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Beacon Community Program Status Update to the Health IT Policy Committee. Janhavi M. Kirtane ( [email protected] ) Director of Clinical Transformation and Dissemination December 5, 2012. The Beacon Community Program: Where HITECH Comes to Life. - PowerPoint PPT Presentation
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Beacon Community ProgramStatus Update to the Health IT Policy Committee
Janhavi M. Kirtane ([email protected])Director of Clinical Transformation and Dissemination
December 5, 2012
Build and strengthen health IT infrastructure and exchange capabilities - positioning each community to pursue a new level of sustainable health care quality and efficiency over the coming years.
Improve cost, quality, and population health - translating investments in health IT in the short run to measureable improvements in the 3-part aim.
Test innovative approaches to performance measurement, technology integration, and care delivery - accelerating evidence generation for new approaches.
The Beacon Community Program: Where HITECH Comes to Life
17 communities each funded ~$12-16M over 3 yrs to:
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17 Diverse Communities
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Hawaii County Beacon Community
Hilo, HI
Southeast Michigan Beacon Community
Detroit, MI
Crescent City Beacon CommunityNew Orleans, LA
Delta BLUES Beacon Community
Stoneville, MS
Keystone Beacon Community Danville, PA
Utah Beacon Community
Salt Lake City, UT
Beacon Community of Inland Northwest
Spokane, WA
Great Tulsa Health Access Network Beacon
CommunityTulsa, OK
Southeastern Minnesota Beacon Community
Rochester, MN
Rhode Island Beacon Community
Providence, RI
Greater Cincinnati Beacon Community
Cincinnati, OH
Southern Piedmont Beacon Community
Concord, NCSan Diego Beacon Community
San Diego, CA
Western New York Beacon Community
Buffalo, NY
Colorado Beacon Community
Grand Junction, CO
Bangor Beacon CommunityBrewer, ME
Central Indiana Beacon Community
Indianapolis, IN
• Impact: As of September 2012, over 8,500 providers are participating in Beacon, with over 8 million lives affected
• Early results: 17 out of 17 communities have at least 2 key measures trending positively
• Partnerships• Beacon EHR Vendor affinity group• RWJ’s Aligning Forces for Quality• CMMI Pioneer ACOs
• Paths for sustainability: 1 Beacon-Pioneer ACO program, 3 regions involved in CMMI’s Comprehensive Primary Care Initiative, with more to come
• Dissemination: Nearly 150 on-line media clips highlighting Beacon work (an average of 20 per month, up from 2-3 articles in 2011), and nearly 50 in-person and on-line speaking events
Beacon Community Program Status
•Governance•IT & measurement infrastructure
•Interventions logic models2010
•First wave of interventions•Innovation networks•HIT roll-out
2011•Finish strong•ONC “Virtuous Circle”•National dissemination
2012 & 2013
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We are here
Source: Based on self-reported data from the Beacon Communities in community fact sheets and quarterly data submissions.
• Greater New Orleans Health Information Exchange (GNOHIE) launches with a focus on safety net providers
• San Diego Beacon connects with Kaiser Permanente for Health Information Exchange
• Keystone technology will allow any skilled nursing facility to share a patient’s information inexpensively and securely without an EHR (MDS-to-CCD Transformer aka the “gobbler”)
• Central Indian Beacon remote monitoring technology helps slash re-admissions rate; pilot to be considered for expansion by a national hospital system
Beacon Community:Highlights from the last 30 days
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Health IT and Exchange
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Southeast Michigan Beacon Community
Detroit, MI
Crescent City Beacon CommunityNew Orleans, LA
Delta BLUES Beacon Community
Stoneville, MS
Great Tulsa Health Access Network Beacon
CommunityTulsa, OK
Southeastern Minnesota Beacon Community
Rochester, MN
Rhode Island Beacon Community
Providence, RI
San Diego Beacon Community
San Diego, CA
• 7 communities with newly established exchange capabilities
Health IT and Exchange
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Utah Beacon Community
Salt Lake City, UT
Southeastern Minnesota Beacon Community
Rochester, MN
Southern Piedmont Beacon Community
Concord, NCSan Diego Beacon Community
San Diego, CA
Western New York Beacon Community
Buffalo, NY
8 communities are using HIT to connect a broader group of care
and wellness partnersPublic health: (5-CA, MN, NC, NY, UT)
LTPAC: (4- ME, NY, RI, PA)Schools: (3-NC, NY, PA)
Health IT and Exchange
Keystone Beacon Community Danville, PA
Rhode Island Beacon Community
Providence, RI
Bangor Beacon CommunityBrewer, ME
Process/intermediate outcome measures for chronic disease
From To Notes
57%
85%
61%
65%
96%
77%
Bangor: LDL-C Control for patients with cardiovascular disease from Q4 2010 and Q3 2012
New Orleans: Diabetes HbA1c Screening rates from Q2 2011 and Q3 2012
Cincinnati: Proportion of their high-risk asthma patients rated "well controlled“ from Q1 2011 and Q3 2012
Where are we seeing early results?
