Transcript of SG DoD IEHR Oct 2011
- 1. Headquarters U.S. Air Force Integrity - Service - Excellence
Advancing Continuum of Care forMilitary Members through Health IT
Lt Gen C. Bruce Green Surgeon General 11 October 2011 1
- 2. Shaping the Future of Federal Healthcare Synergy-
Patient-Centered Federal and State Care Organizational Precision
Agility Healthcare Technology IntegrationWorking Together,
Achieving Success Through A Common Vision Integrity - Service -
Excellence
- 3. Health & Human Services (HHS) IT Strategic PlanIntegrity
- Service - Excellence 3
- 4. AHLTA on the Information Highway Peak of Inflated
Opportunity! Expectations Plateau of Swamp of Productivity
Diminishing Vehicle of Returns Opportunity! Innovation Trigger
Slope of Enlightenment Cliff of Obsolescence Trough of
Disillusionment Time* Gartner Inc., chart from Mastering the HYPE
CYCLE by Jackie Fenn and Mark Raskino Integrity - Service -
Excellence
- 5. Aligning with the Quadruple Aim (Variation of Triple Aim)
READY: BETTER HEALTH: Readiness BETTER CARE: BEST VALUE:AFMS
Inpatient Measures CY10 CY10 CY10 CY10 Annual Comparative Synergy
Q1 Q2 Q3 Q4 MTFs Reported Events 3911 2618 2908 2769 12206 and Near
Miss(%) 69.4 64.1 64.4 75.6 20.2 68.4 >72% Balance 27.8 95%
Continuity: Goal > 90% Plan: Provide both monetary +
non-monetary incentives to high performers Monthly Emergency
Department and Urgent Care Utilization* HEDIS Measures - Patients
Enrolled to PCMH Clinics Per 100 PCMH Patients 10 40Average Monthly
Visit Rate (per 100) 8 30 6 Score 20 4 2 DOWN 10 UP is is Good 0
Good 0 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 Dec-10 Jan-11
Feb-11 Mar-11 Apr-11 May-11 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11
May-11 Dec-10 Jan-11 Feb-11 Mar-11 Apr-11 May-11 PCMH Aggregate Non
PCMH Aggregate PCMH Aggregate Non-PCMH Aggregate ED/Urgent Care
Rate: Goal < 3/100 HEDIS Aggregate: Goal > 40Inspiring Trust
& Confidence by Measuring and Rewarding Outcomes Integrity -
Service - Excellence 10
- 11. Getting Info to Patients for Shared Decision Making Patient
Centered Medical HomeHIDDEN SLIDEFor Printing Purposes Linking
Individual Patients &Due To Animation Providers To Health
Information Maximizing Use Of Teams To Enhance Care Building
Capacity & Transforming Data into Actionable Info Improving
Currency To Advance Practice Training, Education & Recapture
Provider Decision Support Deliver Best Improving Relations,
Evidence-Based Empowering Patients, & Medicine To Patients
Changing Behaviors & Staff Patient Decision Support Applied
Clinical Epidemiology Integrity - Service - Excellence 11
- 12. Putting It All Together Air Force Medical Home MHS Linking
Individual Patients & Quadruple Aim Providers To Health
Information Maximizing Use Of Teams To Enhance Care Ready Better
Health Building Capacity & Transforming Data into Actionable
Info Improving Currency Population Health To Advance
PracticeTraining, Education & Recapture Provider Decision
Support Deliver Best Better Care & Improving Relations, Best
Value Evidence-Based Medicine To Patients Empowering Patients,
Experience Of Behaviors Changing Care Per Capita Cost & Staff
Patient Decision Support 12 Applied Clinical Epidemiology
- 13. Activating Patients & Care Teams Health Team
PatientDecision Patient DecisionSupport Support CenteredPCMH
Provides Improved Decision Support- For Patients c eHealthcare
Teams Integrity - Service Excellen &
- 14. Electronic Health Initiatives Project (eHIP)Integrity -
Service - Excellence 14
- 15. Developing The US Air ForceVirtual Medical Center
- 16. Social Networking Needs To Be Integrated Into Common
Practice PHREnhancing and Complimenting The Health Teams Practice
of Care Integrity - Service - Excellence
- 17. Sec Def/Sec VA DecisionCombined Efforts Provide the Best
Future EHR Integrity - Service - Excellence
- 18. DoD-VA To-Be iEHR Architecture Common DoD-VA Requirements:
