Session #2 Optimizing e-health using Clinical Decision Support: Real World Examples
|
|
- Randall Brian Shelton
- 6 years ago
- Views:
Transcription
1 Session #2 Optimizing e-health using Clinical Decision Support: Real World Examples 2015 Minnesota e-health Summit 1:15 2:30 pm Tuesday, June 16,
2 Today s Agenda Hear about two effective clinical decision support and optimizing examples. Understand how adoption of EHRs and other health information technologies helps improve clinical care and population health. Learn from a successful regional implementation of an EHR linked web-based clinical decision support system at multiple delivery systems and Minnesota Immunization Information Connection s (MIIC) utilization of immunization history and forecasting for clinical decision support. Paul Kleeberg, Stratis Health (Moderator) Aaron Bieringer, Minnesota Department of Health Gerald H. Amundson, HealthPartners Institute for Education and Research Patrick J. O Connor, HealthPartners Institute for Education and Research 2
3 Aaron Bieringer Minnesota Department of Health 3
4 OPTIMIZING E-HEALTH USING CLINICAL DECISION SUPPORT Aaron Bieringer MIIC Interoperability Coordinator Minnesota Department of Health June 4 th, 2015 Real World Examples
5 5 Overview What is MIIC? Where do we get our data from? What do we offer? How are people using our CDS? Next steps?
6 What is MIIC? 6 Minnesota Immunization Information Connection (MIIC) is our statewide immunization information system (IIS) or immunization registry Most complete source of immunization data in the state One of the more well-established registries in the nation: In existence for over 12 years One of six IIS sentinel sites
7 What is MIIC? 7 Immunization Data Sharing Statute: Data sharing allowed under MN Statute Currently no mandates for use or reporting Widely accepted and used by providers Holds data for almost all children and most adults 7.5 million clients and 72 million+ vaccinations Highly utilized by thousands of users
8 Where do we get our data from? 8 100% Percent of Known Providers Participating in MIIC 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% participation by provider type Pharmacy Specialty- OB/GYN Public Health Primary Care Clinic Hospital
9 9 Where do we get our data from? 9 Out of 4,734 active organizations in MIIC... 1,200 1, Primary Care Clinic School/School-Based Clinic Childcare, Headstart, Preschool Pharmacy Nursing Home, Long Term Care, Home Care Specialty Provider Hospital Public Health College/University Health Plan Other
10 Where do we get our data from? 10 Out of 6,823 active MIIC users... 13% 9% 12% 18% Reports Only School User Typical User Administrator Other 48%
11 11 What do we offer? Clinical decision support for immunizations (CDSi) Comprehensive vaccine history Immunization recommendations based on current ACIP guidelines Exchange data in 10 different electronic formats Vaccine ordering Inventory management Reporting functions Vaccination rate assessment Vaccine usage Improbable shots Reminder/Recall functions Track and report on lists of clients
12 12 What do we offer? Immunization history screen
13 13 What do we offer? Vaccine forecasting
14 What do we offer? 14 Clinical decision support for immunizations (CDSi): 40+ childhood, adolescent, and adult series Standard Advisory Committee on Immunization Practice (ACIP) recommendations MIIC staff maintained
15 15 What do we offer? Forecast management
16 16 What do we offer? Forecast management
17 17 What do we offer? Forecast management
18 18 How are people using our CDSi? Via the MIIC application Within EHRs/source systems Alternate access : XML and HTML-based access HL7-based query and response Key informant interviews: Collaborating with the U of M active provider sites Metro and out-state Local public health (LPH), smaller clinics, and larger provider groups Getting feedback from users on awareness, use, and value Looking for suggestions for improvement Compile and compare the results for future consideration
19 19 How are people using our CDSi? Sample questions: How do you integrate this into your workflow? What happens when there are discrepancies in the data? Do you find the data valuable? What did you do before/what would you do without MIIC CDSi? What improvements would you find helpful?
