Business Case: Summary of Responses

1
Business Case Summary of Responses

• Reduce Risk for Providers
• Reduce Uncompensated Cost for Providers
• Provide Non-monetary assistance to providers
• Secure Federal Attention to LTC IT
• Develop Implement Research Agenda

2
Reduce Risk for Providers

• Certification
• Interoperability Standards

3
Reduce Uncompensated Cost

• Incentive Payments
• Insurors
• Medicare (P4P)
• Demonstrating Use e.g. ability to produce patient
  summaries
• Doing something Clinically Appropriate
• Federal Government Tax credits, Loans, etc. for
  early adoption
• Direct re-imbursement of costs from Medicaid
  (100 allowable, classify as nursing cost)

4
Provide non-monetary Assistance to Providers

• Make available information on available loans and
  grants
• Develop strategies for small providers to
  collaborate
• Methods for providing on-going support (eg QIOS)

5
Secure Federal attention to LTC

• Make LTC IT a National Priority
• Get parity for LTC in dollars
• Proportional to LTC share of Federal health
  spending
• Formalize a LTC HIT organization to provide
  information and advocacy

6
Secure Federal attention to LTC

• Make LTC IT a National Priority
• Get parity for LTC in dollars
• Proportional to LTC share of Federal health
  spending
• Formalize a LTC-IT advocacy organizatio to
  develop/implement case strategy

7
Develop Implement a Research Agenda

• Compile Industry Data on ROI and Efficacy
• Determine benefits to consumers
• Develop standardized work processes culture
  change steps so savings can be realized
• Develop a way to share costs and benefits across
  the continuum
• Disseminate widely outcome data from
  e-prescribing pilots
• Develop appropriate P4P measures that providers
  can support

8
Top Five Actions

• Develop Adopt Standards (reduce risk)
• Product/Vendor Certification (reduce risk)
• P4P for HIT use (federal other payors)
• RD still needed for P4P for quality
• Benchmark pilots, demonstrations, early adopters
  of EHR/E-prescribing
• Formalize a collaborative approach to LTC HIT
  Advocacy (standards policy)

9
Healthcare Standards PanelResults

• LTC HIT SummitAugust 23, 2005

10
Promote Awareness Involvement

• Identify key organizations and monitor
• Publish list of important/relevant standards orgs
• Advocacy
• Involve providers-types, clinicians (including
  physicians, nurses, assessment coordinators)
• Monitor activities and involvement
• Implementation guides

11
Participate in Standard-Setting Activities

• LTC Representation in the following
• HL7
• X12
• NCPDP/e-prescribing
• EEE1073
• LOINC
• SNOMED
• Priorities Data content and Interoperability

12
Data Content

• Standardized data content across care settings
  and develop standards for LTC
• Data format
• Data definitions
• Standardized transfer of care data content
• Acute to SNFSNF to Acute
• Decide on tool to be used (CCR or other) and map
  integrate content
• Determine how to implement and assure use

13
Timeline

• 2 to 5 year timeline
• Within 2 years e-prescribing
• 2-3 years standardization
• Full functioning EHR
• 3 5 years
• Outlier 5-10 years (ready for boomers)

14
Quality and Innovation
15
Five Top Action Items

• Work with QIOs and ALL members of the Community
  of LTC to develop models, templates on disease
  management based on research.
• Develop and implement standards, processes to
  allow accurate clinical information flow between
  care settings.
• All systems have to be holistic to the persons
  disease stage an d not to just one disease.
• Integrate HIT systems to measure quality outcomes
  for programs like pay for performance.
• Develop workflow and processes that assist care
  givers in developing trends and clinical pathways
  to quality of care and life.