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iHT2 Health IT Summit in Seattle 2012 – Case Study "Connectivity in Health Care: A Foundation for Quality Care"

iHT2 Health IT Summit in Seattle 2012 – Case Study "Connectivity in Health Care: A Foundation for Quality Care"



The need for quality, coordinated care is not only nationwide concern, it’s a national priority. In this session, we will review the complexities and initiatives that make up the national health ...

The need for quality, coordinated care is not only nationwide concern, it’s a national priority. In this session, we will review the complexities and initiatives that make up the national health care landscape through the lens of Oregon Health Network (OHN), one of our country’s first and most successful statewide health care networks that was birthed through the FCC’s Rural Health Care Pilot Program. Ms. Lamb will set the stage for the challenges driving HIT initiatives across the country, explain the role of networks like OHN, and share what OHN has identified as the 12 health IT best practices that are required to assist any health IT specialist or initiative in achieving success. The mechanics behind the OHN model, status, and pursuit of sustainability will also be covered in this presentation.



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    iHT2 Health IT Summit in Seattle 2012 – Case Study "Connectivity in Health Care: A Foundation for Quality Care" iHT2 Health IT Summit in Seattle 2012 – Case Study "Connectivity in Health Care: A Foundation for Quality Care" Presentation Transcript

    • OREGON HEALTH NETWORK A Case Study:“Connectivity in Health Care: A Foundation for Quality and Coordination” Presented by: Kim Lamb Executive Director Oregon Health Network
    • Before we begin…Let’s Connect! Oregon Health Network @OregonHealthNet Hashtag: #iht2SEA
    • Agenda• The Challenge: National Landscape Complexities & Initiatives• The Goal: Better Health Care at Reduced Costs• The Solution: The Critical Role of Health IT• Oregon’s HIT Landscape: An Overview• About Us: Oregon’s 1st Statewide Health Care Highway• Questions
    • The Challenge: Landscape Interdependencies Health care plays a critical role in solving our nation’s largest problems: Economic Health Care Workforce• Health care costs • Health care operates • Flat/depleted pool represent one of in silos of trained physician, the greatest drivers • Cost of care going up allied health, health in our national debt for patients, IT expertise crisis physicians, providers, payers • Aging physician• Access to quality population • Insured population health care part of any community’s • Medicare/Medicaid • Higher Ed facilities ability to attract/ population going up; can’t keep up with retain businesses & reimbursement going the demand, as well citizen base to down as new types of achieve viability • Quality of care going health IT related down training/skill sets
    • The Challenge: Simplifying a Complex Landscape (Is this how YOU feel?)
    • Survey… Who knows what the Triple Aim is? (Please raise your hand!)
    • THE GOAL: Better health care at reduced costs Top-down vision and efforts Centers for Medicare & Federal Communications Medicaid (CMS) Commission (FCC) Goal: Triple Aim Improve Population Health Goal: National Connectivity Improve Patient Experience /Outcomes Solution to Support Integrated Reduce Costs Health Care Delivery
    • Navigating toward a SOLUTION… Then (& Now)… The FUTURE of IT• Core operational • Core operational infrastructure systems infrastructure systems operate in siloes are fully integrated• Decision and • Decision and policymakers policymakers not focused focus on broader on broader context context• Health IT used only by those with money & • Health IT used by everyone resources• Health IT viewed as • Health IT is a core optional requirement
    • Survey How many of you feel that your organization is putting sufficient resources (people, time, money) toward the development of betterhealth information technology (HIT)?
    • Oregon’s HIT Initiatives and Resources
    • • 501(c)(3) nonprofit, membership-based organization with 7.5 full time employees• Oregon’s Statewide Health Care Highway• Designed to support all Oregon providers in providing the next generation of patient-centered health care
    • Our Model: Who We Serve (Members) Hospitals/Health care Systems Clinics Government Agencies • Urban & Rural • FQHC • State • Tribal • City/Regional •Mental Health • National •School-based health •Dental •Naturopathic & Chiro etc. Allied Health & Payors & Pharmacies Distance Education Post-Secondary Education Facilities Long-Term Health & Assisted Living Facilities
