eHealth Literacy: Getting StartedShannah Koss, President Koss on Care LLC            1Principal, MAXIMUS eHealth Literacy ...
AGENDA Introductions eHealth Literacy – Our Definition Health Information Technology (HIT)  foundations - The Health In...
EHEALTH LITERACY eHealth  Literacy - the ability of  consumers, directly or with assistance,  to use computers and other ...
RECOVERY ACT HIT INVESTMENTS“ …HITECH Act, part of the Recovery Act,  designated funding to modernize the health care  sys...
HEALTH REFORM BASICS Affordable Care Act (ACA) established provisions  to expand insurance coverage, control health care ...
KEY DATES AND INITIATIVES Recovery Act (2009)                                                                         Cons...
RECOVERY AND REFORMEHEALTH LITERACY DRIVERS        Recovery/HITECH                            Reform   Meaningful Use (MU...
ENHANCE INFORMATION INFRASTRUCTUREDEPENDENCE Recovery and Reform both rely on  enhance information systems to succeed Re...
THERE IS AN INCREASE IN NATIONALCONSUMER OUTREACH, AWARENESSAND EDUCATION CAMPAIGNS Care about your care – RWJ/AHRQ/ONC ...
WILL IT ALL COME TOGETHER?                             10
STATE AND LOCAL LANDSCAPESVARYHIT and HIE variation          Reform variation   EHR adoption highly           Political ...
WHAT IS HAPPENING IN YOURSTATE OR COMMUNITY   Provider EHR adoption   HIE implementation or operations   Existing or ne...
FIRST STEPS IN HIT PATIENT ENGAGEMENT          EDUCATION                            CONSENT                               ...
FIRST STEPS IN HEALTH REFORM Insurance exchanges lag behind HIEs, but many  initial parts of reform are happening and req...
DISCUSSION In which HITECH or Reform programs or  projects are you most interested? What stage is the program or project...
GETTING STARTED – SELECT ASAMPLE PROJECT Identify your target programs and initiatives What is the phase of development?...
NO SINGLE RIGHT APPROACH Emerging better practices Understand the dynamics in your state or region  and look for similar...
GOOD CONSUMER ORIENTED HIEWEBSITES   Focused messages, icons and tabs for consumers,    patients and families   Introduc...
POTENTIAL FUNDING SOURCESLEVERAGING UNPRECEDENTED $$$   HIE, REC and Beacon Community funding   Medicaid funding:     9...
CONCLUSION Growing focus, opportunities and resources Still need to help educate program staff on the  importance of con...
Upcoming SlideShare
Loading in …5
×

Shannah Koss - eHealth Literacy, Getting Started

1,174 views

Published on

"eHealth Literacy, Getting Started" was presented at the Center for Health Literacy Conference 2011: Plain Talk in Complex Times by Shannah Koss, MPP, President, Koss on Care LLC (Principal, MAXIMUS eHealth Literacy Collaborative).

Description: Learn how to design and develop a consumer-oriented strategy and foundation for outreach, education, and engagement in the early stages of your state or community's health IT and reform programs. Find out about funding options. Share challenges and solutions for integrating eHealth literacy tools and resources into the emerging health IT infrastructure.

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,174
On SlideShare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
26
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide

