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Together For Quality Stakeholder’s Meeting

Together For Quality Stakeholder’s Meeting. July 15, 2009. Agenda. Q 4 U Q x Qtool Clinical ARRA The Money Flow Planning for The Future. The TFQ Vision.

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Together For Quality Stakeholder’s Meeting

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  1. Together For QualityStakeholder’s Meeting July 15, 2009

  2. Agenda • Q4U • Qx • Qtool • Clinical • ARRA • The Money Flow • Planning for The Future

  3. The TFQ Vision To create a statewide electronic health information system (HIS) that links Medicaid, state health agencies, providers and private payers and establishes a comprehensive, quality improvement model for the Alabama Medicaid Program.

  4. Data Linkages

  5. Together for QualityInitiatives • Q4U – Care management for individuals with chronic illnesses • Qx – Information exchange between state health and human service agencies • QTool– Electronic health record and clinical support tool

  6. Asthma Enrollment Update

  7. Diabetes Enrollment Update

  8. Asthma Success • Medication Compliance • Proper Technique • Rescue vs. Controller Medication • Understanding and Utilizing Asthma Action Plan Eliminates ED visits and improves quality of life

  9. Diabetes Success • Diet • Exercise • Medication Compliance Resulting in better health outcomes and decreases chance of long term complications.

  10. QTool Update • 1,709 e-prescriptions (implemented March 16, 2009) • 4,400 Provider Hits • 2,594 EMR Pulls • Interface with EHS (EMR) • Children’s Using Qtool through Interface • July Release • Eligibility Information • Patient 1st Information • RMEDE Reporting • Opt Out Ability • Short Printable Version

  11. Then Along Came ARRA

  12. The Money Flow . . (according to Kim) • Provider Incentives • HIT Extension Centers • 90/10 Planning • Broadband • Comparative Research • ONC Grant Programs

  13. Money Details . . . • Broadband Funds • Running of Cable • Projects • August 14th Due Date • Comparative Research • AHRQ • Evidenced Based Medicine • Use for Implementing Quality Measures • Varied Release Dates

  14. More Details . . . • ONC Grant Program • Create Infrastrutuce • Specific Projects • July 16th – preliminary outline of grants • Provider Incentive Payments • Defined Provider Groups • Based on Meaningful Use of “Certified” Systems • State Leeway in Deciding Final Measures • Maximum of $63,750 over a 6 year period based on historical costs

  15. HIT Regional Extension Centers • Assistance with the implementation, effective use, upgrading, and ongoing maintenance • Broad participation of individuals from industry, universities, and State governments; • Active dissemination of best practices and research on and for HIT, including EHRs • Participation in health information exchanges; and • Integration of HIT, including EHRs, into the initial and ongoing training in the healthcare industry

  16. HIT Regional Extension Centers Priority for any direct assistance to: • Public or not-for-profit hospitals or critical access • Federally qualified health centers • Entities that are located in rural and other areas that serve uninsured, underinsured, and medically underserved individuals • Individual or small group practices (or a consortium thereof) that are primarily focused on primary care.

  17. Why We Like Regional Centers • Just providing funds is not enough. • Many physicians don’t have the time for a thorough selection process, or have bought systems and don’t use them or don’t use them to their fullest potential. • No or limited use hinders the integration of up to date medical findings and preventive care. • A primary reason for the lack of or inadequate use is the dramatic impact that EMR’s can have on work flow issues. • REC’s can help with selection, workflow, and utilization issues so that higher quality care can be provided based a customized solution.

  18. 90/10 Monies • Planning and Outreach • Environmental Scan • Stakeholders • Fully Develop the Next Level • Implement Incentive Program for Meaningful Use • Decide Measures and Payment Mechanisms • Ongoing Oversight • Identify Qualified Providers • Promote Adoption of HIT • Contract with Regional Extension Center • Possible 10/2009

  19. Still Unanswered . . . • What is a certified EHR? • What does “meaningful use” actually mean? • How will providers “eligibility” for incentive payments be determined? Confirmed? • What information will States be required to submit to CMS for the 90% HIT Admin match, and for the provider incentive payments?

  20. SO . . . QUESTION: Where do we want to be. What do we want for our patients, our providers, our states. ANSWER: UP.

  21. Next Level • Quality • Efficiency • Value =Better Health Outcomes

  22. Start with the Beginning . . . • To create a statewide electronic health information system (HIS) that links Medicaid, state health agencies, providers and private payers and establishes a comprehensive, quality improvement model for the Alabama Medicaid Program. • SIMPLY STATED: A patient should have one record, regardless of who provided or paid for services in the past, that is available real-time regardless of who is now providing or paying for a service.

  23. To Help Us Get There Robert (Bob) Ashurst Senior Consultant AUM Center for Government

  24. Be Encouraged and Engaged System change can work, it just takes time, strong deliberate planning and long term vision. Don’t be afraid, just be prepared.

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