© MAeHC. All rights reserved. MASSACHUSETTS eHEALTH COLLABORATIVE August 2005.

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Presentation transcript:

© MAeHC. All rights reserved. MASSACHUSETTS eHEALTH COLLABORATIVE August 2005

- 1 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. MAeHC VISION Improve quality, safety, and affordability of health care through: Universal adoption of modern information technology in clinical settings Access to comprehensive clinical information in real- time at the point-of-care Tools for better, more accessible health care… …incorporated into clinical practice… Overcome barriers to promote widespread use of EHRs and associated decision support tools Lack of capital Misaligned economic incentives Immature technology standards …and sustained over time. Develop operational and financing models to foster and sustain state-wide adoption of such technologies and infrastructures

- 2 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. MAeHC ROOTS ARE IN MOVEMENT TO IMPROVE QUALITY, SAFETY, EFFICIENCY OF CARE MA Chapter of American College of Physicians Universal adoption by physicians of electronic health records MA-SAFE Blue Cross/ Blue Shield of Massachusetts $50M commitment to heath information infrastructure Recognition of “systems” problem Massachusetts Technology Collaborative CPOE in community hospitals Massachusetts eHealth Collaborative Company launched September 2004 –Non-profit registered in the State of Massachusetts CEO on board January 2005 Backed by broad array of 34 MA health care stakeholders

- 3 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. 35 COMMUNITIES READY TO GO

- 4 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. THE GRID AND THE LAST MILE Intra-community connectivity MAeHCMA-SHARE Inter-community connectivity

- 5 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. FOUR MAIN AREAS OF ACTIVITY IN PILOT PROJECTS Quality Cost Productivity Etc. Connectivity Clinical IT implementation/ support Evaluation/ transformation Quality measurement Pilot evaluation Transformation models Clinical access to data Data gathering and aggregation Communication Hardware/software Implementation/tech support Systems integration Workflow redesign Decision support Intra-community connectivity Management & coordination Joint oversight and decision- making bodies Structure, composition, process ICCC PSC

- 6 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. DIVERSE ARRAY OF SETTINGS Offices 350 Patient population (000) Small Med Large PCPs Specialists Physicians Almost 450 physicians… …who care for ~500K patients… …in almost 200 offices. Brockton Newburyport N. Adams All Brockton Newburyport N. Adams All Brockton Newburyport N. Adams All

- 7 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. VALUE PROPOSITION HAS TO APPLY AT A MACRO- AND MICRO-LEVEL Net benefit CostSavings Status quo Quality/safety gain “Adopting health care information technology is not a technical feat; it’s a feat of economics.” -- Dr. David Brailer

- 8 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. QUALITY HAS MANY DIMENSIONS HEDIS measures Well-established process Longitudinal baseline DOQ-IT/Physician Consortium for Performance Improvement Working with vendors for automated reporting Richer data over time Medication errors Clinical quality Patient experience Office efficiency and productivity Service quality Collected from all plans for 3 communities pre- and post-pilot Data to track utilization rates Member identifier Diagnosis #1 CPT code Pharmacy DRG Provider/ specialty Place of service Product identifier Employer group identifier Zip code of service delivery Major diagnosis classing (MDC) Age/ gender Resource utilization

- 9 - Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. FRONT OFFICE

Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. LAB RESULTS WAITING Oldest July 1

Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. SAMPLE PHYSICIAN OFFICE 2004 PROFIT & LOSS Physician salaries Rent Other 875,746 Billing Services Medical Supplies Professional Fees $K Retained earnings Staff salaries and expense Patient income Other income

Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. ABILITY TO MEASURE AND REPORT QUALITY AMONG HIGHER PRIORITIES OF COMMUNITIES RESPONDING TO SURVEY Priority EMRseRX Results delivery Community data rep. Quality reporting Ambulatory CPOE Secure Referral mgmt Reminders Case mgmt Public health surv. Patient comm

Massachusetts eHealth Collaborative World Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved. Micky Tripathi, PhD MPP President & CEO