ARRA & Regional HIT Extension Centers Jack L. Shaffer, Jr. CIO – Community Health Network of West Virginia
A quick word about the Community Health Network of West Virginia
The Network is a tax-exempt, non-profit health center-controlled West Virginia corporation – formed in 2000.
The Network is primarily an application service provider (ASP) delivering centralized practice management, electronic medical records (EMR), and technology services for its members.
Currently with 50 clinical locations in production using the Indian Health Services RPMS-EHR system (CCHIT-Certified, public domain / open source EHR derivation of the VA’s VistA system)
70 FTE providers – 300+ concurrent users.
10 More clinics to implement over the next year.
Our focus is health improvement through the strategic use of health information technology along with workflow modifications to improve health outcomes.
ARRA ... A Massive Stimulus for Health IT Adoption & HIE Expansion Appropriations for Health IT New Incentives for Adoption
$2 billion for loans, grants & technical assistance for:
National Resource Center and Regional Extension Centers
EHR State Loan Fund
Research and Demonstrations
New Medicare and Medicaid payment incentives for HIT adoption
$20 billion in expected payments through Medicare to hospitals & physicians
$14 billion in expected payments through Medicaid
~$34 billion expected outlays, 2011-2016
At least $300 million of the total at HHS Secretary’s discretion for HIE development
Funneled largely through States or qualified State-designated entities
For planning and/or implementation
Appropriations for HIE $4.3 billion for broadband & $2.5 billion for distance learning/ telehealth grants Broadband and Telehealth $1.5 billion in grants through HRSA for construction, renovation and equipment, including acquisition of HIT systems Community Health Centers
Regional health IT extension centers will aim to help health care providers become "meaningful users" of health IT by 2011 so they can qualify for federal health IT stimulus funding.
Blumenthal noted that the federal economic stimulus package allocated nearly $700 million to form a nationwide network of "local health care geek squads.“
The health IT extension center program is patterned after the federal agriculture extension service created nearly a century ago. Similar to how the agricultural extension centers help farmers address pesticide, crop and land use issues, the new health IT extension centers would help health care providers "not just get computers, not just store the information, but use the information," Blumenthal said.
Applied for ~9M in Federal funding over a 4 year period.
The WV-RHITEC is a consortium comprised of the Health Improvement Institute; the Community Health Network of West Virginia and West Virginia Medical Institute.
The Consortium will have strategic partners throughout the State assisting with executing its mission.
Targeted Groups for WV-RHITEC We have the opportunity to help more than 1,800 providers adopt and use health-IT over the next 4 years. Assuming a 90% success rate in progressing to meaningful use, these providers could receive over $80 million to support HIT adoption and use efforts.
Targeted Groups for WV-RHITEC The following table reflects the commitments received by the Extension Center by category: PC designates Primary Care Providers; M-use means meaningful use. 411 411 0 Non PC Providers 914 772 142 Total Providers 503 361 142 Total PC Providers 460 342 118 Priority PC Providers Total EHR to M-use Paper to M-use Category
Blumenthal emphasized that the meaningful use of electronic health records is not just about introducing technology to collect and share information. It's also about physicians and hospitals changing how they operate and the sequence of their work. "We are involved in a vast social project of change management," he noted.
Providing better information is the foundation for change, he said. Beyond that, physicians and hospitals will need help and training to understand what improvements to make.
Bending the Curve Towards Transformed Health Achieving Meaningful Use of Health Data 2009 2011 2013 2015
HIT-Enabled Health Reform Achieving Meaningful Use 2009 2011 2013 2015 HIT-Enabled Health Reform HITECH Policies 2011 Meaningful Use Criteria ( Capture/share data ) 2013 Meaningful Use Criteria ( Advanced care processes with decision support ) 2015 Meaningful Use Criteria ( Improved Outcomes )