20 How are people using our CDSi? 20 Interviews so far: Completed three Have two more scheduled Discussing dates for five more Notes of interest: Typically used for all groups Still logging into MIIC directly Find a lot of value in the data No CDSi from any other source
21 21 Next steps? Interviews: Complete Interviews Compile Results Discuss Internally Publish Results MIIC program: Discover barriers of use Increase adoption Increase the value of our CDSi
22 Contact information 22 Aaron Bieringer MIIC Interoperability Coordinator MIIC Operations Vaccine Preventable Disease Section
23 Gerald H. Amundson Patrick J. O Connor HealthPartners Institute for Education and Research 23
24 Using Clinical Decision Support to Improve Diabetes Care Patrick O Connor MD MA MPH Center for Chronic Care Innovation Senior Clinical Investigator HealthPartners Institute for Education and Research 24
25 Disclosures: Patrick J. O Connor NIH Research grants (9 active grants) No industry funding Visiting Professor or Consultant: Peking University, University of Vienna, Mayo Clinic, Joslin Clinic, CDC, CMS, NIH, AHRQ, IHS 25
26 Cardiovascular (CV) Wizard Funded by a series of NIH (NHLBI) research projects Live for about 800,000 patients at 50 clinics in 2 large medical groups in ND and MN; go live by 2016 in 4 states with 4 large medical groups and 1.6 million patients Gilmer TG, O Connor PJ, Sperl-Hillen JM, Rush WA, Johnson PE, Amundson GH, Asche SE, Ekstrom HL. Cost Effectiveness of an Electronic Medical Record Based Clinical Decision Support System. Health Serv Res Dec;47(6): PMCID: PMC O Connor PJ, Sperl-Hillen JM, Rush WA, Johnson PE, Amundson GH, Asche SE, Ekstrom HL, Gilmer TP. Impact of Electronic Health Record Clinical Decision Support on Diabetes Care: A Randomized Trial. Ann Fam Med; 2011; 9(1) PMCID: PMC
27 Algorithms Risk Reduction and Recommendations Lipids Blood Pressure Glucose Weight Smoking Aspirin
28 Description of CV Wizard REAL-TIME CLINICAL DECISICION SUPPORT (CDS) CV Wizard provides CDS for both the patient and provider through the EHR at patient encounters. It fires prompts to display and use it only for those with the greatest need (poorly controlled risk factors). PRIORITIZES RISK FACTORS NOT AT GOAL CV Wizard calculates 10-year ASCVD risk and potential absolute reversible risk (RR) for each clinical domain (lipids, BP, glycemic control, weight, tobacco use, and aspirin), and then prioritizes them. Goals are individualized and priorities dampened if already on maximal treatment. TREATMENT SUGGESTIONS CV Wizard displays treatment options for the six CV risk factors based on current therapy, most recent lab and BP values, distance from goal, comorbidities and allergies. Also displays safety alerts and prompts tests.
29 How CV Wizard Supports STEEEP IOM Principle SAFE TIMELY EFFECTIVE EFFICIENT EQUITABLE PATIENT CENTERED CV Wizard Clinical Decision Support Addresses over-treatment, under-treatment, and important safety issues Promotes timely attention to reversible risk factors at targeted high-risk patient encounters (many types of encounters) Consistent with the latest evidence ICSI, JNC8, 2013 ACC/AHA, USPSTF ASA, and 2015 ADA. Proven effectiveness (A1c, BP) Collects, interprets, and displays all EHR data relevant to six major CV clinical domains within a second (one click) Is standardized yet personalized to individuals (e.g. race is used for ASCVD risk calculation and BP treatment recommendations). CV Wizard use is prompted for high risk patients independent of race/ethnicity/geography. Designed to show the clinical priorities, quickly elicit patient treatment preferences, and to be used for shared decision making.
30 CV Wizard Risk Calculators ACC/AHA pooled risk equation to calculate 10-year and/or 30-year ASCVD risk, and can be used for people age Used to estimate benefit for lipids, BP, tobacco. UKPDS Risk equation is used to estimate benefits of A1c reduction, floor A1c 8%. USPSTF published data to calculate benefits from aspirin (stroke risk for women and CHD risk for men). Framingham BMI equation calibrated to the ACC/AHA score to calculate benefits of weight reduction 30
31 Behind the scenes technology and workflow process Automated process Nurse Enters BP EMR Displays Best Practice Alert (BPA) with link to CDS Data to Web Data to EMR Web Service Assess total & reversible ASCVD risk Runs Prioritization Algorithms Runs Treatment Algorithms Runs Safety Algorithms Data to Web Data to EMR Manual process User clicks on CV Wizard navigator section EMR displays prompt with link to CDS Nurse clicks on link to CDS User clicks on link to CDS Web Site delivers CDS Browser Displays Patient and Provider Interfaces PRINT Provider Interface on Door Patient Interface to Patient
32 Automatically triggers for high risk patients, or manual trigger for any patient age Double Click Click on link to open url
33 Provider version 33
34 Patient version 34
35 Web Display - Provider
36 Web Display - Patient
37 Provide feedback and/or report errors 37
