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

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Iowa HIMSS

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