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Texas Regional Extension Centers for Health IT. June 6, 2013. Shared Mission and Vision. Mission: T o assist our 5,631 priority primary care providers adopt information technology to achieve meaningful use, resulting in improved patient care. Vision:
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TexasRegional Extension Centers for Health IT June 6, 2013
Shared Mission and Vision Mission: To assist our 5,631 priority primary care providers adopt information technology to achieve meaningful use, resulting in improved patient care. Vision: • To be recognized as a center of excellence by aligning our services with the National Quality Strategy, providing support for Patient Centered Medical Homes and the goals of the Partnership for Patients through collaboration with primary care providers and health care specialists in Texas. • To remain a trusted partner and reference source to achieve current and future quality reporting measures.
Background • In April 2010, Texas Regional Extension Centers (RECs) were awarded grants by the HHS Office of the National Coordinator for Health Information Technology. • Total of $35.7 million awarded to the four Texas RECs • RECs are currently in year four of a four year grant • RECs were contracted to support 5,631 priority primary care providers adopt electronic health records (EHR). • Priority primary care providers include the following specialties: • Family Practice • Pediatrics • Internal Medicine • Obstetrics and Gynecology • RECs were contracted to enroll and support 111 critical access and rural hospitals of 50 beds or less
Texas Regional Extension Centers North Texas REC DFW Hospital Council 1,498 providers West Texas REC TX Tech Health Science Center 933 providers Gulf Coast REC UT Health Science Center, Houston 2,200 providers CentrEast REC Texas A&M Health Science Center 1,000 providers
REC Best Practices • Working with the Health and Human Services Commission • Medicaid and CHIP Division • Office of e-Health Coordination • Collaboration with professional associations, health information exchange (HIE) organizations, and other key stakeholders as part of a statewide integration strategy • Maintain a TxREC website and offerings • Developed white papers and other resources for our clients: • Developed and posted on ONC’s Health IT Resource Center • Assessment tool developed for private practices and hospitals • Working with the TMF REC Learning and Action Network
Medicare and MedicaidEHR Incentive Program • A core REC service is to help providers enroll and obtain their EHR Incentive payment • The purpose of incentive funds is to help providers offset the cost of buying and installing an EHR in their practice • The Centers for Medicare and Medicaid Services (CMS) has paid Texas providers more incentive monies than any other state • As of 5/2013 the WTxHITREC has assisted providers in collecting $10,233,502 in incentive monies • REC support also helps Medicare providers avoid CMS penalties for not achieving meaningful use by 2015
RECs and Health • Information Exchange • Stakeholder Participation • Kathy Mechler, Vice Chair of the Texas Health Services Authority (THSA) Board • REC work with “white space” HIE contractors • West Texas REC has contracted with THSA to assist providers in the White Space sign up to the THSA voucher program, select a Qualified HISP, and to send an initial HIE Direct Secure Message • West Texas REC is currently negotiating a contract with SETHS HIE (SOPHIE) to assist their efforts in the TX Panhandle and beyond • REC work with regional HIEs • North Texas REC has a cooperative agreement with the North Texas Accountable Healthcare Partnership (HIE for DFW area) • CentrEast and Gulf Coast RECs works collaboratively with HIE organizations that serve providers within their service area
RECs and theTexas HIT Workforce • RECs participate in the Texas HIT Workforce Executive Committee • RECs host interns from the HIT certification training programs to provide real world experience; to date: • 30 interns have been hosted by the RECs • 7 interns have been hired by the RECs after completing their internship
RECs and EHR Vendors • Texas RECs are vendor neutral • RECs work with providers to help them select the EHR that best fits their practice environment • RECs work with the vendors to advocate for their clients • Approximately 76 ambulatory EHR vendors have products installed statewide • Approximately 9 hospital EHR vendors have products installed statewide
Next Step Sustainability • Continue providing EHR implementation support services to: • Priority primary care providers • Specialists • Support providers as they transition from Stage 1 Stage 2 Stage 3 Meaningful Use • Support other quality data reporting and analytic services • Assist with privacy and security risk assessments • Provide Patient Centered Medical Homes training and support to Texas providers
RECs by the Numbers … • Texas RECs compared with the national average: • In July 2012, the US Government Accountability Office (GAO) reported that Medicare providers who partnered with a REC were twice as likely to receive Medicare EHR incentive payments as those who did not. [Source: Electronic Health Records: Number and Characteristics of Providers Awarded Medicare Incentive Payments for 2011] • In December 2012, GAO reported that 47% of Medicaid providers had partnered with a REC[Source: Electronic Health Records: Number and Characteristics of Providers Awarded Medicaid Incentive Payments for 2011]
Priority PCPs by REC and Milestone Achievement(as of June, 2013) 100% 100% 99% 100% 100% 90% 99% 100%
Hospitals by REC and Milestone Achievement(as of June, 2013) N = 111
REC Providers by Type of Practitioner RECs support all categories of providers that are eligible for the EHR Incentive Programs
REC Providers by New and Existing EHR Users • RECs support providers as they: • Adopt EHRs for the first time • Upgrade from non-certified to certified EHRs • Maximize use of their certified EHR by working with them to improve their clinical processes and workflow
REC Providers by Rural and Urban Counties As part of our charge, RECs are encouraged to support rural providers