38 Technical Components EMR Interface Trigger process Data extraction Web communications Enable CDS display Web Service Algorithm processing CDS content build Web Site Display CDS 38
39 Automated BPA Trigger Flow Epic Patient Visit BP Entered Yes BPA Criteria Evaluation: - Age Visit BP filed - non Hospice visit - Custom Extension evaluation Extension: Chronicles Routine Extract Pt Data Master Files Send SOAP Request,Parse Response via Cache API: Invoke^CSIWEBSERVICE Interconnect CV Wizard 2 CDS Web Service File Risks, CDS link ID via AddFlowsheetValue Web Service Interconnect Doc Flowsheet CDSLink ID Display CDS Yes BPA: Suggest Wizard display with CDS Link Click CDS Link CDS Web Site, Display CDS
40
41 Implementation considerations for other sites Implementation at Altru, Site Specific requirements Data verification Interface build Algorithm verification Treatment recommendation content Security agreements, limited system access Site analysts to carry out build, test, pilot, golive Ongoing maintenance
42 Summary: CDS Can Improve Diabetes Care Proven in RCT to Improve A1c and BP in Diabetes High use rates (around 75%) at targeted encounters Provider satisfaction 94-95% Results stored and populate flow sheets, dot phrases, After Visit Summaries, and other tools Efficiently elicits patient treatment preferences Powerful care coordination & case management tool Transparent, evidence-based risk estimates Uses real-time BP, avoiding re-work No data retained in web service
43 Outpatient CDS: Future Vision Patient-Centered (NOT Disease-Specific) CDS One integrated CDS System Identify high risk patients and provide personalized care recommendations Prioritize treatment recommendations based on QALY or DALY or What???? (benefits often small) Flexible to support the quality agenda, interests providers and affordable and efficient care
44 Wizard Development Serious Mental Illness (SMI) Wizard Funded Adolescent HT and obesity recognition and management Funded & Implemented Adolescent Abdominal Pain in ED Funded Prediabetes Identification & Management Funded Preventing A1c relapse using SMBG data Funding Decision Pending Personalized CA Screening and Primary Prevention Funding Decision Pending
45 Questions & comments? Project Team- primary contacts: Patrick O Connor, MD MPH patrick.j.oconnor@healthpartners.com JoAnn Sperl-Hillen, MD joann.m.sperlhillen@healthpartners.com Heidi Ekstrom, MA- Project Manager [GO TO PERSON] heidi.l.ekstrom@healthpartners.com 45
2011 Measures 2013 Objectives Goal is to guide and support care processes and care coordination
Improve quality, safety, efficiency, and reduce health disparities Provide access to comprehensive patient health data for patient s health care team Use evidencebased order sets and CPOE Apply clinical
More informationPromoting Interoperability Measures
Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is
More informationCLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW
Diplomate: CLINICAL PRACTICE EVALUATION II: CLINICAL SYSTEMS REVIEW A. INFORMATION MANAGEMENT 1. Does your practice currently use an electronic medical record system? Yes No 2. If Yes, how long has the
More informationPPC2: Patient Tracking and Registry Functions
PPC2: Patient Tracking and Registry Functions Element F: Use of System for Population Management At we use our EMR, clinical event manager, and the ad hoc reporting system (Business Objects) for a multi-pronged
More informationNextGen Preventative Exam Template
NextGen Preventative Exam Template Summary This guide describes the use of the Preventive Exam HPI template to document both the initial Welcome to Medicare Exam and subsequent Annual Wellness Visits.
More informationMeaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2
Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 2 Table of Contents Introduction 3 Meaningful Use 3 Terminology 4 Computerized Provider Order Entry (CPOE) for Medication, Laboratory
More informationAdvancing Care Information Measures
Participants: Advancing Care Information Measures In 2017, Advancing Care Information (ACI) measure reporting is optional for Nurse Practitioners, Physician Assistants, Clinical Nurse Specialists, CRNAs,
More informationMeaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)
Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting
More informationPatient Centered Medical Home 2011 Standards
PCMH Standard 6 1 Patient Centered Medical Home 2011 Standards 2 Today s Agenda PCMH 6 PCMH 6 PCMH 6 Elements A-B Elements C-E Elements F-G Standard 6 A MEASURE PERFORMANCE PCMH 6A Measure Performance
More information10 Essential Point-of-Care Applications for Health Providers March 1, 2016
10 Essential Point-of-Care Applications for Health Providers March 1, 2016 Linda Hogan, PhD Director, Faculty Development Family Medicine Residency, UPMC St. Margaret Department of Family Medicine, University
More informationOUTCOMES IMPROVEMENT AND ROI THROUGH EHR INTEGRATED HEALTH CALCULATORS
QUAL Y OUTCOMES IMPROVEMENT AND ROI THROUGH EHR INTEGRATED HEALTH CALCULATORS galenhealthcare.com 2016. All rights reserved. Background ecalcs are health calculators seamlessly integrated with Allscripts
