Care Improvement Process Status Quo – Fee for Service Wellness Care Quality Care Managed Care Value Care
HITECH Legislation Four Main goals of HITECH 1.Promote the use of IT in the US healthcare system 2.Establish national health IT standards 3.Incentivize the use of such standards in the delivery of healthcare 4.Improve the privacy and security of patient health data while modernizing the US healthcare system
The Meaningful Use Plan MU was originally meant to be a six-year program, occurring over 3 “Stages” or phases Data capture and sharing Advanced clinical processes Improved outcomes Stage 1 Stage 2 Stage 3
Next Steps 1.Continued Progress of Meaningful Use 2014 program year has been very difficult Nationwide software update required by regulations More difficult Stage 2 objectives This has led to dangerously low participation in 2014, and 2015 is not shaping up much better 2.Interoperability Intent of incentives were to stimulate adoption, but real challenge is interoperability and “meaningful exchange” of data 3.Standardization Multiple versions of standards exist and implementations are different across care settings 4.Workforce and workflows Dissatisfaction with EHR usability is growing 5.Care Coordination “Culture of coordination” has not yet emerged, even where technology tools have matured
Building Blocks of HIT 2.0 Healthcare Information Exchange Certified Electronic Health Record Patient Portals Data Warehouse Business Intelligence Complete Data Integration Data Analytics World-class IT Team Unified Communications ACO System Population Health System Document Management
1) Integration 2) Value (Cost & Quality) 3) Transparency U.S. Healthcare - Three Process Trends
versus Evolution: gradual development of something, especially from a single to a more complex form. Revolution: fundamental change in a way of thinking about or visualizing something. EVOLUTION REVOLUTION vs.