1. BENEFITS OF ELECTRONIC HEALTH INFORMATION

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3. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check

4. BENEFITS OF ELECTRONIC HEALTH INFORMATION Disclaimer The information contained in this presentation is not intended to be used as legal advice. Please refer to the most current specific federal and state statutes and your own legal counsel when warranted.

5. Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x

6. BENEFITS OF ELECTRONIC HEALTH INFORMATION Training Objectives

7. Training Objectives Define Define electronic health records, personal health records, health information exchange (HIE) and other relevant terms Describe Describe some key ongoing health information technology efforts in Kansas and at the national level

8. BENEFITS OF ELECTRONIC HEALTH INFORMATION Training Objectives List List the basics of meaningful use in relation to the American Recovery and Reinvestment Act (ARRA) Describe Describe the benefits of electronic health record adoption the benefits of health information exchange

9. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x

10. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions

11. Definitions Electronic Health Record (EHR) Sometimes Sometimes referred to as Electronic Medical Records (EMRs) – Computerized – Computerized version of health-related information on an individual Includes Includes patient demographic, administrative data and clinical health information, such as medical history, medications, immunizations, lab data, radiology reports and problem lists

12. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Qualified Electronic Health Record An An electronic health record of health- related information on an individual that has the capacity: To To provide clinical decision support support physician order entry capture and query information relevant to health care quality exchange electronic health information with, and integrate such information from other sources

13. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Interoperability Interoperability – The – The ability for different information technology systems and software applications to communicate, to exchange data accurately, effectively, and consistently, and to use the exchanged information Meaningful Meaningful Use – Providers – Providers show they are using certified electronic health record technology in such ways that can be measured

14. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Certified Certified means that the electronic health record is able to achieve the minimum government requirements for security, privacy, and interoperability, and that the system is able to produce the meaningful use results that the government expects

15. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Certified Certified Electronic Health Record – A – A complete EHR that meets the requirements included in the definition of a Qualified Qualified EHR and has been tested and certified Certification Certification of Electronic Health Records – Established – Established by the Office of the National Coordinator (Department of Health and Human Services) – The – The process involves evaluating EHR technology capability, functionality and security to ensure that they meet criteria to support meaningful use

16. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Personal Personal Health Record (PHR) – Generally, – Generally, unlike the electronic health record, the PHR is controlled, managed and shared by the individual individual and often has features that allow the individual to add information such as allergies, medications, activity journals, and appointments

17. BENEFITS OF ELECTRONIC HEALTH INFORMATION Definitions Health Health Information Exchange (HIE) – Makes – Makes it possible for healthcare providers to better manage patient care through secure use and sharing of health-related information Health Health Information Organization (HIO) – In – In Kansas, this is an organization that provides services to enable the electronic sharing of health-related information

18. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x

19. BENEFITS OF ELECTRONIC HEALTH INFORMATION Key Ongoing Health IT Efforts: National

20. The The American Recovery and Reinvestment Act (ARRA) of 2009 – Signed – Signed into law on February 17, 2009 by President Barack Obama – Provides – Provides $19.2 billion for health information technology (health IT) – The – The Health Information Technology for Economic and Clinical Health (HITECH) Act is included in ARRA HITECH HITECH addresses many of the health information communication and technology regulations including, privacy and security Key Ongoing Health IT Efforts: National

21. BENEFITS OF ELECTRONIC HEALTH INFORMATION HITECH HITECH (Health (Health Information Technology for Economic and Clinical Health) Health) Act – Provides – Provides financial incentives for healthcare providers that attain meaningful use with their Electronic Health Record (EHR) Meaningful Meaningful use: use: Providers demonstrate that they are using certified EHR technology in specific ways that can be measured Key Ongoing Health IT Efforts: National

22. BENEFITS OF ELECTRONIC HEALTH INFORMATION Key Ongoing Health IT Efforts: National The The ARRA HITECH act specifies three main components of Meaningful Use: – The – The use of a certified EHR technology: in in a meaningful manner, such as e-prescribing for for electronic exchange of health information to improve quality of health care to to submit clinical quality and other measures

23. BENEFITS OF ELECTRONIC HEALTH INFORMATION Key Ongoing Health IT Efforts: Kansas

24. Kansas Health Information Exchange (KHIE) Corporation (www.khie.org) – Nonprofit organization that provides policy, direction and oversight of health information organizations (HIOs) approved to operate in Kansas – Certifies health information organizations (HIOs) in Kansas Key Ongoing Health IT Efforts: Kansas

25. BENEFITS OF ELECTRONIC HEALTH INFORMATION Certified Health Information Organizations (HIOs) in Kansas include: – Kansas Health Information Network (KHIN) http://www.khinonline.org/ – Lewis and Clark Information Exchange (LACIE) http://www.lacie-hie.com/ Key Ongoing Health IT Efforts: Kansas