More informationUnderstanding Your Meaningful Use Report
Understanding Your Meaningful Use Report Distributed by Kowa Optimed EMRlogic activehr Understanding Your Meaningful Use Report, version 2.1 Publication Date: May 8, 2012 OD Professional and activehr OD
More informationHIE Implications in Meaningful Use Stage 1 Requirements
s in Meaningful Use Stage 1 Requirements HIMSS Health Information Exchange Steering Committee March 2010 2010 Healthcare Information and Management Systems Society (HIMSS). 1 An HIE Overview Health Information
More information7/7/17. Value and Quality in Health Care. Kevin Shah, MD MBA. Overview of Quality. Define. Measure. Improve
Value and Quality in Health Care Kevin Shah, MD MBA 1 Overview of Quality Define Measure 2 1 Define Health care reform is transitioning financing from volume to value based reimbursement Today Fee for
More informationGE Healthcare. Meaningful Use 2014 Prep: Core Part 1. Ramsey Antoun, Training Operations Coordinator December 12, 2013
GE Healthcare Meaningful Use 2014 Prep: Core Part 1 Ramsey Antoun, Training Operations Coordinator December 12, 2013 2013 General Electric Company All rights reserved. This does not constitute a representation
More informationINTEGRATED DATA ANALYTICS AND CARE WORKFLOW OPTIMIZATION
INTEGRATED DATA ANALYTICS AND CARE WORKFLOW OPTIMIZATION CASE STUDY October 2016 1 AGENDA 1 2 3 INTRODUCTIONS Speaker and System 4 Q+A VALUE OF INTEGRATED DATA Why effective ACOs require EHR, Claims, and
More informationNew Jersey Immunization Information System (NJIIS)
NJIIS, Then, Now and Coming Soon Patricia Kaiser, NJIIS Program Coordinator, Recruiter/Trainer Central Jersey Family Health Consortium Catherine Byrne, Administrative Analyst II New Jersey Department of
More information04/03/2015. Quality Matters: How to Succeed with PQRS in A Short History of PQRS. Participate Or Else..
Quality Matters: How to Succeed with PQRS in 2015 Jeanne Chamberlin, MA, FACMPE Director, MSOC Health A Short History of PQRS 2007: 3 measures on 80% 2% Bonus 2012: 3 measures on 50% / 80% 0.5% Bonus Performance
More informationOntario Shores Journey to EMRAM Stage 7. October 21, 2015
Ontario Shores Journey to EMRAM Stage 7 October 21, 2015 ICE BREAKER Agenda System overview & pervasiveness of use Review Clinical Practice Guideline implementation Discuss Patient Portal implementation
More informationIatric Systems Supports the Achievement of Meaningful Use
Iatric Systems Supports the Achievement of Meaningful Use Iatric Systems offers a wide variety of solutions to assist with today s business challenges and support hospitals in providing superior patient
More informationPatient Centered Medical Home: Transforming Primary Care in Massachusetts
Patient Centered Medical Home: Transforming Primary Care in Massachusetts Judith Steinberg, MD, MPH Deputy Chief Medical Officer Commonwealth Medicine UMass Medical School Agenda Overview of Patient Centered
More informationSupporting Public Health and Surveillance State Level Perspective
Digital Data Priorities for Continuous Learning in Health and Health Care An Institute of Medicine Workshop: Sponsored by the Office of the National Coordinator for Health Information Technology Supporting
More informationThe results will also be used for public reporting for MN Community Measurement on mnhealthscores.org.
Introduction Welcome to the Health Information Technology (HIT) Ambulatory Clinic Survey. The Minnesota Department of Health (MDH) established the Minnesota Statewide Quality Reporting and Measurement
More informationProposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals
Proposed Meaningful Use Incentives, Criteria and Quality Measures Affecting Critical Access Hospitals Paul Kleeberg, MD, FAAFP, FHIMSS Clinical Director Regional Extension Assistance Center for HIT (REACH)
More informationAgenda 10/27/2016. MDPH Immunization Program - MIAP An Overview of the Massachusetts Immunization Information System (MIIS) Disclosure
An Overview of the Massachusetts Immunization Information System (MIIS) Presented by Tabitha Rohrer MIIS User Support Specialist Disclosure I, TABITHA ROHRER, HAVE BEEN ASKED TO DISCLOSE ANY SIGNIFICANT
More information=======================================================================
======================================================================= ----------------------------------------------------------------------- DEPARTMENT OF HEALTH AND HUMAN SERVICES Office of the Secretary
More informationMeaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1
Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 1 Table of Contents Introduction 3 Meaningful Use 3 Terminology 5 Computerized Provider Order Entry (CPOE) for Medication Orders [Core]
More informationGo! Knowledge Activity: Meaningful Use and the Hospital EHR
Go! Knowledge Activity: Meaningful Use and the Hospital EHR Discipline applications This activity has been developed as an introduction to Meaningful Use and its application in the electronic health record.
