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Electronic Health Records –The Future is Now
Speranza Avram, M.P.A. Executive Director
ARRA and HITECH: An Unprecedented Opportunity
“After Weeks in
Limbo,
It’s full Steam Ahead
For Health IT”
“Baucus Touts Role of Health IT in Health Care Reform Efforts”
“HITECH Act
Offers
Opportunity,
Challenges for
Medical
Providers”
“Health Care
Stakeholders
Stump for Health IT
at Senate Hearing”
“Widespread EHR Adoption Could
Increase Evidence Based Medicine”
• Formed by three key partners representing target “priority primary care providers”:
California Medical Association (CMA) California Association of Public
Hospitals & Health Systems (CAPH) California Primary Care Association
(CPCA)
• CalHIPSO is tasked with supporting targeted providers throughout CA successfully adopt electronic health records
• One of three Regional Extension Centers serving California
Historical Precedent for Market Transformation
Agricultural Industry 1914 Banking Industry 1980’s
Through the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009, the Federal government has aligned incentives and support for health IT adoption and meaningful use.
Transformed Health Care
Medicare and Medicaid MU
Incentives
Cal eConnect for Health
Information Exchange
Workforce Development
Regional Extension Centers
CalHIPSO’s Target Providers – Priority Primary Care Providers (MD, DO, PA, NP, CNMW) working
in the following care settings:
• Small private physician prac2ces of 10 providers or less
• Community health centers and other non-‐profit primary care clinics
• Ambulatory care clinics operated by public hospitals
• Outpa2ent clinics operated by Cri2cal Access and Rural Hospitals
• Other medically underserved seAngs
CalHIPSO is a partnership organization whose mission is to support the adoption of health IT and
achievement of meaningful use.
• Goal is to assist 6,100 PPCPs achieve meaningful use over the next two years
• Payment made by ONC to CalHIPSO based on comple2on of three milestones:
• Enrollment in REC program • Installa2on and basic use of EHR • Ability to meet Stage 1 MU criteria
• Key to success will be partnerships between broad array of stakeholders within public and private sectors
Local Extension
Centers (LEC):
Implementation Services
Vendors:
Products and Services
Education & Training
Curriculum
Standards & Best
Practices
Group Purchasing Contracts
Provider Registry & Enrollment
Standard Deployment
of EHRs
Financial Operations – ARRA/ONC Reporting – Quality Assurance
• Outreach, Enrollment and Education
• Readiness Assessments and Capacity Building
• Vendor Selection
• Workflow Assessment & Redesign
• Project Mgmt.
• Meaningful Use Reporting
• EHR Products (SaaS Offerings)
• Product Specific Templates and Configuration
• Interfaces
• Implementation Project Management
• Ongoing Maintenance
• Meaningful Use Reporting
Service Partners
Local Extension Centers
• Health Services Advisory Group – Sacramento Region, Rural North and South, private providers, rural health clinics, community clinics
• Safety Net Institute – Public Hospital out-patient, North and South
• Planned Parenthood – Reproductive Health Clinics, North and South
• Community Health Network – Community Clinics, Alameda County
• Redwood Community Health Coalition – Sonoma, Napa, Solano, Mendocino, community clinics and private providers
• Central Valley Collaborative – Community Clinics, north Valley
• Inland Empire EHR Resource Center – Riverside and San Bernardino Counties private providers
• Community Clinics Health Network – private providers and community clinics
• Gold Coast LEC – Venture, Santa Barbara, San Luis Obispo Counties private providers
CalHIPSO Services
Bundled Product Offering (system/service/support)
Single-Product Purchase or
Non-REC service purchase
REC Services such as
selection, readiness,
implementation, support and/or
optimization
• Current Concerns Related to product Selection:
• ONC certification process still unclear
• Meaningful Use criteria is unreleased
• Current EHR products focus more on capturing claims data, less on capturing clinical data to support quality initiatives
Why Would Providers Join CalHIPSO?
• You are ready to adopt EHR, and want some help doing it
• You want your EHR installation to be as simple and easy as possible
• You want to save some money and access the federal incentives payments as soon as possible
• You want to use EHR to expand the impact of quality improvement in your daily clinical practice
How do providers enroll? 1. Visit www.calhipso.org 2. Complete a Provider Registration
Form 3. Submit a Provider Enrollment
Agreement 4. Make payment via PayPal (note:
Membership Fees are waived for PPCPs who join in 2010)
5. Start working with CalHIPSO or your Local Extension Center
CalHIPSO is now enrolling providers!
