1. Slide 1 The Mountain-Pacific DOQ-IT Project

2. Slide 2 Overview What is the DOQ-IT Project? Mountain-Pacific’s progress in DOQ-IT Mountain-Pacific’s perspective on HIT in our states 9 th Scope of Work

3. Slide 3 What is DOQ-IT? Doctor’s Office Quality Information Technology (DOQ-IT) Voluntary Program, funded through the CMS/QIO 8SoW Goals –Work with 5% of Primary Care Practice in each state –Assist these practices in adopting EHRs, e-Rx, Care Management Processes, and Data Reporting –Focus on Diabetes, CHF, CAD, Hypertension, and Preventive Care Measures

4. Slide 4 DOQ-IT Objectives Facilitate the adoption of Electronic Health Records (EHRs) in small- to medium-sized practices (1-8 physicians) Ensure that practices are using EHRs and IT to the fullest capability to improve office efficiency Use clinical data reports for improved practice performance and patient outcomes

5. Slide 5 Benefits for Physicians Analysis of practice processes Recommendations for improved office efficiencies Assistance with EHR vendor selection and implementation Improved chronic care and preventive clinical outcomes Increased patient safety Free tools

6. Slide 6 Impact of DOQ-IT on Medicare Beneficiaries Promote continuity of care Help stabilize medical conditions Prevent or minimize acute exacerbations of chronic conditions Reduce adverse health outcomes (i.e. adverse drug interactions)

7. Slide 7 Mountain-Pacific DOQ-IT Sites Alaska 9 Sites Wyoming 10 Sites Montana 13 Sites Hawaii 32 Sites

8. Slide 8 Mountain-Pacific DOQ-IT Working with 64 Primary Care Practices sites total 49 of these sites had no-EHR at recruitment Currently; 13 sites without an EHR at recruitment have adopted and fully implemented an EHR 7 sites are currently implementing their EHR 4 sites are in the RFP/contract negotiation stage and are anticipated to have an EHR soon 22 sites are utilizing their EHRs for care management 44 non-eligible sites have expressed interest in the program

9. Slide 9 DOQ-IT Participants Quotes “DOQ-IT was the key to our successful implementation. It helped lead us and give us next steps. They outlined the process really well.” – Shannon Walker, Office Manager; Red Rock Family Practice, Thermopolis, WY “I would strongly encourage other practices to use (Mountain- Pacific Quality Health’s) services.” – Travis Bomengen, MD; Red Rock Family Practice, Thermopolis, WY “DOQ-IT was a big help in guiding the practice in the right direction. The help given in the implementation gave Dr. Fischer a comfort zone.” – Barbara World, Office Manager; Carol Fischer, MD, P.C., Cheyenne, WY

10. Slide 10 Wyoming Progress 1 - Recruitment Phase 2 - Assessment Phase 3 - Planning Phase 4 - Selection Phase 5 - Implementation Phase (EHR installed) 6 - Evaluation Phase 7 - Improvement Phase (Care Management)

11. Slide 11 Factors for EHR Success Leadership –Physician, Nurse, and Administrative Champions Thorough Project Management –Practices need to invest adequate time and resources to their EHR project Ask for help –DOQ-IT, Other Practices/Peers, HIT Consultants, Lawyers, Accountants, etc.

12. Slide 12 Health IT Barriers Cost IT Support EHR Vendor Penetration/Accessibility Privacy/Security Time/Resources Perceived need and Provider Interest Scope and funding of DOQ-IT is limited

13. Slide 13 Health IT in Our View Interest in the utilization of health IT is on the rise. Motivated healthcare providers are making efforts to investigate health IT. The lack of available IT support in rural communities makes our states ideal for ASP solutions. However, reliable broadband Internet access hampers this.

14. Slide 14 Ninth Scope of Work Focus of preventive care measures –Mammography –Colorectal Cancer Screening –Influenza Immunization –Pneumococcal Pneumonia Immunization Participating practices will utilize their EHRs to improvement performance in these areas Quality data will be collected and sent to CMS for comparison

15. Slide 15 Contact Information Kris Urbanek Health Information Technology Coordinator 307-587-3396 kurbanek@wyqio.sdps.org www.mpqhf.org This material was prepared by Mountain-Pacific Quality Health, the Medicare Quality Improvement Organization for Wyoming, Montana, Hawaii and Alaska, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 8SOW-MPQHF-WY-PPQI-08-01