Embed Size (px)
Citation preview
Regional HIT Extension Center –Michigan Center for Effective IT Adoption(M-CEITA)
Presentation to the Michigan Primary Care Consortium
October 19, 2009
Regional Extension Centers Health IT Regional Extension Centers will provide technical
assistance and disseminate best practices to support and accelerate efforts to adopt, implement, and effectively utilize health information technology. (ARRA Sec. 3012(c))
Michigan’s REC applicant is M-CEITA – the Michigan Center for Effective IT Adoption (www.mceita.org)
M-CEITA will advance the meaningful use of HIT across Michigan promoting improvements in quality and enabling patient-centered medical home.
2
Role of Technology in Supporting Care Delivery
3
Tec
hn
olo
gy
Ro
le
Bro
ad
en
un
de
rsta
nd
ing
Pro
vid
eD
ata
Information Complexity
Decision Support
Documentation Tool
Computational Aid
Communication Tool
Internal to Practice
Combined with External Sources
Presents new ideas from existing information reducing the need to mentally group, compare or analyze information.
Combines patient characteristics with standards and protocol to enhance the ability to make evidence based decisions.
Supports the entry, storage and display of information to reduce the need to rely on memory alone to complete tasks.
Enhances the ability to communicate information and findings to other providers and patients in a manner consistent with their needs and understanding.
Key IT Capabilities to Support PCMH“While (PCMH) characteristics, in theory, may be achieved without the use of health IT….health
IT can be an empowering facilitator to the establishment of a medical home…..”1
4
1 Center for eHealth Information Adoption and Exchange (2009). Meaningful Connections: A resource guide for using health IT to support the patient centered medical home, Patient Centered Primary Care Collaborative.
M-CEITA Development
Current organizations participating in full application development:
– Altarum Institute (Prime Applicant & Program Management)– University Research Corridor: MSU, U of M, Wayne State– Michigan Peer Review Organization (MPRO)– Michigan Primary Care Association (MPCA)– Michigan Public Health Institute (MPHI)– Central Michigan University Research Corp (CMU-RC)
5
August 20FOA Released
M-CEITA Planning
FebruaryM-CEITA Collaborative
Formed
September 8Preliminary Application
September 28Preliminary Approval
November 3Full Application
December 11Awardee Selection
M-CEITA Roll Out
Activities in Progress
Finalize Organizational Structure
– Alignment with other HIT efforts– Effective Governance– Operational Model
Define Scope of Services– Direct Assistance– Core Support
Develop Sustainability Plan– Grant funding– Matching Funds– Provider payments
6
Governance
Operations
Sustainability
M-CEITA Workgroups Current Planning Activities
M-CEITA Steering Committee
M-CEITA Advisory Committee
M-CEITA Structure
7
M-CEITA Executive Committee
M-CEITA Program Management
Executive Committee (EC) members will consist of the Charter Member organizations and other qualified nonprofit organizations
Steering Committee (SC) members will be representative end-users of REC services, i.e. primarily priority PCPs
Advisory Committee (AC) members will include nationally-recognized health IT experts, including the American Academy of Family Physicians, the Patient Centered Primary Care Collaborative, TransforMED, and the National HIT Collaborative for the Underserved
Program Management includes project oversight, management of sub-contracts, and meeting federal / grant reporting requirements
Governance
M-CEITA Operational Model
8
The M-CEITA operational model is based on the agricultural regional extension service model, and will meet the needs of both priority and other participating providers across Michigan.
