Wyatt PackerHealthInsight
Health Information TechnologyCommunity Progress
Conflict of Interest Disclosure for Wyatt Packer
• Wyatt Packer is the HIT Operations Director for HealthInsight (UT) and the project manager for the Utah HIT Regional Extension Center
• He will be discussing current EHR adoption and ‘Meaningful Use of EHR’ rates in our community. Some of those attending may be eligible for REC consulting services.
• No other conflict of interest
Objectives• Understand the status of your community
in relation to major Health IT initiatives, to include:• EHR Adoption & Meaningful Use• ePrescribing• Health Information Exchange
• Engage in discussion that will drive to action around adoption of and patient engagement through Health IT.
• Looking at HIT Adoption in communities around the state
• Community events • Inform and educate• Ensure the Health IT
discussion is happening at the local level
e-Healthy Communities
• A snapshot look at Health IT adoption
• Aligned with local health district geography
e-Healthy Community Profile
EHR Adoption Rates
Hospital Primary Care Clinic
Specialty Clinic Nursing Home0%
20%
40%
60%
80%
100%
120%
100%
65%
47%
25%
State Southeast
cHIE Participation
Hospital Primary Care Clinic
Specialty Clinic Nursing Home
-20%
0%
20%
40%
60%
80%
100%
120%
25%
0% 0% 0%
State Southeast
E-Prescribing Utilization Rates
State Southeast0.0%
20.0%
40.0%
60.0%
80.0%
100.0%
22.6%
37.7%
Bear R
iver
Centra
lDavi
s
Salt L
ake
South Ea
st
South W
est
Summit
Tooele
Uintah Utah
Wasatch
Weber-
Morgan
Grand To
tal0.0%
5.0%
10.0%
15.0%
20.0%
25.0%
30.0%
35.0%
40.0% Q3 2010 Q2 2011 Q3 2011 Q4 2011 Q1 2012
Utah e-Prescribing Utilization*
* eRx Utilization defined as electronic prescriptions/total prescriptionsSource data: Medco
Meaningful Use EHR Incentives* Utah Providers & Hospitals
Medicare Medicaid Total
Paid Count
Payment Amount
Paid Count
Payment Amount
Paid Count
Payment Amount
442 $13,059,589 232 $12,495,611 674 $25,555,200
• Nearly $7 billion paid out across the country
* January 2011-August 2012Data source: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/DataAndReports.html
Meaningful Use Priority Area #2: “Engage patients and their families through:
timely access to data, knowledge, and tools to make informed decisions and manage their
health”
Patient Engagement through Health IT
Meaningful Patient Engagement
• Clinical Visit Summary• Patient Portal• Patient Education• Patient Reminders & Patient Lists – utilizing
registries for population care management• Summary of Care Record – sharing between
providers of care, accurate information avoids duplication and waste
Utah’s Health IT Regional Extension Center
• Materials on our website - www.healthinsight.org
EHR Adoption & Implementation Tools Meaningful Use Education & Tools Privacy & Security Templates & Tools
• Seminars and presentations
• In-office Meaningful Use education
Utah’s Health IT Regional Extension Center
• Direct technical support services Over 950 Providers (~160 Practices/Hospitals)• EHR Selection and Adoption• System and Process Improvements • Meaningful Use Attainment and Attestation
• Reaching Meaningful Use Over 225 Providers (~50 Practices/Hospitals)
• REC Support Services still available to both Primary Care and Specialty Providers
Clinical Health Information Exchange (cHIE)
Building the cHIE – The Time is NOW
• Utah’s state-designated HIE named Clinical Health Information Exchange or cHIE (prounounced chee)
• Connects healthcare organizations in Utah to exchange clinical health information across disparate medical record systems
Utah’s cHIE
Patient Data is Available
Jan-12 Feb-12 Mar-12 Apr-12 May-12 Jun-12 Jul-12 -
50,000
100,000
150,000
200,000
250,000
300,000
350,000
400,000
450,000
500,000
253,019 285,539
317,645 349,687
384,000 415,935
450,676
Patients with Data
ID's with Data
Providers Contributing Data
Join the Effort– Build the cHIE
• Collect Consent from your patients
• Use the Virtual Health Record (VHR) for your patients
• Connect to contribute data
www.mychie.org
Discussion
In your groups, discuss the following:• Your organizations’ current state of Health IT
adoption (EHR, cHIE, e-Rx, etc.)• Three (3) things that you can do in your
organizations to engage and support patients more using Health IT
eHealthy Community Website:http://health.utah.gov/phi/?formname=eHealthy
HealthInsightwww.healthinsight.org
Wyatt L. [email protected]
cHIEwww.mychie.org
Questions?