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Introduction and Welcome:
Nancie McAnaugh, MSWCenter for Health PolicyMO HIT Assistance Center
Presenter:
Ryan Krull, MPHMissouri Primary Care Association
Population Management &
Reporting
MO HIT Assistance Center
Federally-designated Regional Extension Center for the State of Missouri
University of Missouri: Department of Health Management and Informatics Center for Health Policy Department of Family and Community Medicine
Partners: Hospital Industry Data Institute (Critical Access Hospitals) Kansas City Quality Improvement Consortium Missouri Primary Care Association Missouri Telehealth Network Primaris
Assist Missouri's health care providers in using electronic health records to improve the access and quality of health services; to reduce inefficiencies and avoidable costs; and to optimize the health outcomes of Missourians
Vision
This regional extension center is funded through an award from the Office of the National Coordinator for Health Information Technology, Department of Health and Human Services Award Number 90RC0039/01
Cerner and the University of Missouri Health System have an independent strategic alliance to provide unique support for the Tiger Institute for Health Innovation, a collaborative venture to promote innovative health care solutions to drive down cost and dramatically increase quality of care for the state of Missouri. The Missouri Health Information Technology Assistance Center at the University of Missouri, however, is vendor neutral in its support of the adoption and implementation of EMRs by health care providers in Missouri as they move toward meaningful use.
Disclosures
Team of experienced, Missouri based Health IT professionals
Part of a national network designated by HHS to assist providers with modernizing their practices
Direct, rapid and reliable access to a pipeline of key information on health IT and meaningful EHR use
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Who are we?
For providers who do not have a certified EHR system - We help you choose and implement one in your office
For providers who already have a system - We help eligible providers meet the Medicare or Medicaid criteria for incentive payments
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What is our role?
Continuing Education and Training for ALL Providers Vendor Selection and Group Purchasing EHR Implementation and Project Management Practice Workflow Analysis and Redesign Functional Interoperability and HIE Help Providers Achieve “Meaningful Use”
Assistant Center Services
Population Management & Reporting: Meeting meaningful use standards.
Missouri Primary Care Association
MO-HIT Assistance CenterJuly 27, 2011
Brief overview of population management & reporting as it relates to meaningful use
What are the benefits and barriers to meeting the standards
Why is this important to you
How to make sure you're on the right track for meeting the standards
Agenda
Population management –a method used to identify and target a group of patients with specific health care needs and aims to improve the overall care for the targeted patients
HIT can be used to help generate reports Examples of target populations may include
Patients with chronic illness; Diabetes, Heart Disease, Asthma
Total population in a clinic or hospital A provider panel At risk patients; pregnant women,
immunocompromised patients
What is Population Management & Reporting
The use of HIT to improve population based health outcomes
Provides more timely access to quality measure reporting
Removes the need for manual chart audits to measure quality
Where does MU fit into this?
Core Measures Examples Maintain an up-to-date problem list of current
and active diagnosis Record demographics
Menu Set Measures Examples Incorporate clinical lab-test results into EHR as
structured data. Generate patient list by specific conditions to use
for quality improvements, reduction of disparities, research, or outreach
All Clinical Quality Measures Breast Cancer Screenings
What are the MU Measures: Stage 1
(US Department of Health & Human Services Agency for Healthcare Research and Policy)(Centers for Medicare and Medicaid Services)
The goal is to increase the quality of care of all patients seen. This means managing care on the patient level as well as a population. This will help to treat patients in a preventative manner, reducing the number of acute incidences in your patient population.
What is the goal?
THE BENEFITS & BARRIERS OF USING POPULATION MANAGEMENT & REPORTING
As with all change the main barrier is the change itself
Data collection barriers Ineffective communication One vision
Barriers
Help to manage a target populations chronic conditions by identifying them through reporting capabilities
Implement preventive care and chronic care initiatives to improve care outcomes
Reduce the number of “no shows”
Increase preventive screenings
Increase positive outcome for chronic conditions
Benefits
Tools used to identify target population EHR Registry Other IT software (MS Excel)
Reporting Point-of-care Exception reporting
What is the HIT role?
Value: Improving patients health and reducing
health care cost Having accurate and timely data to make
informed patient care decisions. Minimize staffing resources Consolidated view of patient population Track progress of goals in a timely and
accurate method $$$$ - Receive Meaningful Use Incentive
money
Why is this important
Step 1: Make sure you are using a certified EHR
Step 2: Know how to pull MU reports from your system
Step 3: Document all necessary items for reports in structured fields to for the purpose of capturing usable data
Are you on the right track?
Identify the appropriate patient population Start off with small changes in process Plan out the intervention
Know what kind of reporting you are wanting and work towards capturing that data
Exception reporting Point-of-care
Apply the intervention Review often and make changes as
necessary
Key items
Get Started PDSA -
Accept imperfection initially: process are not perfect instantly
Celebrate accomplishments even if they are small
Be relentless: Persistence and determination will pay off
Building Success for population based reporting
Questions?
Centers for Medicare and Medicaid Services. "Stage 1 EHR Meaningful Use Specification Sheets for Eligible Professionals ." 4 April 2011. EHR Incentive Programs. June 2011 <https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdf>.
US Department of Health & Human Services Agency for Healthcare Research and Policy. National Quality Measures Clearinghouse. June 20111 <http://www.qualitymeasures.ahrq.gov/about/inclusion-criteria.aspx>.
References
Ryan Krull, [email protected]
Missouri Primary Care Association3325 Emerald LaneJefferson City, MO 65109-6879(573) 636-4222www.mo-pca.org
Contact:
August 10 Missouri’s Statewide Health Information Exchange
Presenter:Raul Recarey, president, Missouri Health Connection
Upcoming Webinars:
Contact MO HIT Assistance Center for details and pricing
MO HIT Assistance Center Now Serves
Large Practices & Specialists
Website: http://ehrhelp.missouri.edu
E-Mail:◦ [email protected]
Phone:◦ 1-877-882-9933
For More Information:
