Public Health and Health Information Exchanges · Preventative Care and Screening: Tobacco,...
Transcript of Public Health and Health Information Exchanges · Preventative Care and Screening: Tobacco,...
Kansas Public Health AssociationIntegrating Systems for HealthIntegrating Systems for Health
Public Health and Health Information ExchangesSeptember 19, 2013
Michael McPhersonProject Manager/Meaningful Use Coordinator
Offi f H lth I f ti T h lOffice of Health Information TechnologyKansas Department of Health & Environment
To protect the health and environment of all Kansans by promoting responsible choices.
Objecti esObjecti esObjectivesObjectives
Introduce Meaningful UseIntroduce Meaningful Use Review Kansas HIO EnvironmentReview Kansas HIO Environment Review Kansas HIO EnvironmentReview Kansas HIO Environment Review Public Health DataReview Public Health Data
To protect the health and environment of all Kansans by promoting responsible choices.
BackgroundBackgroundBackgroundBackground American Recovery and Reinvestment Act American Recovery and Reinvestment Act
Health Information Technology for Economic Health Information Technology for Economic and Clinical Health Act (HITECH)and Clinical Health Act (HITECH)
b f d h ff d blb f d h ff d bl Not to be confused with Affordable Care Act Not to be confused with Affordable Care Act and/or the term “Health and/or the term “Health InsuranceInsuranceExchange”Exchange”ExchangeExchange
HITECHHITECHf lf l ff Meant to incentivizeMeant to incentivize meaningful usemeaningful use of of
interoperable EHR adoption in the health care interoperable EHR adoption in the health care system as a critical national goalsystem as a critical national goal
To protect the health and environment of all Kansans by promoting responsible choices.
system as a critical national goalsystem as a critical national goal
HITECH GoalHITECH GoalHITECH GoalHITECH Goal Improve healthcare outcomesImprove healthcare outcomes Improve healthcare outcomes, Improve healthcare outcomes, Facilitate access to care, and Facilitate access to care, and
Si lifSi lif Simplify careSimplify care
All via a certified electronic health record All via a certified electronic health record (EHR) system in a (EHR) system in a meaningfulmeaningful mannermanner( ) y( ) y gg
To protect the health and environment of all Kansans by promoting responsible choices.
What is Meaningful UseWhat is Meaningful Usegg Financial incentiveFinancial incentive Through use of certified EHRThrough use of certified EHR End goal:End goal:gg
Incentive ($$)Incentive ($$) Reduction medical errorsReduction medical errors Reduction medical errorsReduction medical errors
Prominent themeProminent themeEHR incentive paymentEHR incentive payment EHR, incentive, paymentEHR, incentive, payment
To protect the health and environment of all Kansans by promoting responsible choices.
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To protect the health and environment of all Kansans by promoting responsible choices.
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Achieving Meaningful Use
2014
2016
Ph 32011
2014
Phase 2 (Advanced care
Phase 3 (Improved Outcomes)
2011
Phase 1 (Capture/share data)
care processes with decision support)
2009
HITECH Policies
data)
To protect the health and environment of all Kansans by promoting responsible choices.
Stage 1Stage 1 Stage 2Stage 2
Eligible ProvidersEligible Providers 15 core objectives15 core objectives
Eligible ProvidersEligible Providers 17 core objectives17 core objectivesjj
5/10 menu objectives5/10 menu objectives 20 total objectives20 total objectives
jj 3/6 menu objectives3/6 menu objectives 20 total objectives20 total objectives
6/44 CQMs6/44 CQMsEligible Hospitals & Eligible Hospitals &
CAHSCAHS
9/64 CQMs9/64 CQMsEligible Hospitals & Eligible Hospitals &
CAHSCAHSCAHSCAHS 14 core objectives14 core objectives 5/10 menu objectives5/10 menu objectives
CAHSCAHS 16 core objectives16 core objectives 3/6 menu objectives3/6 menu objectives 5/10 menu objectives5/10 menu objectives
19 total objectives19 total objectives 15/15 CQMs15/15 CQMs
3/6 menu objectives3/6 menu objectives 19 total objectives19 total objectives 16/29 CQMs16/29 CQMs
To protect the health and environment of all Kansans by promoting responsible choices.
