Your SlideShare is downloading. ×
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
54
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. NHIN 204 – Beacon Communities: Spotlight on HIE Success StoriesFACULTY:Craig Brammer – Deputy Director, BeaconCommunities Program, ONCMODERATOR:Aaron SeibInterim CEONational eHealth Collaborative
  • 2. NHIN UniversityNational eHealth Collaboratives NHIN University is a series of free webinars intended to provide stakeholders with knowledge about what the Nationwide Health Information Network (NHIN) is, how it works, and the vital trust fabric that underpins the safe and secure exchange of health information over the Internet.•NHIN 201 - The Importance of the Standards and Interoperability Framework•NHIN 202 - NHIN Governance Authorities•NHIN 203 - The Direct Project: Where We Are Today•NHIN 204 - Beacon Communities: Spotlight on HIE Success Stories•NHIN 205 - Revisiting the NHIN Value PropositionRegister for NHIN University: www.NationaleHealth.org/NHIN-U Students may request a Spring Semester Certificate of Completion at www.NationaleHealth.org/NHIN100certificate.aspx after completing NHIN 101 – 105. To view recorded classes, go to www.NationaleHealth.org/NHIN-U or the HIMSS eLearning Academy.
  • 3. Please enter your questions orcomments in the Q&A window at the bottom right of your screen. OR… • Send us an email at info@nationalehealth.org • Tweet a question using hashtags #NeHC or #NHINU • Join the conversation on NeHC’s new Facebook page at http://www.facebook.com/pages/National-eHealth- Collaborative/153115611367411
  • 4. HITECH in Action: The Beacon Community ProgramCraig BrammerOffice of the National Coordinator for HealthInformation Technology
  • 5. Agenda• Beacon Community Aims and Conceptual Model• Beacon Logic Models• Beacon Support Infrastructure• Exchange Characteristics in 9 Beacon Communities
  • 6. Beacon Community Aims• Demonstrate Better Care enabled by HIT – Show that diverse communities can achieve quality, affordable, efficient care, healthy people and communities• Support Lasting Learning Networks – Wide range of stakeholders can collaborate, design, & implement new ideas that improve health & health care• Provide lessons & best practices for other communities
  • 7. HITECH Addresses Barriers to AdoptionObstacle Intervention Funds AllocatedMarket Failure, Need for Medicare and Medicaid EHR Incentive $27.3 B*Financial Resources Programs for “Meaningful Use”Addressing Adoption Regional Extension Centers $643 MDifficulties Health IT Research/Resource Center $50 MWorkforce Training Workforce Training Programs $84 MAddressing Technology Strategic Health Information $60 M Technology Advanced ResearchChallenges and Providing ProjectsBreakthrough Examples Beacon Communities Programs $250 M Policy Framework AddressedPrivacy and Security New Privacy and Security Policies across all ProgramsNeed for Platform for Health NHIN, Standards and Certification $64.3 MInformation Exchange State Cooperative Agreement Program $548 M*$27.3 B is high scenario
  • 8. Beacon Community Conceptual Model Sustainable Quality & Efficiency Improvements Care Delivery Measurement Payment Innovations & Provider Reform Feedback Decision support Quality Accountable care organizations Rx management Efficiency Bundled payments Care coordination Population health Advanced medical Discharge planning homes Foundation of Health IT Electronic health records and information exchange 8
  • 9. Beacon Communities 9
  • 10. Beacon CommunitiesLead Organization LocationCommunity Services Council of Tulsa Tulsa, OklahomaDelta Health Alliance Stoneville, MississippiEastern Maine Healthcare System Brewer, MaineGeisinger Clinic Danville, PennsylvaniaHealthInsight Salt Lake City, UtahIndiana Health Information Exchange Indianapolis, IndianaInland Northwest Health Services Spokane, WashingtonLouisiana Public Health Institute New Orleans, LouisianaMayo Clinic College of Medicine Rochester, MinnesotaThe Regents of the University of California, San Diego San Diego, CaliforniaRhode Island Quality Institute Providence, Rhode IslandRocky Mountain Health Maintenance Organization Grand Junction, ColoradoSouthern Piedmont Community Care Plan, Inc. Concord, North CarolinaUniversity of Hawaii at Hilo Hilo, HawaiiWestern New York Clinical Information Exchange Buffalo, New YorkHealthBridge Greater Cincinnati, OhioSoutheast Michigan Health Information Exchange Greater Detroit 10
  • 11. Beacon Community Workplan Program GoalsCommunity Beacon “Community Objectives” encompassing CO CO CO CO cost, quality, and population healthObjectivesMeasured MO MO MO MO MO MO MO MO Well-defined measurable improvement goalsOutcomes Defining risks and barriers and establishing plans to prevent or mitigate them Defining risks and barriers and establishing plans to prevent or mitigate themOutputs O O O O O O O O O O O O Operational and process results of core activitiesActivities A A A A A A A A A A A A Tasks/interventions leading to outputsResources R R R R R R R R R R R R R R R R R R R R R R R R Resources needed to support activities and meet stated outcome goals Sustainability plan outlining provider reimbursement, Sustainability plan outlining provider reimbursement, program revenue, and other strategies program revenue, and other strategies 11
  • 12. Indiana Health Information Exchange Service area Central Indiana Population 1,154,294 people in target population 2,700,000 people in geographic service area Summary of Action Plan HIE-based measurement and provider feedback P4P, accountable care organizations and payer engagement Remote telemonitoring Selected Performance Improvement Goals Quality Population Health Cost/EfficiencyIncrease by 10% the proportion of Increase by 5% the proportion of Reduce by 3% the number ofdiabetic patients with controlled patients screened for colorectal and ambulatory care sensitiveblood sugar levels (HbA1c<9.0%) cervical cancer (ACS) hospital admissionsIncrease by 10% the proportion of Increase by 5% the rate of adult Reduce by 3% the number ofdiabetic patients whose cholesterol immunizations, with an initial ACS emergency visitsis controlled emphasis on the flu Reduce by 10% the number of ACS readmissions Reduce by 10% the number of redundant radiologic studies
  • 13. Rocky Mountain Health Maintenance Organization Service area Grand Junction Area, CO Population 298,028 target population/people in geographic service area Summary of Action Plan HIE-based performance measurement and feedback HIE-based care coordination in conjunction with PCMH payment reform Technology-enabled patient activation Selected Performance Improvement Goals Quality Population Health Cost/EfficiencyEnsure that all identified Increase the number of children Reduce unnecessaryhypertension patients are in the immunized within the 90th percentile emergency department90th percentile based on national utilization among childrendata Increase by 5% the number of uninsured children who are  5% Medicaid andEnsure that all identified diabetic immunized at equivalent rates to uninsured, 1% privatelypatients are in the 90th percentile other populations uninsuredbased on national data Increase the number of all patients Reduce unnecessary hospital immunized greater than 5% above readmissions within 90 Days of the 90th percentile Discharge in Children  2% Medicaid and uninsured, 0.5 % privately uninsured
  • 14. Communities of Practice and TA DomainsActivities across the 5 domains will align to enable high quality, costefficiencies, patient-focused health care, and population healththrough clinical transformation.
