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Meaningful Health IT<br />Challenges for Rural EHR Adoption<br />Iowa HIMSS<br />Brian Ahier<br />
HITECH Act Framework<br />Blumenthal D. Launching HITECH. N Engl J Med posted online Dec 30 2009. http://healthcarereform....
The Broader Agenda<br />
Meaningful Use of EHR<br />http://www.cms.gov/EHRIncentivePrograms<br />
Barriers to EHR<br />Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010 <br />
Barriers to EHR<br />Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010 <br />
Questions for Meaningful Use<br />Vendor Certification: Am I hitched to the right horse?<br />
Aligning Certification and Standards<br />Meaningful Use<br />Objectives<br />Certification Criteria<br />Standards<br />E...
Questions for Meaningful Use<br /> CPOE and Decision Support: Am I positioned for physician engagement?<br />
Questions for Meaningful Use<br /> How will I deal with the eligible EHR cost definition ambiguity for CAHs?<br />
Questions for Meaningful Use<br />Am I ready for the clinical quality measures (ie. ER, VTE, and Stroke) data capture?<br />
Questions for Meaningful Use<br />Have you conducted your “meaningful use” gap analysis?<br />
Questions for Meaningful Use<br />Website: http://www.himssanalytics.org<br />
Questions for Meaningful Use<br />What about Health Information Exchange (HIE)?<br />
Questions for Meaningful Use<br />What about Health Information Exchange (HIE)?<br />
Questions for Meaningful Use<br />Where is the trained health IT workforce going to come from?<br />Community College Cons...
Contact HITREC: <br />Susan Harr<br />sharr@ifmc.org <br />(800) 373-2964 <br />Contact IME: <br />Kelly Peiper<br />imein...
Who you gonna call?<br />Brian Ahier<br />brianahier@gmail.com<br />Cell: (541) 288-1066<br />
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Iowa HIMSS

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Iowa HIMSS

  1. 1. Meaningful Health IT<br />Challenges for Rural EHR Adoption<br />Iowa HIMSS<br />Brian Ahier<br />
  2. 2. HITECH Act Framework<br />Blumenthal D. Launching HITECH. N Engl J Med posted online Dec 30 2009. http://healthcarereform.nejm.org/?p=2669<br />
  3. 3. The Broader Agenda<br />
  4. 4. Meaningful Use of EHR<br />http://www.cms.gov/EHRIncentivePrograms<br />
  5. 5. Barriers to EHR<br />Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010 <br />
  6. 6. Barriers to EHR<br />Source: Health IT Landscape in Iowa: Iowa e-Health; Strategic and Operational Plan, May 2010 <br />
  7. 7. Questions for Meaningful Use<br />Vendor Certification: Am I hitched to the right horse?<br />
  8. 8. Aligning Certification and Standards<br />Meaningful Use<br />Objectives<br />Certification Criteria<br />Standards<br />E-Rx<br />Capability to E-Rx must be included<br />NCPDP SCRIPT<br />8.1/10.6 must be used<br />Provide Patient Summary Record<br />Capability to electronically transmit a patient summary record must be included<br />Continuity of Care Document (CCD) or Continuity of Care Record (CCR) must be used plus vocabulary standards<br />Electronically Submit Data to Immunization Registries<br />Capability to electronically transmit immunization data must be included<br />HL7 2.5.1 or HL7 2.3.1<br />and<br />CVX Code Set<br />Source: FarzadMostashari, ONC Presentation to HIT Policy Committee January 13, 2010<br />
  9. 9. Questions for Meaningful Use<br /> CPOE and Decision Support: Am I positioned for physician engagement?<br />
  10. 10. Questions for Meaningful Use<br /> How will I deal with the eligible EHR cost definition ambiguity for CAHs?<br />
  11. 11. Questions for Meaningful Use<br />Am I ready for the clinical quality measures (ie. ER, VTE, and Stroke) data capture?<br />
  12. 12. Questions for Meaningful Use<br />Have you conducted your “meaningful use” gap analysis?<br />
  13. 13. Questions for Meaningful Use<br />Website: http://www.himssanalytics.org<br />
  14. 14. Questions for Meaningful Use<br />What about Health Information Exchange (HIE)?<br />
  15. 15. Questions for Meaningful Use<br />What about Health Information Exchange (HIE)?<br />
  16. 16. Questions for Meaningful Use<br />Where is the trained health IT workforce going to come from?<br />Community College Consortia<br />Contact DMACC: <br />Stephanie Wilson<br />Coordinator – Heath IT (HIT) Certificate Program<br />sjwilson3@dmacc.edu(515) 964-6361<br />
  17. 17. Contact HITREC: <br />Susan Harr<br />sharr@ifmc.org <br />(800) 373-2964 <br />Contact IME: <br />Kelly Peiper<br />imeincentives@dhs.state.ia.us <br />(515) 974-3071 <br />Contact Iowa e-Health: <br />Kory Schnoor<br />ehealth@idph.state.ia.us <br />(515) 281-6068<br />Contact ICN: <br />Dave Lingren<br />ICN.CSS@iowa.gov <br />1-877-426-4692<br />Who you gonna call?<br />
  18. 18. Who you gonna call?<br />Brian Ahier<br />brianahier@gmail.com<br />Cell: (541) 288-1066<br />

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