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What Are Midwest Providers Doing to improve Quality, Safety, AND Efficiency IRHA HIT Panel

What Are Midwest Providers Doing to improve Quality, Safety, AND Efficiency IRHA HIT Panel. Todd Rowland MD HealthLINC HIE. Our Objectives. Evaluate options for electronic tools (EMR) to improve quality and safety from real life examples

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What Are Midwest Providers Doing to improve Quality, Safety, AND Efficiency IRHA HIT Panel

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  1. What Are Midwest Providers Doing to improve Quality, Safety, AND EfficiencyIRHA HIT Panel Todd Rowland MD HealthLINC HIE

  2. Our Objectives • Evaluate options for electronic tools (EMR) to improve quality and safety from real life examples • Explore the value of RAPID data exchange for daily clinical work • Develop your organizational plan to improve efficiency while maintaining quality of life

  3. Who is here today? • Do you already have an EMR? • Are you planning to retire… soon? • Are you happy with your EMR? • If you don’t have an EMR, why not? • What were your plans before Meaningful Use started? • What would an EMR need to do to improve your professional life? Your personal life?

  4. In Batesville, Indiana “With the use of our HealthBridge exchange I can access almost 100% of my patient’s information on my system, directly in the patient’s chart. I get results from Margaret Mary Community Hospital as well as Cincinnati Children’s Hospital and will get results from Riley Hospital in Indianapolis!” Scott Calahan, MD Pediatrician

  5. One Week of Chart Work… not in Batesville

  6. Federal Aim: Wed HIT – HIE – QI AIM: Move physician groups toward full practice transformation & meaningful use Provider Universe Tomorrow HIGH Provider Universe Today Engagement LOW LEVEL 1 LEVEL 2 LEVEL 3 BASIC QUALITY IMPROVEMENT AGGRESSIVE QI PATIENT CENTERED MEDICAL HOME BASIC TECHNOLOGY MEANINGFUL USE

  7. Connection to Health Information Exchanges What is wrong with this group???????

  8. HealthLINC HIE: working to make a difference • HIE Operations since 2007 • 501c3 non-profit • 270 electronic physicians • 200,000 results/month = 288 trees a year saved • 5 different result sources (many result types) • 190,000 patients in community index • 4 physician EMR interfaces (AllScripts, Greenway, Sage) • Growth in HIE hosted e-prescribing • Integrated to community registry • 4 federal projects ongoing (SSA, CMS, ONC, HRSA) • ASP with Health Bridge HIE (Axolotl, MIRTH…) • Sub-grantee Tri-State Regional Extension Center

  9. This is happening all around Indiana

  10. HealthBridge Tri-State Regional Extension Center (REC) HOW WILL IT ASSIST PRACTICES AND HEALTH PROFESSIONALS? • Basic Resources on Technology and Meaningful Use • Conferences, webinars, workshops and peer learning • Tools, contract templates for EHR implementation • Online and print meaningful use resources • Group Purchased EHRs and Technology Solutions • provide discounted rates for EHRs, hardware and IT services • health information exchange services and other technical support. • On-Site Technology ImplementationAssistance – help with planning, purchasing and implementing an EHR, exchange and other technologies needed to meet meaningful use • Quality Improvement Support – practice redesign, intensive QI collaborative, performance measurement requirements for EHRs • WHAT REC $ CANNOT DO: pay for an EHR, hardware or other software.

  11. HIE operations and Mature EMR Use HIE -MDs expect HIE results < 2 hrs -Practices improving results management -Physician Lab added by community request EMR -50 to 90% adoption of EMR -many MDs using EMR 2+ years -increasing HIE to EMR interfaces

  12. Regional Extension Centers: Making IT Meaningful -Partner in Tri-State REC (Indiana) -Achieved 30% (70) with EASY SIGNUP -Simple Gap Analysis with Final Rule -Physician practices can earn 44-63k -Monthly standing meetings -We have been doing this for years -Results management -Electronic referrals -Medication management

  13. Aligning with Quality and Financial Drivers Quality -Clinical Integration program (FTC) -150+ MDs members of CQP program -Aligned with hospital quality -Community registry integration Opportunity examples -Reducing hospital re-admissions by sharing discharge meds/allergies -Electronic referral management -Tele-health complementing rural outreach

  14. In Paoli, Indiana • “I can print out a copy of a prescription list and create a plan for the patient” • “Then the patient is able to leave the office with a good understanding of their meds. It’s a safety issue for me.” Yolanda Yoder MD

  15. Thanks

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