Stage 2 Meaningful Use Stage 2 Meaningful Use Improve Population and Public HealthImprove Population and Public Healthp pp p
Objective Ambulatory Measure Hospital measure
Immunization Registries
Ongoing Submission to Public Health Authority (Core)
Ongoing Submission to Public Health Authority (Core)
Reportable Lab Results(ELR)
N/A Ongoing Submission to Public Health Authority (Core)
SyndromicSurveillance
Ongoing Submission to Public Health Authority (Menu)
Ongoing Submission to Public Health Authority (Core)
Cancer Registries
Ongoing Submission to Public Health Authority (Menu)
N/A
Specialized Registry
Ongoing Submission to Public Health Authority or National Specialty Society (Menu)
N/A
9
Clinical Quality Clinical Quality Measures Measures (CQMs)(CQMs)
Help measure and track quality ofHelp measure and track quality ofHelp measure and track quality of Help measure and track quality of healthcare serviceshealthcare services
Measure many aspects of patient care:Measure many aspects of patient care: Measure many aspects of patient care:Measure many aspects of patient care: Health outcomesHealth outcomes
Clinical processesClinical processes Clinical processesClinical processes Patient safetyPatient safety
Effi i t fEffi i t f Efficient use of resourcesEfficient use of resources Care coordinationCare coordination
P l i d bli h l hP l i d bli h l h
To protect the health and environment of all Kansans by promoting responsible choices.
Population and public healthPopulation and public health
Examples of PH CQMsExamples of PH CQMsExamples of PH CQMsExamples of PH CQMs Weight Assessment and Counseling for Children Weight Assessment and Counseling for Children
d Ad l td Ad l tand Adolescents,and Adolescents, Preventative Care and Screening: Tobacco,Preventative Care and Screening: Tobacco, Chlamydia Screening for Women,Chlamydia Screening for Women, Childhood Immunization Status,Childhood Immunization Status, …… Number of chronic disease measures that fall Number of chronic disease measures that fall
outside of population and public health domain.outside of population and public health domain.
To protect the health and environment of all Kansans by promoting responsible choices.
MU2 Public Health SpecificationsMU2 Public Health Specifications
CriteriaContent
Exchange Standard
Vocabulary Standard Applicability Core or Menu
Immunization Registry
HL7 2.5.1170.205(e)(3) CVX EP & EH Core for EH &
EP
Reportable LabReportable Lab Results(ELR)
HL7 2.5.1170.205(g)
SNOMED-CT & LOINC EH only Core for EH
Syndromic HL7 2 5 1 Core for EHSyndromic Surveillance
HL7 2.5.1170.205(d)(3) EP & EH Core for EH
Menu for EP
Cancer CDA( )
SNOMED-CT & EP only Menu for EPRegistries 170.205(i) LOINC EP only Menu for EP
Specialized Registry TBD TBD EP only Menu for EP
To protect the health and environment of all Kansans by promoting responsible choices.
Registry
ONC State Cooperative ProgramONC State Cooperative ProgramONC State Cooperative ProgramONC State Cooperative Program Promotes innovative approaches to the Promotes innovative approaches to the
secure exchange of health information secure exchange of health information within and across stateswithin and across states
Works to ensure that health care providers Works to ensure that health care providers and hospitals meet national standards and and hospitals meet national standards and ppmeaningful use requirementsmeaningful use requirements
March 2010, ONC granted 50 awardsMarch 2010, ONC granted 50 awards March 2010, ONC granted 50 awardsMarch 2010, ONC granted 50 awards facilitate the exchange of health information facilitate the exchange of health information
among health care providers and hospitalsamong health care providers and hospitals
To protect the health and environment of all Kansans by promoting responsible choices.
among health care providers and hospitals among health care providers and hospitals within their jurisdictionswithin their jurisdictions
Kansas HIO ActivityHow we got here…
To protect the health and environment of all Kansans by promoting responsible choices.