26. BENEFITS OF ELECTRONIC HEALTH INFORMATION KHIN – A collaboration of the Kansas Hospital Association, Kansas Medical Society and the Wichita Health Information Exchange to provide a common technology platform for all Kansas and western Missouri providers LACIE – Owned by Heartland Health System in St. Joseph, MO and serves hospitals and providers in a 21 county area of NW Missouri, NE Kansas and SW Nebraska Key Ongoing Health IT Efforts: Kansas

27. BENEFITS OF ELECTRONIC HEALTH INFORMATION Statewide health information exchange went live on July 1, 2012 – Electronic health information will be exchanged through the certified HIOs (KHIN and LACIE) – Health Information Exchanges require that patient records be kept in Electronic Health Record (EHR) systems in order to be exchanged Key Ongoing Health IT Efforts: Kansas

28. BENEFITS OF ELECTRONIC HEALTH INFORMATION HIT Regional Extension Center (REC) Established through the ARRA HITECH act In Kansas, the Kansas Foundation for Medical Care (KFMC) is the HIT REC for the state (http://www.kfmc.org/rec/) – Works with providers in Kansas to speed up the adoption of Electronic Health Records and meaningful use of certified EHR technology – In addition to the larger urban areas, over 1,450 medical providers in small practices and 95 hospitals in rural areas have committed to implement EHR systems. Thus Kansas providers are now positioned to take advantage of the health information exchanges. Key Ongoing Health IT Efforts: Kansas

29. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x x

30. BENEFITS OF ELECTRONIC HEALTH INFORMATION Health Information Exchange in Kansas: Benefits

31. Health Information Exchange in Kansas: Benefits With the statewide health information exchange, health care providers can: – Quickly and securely access the health information exchanges to electronically obtain medical information from other providers who may have previously been involved in treating the same patient Critical in times of an emergency – reducing emergency room (ER) wait times

32. BENEFITS OF ELECTRONIC HEALTH INFORMATION With the statewide health information exchange: – More health Information is accessible quickly resulting in: Improved patient care quality and safety Reduced duplication of services with a resultant reduction of healthcare costs Reduced operational costs by enabling automation of many (currently) manual administrative tasks Integration of sick (illness) care with well care Stimulating consumer education and involvement in their healthcare process Health Information Exchange in Kansas: Benefits

33. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x x x

34. BENEFITS OF ELECTRONIC HEALTH INFORMATION Electronic Health Records: Benefits

35. Electronic Health Records: Benefits By By adopting electronic health records in a meaningful way, clinicians can: – Know – Know more about their patients – Make – Make better decisions – Save – Save money

36. BENEFITS OF ELECTRONIC HEALTH INFORMATION Electronic Electronic health records make it possible for patients and their doctors to better manage their care through secure use and sharing of health information. With electronic health records, clinicians have: – Accurate – Accurate and complete information – The – The ability to better coordinate patient care and patients family’s family’s care – Information – Information to help them diagnose diagnose patients health problems, reduce reduce medical errors, errors, and provide safe quality care at lower costs. Electronic Health Records: Benefits

37. BENEFITS OF ELECTRONIC HEALTH INFORMATION For For payers, electronic health records can result in: – Cost – Cost reductions – Improved – Improved quality of care patient health maintenance data collection Electronic Health Records: Benefits

38. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x x x x

39. BENEFITS OF ELECTRONIC HEALTH INFORMATION Resources Center of Medicare & Medicaid Services http://www.cms.gov/ The Office of the National Coordinator for Health Information Technology (ONC) http://healthit.hhs.gov/ Kansas Hospital Association http://www.kha-net.org/ Kansas Health Information Exchange http://www.khie.org/ Kansas Health Information Network (KHIN) http://khinonline.org/ Lewis and Clark (LACIE) http://www.lacie-hie.com/ Regional Extension Center http://www.kfmc.org/rec/

40. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x x x x x

41. BENEFITS OF ELECTRONIC HEALTH INFORMATION Knowledge Check Atest will assess your understanding of this material [Each [Each healthcare organization offering this training can insert information about how they would like the test administered, what a passing grade is, how many times the test may be repeated, and specify how to validate that the test was completed]

42. BENEFITS OF ELECTRONIC HEALTH INFORMATION Outline  Disclaimer  Training Objectives  Definitions  Key Ongoing Health IT Efforts: National & Kansas  Health Info Exchange in Kansas: Benefits  Electronic Health Records: Benefits  Resources  Knowledge Check x x x x x x x x

43. BENEFITS OF ELECTRONIC HEALTH INFORMATION These training materials were prepared by the Kansas Hospital Education and Research Foundation in collaboration with the University of Kansas Medical Center, Center for Health Informatics, as part of our work with the Kansas Regional Extension Center, under grant #90RC0003/01 from the Office of the National Coordinator, Department of Health and Human Services (DHHS). In addition, this project was federally funded through the Kansas Department of Health and Environment, Bureau of Community Health Systems Medicare Rural Hospital Flexibility (FLEX) Program. The FLEX program is managed by the Federal Office of Rural Health Policy, Health Resources and Services Administration and DHHS.