Health TechNetHealth TechNet

Presented by: Suniti Ponkshe Presented by: Suniti Ponkshe

October 8, 2010October 8, 2010

Unprecedented Moment for Health Unprecedented Moment for Health System Performance ImprovementSystem Performance Improvement

HITECH Act

Affordable Care Act

Action at Local, Regional, and National Levels

◦ Shared urgency to seize opportunities and address gaps

◦ New communications and technology tools

◦ Growing body of evidence about effective approaches

◦ Strong and growing local leadership and collaboration

HITECH Act – The Federal Response to the Demand for Health IT Investment

• Part of American Recovery and Reinvestment Act of 2009 (ARRA)

• Goals Define Meaningful Use Support Attainment of Meaningful

Use Establish Public Trust Foster Health IT Innovation

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Stage 1

Stage 3

Stage 2

Making Meaning of “Meaningful Use”Making Meaning of “Meaningful Use”

Improving health and transforming health care through Meaningful Use of HIT

Game-changer: Focus on how technology is used HITECH requires that MU include:

◦ Adoption of certified EHR products◦ Health information exchange◦ Quality reporting

MU Stage 1 is being implemented now MU Stage 2 is being defined – will be defined through a formal

rulemaking process led by CMS

MU is the pursuit of transformation

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Meaningful Use (MU)Meaningful Use (MU)

Regional Extension Centers

Workforce Training

Medicare & Medicaid Incentives and Penalties

State Grants for Health Information Exchange

Standards & CertificationFramework

Privacy & SecurityFramework

Adoption of EHRs

Meaningful Use of Certified EHRs

Exchange of HealthInformation

•Improved individual and population health outcomes

•Increased transparency and efficiency

•Improved ability to study and improve care delivery

Blumenthal D. Launching HITECH. N Engl J Med. 2010 Jan 4. http://healthcarereform.nejm.org/?p=2669

HITECH Act

Research to Enhance Health Information TechnologyResearch to Enhance Health Information Technology

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Implementing HITECHImplementing HITECH

“Meaningful User of Certified EHR Technology”

Certified Complete EHR

Combination of Certified EHR

Modules=Objectives Measures&

ONC-ATCB / ONC-ACB

Certification CriteriaStandard

s

EHR Modules

Complete EHRs

Correlated

Meaningful UseRegulations

Meaningful UseRegulations

HIT Certification Programs Regulations

HIT Certification Programs Regulations

HIT Standards & Certification Criteria

Regulations

HIT Standards & Certification Criteria

Regulations

Source: ONC

How HITECH Addresses Challenges to How HITECH Addresses Challenges to Health IT AdoptionHealth IT Adoption

Obstacle Intervention Funds Allocated

Market Failure, Need for Financial Resources

• Medicare and Medicaid EHR Incentive Programs for “Meaningful Use”

• $27.3 B*

Addressing Adoption Difficulties

• Regional Extension Centers• Health IT Research/Resource

Center

• $643 M• $50 M

Workforce Training • Workforce Training Programs • $84 M

Addressing TechnologyChallenges and ProvidingBreakthrough Examples

• Strategic Health Information Technology Advanced Research Projects

• Beacon Communities Programs

• $60 M

• $250 M

Privacy and Security

• Policy Framework• New Privacy and Security

Policies

Addressedacross allPrograms

Need for Platform for Health Information Exchange

• NHIN, Standards and Certification• State Cooperative Agreement

Program

• $64.3 M• $548 M

*$27.3 B is high scenario

Looking towards Looking towards the future:the future:

A learning health system:

• Patient-centered

• Uses information to continuously improve health and health care of individuals and the population.

20102010

Our Speakers TodayOur Speakers Today

Suniti PonkshePartnerAccenturesuniti.ponkshe@accenture.com Phone: 703.903.9685Mobile: 703.966.6689

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