More informationPiedmont Access to Health Services. Standing Orders for Patient Work-ups
Piedmont Access to Health Services Policy Number: 01-09-014 SUBJECT: Standing Orders for Patient Work-ups EFFECTIVE DATE: 8/3/09 REVIEWED/REVISED : 4/10/2012 POLICY: PATHS is committed to allowing each
More informationMEANINGFUL USE STAGE 2
MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,
More informationMeaningful Use Final Rule:
Meaningful Use Final Rule: Safety and Quality of Care Jonathan Teich, FACMI, FHIMSS, MD, PhD CMIO, Elsevier Health Sciences August 4, 2010 Today s webinar is sponsored by History HITECH Feb. 2009 Initial
More informationHIE Data: Value Proposition for Payers and Providers
HIE Data: Value Proposition for Payers and Providers Session #21, March 6, 2018 Laura McCrary, Executive Director, KHIN Tara Orear, Senior Ambulatory Systems Analyst, Newman Regional Health Dirk Rittenhouse,
More informationMeaningful Use Stages 1 & 2
Meaningful Use Stages 1 & 2 Making Sure You Get the Most Out of Your EHR Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Meaningful Use Stages & Incentive Program Timing 2014 Changes to
More informationOptum Anesthesia. Completely integrated anesthesia information management system
Optum Anesthesia Completely integrated anesthesia information management system 2 Completely integrated anesthesia information management system Optum Anesthesia Information Management System (AIMS) helps
More informationPQRS Success in 2015:
PQRS Success in 2015: The Effects of Applicability Validation (MAV) on s Selection for Hospitalists Why is Applicability Validation (MAV) important? CMS requires all eligible professionals (EPs) successfully
More informationTexas Immunization Registry
Conference 2017 Presenter: Kevin Allen, ImmTrac Manager Overview The Past Immunization Background The Present Outcomes & Benefits Areas of Work IIS Data (Q3 2017) Provider Reporting Data The Future 12/5/2017
More informationOxford Condition Management Programs:
Oxford Condition Management Programs: Helping your employees learn, be encouraged and get support. Committed to helping improve the health and well-being of those we serve and improve the health care
More informationCROSSING THE QUALITY CHASM: HEALTH CARE FOR THE 21 ST CENTURY
CROSSING THE QUALITY CHASM: HEALTH CARE FOR THE 21 ST CENTURY May 10, 2002 Donald M. Berwick, M.D. President & CEO Institute for Healthcare Improvement The Foundation IOM Roundtable President s Advisory
More informationFollow-up on Blood Pressure Protocols. September 20, 2017
Follow-up on Blood Pressure Protocols September 20, 2017 2 Welcome and Introductions Please type in the chat: Your geographical location What health news are you paying attention to? 3 HealthInsight Cardiac
More informationNext Gen Training. Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups
Next Gen Training Why is Next Gen So Important? Step-by-Step Vitals Entry Scenarios and Mock Work-ups Why is Next Gen So Important? Better for the VFC: All the necessary info can be accessed from any VFC
More informationAdvancing Care Information Performance Category Fact Sheet
Fact Sheet The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) replaced three quality programs (the Medicare Electronic Health Record (EHR) Incentive program, the Physician Quality Reporting
More informationChild Immunization Assessment MIIC User Guidance
Minnesota Immunization Information Connection (MIIC) PO Box 64975 St. Paul, MN 55164-0975 Web: www.health.state.mn.us/miic MIIC User Guidance The Reports in MIIC indicate the up-to-date immunization status
More informationMy Complete Medications List
Pharmacy Features 1 My Complete Medications List 2 My HealtheVet: Get Care Get Care: Care Givers Treatment Facilities My Coverage Health insurance Health Calendar To-Do s Wellness Reminders 3 My HealtheVet:
More information(For care delivered in 2008)
(For care delivered in 2008) Report Preparation Directed By: Anne M Snowden, MPH, CPHQ Director of Performance Measurement and Reporting, MNCM Key Contributors: Angeline Carlson, PhD Director of Research,
More informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationMeaningful Use Stage 1 Guide for 2013
Meaningful Use Stage 1 Guide for 2013 Aprima PRM 2011 December 20, 2013 2013 Aprima Medical Software. All rights reserved. Aprima is a registered trademark of Aprima Medical Software. All other trademarks
More informationImproving Public Health by Enhancing the Patient Centered Interprofessional Primary Care Team
Improving Public Health by Enhancing the Patient Centered Interprofessional Primary Care Team Kevin Peterson, MD MPH Professor, Family Medicine and Community Health Director, Center of Excellence in Primary
More informationMeaningful Use Stage 2. Physician Office October, 2012
