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Minnesota e-Health Initiative Update on EHR Adoption & Use in MN

Minnesota e-Health Initiative Update on EHR Adoption & Use in MN. Minnesota Ambulatory Surgical Center Association Friday, April 15, 2011 . Marty LaVenture, MPH, PhD Director, Office of Health Information Technology & Center for Health Informatics & MN e-Health Initiative

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Minnesota e-Health Initiative Update on EHR Adoption & Use in MN

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  1. Minnesota e-Health Initiative Update on EHR Adoption & Use in MN Minnesota Ambulatory Surgical Center Association Friday, April 15, 2011 Marty LaVenture, MPH, PhD Director, Office of Health Information Technology & Center for Health Informatics & MN e-Health Initiative Minnesota Department of Health Rebecca Reibestein, MPP Communications, Office of Health Information Technology Minnesota Department of Health

  2. Topics for Discussion Minnesota e-Health Landscape What are MN EHR adoption rates? What does this data mean? Opportunities Federal HITECH programs funded in Minnesota Other Resources Recommendations What are some key actions you can do now 2

  3. The Minnesota e-Health Initiative A public-private collaboration established in 2004 Legislatively chartered Coordinates and recommends statewide policy on e-Health Develops and acts on statewide e-health priorities Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way “Vision: … accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions.” 3

  4. Minnesota HITLandscape is Changing Moving from Analog-Paper to Digital

  5. Assessment Status of Key Settings / Domains for EHR Adoption and Use in Minnesota Minnesota Department of Health, rev 2011 *Estimated

  6. MN Clinic EHR Adoption Rates Source: MDH, OHIT, 2010 MN HIT Ambulatory Care Clinic Survey Response Rate 87% (1121/1285) 6

  7. MN Acute Care Hospital EHR Adoption Rates Source: MDH, OHIT, 2009 AHA Annual Survey Information Technology Supplement Response Rate: 98% (129/131 Acute Care Hospitals) 7

  8. Freestanding Ambulatory Surgical Centers EHR Adoption Rates: Maryland Source: Maryland Health Care Commission. 2009 Freestanding Ambulatory Surgical Center Health Information Technology Survey.

  9. FASC Health IT Use Rates: Maryland • CPOE use (Computerized Provider Order Entry) • Approx. 38% of Centers using Health IT have CPOE capabilities • 46% are undecided in their planning efforts • 17% plan to assess or implement CPOE in the future Source: Maryland Health Care Commission. 2009 Freestanding Ambulatory Surgical Center Health Information Technology Survey. • CDS use (Clinical Decision Support) • In Centers reporting CPOE use: • Approx. 80% use CDS for medication prescribing • 22% use CDS for diagnosis, standards of care and chronic conditions 9

  10. Key Drivers for EHRs • Care Delivery and Quality needs • Business Needs of Organizations • Increasing evidence relating to improvement in quality and safety • Consumer needs and interest • Minnesota Law for Using an Interoperable Electronic Health Record by 2015 • Federal financial incentives and disincentives programs 10

  11. Benefits of HIT Review of the Recent Literature Findings: • Study included evaluation of 154 previous studies • 96 (62 percent) were considered positive with measurable benefits • Majority of recent articles/studies show measureable benefits from adopting HIT • Benefits of HIT beginning to emerge in small and large practices that were early adopters Source: Beeuwkes Buntin M, Burke M, Hoaglin M, Blumenthal D. The Benefits of HealthInformation Technology: A Review of the Recent Literature Shows Predominantly Positive Results. Health Aff March 2011; 30:3464-471.

  12. Common Barriers to ImplementationMinnesota 2010 Survey • Cost of implementation • Concerns about return on investment • Lack of knowledge/resources • Provider support • Staff education & training • Security & privacy concerns 12

  13. Surgical Centers and EHRs Benefits: • Remain competitive • Efficiencies gained from technology • Improved patient outcomes, reduce medical errors Challenges: • Not eligible for MU incentives (but some physicians are) • Smaller size, less capital, lack of support • Certified surgical EHR systems, lack of surgical templates

  14. Resources • Minnesota Resources • Federal Resources

  15. Continuum of EHR Adoption Achievement of 2015 Mandate Adopt Utilize Exchange Assess Plan Select Implement Effective Use Readiness Interoperate Minnesota Model for Adopting Interoperable Electronic Health Records • From the Minnesota’s Statewide Implementation Plan - 2008 • Breaks achieving the 2015 Mandate into manageable steps • Applies across organizational settings

  16. Minnesota e-Health Initiative Resources & Learning Opportunities • Minnesota e-Health “GovDelivery” List • Weekly Updates – sign up a the web page. • Monthly HITECH Update Calls • Third Thursday of the Month 4:00-4:45 p.m. • Minnesota e-Health Web Page • www.health.state.mn.us/e-health • 2011 Mn-e-Health Summit • Save the Date - Thursday June 16th, 2011

  17. Federal HITECH Funding in Minnesota 17

  18. REACH • Field Consultants provide technical assistance • Are beginning to work with Ambulatory Surgical Centers in MN and ND • http://www.khareach.org • 1-877-331-8783 x222

  19. Key Actions • Surgical Centers • Surgical Center-related organizations

  20. Key Actions & ConsiderationsSurgical Centers • Tap into federal resources e.g.: • REACH – technical assistance for adoption and use • DHS/CMS for incentive funding (possible resource for physicians) • If you are looking to buy an EHR be sure to plan thoroughly before you buy • If you have an EHR, implement techniques that support effective use • Plan for e-prescribing • Consider state-certified HIE service providers 20

  21. Key Actions & ConsiderationsSurgical Center Organizations • Support assessment of the adoption and use rates for EHR’s in surgical centers in Minnesota • Provide/support learning opportunities for ASCs state-wide on meaningful use and other HIT topics • Create/update/ support standard surgery systems requirements • Encourage vendors to have their software certified & staying certified/qualified 21

  22. Acknowledgements • Advisory Committee Co-Chairs and Members • Co-chairs: Walter Cooney & Dr. Marty Witrak • Workgroup Co-chairs & Participants • Standards and Interoperability Workgroup: Bobbie McAdam & Barb Billing • Health Information Exchange Workgroup: Alan Abramson & Joanne Sunquist • Adoption and Meaningful Use Workgroup: Paul Kleeberg & Bonnie Westra • Privacy, Legal, Policy Workgroup: Laurie Beyer-Kropuenske & LaVonne Wieland • Communications & Outreach Workgroup: Becky Schierman & Mark Sonneborn • MDH Department Leaders • Liz Cinqueonce,Dr. Priya Rajamani, Jennifer Fritz, Kari Guida

  23. For More Information www.health.state.mn.us/e-health Marty LaVenture Minnesota Department of Health Office of Health Information Technology martin.laventure@state.mn.us 651-201-5950 Rebecca Reibestein, MPP Minnesota Department of Health Office of Health Information Technology rebecca.reibestein@state.mn.us 651-201-5092

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