1 / 19

CAREWare Overview Part A Training July 31, 2013

CAREWare Overview Part A Training July 31, 2013. John Milberg Division of Policy and Data. U.S. Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Rockville, MD. Presentation Goals.

kendis
Download Presentation

CAREWare Overview Part A Training July 31, 2013

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. CAREWare OverviewPart A TrainingJuly 31, 2013 John Milberg Division of Policy and Data U.S. Department of Health and Human Services Health Resources and Services Administration HIV/AIDS Bureau Rockville, MD

  2. Presentation Goals • Provide brief history and context for development of CAREWare • Describe main features and software development model • Describe users • Discuss the role and future of CAREWare in a rapidly changing health information technology (HIT) world

  3. Why CAREWare Was Developed • Concern over data quality reported to Bureau (1999-2000) • Need for a standardized tool to report on services delivered, demographics, basic clinical information • Limited resources and time to build and/or purchase their own system • Ensure that aggregate data reports were derived directly from client-level data, resulting in more reliable data

  4. What It Is – What It Does • An electronic health and services information system developed by the HIV/AIDS Bureau made available for free to our grantees and providers • First released in 2000 in MS-Access; rebuilt in 2005 in VB .NET with SQL Server database • Allows providers to produce all reports required by HAB and track client demographics, services, clinical information, referrals, etc. • Contains comprehensive customizable reporting functionality, including a performance measures module to track the quality of care • Can be configured to run as a standalone or under a comprehensive wide area network administered by a state, city, or group of clinics/providers

  5. What It Is Not! • CAREWare is NOT a certified EMR/EHR • It is not mandated by the HIV/AIDS Bureau. HAB only mandates what data are reported to us, not how you collect and report that data

  6. Features • Collects: • Demographics • Longitudinal data on services, medications, lab, screenings, diagnoses, immunizations • Appointment scheduler • Extensive custom fields • Referrals • Reports: • HAB required outputs (client-level export, ADAP); HOPWA • Custom reports module • Performance Measures module, including pre-built HAB performance measure • Clinical encounter reports for managing HIV care

  7. Features and Security Imports: • Data from EMRs/EHRs • Labs (HL7-formatted data from LabCorp and Quest) Provides security: • Standard password protection, rule-based access rights • Uses native .NET encryption • Network configurations typically use a VPN, Citrix, or other private security tools • Accommodates HIPAA security guidelines

  8. Main Demographic Screen

  9. Performance Measures Module

  10. Performance Measures Module

  11. Who Uses It? • 51 percent of all Ryan White Program-funded grantees and providers to submit their required client-level data (958 of 1870 providers in 2010) • 56 percent of outpatient ambulatory care providers • Providers in 48 states, Puerto Rico, Guam, and the U.S. Virgin Islands • In 17 states (and PR, VI, and Guam), it was used by 100 percent of providers to submit their data

  12. Who Uses It/How Configured? • Configured as a centralized network in 21 States: Arizona, Connecticut, Florida, Georgia, Idaho, Iowa, Kentucky, Louisiana, Maine, Minnesota, Mississippi, North Carolina, New Jersey (in process), New Mexico, Nevada, Ohio (in process), Oregon, Pennsylvania (in process), Puerto Rico, Tennessee, and Washington Cities: Denver, CO; New Haven, CT; Oakland, CA; Philadelphia, PA • 17 state grantees to manage their AIDS Drug Assistance Programs • International clinics funded by PEPFAR in Barbados, Nigeria, Uganda, and Vietnam

  13. Percent of all Ryan White Program Providers/Grantees (N=1870) that used CAREWare to submit year-end data report: 2010 P.R.

  14. Number of (duplicated) clients (N=800,580) reported by Ryan White Program Grantees/Providers using CAREWare: 2010

  15. How Much Client Data? • 360,756 duplicated* client records were submitted from 958 CARE Act-funded providers using CAREWare in 2010 • That represents 45 percent of all client records submitted *A client can visit multiple providers and, therefore, will have a record submitted from each, hence his or her record will be “duplicated”

  16. How CAREWare Fits into the Larger HIT Environment • Many agencies import data into CAREWare from other applications, primarily EMRs • Electronic download of laboratory test results from LabCorp and Quest, using data in HL7 format, active in over 20 sites • Performance measures module provides functionality to produce outcome rates with formal numerators and denominators

  17. A Typical Ryan White Program Network Configuration Labs Primary care Mental Health Provider Substance abuse counselor Central Administrator (Grantee at state/city/clinic) Primary care Primary care

  18. Future Issues and Developments: Internal and External Factors • Interoperability-Primary concern expressed on the CAREWare item on the Listserv • Patient-centered health information. Giving clients access electronically to their record • ICD-10 requirements and “cross-walking” with ICD-9 • Coordinate with Federal HIT initiatives and principles

  19. Contact Information • John Milberg- HRSA, HIV/AIDS Bureau, Division of Science and Policy • Email: jmilberg@hrsa.gov • CAREWare Website: http://hab.hrsa.gov/manageyourgrant/careware.html

More Related