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EHR Accessibility Module Challenge Overview Webinar
Webinar Presentation Friday, April 6th
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On today’s call:
JL Neptune
Senior Vice President
Health 2.0
Adam Wong
Program Analyst
Office of the
National Coordinator
David Baquis
Accessibility Specialist
U.S. Access
Board
Rosaly Correa-de-
Araujo
Deputy Director
Office on Disability,
HHS
Alok Doshi
CCIIO
Office of Health
Insurance Exchange,
CMS
Matt Quinn
Computer Scientist
National
Institute of Standards and
Technology
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Agenda for Today’s Meeting
ONC and the Investing in Innovation (i2) Program An Introduction to Accessibility and Usability An Overview of the EHR Challenge
Q&A About the Challenge
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ONC and i2
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EHR Accessibility
David Baquis U.S. Access Board
Matt Quinn
NIST 5
What is the Access Board?
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U.S. Access Board
• Independent Federal agency
• Promulgates guidelines and standards for accessible design
• Provides technical assistance and training
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What is Accessibility?
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Accessible Design
• Accessibility is design criteria which removes barriers that make it difficult or impossible for some people with disabilities to use HIT
• It’s rooted in civil rights with the intention to provide an assurance of technological non-discrimination
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Standards and Guidelines
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Section 508 Standards (2000) www.section508.gov
Web Content Accessibility Guidelines (2008) (WCAG 2.0: http://www.w3.org/TR/WCAG/)
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Stakeholders
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Who Benefits?
Disabilities: • Hearing • Vision • Speech • Mobility • Dexterity • Cognitive
User groups: • Patient/clients • Guests/customers • Clinicians • Caregivers/families • Students/instructors • Admin personnel • Payers/insurance reps • Analysts, researchers
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Accessibility Examples
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Internet Sites
• Are text equivalents provided for non-text elements?
• Are multimedia videos captioned? • Are row and column headers
identified in data tables?
PHR Development Software
• Non mouse use: Can I create and update a PHR using only a keyboard?
• Do electronic forms allow assistive technology to access the information and functionality necessary for completion and submission of the forms?
• Alternative means of identifying elements, for people who are color blind?
Handheld Devices
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How to Reach the U.S. Access Board
• Telephone (voice): – 202-272-0013 (direct to David Baquis) – 800-872-2253 (toll-free in U.S.)
• E-mail: 508@access-board.gov
• Internet: http://www.access-board.gov
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Accessibility and Usability in a Prototype Ambulatory Electronic
Healthy Record Pilot Project Rosaly Correa-de-Araujo, MD, MSc, PhD
Deputy Director, Office on Disability U.S. Department of Health and Human Services
Office of the National Coordinator’s Challenge Grant Webinar April 6, 2012
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Background • People with Disabilities
– 54 million – 19.3% non-institutionalized population ≥ 5 years – 4 times as likely to report fair or poor health – $400 billion in health care expenditure
• Health Information Technology (HIT) – Significant federal investment, adoption of EHRs & PHRs – Patient portals available to support health care management – Development and implementation of systems/services is far advanced,
but no HIT accessibility specifications/policies – Infrastructure limitations, inaccessible designs/content precludes use
by people with disabilities – Accessibility & usability are high priority for the disability community
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Background (cont’d)
• We are unaware of any published prototype accessible EHR/PHR systems. One grant award has been made by the Department of Education recently on this topic.
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Background (cont’d)
• Benefits of EHRs – Accessible EHRS will allow people with disabilities
to benefit from personalized online interactions with health care information
– Create more efficient clinical practices: • reduced duplication of tests • enhanced quality/safety of care • Improve care coordination
– Reduce paperwork – Regulatory compliance
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Background (cont’d)
• Costs – EHRs/PHRs expected to contribute to reduction in
health care costs, but operating alone, these systems are not designed to address the current challenges around cost and quality of care.
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Challenge Grant Brief Description
• Design, test, implement a module prototype application that is not only compatible and consistent with certified EHR system, but ensures accessibility and easy interaction by people with disabilities.
Focus on CONSUMER
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Standards for Compliance
• Web Content Accessibility Guidelines (WCAG 2.0), W3C Web Accessibility Initiative for website accessibility
• Section 508 Standards by the Access Board • Section 508, Rehabilitation Act • Communications Act, standards for
telecommunication services and equipment
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Grant Submission Requirements
Acceptable Platforms
Data Used
General
Security
Functionality Accuracy
No ONC Logo
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Evaluation Criteria
• Design and usability • Creative and innovative use of technologies • Compliance with disability and accessibility
standards • Integration of EHR Module with HIT and EHR
Systems • Potential Impact and ability to drive adoption and
engagement • Use of NwHIN standards
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Timeline
• Submission Period Begins: 1:00 pm, EDT, January 30, 2011 • Submission Period Ends: 11:59 pm, EDT, July 23, 2012 • Evaluation Process Begins: 12:01am, EDT, July 27, 2012 • Evaluation Process Ends: 11:59pm, EDT, August 10, 2012 • Winners Notified: August 13, 2012 • Winner Demo at Relevant Industry Conference: TBD
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Challenge Grant
Awards • Prize Categories
– 1st Place: $60K – 2nd Place: 20K – 3rd Place: $5K
Evaluation & Awards • Evaluation by an Expert
Panel, America COMPETES Act
• Award Announcement: August 13, 2012 (12:00 PM EDT)
• Demos at relevant industry conference
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For More Information and Registration:
www.health2challenge.org
Jean-Luc: jl@health2challenge.org
Adam: Adam.wong@hhs.gov
David: baquis@access-board.gov
Rosaly: Rosaly.correa@hhs.gov
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