Title: Iowa Foundation for Medical Care
1Iowa Foundation for Medical Care
Health Information Technology in Iowa A Time
of Change
2HIT National Focus
- The widespread adoption of EHRs is clearly a
national agenda item. - President Bush has called for widespread adoption
of interoperable electronic health records within
10 years and has selected David J. Brailer, MD,
PhD, as National Coordinator for Health
Information Technology.
3Office of the National Health Information
Technology Coordinator
- (David Brailer, MD)
- Goal 1 Inform Clinical Practice
- Efforts to bring EHRs directly into clinical
practice - Goal 2 Interconnect Clinicians
- Portable information that moves across care
continuum
4Office of the National Health Information
Technology Coordinator, cont.
- Goal 3 Personalize Care
- Helps individuals manage their own wellness
- Goal 4 Improve Population Health
- Requires timely, accurate data to allow for
evaluation of healthcare delivery
5CMS Information Technology Initiatives
- Medicare Care Management Performance (MCMP)
demonstration - AHRQ evaluation of CMS Medicare Care Management
Performance (MCMP) demonstration project - Physician self-referral exception phase II
- E-prescribing hearings to develop, adopt,
recognize, or modify initial e-prescribing
standards
6CMS Information Technology Initiatives
- EMR focus groups
- VistA office EHR
- CMS virtual call center
- CMS/ASPE partnership
- conforming the nursing home MDS v.3 to
CHI-endorsed standards - Doctors Office Quality Information Technology
(DOQ-IT)
7IMS Health Information Technology Initiative
- Mission
- To advance an innovative healthcare environment
in Iowa that employs the electronic health record
as a tool for improving quality, safety and value.
8Participating Organizations
- Iowa Medical Society
- Iowa Foundation for Medical Care
- University of Iowa Hospitals Clinics
- Iowa Chapter, American College of Physicians
- Iowa Health Information Management Association
- Iowa Health Care Collaborative
- Iowa Health Systems
- Iowa Osteopathic Medical Association
- Iowa Hospital Association
- Iowa Medical Group Managers Association
- Iowa Health Physicians
- Mercy Health Network
- Iowa Academy of Family Physicians
- Iowa Health Information and Management Systems
Society - IMS Health Care Executives
- Iowa Heart Center
9Action Plan2005 Build the Case for Change
- Educate providers regarding benefits of an IT
environment - Educate providers regarding the clinical value of
IT - Identify EHR adoption barriers and potential
solutions - Engage providers
- Change the culture and measure the results
- Develop tool to assess extent of IT usage across
all clinics in Iowa
10HIT Survey Tool
- Information captured
- Demographics
- HIT Implementations Status
- Barriers to HIT Implementation
- Future HIT Plans
- Disease Management
- Culture
11HIT Survey Tool, cont.
- Assess status of HIT in Iowa
- Assess assistance needed
- Identify barrier interventions and education
needed - Identify extent of data being used to improve
care - Inform state government
12Action Plan2006 Enlist Widespread Participation
- Demonstrate Microsystem Value in Iowa
- Reassess extent of IT saturation
13Action Plan, cont.2007 Tipping Point
- Demonstrate Macrosystem Value in Iowa
- Reassess extent of IT saturation
14Why is this important?
- Fundamentally transform the way health care is
delivered in the physician office setting
15Four Strategies for Transformational Change
- Adopt HIT and use it effectively
- HIT Adoption within the identified participant
group - Redesign care process
- Process redesign which includes care management
and patient self management
K. Bell , J. Sorace, K. Winchester. Success in
the physician office setting. AHQA Technical
Meeting. San Francisco, February 23, 2005.
16Four Strategies for Transformational Change, cont.
- Measure and report performance
- Quality performance measurement, reporting and
improvement - Transform organizational culture
- Adopt and effective use of EHR that will create a
more reliable delivery system that focus on
patient safety and effective management of
patients with chronic conditions
K. Bell , J. Sorace, K. Winchester. Success in
the physician office setting. AHQA Technical
Meeting. San Francisco, February 23, 2005.
17Care Management In Practice
Population Management
- ID population of individuals
- Performance feedback
- Planning services for subpopulations
Delivery System Redesign
Self Management
Electronic Health Records and Information
Technology
- Personalized care plan
- Personal health record
- Online goal setting tools
- Set goals for optimal health
- Primary care team
- Open access
- Care coordination
Decision Support
- Alert and reminders
- Guidelines
- Clinical knowledge
- Templates
18(No Transcript)
19The DOQ-IT Charter
- Improve physician office care management of
chronic illness and preventive services using
workflow redesign, evidence-based guidelines,
best practices and data reporting through the use
of EHR systems.
20National DOQ-IT Pilot
- Goal Identify four to eight physician office
practices to participate in the initiative - Small-to-medium-sized (up to nine MDs per
practice site) - Primary family medicine physicians/clinicians
provide primary care to Medicare beneficiaries
with chronic illnesses - Practice has the intent to purchase an electronic
system within the next 12 months
21Iowa DOQ-IT Pilot
- Recruited eight physician offices to participate
- Completed readiness assessments for all eight
offices - Assisting with vendor selection activities
22Iowa DOQ-IT Pilot, cont.
- Next Phase
- Begin office redesign efforts
238TH SoW DOQ-IT Initiative
- Beginning August 2005
- Recruit 10 percent of small-to-medium practices
in state to implement EHR - Practices will subsequently submit clinical
quality measure data to data warehouse data will
be used as feedback mechanism
24How Can HIMSS Help?
25HIMSS
- Vision
- Advancing the best use of information and
management systems for the betterment of health
care. - Mission
- To lead change in the healthcare information and
management systems field through knowledge
sharing, advocacy, collaboration, innovation and
community affiliations.
26HIMSS Can Help By
- Leverage expertise of your organization
- Support a statewide effort to move HIT forward
- Promote survey tool
- Serve as a resource for physician offices
- Utilize IFMC resources
- Continue engagement in the IMS/HIT Initiative
27Upcoming Events
- April 15, 2005 IMS HIT Initiative Meeting
- In conjunction with IMS Annual Meeting
- 900-1100 a.m.
- Hotel Fort Des Moines
- August 25, 2005 IMS HIT Summit
- Keynote Speaker David Kibbe, MD Director, AAFP
Center for Health Information Technology (CHiT) - 800 a.m. - 430 p.m.
- Sheraton West Des Moines
- November 2, 2005 IMS HIT Initiative Meeting
- In conjunction with the Iowa Health Care
Collaborative Meeting - Time TBD
- HyVee Hall
28Conclusion
- A well-planned and coordinated effort, sustained
over a number of years, can deliver results that
will better support Iowas healthcare
professionals and better serve the public.
Executive Summary of the Framework for Strategic
Action, David J. Brailer, MD, November 2004
29IFMC DOQ-IT Contacts
- For more information, call 1-800-383-2856
- Tim Gutshall, MD, ext. 2153
- tgutshall_at_iaqio.sdps.org
- Branko Strok, MD, MS, ext. 8849
- bstrok_at_iaqio.sdps.org
- Crystal Kallem, ext. 2116
- ckallem_at_iaqio.sdps.org