AHRQ Health IT Portfolio

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AHRQ Health IT Portfolio

• 60M initiative
• 26M to implement proven technologies in small
  and rural communities where HIT penetration has
  been low
• 24M targeted for developing, implementing, and
  evaluating the use of new and innovative
  technologies to improve patient safety and
  quality of care in diverse health care settings
• 10M targeted for clinical data standards and
  interoperability

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AHRQ Projects

• Transforming Health Care Quality thru IT (THQIT)
• State and Regional Demonstration of Health IT
• AHRQs National Resource Center for Health IT
• CMS-AHRQ Health IT Collaborations
• Indian Health Service
• ePrescribing Pilots
• Legal, Privacy and Security Issues
• Health IT Standards

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Statistics

• 40 million total population (regions and
  communities) with AHRQ HIT projects
• THQIT Grants -
• 1,000 letters of intent to apply
• 108 Projects in over 40 states
• National Resource Center
• 18.5 Million contract

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Transforming Healthcare Quality thru Information
Technology (THQIT)

• Three interlocking grant programs
• Launched in 2004
• 103 separate grants composed of
• Planning
• Implementation
• Value
• Focus on community partnerships

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THQIT Project Characteristicsdemographics and
populations served

• Key characteristics
• 57 percent rural by RFAs definition(76 of
  planning)
• 12 percent inner-city(18 implementation)
• 8 percent childrens health
• 7 percent womens health
• Other populations served
• Women
• Disabled
• Elderly
• Minorities

THQIT Rural Projects
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THQIT Findingsprioritized project goals

• Issues listed as priority(all projects)
• Improve health care outcomes 88 percent
• Reduce medical errors82 percent
• Improve inter provider communication78 percent
• Improve clinical work flow61 percent
• Reduce cost of care49 percent
• Improve administrative efficiency 35 percent
• Improve patient satisfaction 33 percent

Prioritized goals ( of projects)yellow
value blue implementationred planning
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State Regional HIT Demonstrations

• Five-year state-based contracts
• Help states develop secure statewide networks
• Ensure privacy of health information
• Make an individuals health information more
  available to health care providers
• FY04 Five states awarded 1M/year
• Colorado
• Indiana
• Rhode Island
• Tennessee
• Utah

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AHRQ National Resource Center for Health
Information Technology

• Provide technical expert support to Health IT
  grantees, contractors and selected other federal
  grantees
• Contract award to NORC (up to 18.5M over 5 yrs)
• In partnership with
• Vanderbilt University
• Center for IT Leadership (Partners)
• Indiana University
• Foundation for the eHealth Initiative
• CSC
• Burness Communications

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National Resource Centeran emerging role in
providing assistance

• State and regional efforts one to two day mtgs
• Efforts to date
• Florida -
• http//www.mc.vanderbilt.edu/vcbh/ds/st_hit_rndtbl
  /index.htm
• Montana
• New York City
• Significant Interest
• Community Health Centers
• Sharing of best practices, technical assistance
  and expert advice

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• For additional questions, please contact
• Scott Young, M.D., syoung_at_ahrq.gov