Meaningful Use Stage 2 Physician Office October, 2012 Why are we here? Meaningful Use overview NOT Stage 1 requirements NOT Interesting facts Stage 1 - The Moving Target Stage 2 Final Rule Penalties Audits
More informationNATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS 2200 Century Parkway, Suite 250 Atlanta, GA
NATIONAL ASSOCIATION OF CHRONIC DISEASE DIRECTORS 2200 Century Parkway, Suite 250 Atlanta, GA 30345 770.458.7400 1. Agencies and organizations providing training to state staff working on 1305/SPHA should
More informationPresentation Outline
Chronic Disease Toolkits: Spreading Quality Outcomes Simply Gerald H. Angoff, MD, FACC, MBA Steve Sarette, BA Presentation Outline It Introduction ti Setting the scene Quality Improvement Project Details
More informationFalcon Quality Payment Program Checklist- 2017
Falcon Quality Payment Program Checklist- 2017 DISCLAIMER: This material is provided for informational purposes only and should not be relied upon as legal or compliance advice. If legal advice or other
More informationImproving Outcomes in a Value-Based World Through Stratified Data and Patient Nurturing. Tuesday November 3, :15 AM - 10:30 AM
Improving Outcomes in a Value-Based World Through Stratified Data and Patient Nurturing Tuesday November 3, 2015 9:15 AM - 10:30 AM Presenter(s): Bob Dichter - Senior Director, Product Management Brian
More informationManaging Patients with Multiple Chronic Conditions
Managing Patients with Multiple Chronic Conditions Sponsored by AMGA and Merck & Co., Inc. 1 Group Pre-work Affinity Medical Group Heart, Lung & Vascular Center COURAGE Clinic 2 Medical Group Profile Affinity
More informationFraming Rural Health Value Webinar Series
600 East Superior Street, Suite 404 I Duluth, MN 55802 I Ph. 800.997.6685 or 218.727.9390 I www.ruralcenter.org Framing Rural Health Value Webinar Series Data Measurement, Outcomes and Impact Kami Norland
More informationThe Role of Health IT in Quality Improvement. P. Jon White, MD Health IT Director Agency for Healthcare Research and Quality
The Role of Health IT in Quality Improvement P. Jon White, MD Health IT Director Agency for Healthcare Research and Quality and I m Here to Help NOTICE Persons attempting to find a motive in this narrative
More informationTips for PCMH Application Submission
Tips for PCMH Application Submission Remain calm. The certification process is not as complicated as it looks. You will probably find you are already doing many of the required processes, and these are
More informationHL7 v2 IEEE and DoseLink. HIMSS Interoperability Showcase Page 1 of 11
Use Case Title: Cardiovascular Diabetes Risk Overview: Francine, a 65-year-old, has diabetes is exhibiting cardiovascular risks for which she needs immediate observation monitoring. She is eventually put
More informationStandard Operating Procedure. References Physician Guideline: Chronic Pain, Management of
Subject Chronic Pain Management Index Number GL-6171 Section Patient Care Subsection Procedures/Treatments Category Corporate Contact Holly Boisen, Ext. 55970 References Physician Guideline: Chronic Pain,
More informationUsing Centricity Electronic Medical Record Meaningful Use Reports Version 9.5 January 2013
GE Healthcare Using Centricity Electronic Medical Record Meaningful Use Reports Version 9.5 January 2013 Centricity Electronic Medical Record DOC0886165 Rev 13 2013 General Electric Company - All rights
More informationProposed Meaningful Use Content and Comment Period. What the American Recovery and Reinvestment Act Means to Medical Practices
Proposed Meaningful Use Content and Comment Period What the American Recovery and Reinvestment Act Means to Medical Practices Session Objectives Gain a basic understanding of CMS EHR Incentive Program.
More informationCultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director
Cultural Transformation and the Road to an ACO Lee Sacks, M.D. CEO Mark Shields, M.D., MBA Senior Medical Director AMGA Pre-conference Workshop 1 April 14, 2011 Washington, D.C. Disclosure Nothing in Today
More informationProgram Overview
2015-2016 Program Overview 04HQ1421 R03/16 Blue Cross and Blue Shield of Louisiana is an independent licensee of the Blue Cross and Blue Shield Association and incorporated as Louisiana Health Service
More informationIntelligent Healthcare. Intelligent Solutions for Achieving Clinical Integration & Accountable Care. Case Study: Advocate Physician Partners
Solutions for Achieving Clinical Integration & Accountable Care Case Study: Advocate Physician Partners Provide physicians with the right information, and they will make the right decisions. Paul Katz,
More informationin partnership with EHR Meaningful Use Guide for HITECH Attestation
in partnership with EHR Meaningful Use Guide for HITECH Attestation Getting Started This guide will help ensure that you meet or exceed the core and menu objectives required for HITECH Meaningful Use.