58% 67%Preventative care, including cancer
screenings
Indiana: Colorectal cancer screening rate from Q1 2010 and Q2 2012
Source: Beacon Community October 2012 Data Submission, based on self-reported data from the Beacon Communities.
For the first time, 17 out of 17 communities are improving at least two key measures over baseline
Improvement
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Public health, including tobacco cessation advice
From To Notes
63% 75% Rhode Island: Tobacco cessation intervention from Q2 2011 and Q3 2012
Where are we seeing early results?
Source: Beacon Community October 2012 Data Submission, based on self-reported data from the Beacon Communities.
Utilization (ED visits, admissions,
readmissions)
38%
40%
21%
21%
23%
14%
Bangor: Hospital admission rate and ED visit rate (respectively) among its “high risk/high cost” patient cohort that have completed 12 months of care management
Keystone: 30-day Readmission Rate among KBC-managed patients with CHF from Q1 2011 and Q2 2012
Behavioral health, including depression
screening
68%
50%
93%
84%
Colorado: Depression screening for diabetics since the beginning of the Beacon intervention period
Rhode Island: Depression screening from Q2 2011 and Q3 2012
Improvement
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IT-enabled care management is affecting utilization in Bangor…
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…and readmissions in Keystone
Improvement
A focus on data is driving diabetes care improvement in Crescent City…
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…and colorectal cancer screening rates in Indiana
Improvement
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Southeast Michigan Beacon Community
Crescent City Beacon Community
Keystone Beacon Community
Utah Beacon Community
Great Tulsa Health Access Network Beacon
Community
Greater Cincinnati Beacon
Community
Southern Piedmont Beacon Community
San Diego Beacon Community
Western New York Beacon Community
Bangor Beacon Community
Central Indiana Beacon Community
13 communities are testing new models of patient-centered care
Mobile: (5-CA, LA, MI, OH, UT)Tele-monitoring: (5-CA, IN, ME, MN, NY)
Personalized CDS: (2-CO, OK)PHRs: (2-NY, PA)
Colorado Beacon Community
Innovation
Southeastern Minnesota Beacon
Community
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Beacon Communities explore new
frontiers of HIT
Beacon Communities
generate market and policy insights
Beacon Communities
inform ONC policy making
ONC engages Beacons to serve as
test beds for new standards and polices
1. HIT and accountable care: Sub-committee proposed charter under development
2. Standards & Interoperability Implementation Workgroup for pilots and testing3. HIT and behavioral health4. Privacy and security needs at the community level5. Others?
Long-term Value to ONC
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•Finish strong•ONC “Virtuous Circle”•National dissemination
2012 & 2013
Long-term Value to the Country
Priority Opportunities for 2013 (Swinging for the Fences)
• Peer-review publications• HIT-payment storyline• Creative ways to share knowledge
• Distillation of most salient lessons
• Flexibility for different audiences• Evidence of uptake (vs. passive dissemination)
• New audiences: business community, payment pilot participants, others?
2013 Continuation of Existing Efforts (The Floor)
• Community-led dissemination
• ONC-led dissemination• Partnerships with national organizations
• www.healthit.gov• On-line Beacon reference library: content and people
HITPC suggestions appreciated!
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Next Steps
Recommended Subcommittee on HIT and ACOs
Broad Charge: Make recommendations to the Health IT Policy Committee on how health IT can support the business needs of accountable care models.
Specific Charge: Within one year, make a series of recommendations to the Health IT Policy Committee on ways in which ONC can take steps to align with and support the business needs of accountable care models.
Next steps:1. Collect and distill lessons from ONC-led ACO working group2. Draft proposed activities for sub-committee, in alignment with
policy calendar for CMS and the ONC3. Consider membership of group to support charge
PRELIMINARY
