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EHR Accessibility Module Challenge       Overview Webinar                  Webinar Presentation                  Friday, A...
On today’s call:                JL Neptune    David Baquis     Matt Quinn        Rosaly      Alok DoshiAdam Wong          ...
Agenda for Today’s Meeting ONC    and the Investing in Innovation (i2) Program An   Introduction to Accessibility and Us...
ONC and i2             4
EHR Accessibility    David Baquis  U.S. Access Board    Matt Quinn      NIST                      5
What is the Access Board?                            6
U.S. Access Board• Independent Federal agency• Promulgates guidelines and standards for  accessible design• Provides techn...
What is Accessibility?                         8
Accessible Design• Accessibility is design criteria which  removes barriers that make it difficult or  impossible for some...
Standards and Guidelines                           10
Web Content Accessibility Guidelines (2008)(WCAG 2.0: http://www.w3.org/TR/WCAG/) Section 508 Standards (2000)     www.sec...
Stakeholders               12
Who Benefits?Disabilities:         User groups:• Hearing             • Patient/clients• Vision              • Guests/custo...
Accessibility Examples                         14
Internet Sites• Are text equivalents provided for  non-text elements?• Are multimedia videos captioned?• Are row and colum...
PHR Development Software• Non mouse use: Can I create and  update a PHR using only a  keyboard?• Do electronic forms allow...
Handheld Devices                   17
How to Reach the U.S. Access Board• Telephone (voice):   – 202-272-0013 (direct to David Baquis)   – 800-872-2253 (toll-fr...
Accessibility and Usability in aPrototype Ambulatory Electronic  Healthy Record Pilot Project     Rosaly Correa-de-Araujo,...
Background• People with Disabilities   –   54 million   –   19.3% non-institutionalized population ≥ 5 years   –   4 times...
Background (cont’d)• We are unaware of any published prototype  accessible EHR/PHR systems. One grant award  has been made...
Background (cont’d)• Benefits of EHRs  – Accessible EHRS will allow people with disabilities    to benefit from personaliz...
Background (cont’d)• Costs  – EHRs/PHRs expected to contribute to reduction in    health care costs, but operating alone, ...
Challenge Grant Brief Description• Design, test, implement a module prototype  application that is not only compatible and...
Standards for Compliance• Web Content Accessibility Guidelines (WCAG  2.0), W3C Web Accessibility Initiative for  website ...
Grant Submission Requirements             GeneralAcceptable                No ONC Platforms                 Logo          ...
Evaluation Criteria• Design and usability• Creative and innovative use of technologies• Compliance with disability and acc...
Timeline•   Submission Period Begins: 1:00 pm, EDT, January 30, 2011•   Submission Period Ends: 11:59 pm, EDT, July 23, 20...
Challenge GrantAwards                     Evaluation & Awards• Prize Categories         • Evaluation by an Expert   – 1st ...
For More Information and      Registration: www.health2challenge.org   Jean-Luc: jl@health2challenge.org     Adam: Adam.wo...
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EHR Challenge Webinar Slides 4.6.12

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EHR Challenge Webinar Slides 4.6.12

