february 29, 2012
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Office of Provider Adoption Support (OPAS): Supporting Primary Care Providers to Achieve Meaningful Use
February 29, 2012
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HITECH: Catalyst for Transformation
Pre 2009 2009 2014
A system plagued by inefficiencies
EHR Incentive Program and 62 Regional Extension Centers
Widespread adoption & meaningful use of EHRs
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Goal: Assist All Providers to Achieve Meaningful Use of EHR Systems
Community College Consortium
Provider Adoption Services
Provider Adoption Services Meaningful Use
Regional Extension Centers (RECs)
Health Information Technology
Research Center (HITRC)
Office of Provider Adoption Support (OPAS)
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Big Picture Goal
• Regional Extension Center• Community College
Workforce• Communities of Practice• Health Information
Technology Research Center (HITRC)
Paper-Based Practice
Support Network
REC-Provider Partnership
Fully Functional EHR
Education and Outreach • Workforce • Vendor Relations • Implementation • Workflow Redesign • Functional Interoperability • Privacy and Security • Meaningful Use
Population HealthHealth Care EfficiencyPatient Health Outcomes
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62 RECs Cover 100% of the USA
• Not-for-profit organizations • Experts in EHR adoption• Provide “on-the-ground”
technical assistance• Extensive stakeholder
partnerships
• Focused on achieving MU
Initial Program Goal: 100,000 priority primary care providers achieve meaningful use (MU) by 2014
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REC Funding History
Help as many
providers as possible
get to MeaningfulUse of anElectronic
Health RecordSystem
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United Purpose, Local Approaches
• Each REC has a:– Defined service area – Specific number of
providers to assist • National perspective with
local expertise• Approach differs by REC:
– Local/regional centers (RECs within an REC)
– Hospital partnerships– Payer partnerships
REC Locations
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Comprehensive Support throughout the Entire EHR Implementation Process
Readiness assessment
EHR system selection
Readiness assessment
EHR system selection
Practice workflow redesign
HIT education & training
Practice workflow redesign
HIT education & training
Achieve meaningful use
Prepare for future pay for performance
Achieve meaningful use
Prepare for future pay for performance
EHR implementation
Partnering with state & local
HIEs
EHR implementation
Partnering with state & local
HIEs
Operate & Maintain
Plan1 Transition2 Implement3 4
Primary goal: Give providers as much support as possible
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RECs Cover the Full Range of Services
Interoperability & HIEAssist providers in meeting functional interoperability
requirements
Interoperability & HIEAssist providers in meeting functional interoperability
requirementsImplementation Support
Provide EHR project management support
Implementation SupportProvide EHR project
management support
Meaningful UseAssist providers on achieving
Meaningful Use objectives
Meaningful UseAssist providers on achieving
Meaningful Use objectives
Practice & Workflow Design
Assist practices in improvement of daily
operations
Practice & Workflow Design
Assist practices in improvement of daily
operationsPrivacy & Security
Implement best practices to protect patient information
Privacy & SecurityImplement best practices to protect patient information
Outreach & EducationShare best practices to select, implement, and meaningfully use EHRs
Outreach & EducationShare best practices to select, implement, and meaningfully use EHRs
Vendor SelectionAssess practice’s IT needs and help select/ negotiate
vendor contracts
Vendor SelectionAssess practice’s IT needs and help select/ negotiate
vendor contracts
WorkforceProvide EHR training to
providers and staff
WorkforceProvide EHR training to
providers and staff
REC Services
REC Services
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REC Focus: Priority Primary Care Providers
While RECs are encouraged to work with all providers, they will initially focus on “Priority Settings”:
– Individual/small group primary care practices (<10 PCPs)
– Public Hospitals and CAHs– Community Health Centers
and Rural Health Clinics– Other settings that serve
medically underserved populations
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REC Program Success To-date: (2/27/12)
Primary Care Providers (PCP) Enrolled
PCP on EHR PCP to MU
Local Health Department Providers•PCPs registered with RECs=1,452•PCPs at Go-Live registered with RECs= 213•PCPs at Meaningful Use=13
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RECs Currently Providing Services to Local Health Department Providers
Alabama• Alabama REC (University of
South Alabama)Arkansas• Arkansas Foundation for
Medical Care, Inc.California• California Health Information
Partnership Services Organization North and South
Florida• Center for the Advancement of
Health IT (FL)• Central Florida HIT Initiative(FL)• PaperFree Florida Collaborative
Health Information Technology Regional Extension
• South Florida Regional Extension Center
Georgia• GA-HITRECGuam• Hawaii Pacific RECIllinois• Illinois HIT Regional Extension
Center
Indiana• Indiana Health Information
Technology Extension Center (I-HITEC)
Iowa• Telligen (IA)Kansas• Kansas Foundation for
Medical CareLouisiana• Louisiana Healthcare Quality
ForumMaine• HealthInfoNetMichigan• Michigan Center for Effective
IT Adoption (M-CEITA)Minnesota• REACH (Stratis Health)Mississippi• Mississippi Regional
Extension CenterMissouri• Missouri Health Information
Technology Assistance Center
Nebraska• Wide River TEC (NE)New Mexico• Lovelace Clinic Foundation-LCF Research
North Carolina•North Carolina RECOhio•Ohio Health Information PartnershipOregon•O-HITEC (OHITREC) (OR)Pennsylvania•PA REACH (West/East)South Dakota•HealthPointMulti-State•Greater Cincinnati Health Bridge Inc. (OH, KY, IN)•National Indian Health Board (DC)
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CCC SHARP
REC
Beacon
HIE
HITRC’s Central Role Supports Health IT Optimization
Works with external communities and shares knowledge
ToolsTools
ResourcesResources
Communities of Practice
(CoPs)
Communities of Practice
(CoPs)
Works with HITRC community and shares knowledge
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Collaboration Portal
Knowledge Sharing Network (KSN)
Training ServicesPractice Transformation Support
Communities of Practice (CoPs)
Customer Relationship Management (CRM)
Tools &Support for Adoption and MU
Public Website
Learning Systems
HITRC Resources
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Community College ConsortiaWorkforce Program
• 5 regions• $6 – $ 21 M per
region• April 2010 award• 2 Years• 10,500 to be trained
• 5 regions• $6 – $ 21 M per
region• April 2010 award• 2 Years• 10,500 to be trained
REGION A
REGION C
REGION B
REGION D
REGION E