    • Current Service OfferingConnectivity for Integrated, Patient-Centered Care • Scalable, reliable, high-speed, high-quality broadband connectivity to support your current and future Health IT applications & services • 24/7 monitoring of your connection by our Network Operations Center (NOC) • Network foundation for State’s HIE & HIT initiatives including and best positioned to support the new Coordinated Care Organizations (CCO’s) – Oregon’s version of the ACO’sHosted Services • NEW! OHN’s Telehealth Video Conferencing solution • New solutions and services, as identified by the OHN community, and which OHN is in a “unique” position to provide OHN’s expanding membership
    • Current Service Offering (cont’d)Best Practices • OHN network and business models designed to help Oregon’s providers effectively, efficiently, and affordably serve the Triple Aim goals of CMS and Oregon’s DHS & OHA • Enhance economic and workforce development by keeping patients and providers in the community • Access to growing best practicesAdvocacy • Federal and State advocacy on connectivity and collaboration; including the selection and possible administration of connectivity and health IT federal and state programs such as the FCC RHCPP and new Rural Health Care Support Mechanism (reformed RHCP)
    • Strategy: The Path to National Coordinated Care Today: Focus on Standard members, additional funding Past: FCC RHCPP Focus
    • Strategy: 12 Health IT Best Practices
    • Survey… Are you an Oregonian? Are you a member of OHN? How can you see networks like OHN helping you solve some of your HIT challenges?
    • Our Model & Status: Sustainability Membership Financial Network Value & Use
    • Our Model & Status: Membership• Hospitals and specialists as “anchor tenant” members  Status: On track• Retain FCC RHCPP members post 2014  Status: Pending FCC program reform results• Strategic addition of new member types/groups  Status: In process• 300 to 500 members by FYE 2014  Status: On track (230+) * Includes connection to State Data Center through to 14 Dept. of Corrections and 31 Oregon Youth Authority Facilities
    • Interactive Map: www.oregonhealthnet.org
    • Our Model & Status: Financial• Organizational Model  Status: On Track – Designed to accommodate an HIT organization vs. a non-profit administrative organization – Not grant-driven• Product Line: Moving past the FCC RHCPP program on to consulting, hosted services, reporting and best practices. Status: On Track• Membership: Moving past FCC RHCPP eligibility to rest of health care provider/education community. Status: On Track
    • Our Model & Status: Financial (cont’d)• Expenses  Status: On Track, with 7.5 FTE and hosted MS CRM/SharePoint infrastructure – Staffing: Scalability/flexibility of expertise to adapt to the changing needs of the organization with strategic investment in communications – Internal IT: Investing scalable internal/external systems such as MS CRM/SharePoint to maximize staff resources, industry reporting and expanding customer service needs.• Revenue: Cover 100% of our current operational costs through membership and hosted services/solutions by FYE 2014 Status: On track to close revenue gap by FYE 2014 through membership fees, hosted services and/or sponsorship.
    • Our Model & Status: Network• Leased services network model proven successful  Status: On track, successful • 10 telecom service providers serving OHN members; most local/small • 96.14 miles of new fiber deployed as a result of the OHN-RHCPP subsidy, and 321.16 miles of existing fiber utilized/leveraged• OHN Service Level Agreements (SLA’s)  Status: On track, successful • 99.9% average availability achieved• Multiple Paths to Connect > New OHN PoP solution  Status: On track, successful • Improved access/services for members who utilize Tier 1 Telecom service providers• Redundancy  Status: Pending/in process and based upon FCC Policy Reform efforts• Connection to other state networks (RHCPP’s)  Status: Pending market readiness, federal funding, reimbursement/licensing etc.
    • Status: FCC Rural Health Care Pilot Program (RHCPP)
    • Status: FCC Rural Health Care Pilot Program (RHCPP) http://www.fcc.gov/maps/rural-health-care-pilot-program
    • Our Model & Status: Value and Use• Broadband Utilization  Status: On Track for spike utilization goals and best practices• Telehealth  Status: On track, • Improved delivery/receipt of radiology/PACS/images • Telehealth: Stroke, NICU/PICU, Mental Health • Education: Grand Rounds, CME, Training+ • Operational Efficiencies/EHR• State Health IT strategies initiatives and funding  Status: On track, referenced/included in Oregon’s draft HIT strategic plan
    • Questions?
    • Thank you! Oregon Health Network @OregonHealthNet Hashtag: #iht2SEA