2. On today’s call:
JL Neptune David Baquis Matt Quinn Rosaly Alok Doshi
Adam 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 Health
Office of the
Board Institute of Insurance
National
Standards and Office on Exchange,
Coordinator
Technology Disability, CMS
HHS
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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
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7. U.S. Access Board
• Independent Federal agency
• Promulgates guidelines and standards for
accessible design
• Provides technical assistance and training
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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
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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. 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?
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
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19. Accessibility and Usability in a
Prototype 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
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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
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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.
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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
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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.
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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
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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
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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
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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
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29. Challenge Grant
Awards 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
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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
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