Health IT Perspective - Today and Into the Future

7/29/2019 Health IT Perspective - Today and Into the Future

1/13

Health IT Perspective Today

and Into the FutureAuthor: Office of Communications

May 14, 2012


2/13

HITECH: Catalyst for Transformation

2

Pre 2009 2009 2014

A system plagued

by inefficiencies

EHR Incentive Program and 62

Regional Extension Centers

Widespread adoption &

meaningful use of EHRs

Three-Part Aim:

Better Healthcare Better Health Reduced Costs

Paper Records HITECH Act EHRs & HIE


3/13

President Bushs Commits to HIT

Executive order established the Office of the

National Coordinator for Health InformationTechnology (ONCHIT) as part of the Dept of Health &Human Services (HHS) Dr. David Brailer appointed the first National Coordinator

The Time is Now

By computerizing health records,

we can avoid dangerous medical

mistakes, reduce costs, and improve

care.

- State of the Union address,Jan. 20, 2004


4/13

President Barack Obamaannounces his commitmentto Health IT:February 17, 2009 the AmericanReinvestment and Recovery Act (ARRA Stimulus Bill) signed into law

2009 President Obama vows to continuethe HIT Plan begun by President Bush

HITECH component of ARRA provides an incentive program to

stimulate the adoption and use of HIT, especially EHRs

Establishes, by law, the Office of the National Coordinator for

Health IT

Dr. David Blumenthal appointed the new National Coordinator


5/13

HR 1 -- 111th Congress $787 Billion

Highly partisan vote

Healthcare gets $147.7 Billion $87B for Medicaid

$25B for support for extending COBRA

$10B for NIH

$19B directly for HIT

HITECH = Health Information Technology

for Economic and Clinical Health

American Recovery & Reinvestment Act

of 2009 (Stimulus Bill)


6/13

Health IT- Enabled Health Reform

2009 2011 2013 2015

Criteria Phasing / Maturation

Meanin

gfulUseCriter

ia

HITECHPolicies STAGE 1

Meaningful Use

Criteria

(Capture/share

data)

STAGE 2

Meaningful Use

Criteria

(Advanced

clinicalprocesses with

decision

support)

STAGE 3

Meaningful Use

Criteria

(Improved

Outcomes)


7/13

Toward the Tipping Point

TIME

Transformational

Change in Health Care

Delivery

Technology Adoption

Do I need it?

Cant be without it!


8/13

EHR related applications

Other BCHS Initiatives - Service Line Support

Patient-Provider Integration

Enterprise Data Management

Portals

Administrative Systems

Enabling Technologies

Infrastructure

EHR Global Elements

New Areas and Facilities

Research

Education

Disaster Recovery

Business Continuity

Categories of Activities

DNA Double Helix

Information Systems is

the Messenger RNA ofthe Enterprise

8


9/13

Changing Roles in Health IT

CDO to CIO

The rise of the C?IO

Value Analytics Value Model

Traditional ROI

+ Project Risk+ Value Realization Risk

+ Flexibility

+ All other intangibles9


10/13

Market Forces

Big Data Standards

Architecture

Talent

Governance Privacy and security

Pattern recognition accidental or directed?

Clinical AND administrative data

International exchange

Medical Tourism Research

Privacy and Securitycontinued

10


11/13

Market Forces - continued

Demographics

Consumer demand

Dr. Craigs List

Payment reform

Workforce shortages

Clinical

Technical

New computing platforms

Apps

Clinical decision support modules

What should be in Stage 4?

Post-implementation optimization

Diffusion of best practices

Other insights

11


12/13

HIT as the means, not the end

Dr. David Blumenthal, previous NationalCoordinator of HIT, emphasizes:

HIT is the means, but not the end. Getting

an EHR up and running in health care is not

the main objective behind the incentivesprovided by the federal government under

ARRA. Improving health is. Promoting

health care reform is.

- At the National HIPAA Summitin Washington, D.C.

on September 16, 2009


13/13

The EHR is a

Journey

and Not

a Destination

Health IT Perspective - Today and Into the Future

Documents

Transcript of Health IT Perspective - Today and Into the Future