HL7 EHR-S Functional Model with DoD and VA vetted Extensions (SV-4)
Common DoD-VA Integrated Health Business Reference Model (OV-5)
Common DoD-VA To Be Process Flow Model (OV-6C) Presentation
Presentation (Common GUI) Layer Team Applications and Services DoD
Unique (16) Common (Joint) Applications & Services (30) VA
Unique (6) Systems Battlefield Pediatrics Pharmacy Personal
Laboratory Blood Mgmt Nursing Long TermMission Capabilities Care
Health Record Home CareRequirements Disability Inpatient Emergency
Document Team Military Obstetrics Evaluation Orders Mgmt Dept Care
Mgmt Rehabilitative Transient& Performance Readiness Care
Outreach Consult & OperatingOutcomes Enroute Veterinary Dental
Care Referral Mgmt Immunization Room Mgmt Pharmacy Occupational
Care Mail Order Health (VA)Team Common Interface StandardsBusiness
Enterprise Common Services BrokerProcess Architecture (includes
Enterprise Service Bus (ESB) and Infrastructure Services)Team Team
Common Interface Standards Common Data Centers Data Inter- Common
Information Interoperability Framework (CIIF) operability Common
Information Model, Common Terminology Model, Team Information
Exchange Specifications, Translation Service Common Data Standards:
SNOMED CT and Extensions, LOINC and RxNorm Common DoD-VA Measures
of Effectiveness, Measures of Performance and key Performance
Parameters Joint DoD/VA DoD Only VA Only Integrity - Service -
Excellence 18
- 19. Federal Health System Integration HOSPITAL PHARMACY VISIT
Electronic Electronic PROVIDERRADIOLOGY Health Record Health Record
OFFICE VISIT Common Logistics PUBLIC LAB SYSTEM HEALTH SERVICE
Open-Source Provides Integration Without Barriers Integrity -
Service - Excellence 19
- 20. Federal Agencies Leading the Way with Open Source
Auto-Generated Documentation Doxygen Code Repository Git
Cross-Platform Build Tools CMake Bug/Feature Tracker Mantis
Documents/Resources Wiki Mailing Lists Code Reviewer Gerrit
Software Quality Dashboard CDash Technical Journal Insight Journal
Source: Rick AviloIntegrity - Service - Excellence 20
- 21. Synergy Accelerates Transformation Leverage Federal
expertise through open partnerships Unleash the power of mass
collaboration Improve trust through transparency Explore new
avenues of development www.max.govGenerating & Sharing
Open-Source Knowledge Accelerates Innovation Integrity - Service -
Excellence
- 22. PPC Roadmap Complete Strategy IMS Document Base-lined
Complete Idea Change Factory Readiness Concept INTEGRATED Training
Planning Office Stakeholder Charter Complete Analysis Strategic
Leadership ROADMAP Comms Engagement Integrated Plan Resource
Roadmap Complete EHR Tri-Fold Library Complete Risk/Issues Press
Clips & Base-lined Newsletters Website Program Mgmt Content
Mission/Vision Plan Statements Tech. Gov. Lifecycle Policies &
Acronym Biographies Procedures List Complete CMM Interactive EHRWA
Deliverables Presentations Style Guide Document Templates
Acquisition Strategy Acquisition IA Strategy Systems Engineering
Plan Industry Days Held Final PESHE TEMP IA Strategy Capability
Develop. Document Information AoA Phase II Support Plan CARD Data
Mgmt Strategy RFI-I / RFI-II Released Engineering Action Plan From,
EHR Way Ahead, Aug 2011 Paula Friedman, Director, EHRWA, DoD MHS
ADM Complete I n t e LEGEND: t SCHEDULED e IN PROGRESS - COMPLETEc
e l l e n c e gri y - S rvice Ex
- 23. Patient as the Decision Maker Ready: Reassure patient that
you know them Accessible: Be there when the patient needs you
Prepared: Respect patient and their time Precise: Clarify all
treatment and follow-up Organized: Dont ask patient what you should
know or have available in their medical record Respectful: Always
answer phone calls/resolve patient concerns Thorough: Tell patient
what to do if they feel worseThe Ultimate Outcome of Integration
& IT Initiatives is Better Patient CareSource: Integrity -
Service - Excellence 23
- 24. TRUSTED CARE ANYWHERE Integrity - Service - Excellence