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Patient Engagement: Leveraging Health IT to Engage Patients in their Care

Patient Engagement: Leveraging Health IT to Engage Patients in their Care. Judy Murphy , RN, FACMI, FHIMSS, FAAN Deputy National Coordinator for Programs & Policy Office of the National Coordinator for Health IT Department of Health & Human Services Washington DC.

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Patient Engagement: Leveraging Health IT to Engage Patients in their Care

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  1. Patient Engagement: • Leveraging Health IT to Engage Patients in their Care Judy Murphy, RN, FACMI, FHIMSS, FAANDeputy National Coordinator for Programs & Policy Office of the National Coordinator for Health IT Department of Health & Human Services Washington DC Delaware Health IT 2.0 Expo

  2. Current State of the EHR Incentive Program Why should you use Health IT to engage your patients Blue Button and the Blue Button Pledge Program Patient Engagement in Stage 2 Meaningful Use Meaningful Use as a Building Block to Transform Care Changing the Habits of Healthcare We will look at . . .

  3. A Remarkable Journey … Meaningful Use

  4. Meaningful Use – Eligible Professionals Registered and Paid 521,600 Total Eligible Professionals Total Professionals Registered: 390,469 (75%) Total Professionals Paid: 291,325 (56%) 2013 Goal 2012 Goal Source: CMS EHR Incentive Program Data as of 4/30/2013

  5. Share of Eligible Professionals that received EHR Incentive Payments Estimated no. of MD, PA, NP in Delaware: 2,298 Source: Office of the National Coordinator for Health IT, Health IT Dashboard Meaningful Use State Acceleration Challenge http://dashboard.healthit.gov/data/

  6. The First State: DE is Leading all RECs in percentage of providers to M3 ONC Challenge: Be the First State to get 100% of ALL providers to MU!

  7. Meaningful Use – Eligible Hospitals Registered and Paid 5,011 Total Eligible Hospitals Total Hospitals Registered: 4,371 (87%) Total Hospitals Paid: 3,880 (77%) 2013 Goal 2012 Goal Source: CMS EHR Incentive Program Data as of 4/30/2013

  8. Share of Eligible Hospitals that received EHR Incentive Payments Estimated no. of Hospitals in Delaware: 7 Source: Office of the National Coordinator for Health IT, Health IT Dashboard Meaningful Use State Acceleration Challenge http://dashboard.healthit.gov/data/

  9. Total EHR Incentive Payments to All Eligible Providers and Hospitals Source: CMS EHR Incentive Program Data as of 4/30/2013

  10. Back in the day… “The obedience of a patient to the prescriptions of his physician should be prompt and implicit. [The patient] should never permit his own crude opinions as to their fitness to influence his attention to them.” - AMA’s Code of Medical Ethics (1847)

  11. And Now … “Patients share the responsibility for their own health care….” - AMA’s Code of Medical Ethics (current) “Patients can help. We can be a second set of eyes on our medical records. I corrected the mistakes in my health record, but many patients don't understand how important it will be to have correct medical information, until the crisis hits. Better to clean it up now, not when there’s time pressure.” – Dave deBronkart (ePatient Dave)

  12. Why Should You Use Health IT to Engage Your Patients? • Patient as Partner • Shared decision-making • Engaged patients demonstrate better health outcomes • Patients increasingly expect engagement via IT, as in many other aspects of their lives • Meaningful Use criteria 66% of Americans say they would consider switching to a physician who offers access to medical records through a secure Internet connection – according to a 2011 Deloitte Survey

  13. Patient Engagement = Better Care 49% Source: AARP Survey of patients over 50 with 2 or more chronic conditions 12

  14. The Blockbuster Drug of the Century(Aug 28, 2012)

  15. Top Trend (Feb 22, 2013)

  16. Enabling Consumers to take ACTION 1. Ensure everyone can access their health information electronically 2. Help application developers use that data to build products and services that help individuals with their health

  17. Office of the National Coordinator for Health Information Technology In 2010, the Department of Veterans Affairs starts the Blue Button initiative Now over 88 million Americans can download their health record from a portal Over 2 million people across the country have downloaded their health record

  18. Consumer Blue Button Pledge Programwww.healthit.gov/pledge Over 400organizations have Pledged to provide access to personal health information for 1/3 of Americans…

  19. Focus on Patient Engagement in the Stage 2 Meaningful Use Criteria • Patients receive reminders for preventive/follow-up care provided • Educational resources are identified and provided • Patients have online access to their personal health information (portal, PHR) • Visit Summaries provided • Patients can send secure messages to their provider • Patients can View, Download and Transmit to 3rd Party

  20. Transforming Health throughthe Meaningful Use of Health Data “Phased-in series of improved clinical data capture supporting more rigorous and robust quality measurement and improvement.” (Stage 3) (Stage 2) “These goals can be achieved only through the effective use of information to support better decision-making and more effective care processes that improve health outcomes and reduce cost growth” (Stage 1)

  21. Transforming Health through Delivery and Payment Reform ACOs Advance Payment State Innovation Model (SIM) Comprehensive Primary Care Initiative (CPC) Providers can choose from a range of care delivery transformations and escalating amounts of risk, while benefitting from supports and resources designed to spread best practices and improve care. Innovation Challenge Tools to Empower Learning and Redesign: Data Sharing, Learning Networks, RECs, PCORI, Aligned Quality Standards

  22. Our National Quality Strategy

  23. Meaningful Use as a Building Block Transform health care Improved population health Enhanced access and continuity Access to information Data utilized to improve delivery and outcomes Data utilized to improve delivery and outcomes Patient self management Patient engaged, community resources Utilize technology Care coordination Care coordination Patient centered care coordination Patient informed Evidenced based medicine Team based care, case management Basic EHR functionality, structured data Structured data utilized Registries for disease management Registries to manage patient populations Privacy & security protections Privacy & security protections Privacy & security protections Privacy & security protections PCMH 3-Part Aim ACO’s “Stage 3 MU” Stage 1 MU Stage 2 MU

  24. Changing the Habits of Health Care • Focus on People and Process • Re-engineering • Workflow Redesign • Focus on Value of Investment • Clinical Quality • Cost • Productivity • Focus on Health IT EHR Optimization • Incumbent Worker and Existing Users

  25. Thank you!For more information, contact:judy.murphy@hhs.gov @JudyMurphyONC

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