Overview of HCCN Program HRSA s Office of Quality and Data Mazhar Shaik, MD, MBA Chief Clinical Officer, MPCA mshaik@mpca.net 517-827-0487
Health Care Trends Meaningful Use Patient- Centered Medical Home Accountable Care Organizations Challenges Significant increase in reporting burden Rapidly changing reimbursement and competitive environment Alignment Common resources, data reporting needs across Measure Twice, Cut Once QI initiatives FTCA, MU, PCMH, and UDS Opportunities through HCCN Shared resources Shared-learning of bestpractices QI/IT Investment CHCs Improve care, quality, accessibility and outcomes Public Reporting
Utilizing Health IT to Improve Quality Better Care Healthy People & Communities Affordable Care Health Center Program Quality Strategy Priorities & Goals INTEGRATED HEALTH SYSTEM INTEGRATED SERVICES COMPREHENSIVE SERVICES ACCESS 1. Implementation of QA/QI Systems All Health Centers fully implement their QA/QI plans 2. Adoption and Meaningful Use of EHRs All Health Centers implement EHRs across all sites & providers 3. Patient Centered Medical Home Recognition All Health Centers receive PCMH recognition 4. Improving Clinical Outcomes All Health Centers meet/exceed HP2020 goals on at least one UDS clinical measure 5. Workforce/Team-Based Care All Health Centers are employers/providers of choice and support team-based care 3
Program Requirements 1. Adoption and Implementation Activities to assist participating health centers to effectively adopt and implement an ONC-ATCB certified EHR system at all sites. The percent of participating health centers sites that have implemented a certified EHR system The percent of eligible providers using a certified EHR system Goal: 100% 4
Program Requirements 2. Meaningful Use Activities to assist participating health centers to become meaningful users of EHR systems and have their providers receive EHR incentive payments. The percent of eligible providers who have registered and attested/applied for EHR Incentive Program payments for Stage 1 of Meaningful Use of EHRs. The percent of eligible providers receiving EHR Incentive Program payments for Stage 1 of Meaningful Use of EHRs. Goal: 100% 5
Program Requirements 3. Quality Improvement Activities to assist participating health centers to improve operational quality, reduce health disparities, and improve population health through health IT, including becoming recognized as a Patient-Centered Medical Home. The percent of health centers that meet or exceed Healthy People 2020 goals on at least one UDS clinical quality measure The percent of health centers that achieve PCMH recognition or maintain/increase their PCMH recognition level Goal: 100% 6
HCCN Key Attributes Economies of scale group purchasing power and shared resources, staff, infrastructure, and training Data and information expertise supporting quality measurement and improvement Diverse experiences relationships with multiple HIT/EHR products and the ability to pool lessons learned across providers.
HCCN Benefits NCQA ACO HH AAAHC FTCA HIPAA 5010 Regulatory ICD10 Others TJC HCCN QUALIS 8 Change Concepts PCMH MU
HCCN Benefits Transformation Access QI Coordination Health Enhanced Centers Access Patient Populations Care Demonstrated QI Care Management and Self-Care Tracking Coordination Manage Pt Populations
Approach and Resources Approach Multi-disciplinary (Operations, IT and Clinical). Customized one-on-one. Hybrid learning face to face and virtual. Site specific TA calls and Group TA calls Resources IT expertise Process/Workflow (MU expertise) Clinical Quality (PCMH expertise)
Key Factors for Success Laying the Foundation Commitment Leveraging Resources Improving Outcomes Health IT Engaged Leadership Creativity Process Clinical Clinical Quality Improvement Strategy Contribution Building and Sustaining Relationships Financial