More informationEvaluation of the West Virginia Cardiovascular Health Program (CVHP)
Evaluation of the West Virginia Cardiovascular Health Program (CVHP) 2013 Background/Introduction: The West Virginia Cardiovascular Health Program (CVHP) and the West Virginia University Office of Health
More informationUPDATE ON MEANINGFUL USE. HITECH Stimulus Act of 2009: CSC Point of View
HITECH Stimulus Act of 2009: CSC Point of View UPDATE ON MEANINGFUL USE Introduction The HITECH provisions of the American Recovery and Reinvestment Act of 2009 provide a commanding $36 billion dollars
More informationMeaningful Use Certification Details
May 2, 2016 TRIARQ Health 1050 Wilshire, Suite 300 Troy, MI 48084 Meaningful Use Certification Details CHPL Practice Date CERTIFICATION Product Version Classification PRODUCT Type Certified EDITION NUMBER
More informationINTERGY MEANINGFUL USE 2014 STAGE 2 USER GUIDE Spring 2014
INTERGY MEANINGFUL USE 2014 STAGE 2 USER GUIDE Spring 2014 Intergy Meaningful Use 2014 User Guide 2 Copyright 2014 Greenway Health, LLC. All rights reserved. This document and the information it contains
More informationPayment Transformation: Essentials of Patient Attribution An Introduction for Internal Staff
Payment Transformation: Essentials of Patient Attribution An Introduction for Internal Staff May 6, 2016 Payment Transformation Will Address Key Goals In Pursuit of Māhie 2020 - Maximize Value to Members,
More informationPamela Duncan, Ph.D PI COMPASS Trial Scott Rushing, Director Research Information Systems
ecompass for Health: Precision health at its best Pamela Duncan, Ph.D PI COMPASS Trial Scott Rushing, Director Research Information Systems 1 Clinical Informatics Solutions Require Clinical Vetting Value
More informationFrom Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes
From Health Literacy Evidence and Tools to Patient Understanding, and Navigation: The Imperative to Take Action to Improve Health Care Outcomes Cindy Brach Center for Delivery, Organization, and Markets
More informationThe Institute of Medicine Committee On Preventive Services for Women
The Institute of Medicine Committee On Preventive Services for Women Testimony of Hal C. Lawrence, III, MD, FACOG Vice President for Practice Activities American Congress of Obstetricians and Gynecologists
More informationBenchmark Data Sources
Medicare Shared Savings Program Quality Measure Benchmarks for the 2016 and 2017 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable
More informationMinnesota Statewide Quality Reporting and Measurement System: Appendices to Minnesota Administrative Rules, Chapter 4654
This document is made available electronically by the Minnesota Legislative Reference Library as part of an ongoing digital archiving project. http://www.leg.state.mn.us/lrl/lrl.asp Minnesota Statewide
More informationCardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control
Cardiovascular Disease Prevention: Team-Based Care to Improve Blood Pressure Control Task Force Finding and Rationale Statement Table of Contents Intervention Definition... 2 Task Force Finding... 2 Rationale...
More informationFirstHealth Moore Regional Hospital. Implementation Plan
FirstHealth Moore Regional Hospital Implementation Plan FirstHealth Moore Regional Hospital Implementation Plan For 2016 Community Health Needs Assessment Summary of Community Health Needs Assessment Results
More informationSlide 1. Slide 2. Slide 3. Component 9 - Networking and Health Information Exchange. Objectives. EHR System (EHR-S)
Slide 1 Component 9 - Networking and Health Information Exchange Unit 6-2 EHR Functional Model Standards This material was developed by Duke University, funded by the Department of Health and Human Services,
More informationASCs and Meaningful Use. Patrick Doyle, Vice President Sales Jessica McBrayer, RN, Business Analyst Ron Pelletier, Vice President Market Strategy
ASCs and Meaningful Use Patrick Doyle, Vice President Sales Jessica McBrayer, RN, Business Analyst Ron Pelletier, Vice President Market Strategy Today s Discussion Review of Meaningful Use and implications
More informationQuality Measurement and Reporting Kickoff
Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER
More informationAppendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY
Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY 1. Use CPOE (computerized physician order entry) for medication orders directly
More informationWhat Can the Primary Care Clinical Program Do to Help Our Clinic?