Shannah Koss - eHealth Literacy, Getting Started

  1. 1. eHealth Literacy: Getting StartedShannah Koss, President Koss on Care LLC 1Principal, MAXIMUS eHealth Literacy Collaborative
  2. 2. AGENDA Introductions eHealth Literacy – Our Definition Health Information Technology (HIT) foundations - The Health Information Technology for Economic and Clinical Health (HITECH) & the Affordable Care Act (ACA) What is happening in your state or community Consumer outreach, education and engagement  When to start?  How to start?  Federal and state opportunities 2  Emerging resources
  3. 3. EHEALTH LITERACY eHealth Literacy - the ability of consumers, directly or with assistance, to use computers and other communication technologies to find, read and understand health information to make personal decisions. Why it is important  Close to 50% of all US adults have problems understanding many aspects of health care  Older people, non-whites, immigrants and those with low income have disproportionately low literacy and are more likely to have chronic disease 3
  4. 4. RECOVERY ACT HIT INVESTMENTS“ …HITECH Act, part of the Recovery Act, designated funding to modernize the health care system by promoting and expanding the adoption of health information technology.” $22.6 Billion investment Advance rapid adoption and „meaningful‟ use, e.g. , improve care, population health and engage patients in their care through the use of HIT Electronic health record (EHR) incentives Investments in infrastructure (including health information exchanges (HIEs), training and 4 broadband access
  5. 5. HEALTH REFORM BASICS Affordable Care Act (ACA) established provisions to expand insurance coverage, control health care costs, and improve the quality of the health care delivery system Many components of ACA and many HHS initiatives launched pursuant to the legislation build upon the emerging technology to improve care Some components require additional HIT infrastructure, in particular the Insurance exchanges 5
  6. 6. KEY DATES AND INITIATIVES Recovery Act (2009) Consumer/Patien t and family engagement is Medicare & Medicaid EHR incentive programs critical to success Medicare meaningful use HIEs prepare Robust meaningful for supporting use meaningful use Medicaid adoption, Medicaid implementation and meaningful use and incentives Beacon outcomes 2010 2011 2012 2013 2014 Expanded Medicaid New Medicaid Accountable Care coverage and option for a health Health insurance Organizations pilots coverage options home option exchange implementation CMS Establishes Health Insurance Exchange demos Innovations Center 6 Affordable Care Act (2010)
  7. 7. RECOVERY AND REFORMEHEALTH LITERACY DRIVERS Recovery/HITECH Reform Meaningful Use (MU)  Explicit health literacy  Patient engagement  Expanded coverage Quality Metrics  Equity/reduced  health status improvement disparities HIE participation  Workforce  Patients and providers  Patient information Beacon Communities  Prevention & wellness  Near term patient outcomes  patient self-management  Quality improvement  Particularly for duals 7Communication is the key to required informed choices
  8. 8. ENHANCE INFORMATION INFRASTRUCTUREDEPENDENCE Recovery and Reform both rely on enhance information systems to succeed Recovery ~22B+ investment will fail if:  Providers do not adopt EHRs or demonstrate meaningful use  Patients do not engage  Cost savings cannot be demonstrated Reform will fail (in any future form):  If enrollment and improved quality don‟t lower cost  Without new models for duals and chronically ill 8All outcomes depend on better IT leverage
  9. 9. THERE IS AN INCREASE IN NATIONALCONSUMER OUTREACH, AWARENESSAND EDUCATION CAMPAIGNS Care about your care – RWJ/AHRQ/ONC HealthIT.gov – ONC Developing Alzheimer‟s plan Million hearts initiative Healthcare.gov Medicare and Veterans Health blue button National eHealth Collaborative (NeHC) Consumer Consortium for eHealth National Action Plan for Health Literacy Healthy People 2020 9
  10. 10. WILL IT ALL COME TOGETHER? 10
  11. 11. STATE AND LOCAL LANDSCAPESVARYHIT and HIE variation Reform variation EHR adoption highly  Political and legal variable uncertainties HIE implementation ranges from planning to  Many states are various levels of embracing the operational capabilities opportunities Wide range of governance  All states struggle with and consumer input models their health care Clear versus unclear expenditures consumer focus  Funding opportunities Beacon communities with flow to states and non- accelerated requirements profits 11
  12. 12. WHAT IS HAPPENING IN YOURSTATE OR COMMUNITY Provider EHR adoption HIE implementation or operations Existing or new reform  Medical homes  ACOs  Medicaid expansion  Prevention or dual eligible initiatives  Partnership for patients Are consumers/patients engaged? When and how? Are consumer advocacy and community-based health organizations involved? Will the investment support tools and resources to foster patient engagement? 12
  13. 13. FIRST STEPS IN HIT PATIENT ENGAGEMENT EDUCATION CONSENT Health Information Exchange Consent Form I _______ consent to allowing my electronic medical records to be shared through the state of… Xxxxx xxxx xx xxx xxxx I understand my rights to .... _____________ ______ Name Date CONNECTION YOUR RECORD Increased patient engagement in 2013 depends on early education 13
  14. 14. FIRST STEPS IN HEALTH REFORM Insurance exchanges lag behind HIEs, but many initial parts of reform are happening and require patient engagement Some expanded eligibility is already happening Some quality initiatives are already underway Early adopters and innovators e.g., pioneer ACOs Consider which initiatives in your state would perhaps be best served by early outreach and education that will foster use of the technical infrastructure to better serve consumers 14
  15. 15. DISCUSSION In which HITECH or Reform programs or projects are you most interested? What stage is the program or project in planning, design development or implementation? Are consumers currently engaged in the development stage of the program? How if at all are consumers being engaged? What are the main barriers or challenges to advancing consumer outreach, education and engagement throughout the process? 15
  16. 16. GETTING STARTED – SELECT ASAMPLE PROJECT Identify your target programs and initiatives What is the phase of development? Is, or was, there consumer representation in the design phase? Are there opportunities for input? How will information be made available and communicated? Who are the many stakeholders and organizations that would support consumer engagement? How are websites and online tools being used? What is or isn‟t working in your state? 16
  17. 17. NO SINGLE RIGHT APPROACH Emerging better practices Understand the dynamics in your state or region and look for similar successful models Get involved Key players may want or at least be open to your help Look for others that want to advance the consumer facing component of the program ehealth literacy solutions leverage online resource to support all appropriate channels of communication 17
  18. 18. GOOD CONSUMER ORIENTED HIEWEBSITES Focused messages, icons and tabs for consumers, patients and families Introductory messaging that reaches all audiences Consumer specific FAQs Contextual information - not just about HIE, incentive program or opting in or out Simplify the alphabet soup Multiple languages Graphics, video, mirror your diversity Helps set realistic expectations Targeted clinical information – linking to specific 18 clinical initiatives
  19. 19. POTENTIAL FUNDING SOURCESLEVERAGING UNPRECEDENTED $$$ HIE, REC and Beacon Community funding Medicaid funding:  90/10 EHR incentive $‟s for consumer education and outreach  90/10 health home designation dollars  75/25 Translation and interpretive services CHIP & Medicaid CMS innovations grants and demonstrations  New care model development for Medicare, Medicaid or Duals  Models include: Medical homes technology enable care coordination; community based health teams w/patient self-management; fully integrated care for duals; new patient safety partnership program  Secretary can consider many additional factors focused on patient engagement through technology (6 of 7 factors) Medicaid incentives for prevention of chronic disease program ACO investment Health home funding option and patient centered medical home Title V HRSA funding for cultural competency 19 Non-profit initiatives – Robert Wood Johnson “Care about your care”
  20. 20. CONCLUSION Growing focus, opportunities and resources Still need to help educate program staff on the importance of consumer engagement Emphasis on outcomes and metrics will help Join the discussion: LinkedIn eHealth Literacy Community http://www.linkedin.com/groupsDirectory?trk=hb_side_g rpsdir Contact information: MAXIMUS Center for Health Literacy http://www.maximus.com/services/health/health-literacy Shannahkoss@maximus.com 20

×