  • 15. HIE Maturity HIE Maturity Level Definitions Beacon CommunitiesMature Exchange Operational, sustainable community-wide • Central Indiana Beacon Community exchange capabilities with a history of • Greater Cincinnati Beacon Collaboration expansion (e.g., additional data types, stakeholders, services) and measurable results or outcomes.Coordinated Exchange Operational community exchange capabilities • Bangor Beacon Community or leveraging other operational HIE networks • Beacon Community of Inland Northwest (e.g., at the state level), with exchange • Colorado Beacon Consortium occurring among nonaffiliated entities. May • IC3 be limited in HIE services and connected • Keystone Beacon Community stakeholders, lack a history of growth, and • Rhode Island Beacon Community may be undergoing pilot phases, etc. • Southeastern Minnesota Beacon Community • Western New York Beacon CommunityActive Exchange Active exchange occurring in the Community, • Greater Tulsa Health Access Network, but in silos. May be leveraging a more Inc. mature HIE network (e.g., at the state level). • Southeastern Michigan Beacon CommunityFormative Exchange Limited to no exchange actively occurring in • BLUES Beacon Community Grant the Community, where most HIE activity is at • Crescent City Beacon Community the planning or piloting levels. May be leveraging a more mature HIE network (e.g., • Hawaii Island Beacon Community at the state level). • San Diego Beacon Community Collaborative • Southern Piedmont Beacon Community
  • 16. An HIE Study of 9 Beacons Beacon Name (Short Name) Icon Bangor Beacon Community (Bangor) Beacon Community of Inland Northwest (Inland NW) Central Indiana Beacon Community (Central Indiana) Greater Cincinnati Beacon Collaboration (Greater Cincinnati) Keystone Beacon Community (Keystone) Rhode Island Beacon Community (Rhode Island) Southeastern Michigan Beacon Community Collaborative (SEMBCC) Southeastern Minnesota Beacon Community (SE Minnesota) Western New York Beacon Community (Western NY)
  • 17. Stakeholders Participating in HIE
  • 18. Stakeholders Participating in HIE (cont)
  • 19. Stakeholders Participating in HIE (cont)
  • 20. Priority StakeholdersPlease indicate the five most important stakeholder participants necessary tomeet your Beacon Community’s target outcomes.
  • 21. HIE Architectural ComponentsPlease indicate what architectural components are employed currently or will bein the future to support HIE in your Beacon Community. Please check only onebox in each row and use the additional comments section to specify othercomponents.
  • 22. HIE Architectural Components (cont)Please indicate what architectural components are employed currently or will bein the future to support HIE in your Beacon Community. Please check only onebox in each row and use the additional comments section to specify othercomponents.
  • 23. Priority for Meeting Beacon AimsPlease indicate the top five most important HIE architectural componentsnecessary to meet your Beacon Community’s target outcomes.
  • 24. HIE Services
  • 25. Data Types Exchanged
  • 26. Data Types Exchanged (cont)
  • 27. Data Types Exchanged (cont)
  • 28. Data Messaging Standards
  • 29. Data Vocabulary Standards
  • 30. HIE Architectural Components (cont)Please specify your Beacon Community’s participation in federal HIT/HIEinitiatives and the nature of the participation for each selected answer.
  • 31. Privacy & Security Strategies
  • 32. For More Information View the Beacon film at the ONC YouTube channel:http://www.youtube.com/user/HHSONC#p/u/15/DAQ2C njL7tQ
  • 33. For More InformationVisit the ONC Web site: healthit.hhs.gov
  • 34. Please enter your questions orcomments in the Q&A window at the bottom right of your screen. OR… • Send us an email at info@nationalehealth.org • Tweet a question using hashtags #NeHC or #NHINU • Join the conversation on NeHC’s new Facebook page at http://www.facebook.com/pages/National-eHealth- Collaborative/153115611367411
  • 35. Questions? National eHealth Collaborative 818 Connecticut Avenue NW, Suite 500 Washington, DC 20006 (877) 835-6506 info@nationalehealth.org www.NationaleHealth.orgRegister for NHIN University: www.NationaleHealth.org/NHIN-U

×