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PINNACLE, HIT and Informatics

PINNACLE, HIT and Informatics. The paradigm of the EHR is changing … to include the delivery of interoperable, interchangeable information leveraging and extending existing workflows – including “automatic” data capture & data reuse

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PINNACLE, HIT and Informatics

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  1. PINNACLE, HIT and Informatics • The paradigm of the EHR is changing … to include the delivery of interoperable, interchangeable information leveraging and extending existing workflows – including “automatic” data capture & data reuse • Meaningful Use requires BOTH technical enhancement (i.e., enabling software) and operational governance (i.e., documentation approach / philosophy, workflow changes) FUNCTION + USE = EFFECT

  2. PINNACLE, HIT and Informatics • Shortcomings … • Registries such as PINNACLE not in (Stage 1) MU • Informatics principles not central to PINNACLE • Data standards and terminology • Information-enabled workflow • Semantic interoperability, HIE • EHR Vendor Disincentives … • CDS, quality modules required for MU certification • Lack of standard vocabulary • Cost of standardization and interoperability • Where’s the Beef … • Advanced CDS? Advanced quality endorsement? MOC / lifelong learning / self-assessment? AUC?

  3. PINNACLE, HIT and Informatics • Do we have alignment of • What we can do (technology, workflow) • What we need to do (PQRI, MU) • What we should do (Guidelines, ACO) • What we can afford to do (value – not just cost) • Relative to HIT / informatics: • What do you see as the barriers and costs for practices to participate in PINNACLE? • What should (must?) the College do to reduce the cost of participation? • What is the opportunity cost (should other alternatives be pursued)?

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