1. Connecting Technology: Achieving Better Health for Patients and Pharmacy Marsha K. Millonig, MBA, BSPharm Catalyst Enterprises, LLC 1 American Society for Automation in Pharmacy 492 Norristown Road, Suite 160 Blue Bell, PA 19422 http://www.asapnet.org

2. Today’s Objectives Describe the HIT infrastructure in the United States. Discuss how priorities for HIT funding are being set in the United States. Describe implications of the HIT priorities for pharmacy and pharmacy system vendors. Data sharing: What is state of HIEs? Lake Wobegon: Minnesota as a case study

3. Technology and health… …Alan has noted the reasons why the push toward HIT…

4. But it remains a challenging undertaking… President Obama and Vice President Biden understand the immense transformative power of technology and innovation and how they can improve the lives of Americans. They will work to ensure the full and free exchange of information through an open Internet and use technology to create a more transparent and connected democracy. www.whitehouse.gov Inauguration Day

5. The Health IT Infrastructure Increasingly government-driven (but not forever…) First IT Czar: David Brailer 5/2004 (Who was the second? The third?) Office of the National Coordinator for Health IT http://healthit.hhs.govhttp://healthit.hhs.gov, formed 8/2005 "We will make wider use of electronic records and other health information technology to help control costs and reduce dangerous medical errors." -- President Bush, January 31, 2006

7. Common Language and Terms

8. Terms EHR EMR PHR HI exchange Health information organization Regional health information organization NHIN

9. HIT Terms Electronic Medical Record (EMR) –a digital record that is managed, shared, and consulted by health care clinicians and staff within one health care organization Electronic Health Record (EHR) –a digital record that is managed, shared, and consulted by authorized health care clinicians and staff across more than one health care organization. Personal Health Record (PHR) –a digital record that is managed, shared, and controlled by or primarily for the individual. Health Information Exchange (HIE) –the movement of health-related information among health care organizations according to nationally recognized standards.

10. HIT Interoperability is common theme National standards are needed to enable information flow Principle difference EMR and EHR is interoperable exchange Control of information distinguishes EHR from PHR HIE is process; HIO is oversight, RHIO is type of HIO

11. Released June 2008 Second plan Lays out the health IT agenda: the Collaboration 5-year plan: 2008 - 2012 Two goals, eight objectives, 43 strategies Measure for each objective Milestone for each strategy Details current activities of Federal agencies The ONC-Coordinated Federal Health IT Strategic Plan: 2008 - 2012

12. Summary of Health IT Strategic Goals and Objectives: 2008-2012 Objective 1.1: Facilitate electronic exchange, access, and use of electronic health information, while protecting the privacy and security of patients’ health information. Objective 2.1: Advance privacy and security policies, principles, procedures, and protections for information access in population health. Objective 1.2: Enable the movement of electronic health information to support patients’ health and care needs. Objective 2.2: Enable exchange of health information to support population-oriented uses. Objective 1.3: Promote nationwide deployment of electronic health records (EHRs) and personal health records (PHRs) and other consumer health IT tools. Objective 2.3: Promote nationwide adoption of technologies to improve population and individual health. Objective 1.4: Establish mechanisms for multi-stakeholder priority-setting and decision-making. Objective 2.4: Establish coordinated organizational processes supporting information use for population health. Goal 1. Patient- focused Health Care Goal 2. Population Health Privacy and Security Interoperability Adoption Collaborative Governance

14. Stimulus Bill: A Big Boost Alan noted highlights Money for EHR systems if “Meaningful Use” Definition due year-end 2009, final 2010 Matrix Alan alluded too My point: cannot be accomplished without pharmacists, MTM whether in/out of a medical home model (Ed will discuss)

15. Overview of Recovery Act HIT Programs Dr. David Bluementhal, article (10.1056/NEJMp0912825) published on December 30, 2009, at NEJM.org