Kansas HIO ActivityCurrent
To protect the health and environment of all Kansans by promoting responsible choices.
To protect the health and environment of all Kansans by promoting responsible choices.
Kansas HIOsKansas HIOsKansas HIOsKansas HIOs
Kansas Health Kansas Health Information Network Information Network
Lewis and Clark Lewis and Clark Information Exchange Information Exchange
(KHIN)(KHIN) Technology Vendor Technology Vendor
Informatics CorporationInformatics Corporation
gg(LACIE)(LACIE)
Technology Vendor Technology Vendor CernerCernerInformatics Corporation Informatics Corporation
of America (ICA)of America (ICA) http://www.khinonline.orhttp://www.khinonline.or
CernerCerner http://www.laciehttp://www.lacie--
hie.com/hie.com/p //p //g/g/
Live since 8/2012Live since 8/2012
// Live since 5/2013Live since 5/2013
To protect the health and environment of all Kansans by promoting responsible choices.
P blic Health DataP blic Health DataPublic Health DataPublic Health Data
New Data SourcesNew Data Sources HospitalsHospitals HospitalsHospitals Private ProvidersPrivate Providers
Policy RequirementPolicy Requirement Policy RequirementPolicy Requirement Minimum Data Set must include Immunization Minimum Data Set must include Immunization
DataDataDataData
To protect the health and environment of all Kansans by promoting responsible choices.
Public Health ParticipationPublic Health ParticipationPublic Health ParticipationPublic Health Participation
SG CHD Disease InvestigatorSG CHD Disease InvestigatorSG CHD Disease InvestigatorSG CHD Disease Investigator Kansas Public Health Workshop on Kansas Public Health Workshop on
Electronic Health Records and HealthElectronic Health Records and HealthElectronic Health Records and Health Electronic Health Records and Health Information ExchangeInformation ExchangeKALHD HIE ProjectKALHD HIE Project KALHD HIE ProjectKALHD HIE Project Does the LHD need an EHR?Does the LHD need an EHR?
h b fi b i i i i ?h b fi b i i i i ? Does the LHD benefit by participating in HIE?Does the LHD benefit by participating in HIE? Assessment toolAssessment tool
To protect the health and environment of all Kansans by promoting responsible choices.
Kansas HIT Pa tne sKansas HIT Pa tne sKansas HIT PartnersKansas HIT Partners
To protect the health and environment of all Kansans by promoting responsible choices.
In S mmaIn S mmaIn SummaryIn Summary
Meaningful use incentivizing EHR useMeaningful use incentivizing EHR use Kansas HIOs < 1 year of exchangeKansas HIOs < 1 year of exchange Kansas HIOs < 1 year of exchangeKansas HIOs < 1 year of exchange
Potential wealth of dataPotential wealth of data
KDHE working with HIOs and partnersKDHE working with HIOs and partners KDHE working with HIOs and partnersKDHE working with HIOs and partners Workgroup devoted to identifying data usesWorkgroup devoted to identifying data uses
To protect the health and environment of all Kansans by promoting responsible choices.
Contact InformationContact Information
Michael McPhersonMichael McPherson785785--296296--13191319
[email protected]@kdheks.govKanHIT orgKanHIT orgKanHIT.orgKanHIT.org
To protect the health and environment of all Kansans by promoting responsible choices.
Video Inte l deVideo Inte l deVideo InterludeVideo Interlude
http://www.healthit.gov/patientshttp://www.healthit.gov/patients--families/video/healthfamilies/video/health itit youyou givinggiving youyoufamilies/video/healthfamilies/video/health--itit--youyou--givinggiving--youyou--accessaccess--youryour--medicalmedical--recordsrecords
To protect the health and environment of all Kansans by promoting responsible choices.
