HIT Presentation Slides - Office of Information Technology

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Nov 10, 2013 (3 years and 11 months ago)

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HEALTH INFORMATION
TECHNOLOGY OVERVIEW

Amy Cooper, MPH

February 28, 2013

2

My Background


Formal training: MPH: HMP, Instructor at PCC, PSU


Areas of experience


HIT Project Management


Practice Management and EHR installation


Health Information Exchange


HIT Consulting


HIT strategic planning

safety net clinics


Quality Corp
-
Environmental Scan

What is Health Informatics?


Health informatics (HI) is the development and
assessment of methods and systems for the
acquisition, processing, and interpretation of patient
data with the help of knowledge from scientific
research and computers


Essentially


health IT (HIT) provides tools to health
professionals and health care organizations to better
manage data and utilize information

Why HIT is so Important


Quality


Safety


Cost


Goal for health information managers is to identify
and ensure that IT is best used in various health care
settings


However, there are numerous barriers to the use of IT
in health care

Examples of

Administrative Applications


Patient administration systems


Admission, discharge, and transfer (ADT)


Registration


Scheduling


Patient billing or accounts receivable


Utilization management (e.g. appropriateness of care)


Financial management systems


Accounts payable


General ledger


Personnel management


Materials management


Payroll


Staff Scheduling

Examples of

Clinical Applications


Ancillary information systems


Laboratory


Radiology


Pharmacy


Other clinical information systems


Nursing documentation


Electronic medical record (EMR)


Computerized provider order entry


Telemedicine and telehealth


Medication administration

Health Care Information Systems


Financial management systems


Accounts payable: monitors debts incurred and
outgoing costs


General ledger: monitors financial management
and reporting to feds, state and other key financial
stakeholders


Personnel management: manages HR information
for staff (e.g. salaries, payroll, benefits, education,
training, among other HR issues)


Health Care Information Systems


Best of Breed vs. Integrated HCIS


Historical development


Piecemeal factor in development of HCIS


Therefore need to build interfaces or integrate
data amongst various silo or stand alone systems


System integration remains a primary challenge for
many HCOs


Enterprise
-
wide system from single vendor


Any advantages?


Any disadvantages?

Numerous Health IT Systems


EHR


E
-
prescribing


Disease Management Registries


Computerized Physician Order Entry (CPOE)


Clinical Decision Support System (CDSS)


Picture Archiving and Communication Systems (PACS)


Telemedicine and Telehealth

Access and Authentication


Paper
-
based MR system relies on sign
-
in sheets, ID
badges, and copies of handwritten signature



EHR requires account management, password
management, and signature code management



Auditing capabilities greatly enhanced with use of an EHR
system



However, passwords and log
-
in access are continuously
being changed

Value of EHR


Improved quality, outcomes and safety


Computerized reminders and alerts


Improved compliance with practice guidelines


Reduction in medical errors


Improved efficiency, productivity, and cost reduction


Readily available test results


Prompting physicians to use generic and formulary drugs


Savings from elimination of transcription services


Improved coding practices (or higher reimbursements)


Improved service and satisfaction


Patient satisfaction


User satisfaction


Less stress


Improved job satisfaction


Quality of documentation


HITECH Act


The Health Information Technology for Economic and

Clinical Health Act (HITECH)


Medicare Incentives ($44K per eligible provider)


Medicaid Incentive programs (State run
-

$63,750 per
eligible provider)


Regional Extension Centers


O
-
HITEC (www.ohitec.org)


HIT Workforce programs


OHSU Curriculum Dissemination Center


Community College Consortiums



Meaningful Use of EHR


EHRs use by providers to achieve significant
improvements in care. The legislation ties payments
specifically to the achievement of advances in
health care processes and outcomes.


Stage 1 (July 2010 rules out
-

2012 reporting)


Electronic reporting of data for quality of care


Stage 2 (2014)


Adds Health Information Exchange (HIE)


Stage 3

Meaningful Use as a Building
Block
(From Nov 8, 2012 Trailblazers National Strategy Webinar)

Stage 2 MU

ACOs

Stage 3 MU

Robust CDS (evidenced
based medicine &
practice goals)

Patient centered, team
based care

Structured data utilized

Care coordination

Structured data utilized

Case management &
longitudinal viewing


Robust CDS (evidenced
based medicine &
practice goals)


Patient centered, team
based care

CQM data utilized to
improve delivery and
outcomes

Structured data utilized

Case management &
longitudinal viewing

Utilization of clinical
decision support

Performance and
population
management

Patient engagement

Stage 1 MU

Basic EHR functionality,
structured data

Patient informed

Utilize
technology

Access to
information

Transformation

Improved population
health

CQM data utilized to
improve delivery and
outcomes

Performance and
population
management

Improved population
health

Enhanced access and
continuity

Questions?


Amy Cooper, MPH

Cooper and Associates, LLC

503
-
887
-
9395

amy_cooper@comcast.net