© MAeHC. All rights reserved. MASSACHUSETTS eHEALTH COLLABORATIVE August 2005

© MAeHC. All rights reserved.

MASSACHUSETTS eHEALTH COLLABORATIVE

August 2005

- 2 -Massachusetts eHealth CollaborativeWorld Congress Leadership Summit-1Aug05.ppt © MAeHC. All rights reserved.

MAeHC VISION

Improve quality, safety, and affordability of health care through:

• Universal adoption of modern information technology in clinical settings

• Access to comprehensive clinical information in real-time at the point-of-care

Tools for better, more accessible health care…

…incorporated into clinical practice…

Overcome barriers to promote widespread use of EHRs and associated decision support tools

• Lack of capital• Misaligned economic

incentives• Immature technology

standards

…and sustained over time.

Develop operational and financing models to foster and sustain state-wide adoption of such technologies and infrastructures


MAeHC ROOTS ARE IN MOVEMENT TO IMPROVE QUALITY, SAFETY, EFFICIENCY OF CARE

MA Chapter of American College of Physicians

• Universal adoption by physicians of electronic health records

• MA-SAFE

Blue Cross/ Blue Shield of Massachusetts

• $50M commitment to heath information infrastructure

• Recognition of “systems” problem

Massachusetts Technology Collaborative

• CPOE in community hospitals

Massachusetts eHealth Collaborative

• Company launched September 2004

– Non-profit registered in the State of Massachusetts

• CEO on board January 2005

• Backed by broad array of 34 MA health care stakeholders


35 COMMUNITIES READY TO GO


THE GRID AND THE LAST MILE

Intra-community connectivity

MAeHCMA-SHARE

Inter-community connectivity


FOUR MAIN AREAS OF ACTIVITY IN PILOT PROJECTS

• Quality• Cost• Productivity• Etc.

Connectivity

Clinical IT implementation/

support

Evaluation/ transformation

• Quality measurement• Pilot evaluation• Transformation models

• Clinical access to data• Data gathering and aggregation• Communication

• Hardware/software• Implementation/tech support• Systems integration• Workflow redesign• Decision support

Intra-community connectivity

Management & coordination

• Joint oversight and decision-making bodies

• Structure, composition, process

ICCC

PSC PSC PSC


DIVERSE ARRAY OF SETTINGS

Offices

0

100

200

300

400

500

600

350

Patient population (000)

95

43 488

0

20

40

60

80

100

120

140

160

180

200

111

41

25177

Small

Med

Large

111

37

27

175

184

48

38

270

0

50

100

150

200

250

300

350

400

450

500

295

85

65 445

PCPs

Specialists

Physicians

Almost 450 physicians… …who care for ~500K patients… …in almost 200 offices.

BrocktonNewburyport

N. AdamsAll

BrocktonNewburyport

N. AdamsAll

BrocktonNewburyport

N. AdamsAll


VALUE PROPOSITION HAS TO APPLY AT A MACRO- AND MICRO-LEVEL

Net benefit

Cost Savings

Statusquo

Quality/safetygain

“Adopting health care information technology is not a technical feat; it’s a feat of economics.” -- Dr. David Brailer


QUALITY HAS MANY DIMENSIONS

HEDIS measures• Well-established process• Longitudinal baseline

DOQ-IT/Physician Consortium for Performance Improvement

• Working with vendors for automated reporting

• Richer data over time

Medication errors

Clinical quality

Patient experience

Office efficiency and productivity

Service quality

Collected from all plans for 3 communities pre- and post-pilot

Data to track utilization rates• Member identifier• Diagnosis #1• CPT code• Pharmacy• DRG• Provider/ specialty• Place of service• Product identifier• Employer group identifier• Zip code of service delivery• Major diagnosis classing

(MDC)• Age/ gender

Resource utilization


FRONT OFFICE


LAB RESULTS WAITINGOldest July 1


SAMPLE PHYSICIAN OFFICE 2004 PROFIT & LOSS

852.3

285.0

65.2

54.0

158.9

263

18.218.2

0

100

200

300

400

500

600

700

800

900

Income Expense

Physician salaries

Rent

Other

875,746 875,746

Billing Services

Medical SuppliesProfessional Fees

$K

Retained earnings

Staff salaries and expense

Patient income

Other income


ABILITY TO MEASURE AND REPORT QUALITY AMONG HIGHER PRIORITIES OF COMMUNITIES RESPONDING TO SURVEY

Priority

EMRs eRX

Resultsdelivery

Community data rep.

Quality reporting

Ambulatory CPOE

Secureemail

Referralmgmt

Reminders

Casemgmt

Public healthsurv.

Patient comm.

0

1

2

3

4

5


www.maehc.org

Micky Tripathi, PhD MPPPresident & CEO

[email protected]

http://www.maehc.org/

mailto:[email protected]

Documents

© MAeHC. All rights reserved. MASSACHUSETTS eHEALTH COLLABORATIVE August 2005