton Inc. 1101 Wootton Pkwy Rockville, MD 20852 Tel (240) 314-5790 firstname.lastname@example.org Chris Foster Principal Booz Allen Hamilton Inc. 8283 Greensboro Drive Mclean, VA 22102 Tel (703) 377-0870 email@example.com 12
Additional Resources• 10 Technologies to Embrace before EMRs (http://www.healthcareitnews.com/news/10- technologies-embrace-emrs)• Five ways health IT will reduce the cost of care (healthcareitnews.com/news/five-ways- health-it-will-reduce-cost-care)• Information Exchanges Let Doctors Share Patient Data Efficiently (http://www.informationweek.com/news/healthcare/EMR/221601130)• Kaiser Health Information Background brief (http://www.kaiseredu.org/Issue- Modules/Health-Information-Technology/Background-Brief.aspx)• Rand Corporation Study, Can HIT Lower Costs and Improve Quality? (http://www.rand.org/pubs/research_briefs/RB9136/index1.html) 13
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