Health Information Technology for Post Acute Care (HITPAC): Minnesota Project Overview Candy Hanson...
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Transcript of Health Information Technology for Post Acute Care (HITPAC): Minnesota Project Overview Candy Hanson...
Health Information Technology for Post Acute Care (HITPAC):
Minnesota Project Overview
Candy Hanson
Program Manager
Julie Jacobs
HIT ConsultantJune 13, 2013
Objectives
• Understand the purpose of the HITPAC project
• Identify benefits of the HITPAC project to Minnesota health care communities and its patient populations
• Learn about Minnesota’s adoption and use of electronic health records and health information exchange in its skilled nursing facilities
Stratis Health• Independent, nonprofit, Minnesota-based
organization founded in 1971– Mission: Lead collaboration and innovation in
health care quality and safety, and serve as a trusted expert in facilitating improvement for people and communities
• Working at the intersection of research, policy, and practice
The Six Goals of the CMS Quality Strategy
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Our Key Collaborators…
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Minnesota HITPAC is:Minnesota HITPAC is:
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Minnesota HITPAC CommunitiesMinnesota HITPAC Communities
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TWO MAIN FOCUS AREAS:
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Minnesota Environmental Scan• Provides a broad brush stroke of the state of
Minnesota skilled nursing facilities adoption and use of EHRs
• Describes EHR Functionality• Informs about Health Information Exchange (HIE)
possibilities• Recommendations for moving forward
Link to Minnesota Environmental Scan: http://intranet/c1/10sow/siphitpac/es/MN%20Environmental%20Scan%20for%20HIT%20PAC%20%20-%20Final%2001_08_13%20(2).pdf
Minnesota EHR Adoption & Use• 69% Minnesota nursing homes report
adopting/using EHR• 99% report using EHR to document activities
such as MDS assessment• 98% report using EHR to document resident
demographics• 96% report using EHR to document diagnosis
or condition listRef 2011 MDH Nursing home Survey Data
Minnesota Nursing Homes with EHRsMedication Management Activities
• 14% used EHRs for medication reconciliation
• 62% used alerts for medications
• 36% used an electronic medication activity record (e-Mar)
• 3% used e-Prescribing
Ref: 2011 MDH Nursing Home Survey Data
Care Coordination Toolkit http://www.stratishealth.org/expertise/healthit/caretransitions
Readiness Assessment Interviews
Education and Technical Assistance
Current and Future State Process Mapping•
Findings: – Limited Long Term Post Acute Care (LTPAC)
EHR functionality• Interoperability• CCD• Medication Reconciliation and e-Prescribing• Laws and rules that pre-date EHR use contribute
to problematic work flows• Hybrid health records (paper/electronic mix)
Findings: – LTPAC and Acute Care Facilities:
• Understanding the needs of each• Inconsistent expectations of EHR users• Potential points for improving medication
administration in current medication reconciliation workflows
• Privacy and security practices in an electronic health record environment will continue to need attention
• View-only access to hospitals’ EHR does not solve interoperability issues
Next Steps:• Early Recommendations
– All EHR Vendors should design software that can both generate and consume a Continuity of Care Document (CCD)
• 225 Data points• MDS, OASIS, Interact, other proprietary formats
– Configuration and training related to Clinical Decision Support and e-Prescribing tools
• Medication Libraries • Predictive text• Electronically generated reports• Work flow re-designs to advocate for Computer Physician Order
Entry (CPOE)– Best practice around Medication Reconciliation
• Pharmacy consults• EHR CDS
Next Steps (continued):• Early recommendations
-LTPAC facilities consider investing in a “super-user” environment
-Financial assistance to help non-EHR LTPAC settings prepare for EHR adoption and use
-Financial assistance made available to help LTPAC settings who have EHR in place assess adoption and use and workflow issues
Questions?
For more information contact:
Candy Hanson
Program Manager
Health Information Technology for Post Acute Care (HITPAC)
Stratis Health