NOVA Regional Conference ~ Health Information Management

1. NOVA Regional Conference ~ Health Information Management @aneeshchopra Candidate for Democratic Nomination, Lt. Governor of Virginia

2. Health Innovation Seeds Planted in 2006-8 NOVARHIO: Access to patient medical histories in ERs; comprehensive outreach campaign for a voluntary web-based “File for Life” that could be accessed by emergency responders UVA: Telemedicine initiative to identify high-risk poor pregnant woman to minimize pre-term labor in the Valley* Centra: Nation’s first outpatient EHR link with ACC’s outpatient cardiac registry to benchmark adherence to practice guidelines and measures MedVirginia: EMR adoption by free clinics with HIE interfaces for secure messaging, Rx history, vitals, aligned with NHIN; assessment of e-Rx for mental health providers CareSpark: Comprehensive approach to regional HIE aligned to NHIN goals; specific attention to rural health disparities in region CCNV: Fully funded EHR implementation at all clinic sites (15 live today) with pilot connectivity to public health services in Southside

3. Boosting Productivity is the Key to Growth Public Sector-Influenced Firms Have Struggled to Harness Tech MIT Study finds “data-driven decision-making” boosts productivity 5-6% Publicly-influenced sectors comprise 20+% of GDP Source: U.S. Bureau of Economic Analysis; U.S. Bureau of Labor Statistics; “Strength in Numbers: How Does Data-Driven Decisionmaking Affect Firm Performance?”, Prof. Erik Brynjolfsson; McKinsey Global Institute analysis Notes (1): Excludes sectors with contributions with an absolute value of less than 0.015%. Numbers may not sum due to rounding.

4. Argument in Brief: There Has Never Been a Better Time to Be an Innovator in Health Care Information Liberation + New Incentives = Rocket Fuel for Innovation

5. Open Health Data Engaging Citizens in Health Improvement at the Community-Level Community Health Govt Spending Provider Directories & Quality HHS (Growing) Catalog of Liberated Data Medical/ Scientific Knowledge “Blue Button” Consumer Product Information Source: Asthmapolis, iTriage, Symcat, Healthline

6. “Blue Button” Standard for Health Virginia On the Cusp of Leading in Consumer Empowerment Healthcare Adopts “Blue Button” Scaling Beyond Government “Blue Button for Virginia” HB1873 President challenges VA to deliver simple health download from PHR on 08/10; delivered 10/10 and has >1,000,000 users to date

7. New Incentives, Part I: “Meaningful Use” Growing Evidence Linking Quality to Health IT Adoption Quality of Diabetes Care Cleveland Clinic Providers using EHRs vs. Paper Records Office-Based Physicians an EHR ePrescribing on the Surescripts Network Care Processes: Measure Hemoglobin; Kidney Mgmt; Pneumococcal Vaccine; Eye Exam Outcomes: LDL<100 mg/dl; smoking; glycated hemoglobin <8%; BP <140/80; BMI<30 Dramatic uptick in EHR adoption – more than half of eligible professionals and 80 percent of eligible hospitals have demonstrated “meaningful use” Source: Office of the National Coordinator for Health IT; Source: Cebul, Randall D., et al. New England Journal of Medicine, August 2011; Surescripts

8. New Incentives, Part II: Payment Reform Pay for “Value” to Drive New Markets for Care Coordination Innovations Needed: Data Mining/Analytics Care Integration Tools Timely Clinical Data, Decision-Support Technology to Extend Physician Reach Consumer Engagement Tools/Platforms/Apps

9. Coda ~ Health IT as Job Growth Engine