Advancing Electronic Prescribing & Interoperable Electronic Health

Records in Minnesota

Blandin Broadband ConferenceConnected Communities: Making the Net Work for MinnesotaDecember 4, 2008

Michael Hawton Project ManagerCenter for Health Informatics & e-HealthMinnesota Department of Health

Topics for Discussion

Information on Minnesota e-Health initiative

An overview of e-prescribing

An overview of interoperable electronic health records (EHRs)

The critical need to advance the broadband infrastructure

The Minnesota e-Health Initiative

A public-private collaboration established in 2004

Legislatively chartered

Coordinates and recommends statewide policy on e-Health

Develops and acts on statewide e-health priorities

Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way

Minnesota e-Health Initiative Vision

“… accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions.”

Source: e-Health Initiative Report to the MN Legislature, January 2004

State Mandates that Advance e-Health

2011 e-Prescribing Mandate

All providers, group purchasers, prescribers, anddispensers establish and maintain an electronic prescription drug program that complies with applicable standards by January 2011

2015 Interoperable EHR Mandate:

All healthcare providers and hospitals have interoperable EHRs by 2015 MDH to develop a statewide plan to meet the mandate Establish uniform health data standards by January 2009 All EHRs must be certified by CCHIT or it successor assuming a

certified EHR product for the provider’s particular setting is available

An Overview of e-Prescribing

What is e-Prescribing?

Why e-Prescribing by 2011?

What are the benefits & challenges?

What is e-Prescribing?

E-Prescribing" means the transmission using electronic media of prescription or prescription-related information between a prescriber, dispenser, pharmacy benefit manager, or group purchaser, either directly or through an intermediary, including an e-Prescribing network.

Source: Minnesota Statutes, section § 62J.497

Patient Visit

Patient EligibilityPatient BenefitsDrug FormularyDrug Medication History

Doctor

Pharmacy

Router

Payer/PBM

Electronic Prescription

Claim Remittance/Payment

Check Benefits

Pick-up Rx

What is e-Prescribing Process Flow?

Source: MN e-Health Initiative, 2005

What are the Benefits?

Improving patient safety and quality of care Reducing time spent on phone calls and call-backs to

pharmacies Reducing time spent faxing prescriptions to pharmacies Automation of prescription renewal requests and authorization Increasing patient convenience and medication compliance Improving formulary adherence; lower cost drug substitutions Allowing greater prescriber mobility. Improving drug surveillance/recall ability. Others…

Source: National eHealth Initiative “A CLINICIAN’S GUIDE TO ELECTRONIC

PRESCRIBING” October 2008

An Overview of Interoperable Electronic Health Records (EHRs)

Statewide Implementation Plan

Minnesota Model for Adopting EHRs

Minnesota’s Statewide Implementation Plan for Interoperable Electronic Health Records

Components of the PlanPart 1: BackgroundPart 2: Minnesota Model for

EHR Adoption Part 3: Emerging IssuesPart 4: Recommendations

AppendicesGuide 1: Addressing Common BarriersGuide 2: Minnesota e-Health Standards

Special Interest Area:# 1 Long Term Care# 2 Public Health

Available at: http://www.health.state.mn.us/ehealth/ehrplan.html

Which providers are covered by the mandate?

All licensed providers and the settings in which they practice

Primary Care Specialty care Hospitals Pharmacy Laboratories Radiology Urgent Care Ambulatory care

Long Term Home Health Agencies Hospice Local Health

Departments Habilitation Dental Mental Health Care State Agencies

Example Types of Settings – (Also see Appendix A)

Minnesota Model for Adopting Interoperable Electronic Health Records

Assess

Plan

InteroperateReadiness

Effective Use

Implement

Select

Achievement of 2015 Mandate

Continuum

of EHRAdoption

Adopt Exchange

Utilize

Breaks achieving the 2015 Mandate into manageable steps

Applies across organizational settings

Using the Model to Measure EHR Adoption

Primary Care Clinics

Long Term Care

Small hospitals

Large Hospitals

Pharmacies

Assess

Plan

InteroperateReadiness

Effective Use

Implement

Select

Achievement of 2015 Mandate

Continuum

of EHRAdoption

Adopt ExchangeUtilize

What strategies will shorten these lines and help move

them to the right?

Radiology

Estimated range of adoption based on various surveys and other sources

Minnesota Department of Health, February 2008

Local Health Departments

The Critical Need to Advance the Broadband Infrastructure

Essential for using E-prescribing. Connects Physicians, Pharmacists and Payers

Critical for achieving EHR interoperability (exchange of vital information) with stakeholders in the communities E.g. Hospital, clinics, LTC, Public Health

Access is needed where care is delivered Cost needs to be affordable

Other Ways You Can Help Advance e-health in Minnesota

Communicate 2011 E-prescribing and 2015 EHR Mandates

Support adoption and use of EHRs, in your communities

Participate in policy development Support pilot projects and incentives to bring

broadband to health and health care settings

Minnesota e-Health Web Resources

e-Health mandates Reports & Recommendations Advisory Committee Standards Workgroups Factsheets, Tools & Templates Links to resources Center for Health Informatics

Minnesota e-Health Initiativewww.health.state.mn.us/e-healthMN.eHealth@state.mn.us

Thank You! - Questions

Michael Hawton

651-201-3598 michael.hawton@state.mn.us

Center for Health Informatics & e-Health

Minnesota Department of Health