AcronymsAcronymsAcronymsAcronymsARRA ARRA –– American Recovery and Reinvestment ActAmerican Recovery and Reinvestment ActCAH CAH –– Critical Access HospitalCritical Access HospitalEE EE –– Eligible EntityEligible EntityEH EH –– Eligible HospitalEligible HospitalEHR/EMR EHR/EMR –– Electronic Health/Medical RecordElectronic Health/Medical RecordEPEP –– Eligible ProviderEligible ProviderEP EP –– Eligible ProviderEligible ProviderHITECH HITECH -- Health Information Technology for Economic and Clinical Health ActHealth Information Technology for Economic and Clinical Health ActHIE HIE –– Health Information ExchangeHealth Information ExchangeHIO HIO –– Health Information OrganizationHealth Information OrganizationggONC ONC -- Office of the National Coordinator for Health Information TechnologyOffice of the National Coordinator for Health Information TechnologyKHIN KHIN –– Kansas Health Information Network (khinonline.org)Kansas Health Information Network (khinonline.org)LACIE LACIE –– Lewis and Clark Information Exchange (lacieLewis and Clark Information Exchange (lacie--hie.com)hie.com)KDHE KDHE –– Kansas Department of Health & Environment (kdheks.gov & kanhit.org)Kansas Department of Health & Environment (kdheks.gov & kanhit.org)MU2 MU2 –– Meaningful Use Stage 2Meaningful Use Stage 2PHI PHI –– Personal Health InformationPersonal Health InformationRCMTRCMT –– Reportable Conditions Mapping TableReportable Conditions Mapping Table
To protect the health and environment of all Kansans by promoting responsible choices.
RCMT RCMT –– Reportable Conditions Mapping TableReportable Conditions Mapping Table
ReferencesReferencesReferencesReferences Kansas Office of Health Information Technology Kansas Office of Health Information Technology –– http://KanHIT.org/http://KanHIT.org/ Office of the National Coordinator for HIT Office of the National Coordinator for HIT -- http://www.healthit.gov/http://www.healthit.gov/ Sedgwick CHD Disease Investigation Sedgwick CHD Disease Investigation -- http://www.khinonline.org/news/januaryhttp://www.khinonline.org/news/january--
februaryfebruary--2013/1872013/187--guestguest--articlearticle--sedgwicksedgwick--countycounty--healthhealth--departmentdepartment ONC Health IT Buzz ONC Health IT Buzz -- http://www.healthit.gov/buzzhttp://www.healthit.gov/buzz--blog/blog/ Syndromic SurveillanceSyndromic Surveillance -- Syndromic Surveillance Syndromic Surveillance
http://www.cdc.gov/Mmwr/preview/mmwrhtml/su5301a3.htmhttp://www.cdc.gov/Mmwr/preview/mmwrhtml/su5301a3.htm KALHD HIE Project KALHD HIE Project -- http://kalhd.org/projects/hie/http://kalhd.org/projects/hie/ Meaningful Use Stage 2 Final Rule Meaningful Use Stage 2 Final Rule -- http://www.healthit.gov/policyhttp://www.healthit.gov/policy--researchersresearchers--
i l t / i f li l t / i f l tt 22implementers/meaningfulimplementers/meaningful--useuse--stagestage--22 Clinical Quality Measures Clinical Quality Measures -- http://www.healthit.gov/policyhttp://www.healthit.gov/policy--researchersresearchers--
implementers/clinicalimplementers/clinical--qualityquality--measuresmeasures KHIN KHIN –– http://www.khinonline.orghttp://www.khinonline.orgp gp g LACIE LACIE –– http://www.laciehttp://www.lacie--hie.comhie.com
To protect the health and environment of all Kansans by promoting responsible choices.