1. HIT 2.0; Moving to Performance Based Health Care
Dr. Tom Stevenson
Chief Medical Officer
Covisint Healthcare

2. Phase one; HIT Adoption
More than 30 years in the making
Still a long ways to go
Dynamic time, expect many changes in the technology used for ;
Ambulatory care
Hospital care
Care coordination
Still limited by silos of information without meaningful exchange
Next level is to move towards ‘Performance Based Care’

3. Phase 2; Performance Based Care
The ability to not only attempt to enhance the quality of the patient’s interaction, but to also measure it and make the changes necessary to continually improve it
Requires several elements;
HIT adoption on a robust level
Meaningful HIE
Coordinated care
Establishing quality measure benchmarks
The ability to engage the provider at the point of care to bridge gaps in care
Doing real time and retrospective analysis to make sure we are achieving the goals established

4. Why is this different?
Many of the current HIEs are not set up to do ‘meaningful exchange’
Many are also without plans to establish benchmarks, or the ability to monitor the changes taking place
It is important to be able to do analytics at several levels;
Patient level- identify gaps in care to be addressed by clinicians at the point of care, or by care coordinators
Practice level- manage your own performance against established benchmarks to meet P4P and other programs
Population level- the ability to identify problem areas, address them, and measure performance changes
A good example is the Beacon Initiative in Tulsa- GTHAN

5. Thank you