Louisiana’s Vision for Health Information Technology

1. Louisiana’s Vision for Health Information Technology Joshua HardyState Health IT Coordinator

2. Health Information Technology • Use of technology to improve care is one of the four core business objectives of DHH • HIT makes it possible for health care providers to better manage patient care through secure use and sharing of health information • Louisiana’s HIT agenda • Louisiana Health Information Exchange (LaHIE) • Louisiana Health Information Technology (LHIT) Resource Center • Louisiana Medicaid EHR Incentive Program • Crescent City Beacon Community (CCBC)

3. The Evolving HIT Context

4. Still miles to go… LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

5. Source: Blumenthal, D.B. (2010) Launching HITECH, New England Journal of Medicine.

6. The Challenge…. A vast amount of information still exists, and processes still take place on paper. LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

7. How do we get there? • Incentivize adoption of EHRs • Securely exchange health information among disparate IDNs/providers • Utilize HIT platforms to collect quality improvement measures and perform analytics

8. Medicaid investments in hit

9. HIT simplifies quality measure reporting • Innovations in care delivery as specified in ACA also provide incentives for using information most easily obtained through EHR-based organizations • Certified EHRs have QM built-in. • CMS plans to test the ability of EHRs to submit clinical quality data for inpatient hospital quality measures, and to test its technical ability to accept data from EHRs on the following measurement topics: • Emergency Department Throughput • Stroke • Venous Thromboembolism (VTE)

11. The Original Health Information Exchange… still going strong.

12. Why hie? Source: 2012 National eHealth Collaborative Stakeholder Survey

13. LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

14. What’s the holdup? Source: 2012 National eHealth Collaborative Stakeholder Survey

15. LOUISIANA DEPARTMENT OF HEALTH AND HOSPITALS

16. What’s the holdup? Source: 2012 National eHealth Collaborative Stakeholder Survey

17. The Office of Standards & Interoperability • To help build nationwide EHR interoperability, the Office of Standards & Interoperability (OSI) at the U.S. Department of Health and Human Services works to: • Encourage development of health IT standards • Move toward the seamless exchange of health data across all stakeholders: Federal agencies; State, local, and tribal governments; and the private sector • To achieve these goals, OSI's roles include: • Enabling stakeholders to come up with simple, shared solutions to common information exchange challenges • Curating (overseeing) a portfolio of standards, services, and policies that accelerate information exchange • Enforcing compliance with validated information exchange standards, services, and policies — to assure interoperability among validated systems

18. Without lahie

19. With lahie

20. HIE improves health outcomes and reduces health care costs • Access to additional clinic data through HIE in ED settings is associated with net societal saving. • HIE access reduced overall costs by $1.07m • Hospital admission reductions accounted for 97.6% of total cost reductions • HIE use resulted in 412 fewer admissions than would have been predicted to occur without HIE use • Source: Frisse, M.E., Johnson, K.B., et al. (2011) The Financial Impact of Health Information Exchange on Emergency Department Care, Journal of the American Medical Informatics Association • Across all insurance types, EHR sites were associated with significantly higher achievement of care and outcome standards and greater improvement in diabetes care • These findings support the premise that federal policies encouraging the meaningful use of EHRs may improve the quality of care across insurance types • Source: Cebul, R.D., Love, T.E., et al. (2011) Electronic Health Records and Quality of Diabetes Care, New England Journal of Medicine.

21. Maximizing the Opportunity engaging stakeholders State-wide P4P programs Forecast Prevent Outbreaks Link clinical to reporting services Link clinical w/ financial, detect FWA Target Interventions Claims, eligibility, non-claim fiscal transactions SafetyNet opportunities Coordinate Systems of Care

22. It Really Is NOTAbout the Data It is really about ENGAGEMENT • Colleagues • Policy Makers • Providers • Neighborhoods • Consumers • Future Partners

23. Engaging colleagues Identifying Opportunities Targeting Communities Balancing Scorecards Predicting Failures Interagency Collaboration

24. Engaging consumers

25. Engaging consumers

26. Game Changers Helping consumers take control of their health and health care… Helping communities and governments improve the Public’s Health…

27. The Louisiana Code-a-thon April 26-28, 2012 University of Louisiana at Lafayette Research Park, Lafayette, LACREATE, INNOVATE and CELEBRATE with us!$25,000 Grand Prize and U.S. Health Datapalooza Qualifying Entry for Cajun Code Fest 2012 Winner!

28. Contact info Joshua Hardy State Health IT Coordinator 225-571-8274 joshua.hardy@la.gov