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US Perspectives on HIT Adoption and Assessment under Meaningful Use Blackford Middleton, MD, MPH, MSc Partners HealthCare System, Inc. Harvard Medical.

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Presentation on theme: "US Perspectives on HIT Adoption and Assessment under Meaningful Use Blackford Middleton, MD, MPH, MSc Partners HealthCare System, Inc. Harvard Medical."— Presentation transcript:

1 US Perspectives on HIT Adoption and Assessment under Meaningful Use Blackford Middleton, MD, MPH, MSc Partners HealthCare System, Inc. Harvard Medical School EU-US ARGOS Meetings Budapest, 2011

2 Overview  Overview HITECH -> Meaningful Use  Health IT (ICT) Measurement: NCVHS… NQF… HIT  Review MU attestation process and procedure  Reflections on ARGOS Benefits White Paper  Opportunities for Collaboration between US and EU

3 Bending the Curve Towards Transformed Health Achieving Meaningful Use of Health Data Data capture and sharing Advanced clinical processes Improved outcomes “Phased-in series of improved clinical data capture supporting more rigorous and robust quality measurement and improvement.” “These goals can be achieved only through the effective use of information to support better decision- making and more effective care processes that improve health outcomes and reduce cost growth” Connecting for Health, Markle Foundation “Achieving the Health IT Objectives of the American Recovery and Reinvestment Act” April 2009

4 Adoption Get an EMR and use it Adoption Get an EMR and use it Effective Use Use key EMR features fully Effective Use Use key EMR features fully Smart Use Leverage EMR decision support Smart Use Leverage EMR decision support We are here How can an EHR make a difference? Meaningful Use StructureProcessOutcome

5 Overview of National Strategy AdoptionMeaningful UseOutcomes Meaningful Use definition and incentives EHR certification criteria and process Data, exchange, and quality measure standards and process Privacy and security standards, practices and policies Provider implementation support (extension centers) $643M Exchange implementation support (State HIE/NHIN) $564M Workforce development $118M Structure Beacon Communities $235M HIT Research Centers (SHARP $60M, NHIN $54.3M) Process $2B net

6 Entitlement Funds $27B Appropriated Funds Healthcare Information Exchange EHR Adoption Loans HIT Extension Programs Workforce Training New Technologies R&D Grants Medicare Payments Medicaid Payments

7 Meaningful Use Stage 1  Required 15 core measures  Choose 5 of 10 menu measures  Note that 1 core measure is actually 6 quality measures  Choose 3 of 3 core or 3 alternate core quality measures  Choose 3 of 38 additional quality measures

8 Meaningful Use Measurement

9 TestView, Two, M.D.

10 Measure Authoring Tool registry EHR PHR Quality Data Model eMeasure standards setting (e.g. HL7) eMeasure standard + measure developers reporting implementation evolution NQF Quality Data Model Use

11 Relationship between quality measures, CDS, and the NQF Quality Data Model

12 Components of a Utilization Data Element

13 Example CDS Performance Measure


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