  1. 1. EHR Accessibility Module Challenge Overview Webinar Webinar Presentation Friday, April 6th 1
  2. 2. On today’s call: JL Neptune David Baquis Matt Quinn Rosaly Alok DoshiAdam Wong Correa-de- Senior Vice Accessibility Computer Araujo CCIIO Program President Specialist Scientist Analyst Deputy Office of Health 2.0 U.S. Access National Director HealthOffice of the Board Institute of Insurance National Standards and Office on Exchange,Coordinator Technology Disability, CMS HHS 2
  3. 3. Agenda for Today’s Meeting ONC and the Investing in Innovation (i2) Program An Introduction to Accessibility and Usability An Overview of the EHR Challenge Q&A About the Challenge 3
  4. 4. ONC and i2 4
  5. 5. EHR Accessibility David Baquis U.S. Access Board Matt Quinn NIST 5
  6. 6. What is the Access Board? 6
  7. 7. U.S. Access Board• Independent Federal agency• Promulgates guidelines and standards for accessible design• Provides technical assistance and training 7
  8. 8. What is Accessibility? 8
  9. 9. Accessible Design• Accessibility is design criteria which removes barriers that make it difficult or impossible for some people with disabilities to use HIT• It’s rooted in civil rights with the intention to provide an assurance of technological non-discrimination 9
  10. 10. Standards and Guidelines 10
  11. 11. Web Content Accessibility Guidelines (2008)(WCAG 2.0: http://www.w3.org/TR/WCAG/) Section 508 Standards (2000) www.section508.gov 11
  12. 12. Stakeholders 12
  13. 13. Who Benefits?Disabilities: User groups:• Hearing • Patient/clients• Vision • Guests/customers• Speech • Clinicians• Mobility • Caregivers/families• Dexterity • Students/instructors• Cognitive • Admin personnel • Payers/insurance reps • Analysts, researchers 13
  14. 14. Accessibility Examples 14
  15. 15. Internet Sites• Are text equivalents provided for non-text elements?• Are multimedia videos captioned?• Are row and column headers identified in data tables?
  16. 16. PHR Development Software• Non mouse use: Can I create and update a PHR using only a keyboard?• Do electronic forms allow assistive technology to access the information and functionality necessary for completion and submission of the forms?• Alternative means of identifying elements, for people who are color blind?
  17. 17. Handheld Devices 17
  18. 18. How to Reach the U.S. Access Board• Telephone (voice): – 202-272-0013 (direct to David Baquis) – 800-872-2253 (toll-free in U.S.)• E-mail: 508@access-board.gov• Internet: http://www.access-board.gov 18
  19. 19. Accessibility and Usability in aPrototype Ambulatory Electronic Healthy Record Pilot Project Rosaly Correa-de-Araujo, MD, MSc, PhD Deputy Director, Office on Disability U.S. Department of Health and Human Services Office of the National Coordinator’s Challenge Grant Webinar April 6, 2012 19
  20. 20. Background• People with Disabilities – 54 million – 19.3% non-institutionalized population ≥ 5 years – 4 times as likely to report fair or poor health – $400 billion in health care expenditure• Health Information Technology (HIT) – Significant federal investment, adoption of EHRs & PHRs – Patient portals available to support health care management – Development and implementation of systems/services is far advanced, but no HIT accessibility specifications/policies – Infrastructure limitations, inaccessible designs/content precludes use by people with disabilities – Accessibility & usability are high priority for the disability community 20
  21. 21. Background (cont’d)• We are unaware of any published prototype accessible EHR/PHR systems. One grant award has been made by the Department of Education recently on this topic. 21
  22. 22. Background (cont’d)• Benefits of EHRs – Accessible EHRS will allow people with disabilities to benefit from personalized online interactions with health care information – Create more efficient clinical practices: • reduced duplication of tests • enhanced quality/safety of care • Improve care coordination – Reduce paperwork – Regulatory compliance 22
  23. 23. Background (cont’d)• Costs – EHRs/PHRs expected to contribute to reduction in health care costs, but operating alone, these systems are not designed to address the current challenges around cost and quality of care. 23
  24. 24. Challenge Grant Brief Description• Design, test, implement a module prototype application that is not only compatible and consistent with certified EHR system, but ensures accessibility and easy interaction by people with disabilities. Focus on CONSUMER 24
  25. 25. Standards for Compliance• Web Content Accessibility Guidelines (WCAG 2.0), W3C Web Accessibility Initiative for website accessibility• Section 508 Standards by the Access Board• Section 508, Rehabilitation Act• Communications Act, standards for telecommunication services and equipment 25
  26. 26. Grant Submission Requirements GeneralAcceptable No ONC Platforms Logo FunctionalityData Used Accuracy Security 26
  27. 27. Evaluation Criteria• Design and usability• Creative and innovative use of technologies• Compliance with disability and accessibility standards• Integration of EHR Module with HIT and EHR Systems• Potential Impact and ability to drive adoption and engagement• Use of NwHIN standards 27
  28. 28. Timeline• Submission Period Begins: 1:00 pm, EDT, January 30, 2011• Submission Period Ends: 11:59 pm, EDT, July 23, 2012• Evaluation Process Begins: 12:01am, EDT, July 27, 2012• Evaluation Process Ends: 11:59pm, EDT, August 10, 2012• Winners Notified: August 13, 2012• Winner Demo at Relevant Industry Conference: TBD 28
  29. 29. Challenge GrantAwards Evaluation & Awards• Prize Categories • Evaluation by an Expert – 1st Place: $60K Panel, America COMPETES – 2nd Place: 20K Act – 3rd Place: $5K • Award Announcement: August 13, 2012 (12:00 PM EDT) • Demos at relevant industry conference 29
  30. 30. For More Information and Registration: www.health2challenge.org Jean-Luc: jl@health2challenge.org Adam: Adam.wong@hhs.gov David: baquis@access-board.gov Rosaly: Rosaly.correa@hhs.gov 30

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