Embed Size (px)
Citation preview
A COLLABORATIVE JOURNEY FOR HEALTHCARE TRANSFORMATION THROUGH HEALTH IT
Antonio Fernández Director
Regional Extension Center Ponce School of Medicine and Health Science
The CMS “Three-Part Aim”
ARRA & High Tech Act
Stage I: Where are We in PR? (Physicians)
)
Primary Care
Physicians
Dentists &
Specialists Hospitals Totals
Selected & Contracted CEHRs 4,524 1103 42 5,446
Implementing CEHRs 3,659 683 20 4,362
Meaningful Users 820 182 1 1003
The federal government’s approach to addressing the “three part aim” centers on developing a National Quality Strategy. Justification for pursuing this strategy includes the federal role in addressing health disparities, population health, and quality of care for underserved groups. Among other activities, the strategy calls for an alignment of quality measures that can be used to assess national progress, including those appropriate for monitoring progress related to reducing health disparities.
National Quality Strategy
“The National Coordinator shall assess and publish the impact of health information technology in communities with health disparities and in areas with a high proportion of individuals who are uninsured, underinsured, and medically underserved individuals (including urban and rural areas) and identify practices to increase the adoption of such technology by health care providers in such communities, and the use of health information technology to reduce and better manage chronic diseases.” American Recovery and Reinvestment Act of 2009, Pub. L. No. 111-5, § 13101, 123 Stat. 232 - 233 (2009) (adding § 3001(c)(6)(C) of the Public Health Service Act).
ARRA & HITECH
Aligning CQMs Across Programs • CMS’s commitment to alignment includes finalizing the same CQMs used in multiple quality reporting programs for reporting beginning in 2014
• Other programs include Hospital IQR Program, PQRS, CHIPRA, and Medicare SSP and Pioneer ACOs
Implications *Changes in MU Goals & Metrics, Alignment of Clinical Quality Measures (HEDIS, CMS 5 Stars) *Health IT Essential for Practice Transformation • Accountable Care Organizations (ACO) • Patient Centered Medical Homes (PCMH) *Care Coordination & Care Transitions *Patient-Family Engagement *Privacy and Security Protection
Medicare ACO Requirements
TOOLS FOR BUILDING THE PATIENT – CENTERED MEDICAL HOME
Costly Readmission Rates
AVOIDING (RE) ADMISSIONS
Building HIT Bridges to Serve the Underserved
PR AS A SOURCE OF INNOVATION IN HEALTH IT
PATIENT ENGAGEMENT FOR COLLABORATIVE, PERSONALIZED CARE
POPULATION HEALTH
MANAGEMENT
PAYER-PROVIDER
MANAGED CARE
PROVIDER- MANAGED CARE
Collaborative Service Model
“Where there is a Will, there is Way.
Modern Science and Technology show us the Way.
The issue is do we have the Will to follow the Way.”
Sir Jonas Salk
Ponce School of Medicine Regional Extension Center
Call center: (787) 651-4070 Website: http://psmrec.org
Antonio I. Fernandez [email protected]
Contact Information:
Gracias