What Can the Primary Care Clinical Program Do to Help Our Clinic? Central Region October 1, 2015 PPC Annual Meeting What is the purpose of the PCCP? 1. Create reports on ADHD, care manager turnover and
More informationStage 2 Eligible Professional Meaningful Use Core and Menu Measures. User Manual/Guide for Attestation using encompass 3.0
Stage 2 Eligible Professional Meaningful Use Core and Menu Measures User Manual/Guide for Attestation using encompass 3.0 Prepared By: Arête Healthcare Services, LLC Document Version: V1.0 9/02/2015 Eligible
More informationIntroduction to the Parking Lot
Introduction to the Parking Lot In ARK Epic training sessions, The Parking Lot" is used to capture all questions for which your trainer may not have an immediate answer during session. Your ARK Epic Training
More information1 Title Improving Wellness and Care Management with an Electronic Health Record System
HIMSS Stories of Success! Graybill Medical Group 1 Title Improving Wellness and Care Management with an Electronic Health Record System 2 Background Knowledge It is widely understood that providers wellness
More informationDesigning Reliable Value-based Systems of Care for Chronic Disease and Prevention
Designing Reliable Value-based Systems of Care for Chronic Disease and Prevention Frederick J. Bloom, Jr. MD MMM President, Guthrie Medical Group 1/23/15 Where We Want to Be 1. Affordable coverage for
More informationCalifornia Academy of Family Physicians Diabetes Initiative Care Model Change Package
California Academy of Family Physicians Diabetes Initiative Care Model Change Package Introduction The Care Model (CM) is a unique and proven approach for implementing proactive strategies that are responsive
More informationQuality Measurement Approaches of State Medicaid Accountable Care Organization Programs
TECHNICAL ASSISTANCE TOOL September 2014 Quality Measurement Approaches of State Medicaid Accountable Care Organization Programs S tates interested in using an accountable care organization (ACO) model
More informationHealthy Hearts Northwest : A 2 x 2 Randomized Factorial Trial to Build Quality Improvement Capacity in Primary Care
Healthy Hearts Northwest : A 2 x 2 Randomized Factorial Trial to Build Quality Improvement Capacity in Primary Care April 7, 2017 Michael Parchman, MD, MPH This project is supported by grant number R18HS023908
More informationdiabetes care and quality improvement in our practice
The Multidisciplinary Team: The key to successful planned diabetes care and quality improvement in our practice Robb Malone, PharmD UNC General Internal Medicine January 20, 2009 Objectives Review the
More informationBeyond Meaningful Use: Driving Improved Quality. CHCANYS Webinar #1: December 14, 2016
Beyond Meaningful Use: Driving Improved Quality CHCANYS Webinar #1: December 14, 2016 Agenda The Current State Measuring Monitoring & Reporting Quality. Meaningful Use 2018 and Beyond The New Quality Payment
More informationPractice Transformation: Patient Centered Medical Home Overview
Practice Transformation: Patient Centered Medical Home Overview Megan A. Housley, MBA Business Development Director Kentucky Regional Extension Center The Triple Aim Population Health TRIPLE AIM Per Capita
More informationMidmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care
Midmark White Paper The Connected Point of Care Ecosystem: A Solid Foundation for Value-Based Care Introduction This white paper examines how new technologies are creating a fully connected point of care
More informationAgenda. NE CAH Region Discussion
NE CAH Region Discussion Tina Gagner, BSN, RN Clinical Application Analyst Agenda NDHIN Statistics Data Feeds to the HIE Participating Providers Event Notifications Communicate (Direct Secure Messaging)
More informationHealth Reform in Minnesota: An Analysis of Complementary Initiatives Implementing Electronic Health Record Technology and Care Coordination
Health Reform in Minnesota: An Analysis of Complementary Initiatives Implementing Electronic Health Record Technology and Care Coordination Karen Soderberg 1*, Sripriya Rajamani 2, Douglas Wholey 3, Martin
More informationPatient Protection and Affordable Care Act Selected Prevention Provisions 11/19
Patient Protection and Affordable Care Act Selected Prevention Provisions 11/19 Coverage of Preventive Health Services (Sec. 2708) Stipulates that a group health plan and a health insurance issuer offering
More informationNCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11
NCQA s Patient-Centered Medical Home (PCMH) 2011 Standards 11/21/11 28 PCMH 1: Enhance Access and Continuity PCMH 1: Enhance Access and Continuity 20 points provides access to culturally and linguistically
More informationTRANSITION PREPARATION
Health Care Transition & Title V Care Coordination Initiatives: Webinar Series Webinar # 2 March 28, 2018 TRANSITION PREPARATION Michelle Jiggetts, MD, MS, MBA Program Administrator Complex Care Program
More informationMPA Reference Guide. Millennium Collaborative Care
Millennium Collaborative Care 1. MPA... 3 2. Provider Types... 3 2.1. Primary Care Practices... 3 2.2. Pediatric Practices... 9 2.3. Behavioral Health... 12 2.4. Acute Care... 18 2.5. Post-Acute Care...
More informationHealthcare IT and the Ecology of Medical Care: Leave No Doc Behind. Annette DuBard, MD, MPH Robert Eick, MD, MPH Marya Upchurch, MAC, MHA
Healthcare IT and the Ecology of Medical Care: Leave No Doc Behind Annette DuBard, MD, MPH Robert Eick, MD, MPH Marya Upchurch, MAC, MHA The Ecology of Primary and Preventive Care For North Carolina Medicaid
More informationCOMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE)
COMPUTERIZED PHYSICIAN ORDER ENTRY (CPOE) Ahmed Albarrak 301 Medical Informatics albarrak@ksu.edu.sa 1 Outline Definition and context Why CPOE? Advantages of CPOE Disadvantages of CPOE Outcome measures
More information