What Lies Ahead for ONCMeaningful Use and Beyond

Farzad Mostashari, MD ScMNational Coordinator for Health Information Technology

Key points

Continuity of Principles, Strategy, Approach

Implementation

Health Care Transformation

Patient in the Center

T H E T I M E I S

Conceptual Approach to Meaningful Use

Capture / share data

Advanced care processes with decision support

Improved Outcomes

2011

2013

2015

3

Fewer Premature Deaths (CV)

• Demographics• Blood Pressure• Smoking• BMI• Problem List• Med List• Lab Data

• Quality Measurement • CDSS• Registry

Safer Care

• Demographics• Blood Pressure• Smoking• BMI• Problem List• Med List• Allergy• Lab Data

• Quality Measurement • CDSS• Registry• CPOE• Drug-Drug, Drug-Allergy• eRx

• eMAR

Patient-Centered Care

• Demographics• Blood Pressure• Smoking• BMI• Problem List• Med List• Allergy• Lab Data• Patient Education

• Quality Measurement• CDSS• Registry• CPOE• Drug-Drug, Drug-Allergy• eRx• After Visit Summary• Reminders

• Patient Preferences

• Patient Copy• Online

Access

View & Download

• Secure Messaging

More Coordinated Care

• Demographics• Blood Pressure• Smoking• BMI• Problem List• Med List• Allergy• Lab Data• Patient Education

• Quality Measurement• CDSS• Registry• CPOE• Drug-Drug, Drug-Allergy• eRx• After Visit Summary• Reminders• Patient Copy• Online Access• Medication Rec • Share Care Summary

• List of care team members

• Electronic progress notes

Longitudinal care plan

Next Steps: Meaningful Use Stage 2

• Incorporate HITPC feedback and hearing findings into final MU WG recommendations for stage 2

• June 8: Present final draft recommendations to HITPC for approval

• June 2011: Submit final HITPC stage 2 Meaningful Use recommendations to ONC and CMS

• End-2011: anticipate HHS MU NPRM• Mid-2012: anticipate HHS MU Final Rule

8