EHR Adoption Support Program: Transforming Healthcare Providers for Meaningful Use

1. <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName></Settings> <?xml version="1.0"?><AllAnswers /> Office of Provider Adoption Support (OPAS): Supporting Primary Care Providers to Achieve Meaningful Use February 29, 2012

2. HITECH: Catalyst for Transformation Pre 2009 2009 2014 A system plagued by inefficiencies EHR Incentive Program and 62 Regional Extension Centers Widespread adoption & meaningful use of EHRs

3. Office of Provider Adoption Support (OPAS) Goal: Assist All Providers to Achieve Meaningful Use of EHR Systems Regional Extension Centers (RECs) Meaningful Use Provider Adoption Services Provider Adoption Services Health Information Technology Research Center (HITRC) Community College Consortium

4. Big Picture Goal Paper-Based Practice Support Network REC-Provider Partnership Fully Functional EHR • Regional Extension Center • Community College Workforce • Communities of Practice • Health Information Technology Research Center (HITRC) Population Health Health Care Efficiency Patient Health Outcomes Education and Outreach • Workforce • Vendor Relations • Implementation • Workflow Redesign • Functional Interoperability • Privacy and Security • Meaningful Use

5. 62 RECs Cover 100% of the USA Initial Program Goal: 100,000 priority primary care providers achieve meaningful use (MU) by 2014 • Not-for-profit organizations • Experts in EHR adoption • Provide “on-the-ground” technical assistance • Extensive stakeholder partnerships • Focused on achieving MU

6. REC Funding History Help as many providers as possible get to Meaningful Use of an Electronic Health Record System

7. United Purpose, Local Approaches • Each REC has a: • Defined service area • Specific number of providers to assist • National perspective with local expertise • Approach differs by REC: • Local/regional centers (RECs within an REC) • Hospital partnerships • Payer partnerships REC Locations

8. Comprehensive Support throughout the Entire EHR Implementation Process Operate & Maintain 3 Implement 1 Plan 4 2 Transition Readiness assessment EHR system selection • Practice workflow redesign • HIT education & training • EHR implementation • Partnering with state & local HIEs • Achieve meaningful use • Prepare for future pay for performance Primary goal: Give providers as much support as possible

9. Interoperability & HIE Assist providers in meeting functional interoperability requirements Workforce Provide EHR training to providers and staff Implementation Support Provide EHR project management support REC Services Vendor Selection Assess practice’s IT needs and help select/ negotiate vendor contracts Meaningful Use Assist providers on achieving Meaningful Use objectives Practice & Workflow Design Assist practices in improvement of daily operations Outreach & Education Share best practices to select, implement, and meaningfully use EHRs Privacy & Security Implement best practices to protect patient information RECs Cover the Full Range of Services

10. REC Focus: Priority Primary Care Providers While RECs are encouraged to work with all providers, they will initially focus on “Priority Settings”: • Individual/small group primary care practices (<10 PCPs) • Public Hospitals and CAHs • Community Health Centers and Rural Health Clinics • Other settings that serve medically underserved populations

11. REC Program Success To-date: (2/27/12) Primary Care Providers (PCP) Enrolled PCP on EHR PCP to MU • Local Health Department Providers • PCPs registered with RECs=1,452 • PCPs at Go-Live registered with RECs= 213 • PCPs at Meaningful Use=13

12. RECs Currently Providing Services to Local Health Department Providers Alabama • Alabama REC (University of South Alabama) Arkansas • Arkansas Foundation for Medical Care, Inc. California • California Health Information Partnership Services Organization North and South Florida • Center for the Advancement of Health IT (FL) • Central Florida HIT Initiative(FL) • PaperFree Florida Collaborative Health Information Technology Regional Extension • South Florida Regional Extension Center Georgia • GA-HITREC Guam • Hawaii Pacific REC Illinois • Illinois HIT Regional Extension Center Indiana • Indiana Health Information Technology Extension Center (I-HITEC) Iowa • Telligen (IA) Kansas • Kansas Foundation for Medical Care Louisiana • Louisiana Healthcare Quality Forum Maine • HealthInfoNet Michigan • Michigan Center for Effective IT Adoption (M-CEITA) Minnesota • REACH (Stratis Health) Mississippi • Mississippi Regional Extension Center Missouri • Missouri Health Information Technology Assistance Center • Nebraska • Wide River TEC (NE) • New Mexico • Lovelace Clinic Foundation-LCF Research North Carolina • North Carolina REC Ohio • Ohio Health Information Partnership Oregon • O-HITEC (OHITREC) (OR) Pennsylvania • PA REACH (West/East) South Dakota • HealthPoint Multi-State • Greater Cincinnati Health Bridge Inc. (OH, KY, IN) • National Indian Health Board (DC)

13. HITRC’s Central Role Supports Health IT Optimization Works with HITRC community and shares knowledge Works with external communities and shares knowledge Tools Resources Communities of Practice (CoPs) HITRC Community

14. HITRC Resources Customer Relationship Management (CRM) Knowledge Sharing Network (KSN) Communities of Practice (CoPs) Learning Systems Training Services Practice Transformation Support Public Website Tools &Support for Adoption and MU Collaboration Portal

15. Community College ConsortiaWorkforce Program Region A Region C Region E Region B Region D • 5 regions • $6 – $ 21 M per region • April 2010 award • 2 Years • 10,500 to be trained