M-CEITA AdministrationExecutive, Steering and Advisory committees
Program Management9 Regional MTA Managers, subject matter experts
Small Primary Care practices <10 providers
FQHCs / CHCs / Rural Health Centers
Tribal Health Clinics; other settings with
underserved populations
Other participating providers
Critical Access and Public Hospitals
Governance
M-CEITA Scope of Services The service area for M-CEITA is the entire state of Michigan
– Around 18,000 PCPs; 7,000 priority PCPs; Over 200 Federally-supported practice networks; 14 HIE efforts
FOA Requirements– Each Regional Center will provide assistance to a minimum of
1,000 priority PCPs in the first two years (serve at least 20% of the PCPs in the area)
– M-CEITA’s goal is to reach 4,000 priority PCPs and 6,000 providers total over the first 2 years
9
Direct Assistance SupportPrioritized to priority primary care providers
- Vendor selection and group purchasing- Implementation and project management- Practice and workflow redesign- Functional interoperability and health
information exchange- Privacy and security best practices- Progress towards meaningful use
Direct Assistance SupportPrioritized to priority primary care providers
- Vendor selection and group purchasing- Implementation and project management- Practice and workflow redesign- Functional interoperability and health
information exchange- Privacy and security best practices- Progress towards meaningful use
Core SupportAvailable to all participating providers
- Education and outreach- Local workforce support- Participation in peer-learning and
knowledge transfer activities, facilitated by the national Health Information Technology Resource Center / National Learning Consortium
Core SupportAvailable to all participating providers
- Education and outreach- Local workforce support- Participation in peer-learning and
knowledge transfer activities, facilitated by the national Health Information Technology Resource Center / National Learning Consortium
Operations
10
Primary-care providers MDs, DOs, NPs, CNMs & PAs
who practice family, general internal or pediatric medicine or obstetrics and gynecology
Priority PCPs– Individual and small group
practices (<10) primarily focused on primary care
– Public and Critical Access Hospitals
– Community Health Centers and Rural Health Clinics
– Settings that serve uninsured, underinsured, and medically underserved populations
Direct Assistance Approach
M-CEITA will provide a variety of individualized services to priority providers supporting effective IT adoption and use.
11
ImplementationImplementationAdoptionAdoption SelectionSelection
OrganizationOrganization
Effective UseEffective Use
Operations
•Readiness Assesment•Workplan Development
•EHR Objectives•Process Mapping
Goal SettingGoal Setting
•Communication Plan•Docment Review
DocumentationDocumentation
Change Management
Change Management
•Leadership and Culture•EHR Transformation
Business CaseBusiness Case
•Budget•Practice Goals
Due DilligenceDue Dilligence•Vendor Review•Provider Rights
ContractingContracting
•Group Purchasing•Vendor Agreements
Implementation Plan
Implementation Plan
•Goals & Workflows•Hardware & Strategies
Functional TransitionFunctional Transition
•Templates and Forms•Chart Conversion
InstallationInstallation
•Issues Management•Guidelines/Security
System Go LiveSystem Go Live
•System Testing•User training
EvaluationEvaluation
•Evaluation Metrics•Evaluation Plan
Process Improvement
Process Improvement
•Meaningful Use•EHR Optimization
ReportingReporting
•Public Health Reporting•Meaningful Use Eval
Care ManagementCare Management
•Disease Registries•Decision Support
Core Support Approach
M-CEITA Knowledge Broker Model
AccessLeverage research, Federal guidance and local experiences to identify, analyze, filter and disseminate best practices for effective HIT use.
Outreach & Collaboration
Maintain effective communication channels with Federal partners, local providers and staff to create a collaborative community of informed HIT adopters.
Knowledge TransferFacilitate peer to peer knowledge sharing and feedback of lessons learned to the National HIT Research Center.
12
Operations
M-CEITA will ensure all Michigan providers have access to current best practices and federal guidance in HIT adoption and use.
Sustainability Plan
Total amount of funding available: $598,000,000; approximately 70 awards
Project period length: four-year project period with two separate two-year budget periods
Funding is distributed upon milestone completion which includes signed provider contracts, EHR “go live” and meaningful use achievement including e-prescribing and quality reporting
Self-sustaining business plan is required in full application, and must be executed to support REC activities beyond Federal funding
Sustainability plan will include award funding, matching funds and direct provider payments
13
Sustainability
What is Needed from MPCC
Ideas / assistance in obtaining provider commitments, Steering and Advisory committee membership
– Provider commitments are needed and letter templates can be found at mceita.org.
– Steering or Advisory Committee interest must be submitted to [email protected] no later than October 27, 2009 to be included in final November 3rd application
Use of your communication channels to spread the word about M-CEITA and its services to providers
Additional letters of support to include in full application
Contact: [email protected]
14
