Denis ise Webb State te Health h IT C Coordinato ator April 2011
The Age of Meaningful Use – Message from Dr. David Blumenthal, National Coordinator for Health IT (HIT) Medicaid EHR Incentive Program Regional Extension Center Program HIT Workforce Development Program State Health Information Exchange (HIE) Program – WIRED for Health Q & A 2
Incentive Program to reward providers and hospitals Creation of a national infrastructure A vision for the use of information to support health and health care improvement 3
Targeting Summer 2011 to begin accepting registrations and issuing the incentive payments Working with CMS to receive approval of Patient Volume Methodology to be used by Wisconsin Providers Conducting communication and outreach activities, including webinars on the requirements to participate in the Medicaid EHR Incentive Program 4
Wisconsin HIT Extension Center (WHITEC) ◦ Organization ◦ Purpose ◦ Provider and hospital recruitment status ◦ Value Vendor selection 5
Technical Assistance Menu of Services ◦ HIT coordinator ◦ Meaningful Use assessment ◦ Incentive eligibility ◦ Change management/provider engagement ◦ General MU education ◦ Statewide best practices ◦ Current and future workflow redesign ◦ Public relations ◦ Privacy and security best practices and assessments 6
Purpose: to rapidly create HIT academic programs at Community Colleges or expand existing ones One Community College Consortium in each of five regions received an award Region C: Wisconsin, Nebraska, Kansas, Minnesota, Iowa, Missouri, Illinois, Michigan, Indiana, and Ohio Cuyahoga Community College is leading the Region C consortium and has 17 member colleges, including Madison and Milwaukee Area Technical Colleges 7
Program Expectations ◦ Milwaukee and Madison will train 600 students by 2012 Trained to support EHR implementation and meaningful use requirements Provide trained resources for HIT RECs and provider practices Funding ◦ Milwaukee’s allocation: $849,104 ◦ Madison’s allocation: $759,822 8
Six-month intensive certificate program ◦ Nationally developed curriculum (Duke, Columbia, Johns Hopkins, Oregon Health & Science University, and University of Alabama) Four roles covered by the two Wisconsin colleges: ◦ Practice workflow and information management redesign specialists ◦ Implementation support specialists ◦ Implementation managers ◦ Technical/software support staff Convenient online and evening courses Grant funding offsets/scholarships 9
Hire already qualified professionals to meet your EHR/MU practice needs ◦ Graduates have extensive healthcare, project management, and/or information technology work experience ◦ Most Graduates have previous college or equivalent experience with a majority holding other professional certifications (MSCE, MCSA, RN, RHIT, PMP) 10
$9.441M federal grant award for HIE planning and implementation WIRED for Health Board and its committees developed Wisconsin’s HIT Strategic and Operational Plan, April – August 2010 ONC approved plan 12/21/10 and released remaining grant funding 11
WIRED for Health Act Conducted a competitive process to select a permanent state-level HIE governing entity, i.e. a State Designated Entity (SDE) DHS Secretary accepted WIRED for Health Board recommendation to designate the Wisconsin Statewide Health Information Network (WISHIN), Inc. as the SDE for Wisconsin, 10/25/10 DHS executed a formal contract with WISHIN, 12/30/10 Officially transitioned governance authority from the WIRED for Health ◦ Board to WISHIN’s Board Made WISHIN the principle State HIE Cooperative Agreement Program ◦ sub-recipient Delegated programmatic authority to WISHIN to implement ◦ the approved HIT Strategic and Operational Plan 12
Vision Promote and improve the health of individuals and communities in Wisconsin through the development of health information exchange that facilitates electronic sharing of the right health information at the right place and right time. Mission Develop and sustain a trusted, secure statewide health information network and HIE services that provide value to participants. 13
Founded by WHA, WMS, WCHQ, and WHIO ◦ CEO – Joe Kachelski Not-for-profit (Chapter 181) Wisconsin corporation incorporated 12/21/110 14
Founder ers Susan Turney, MD - Chair Wisconsin Medical Society ◦ Chris Queram – Vice Chair Wisconsin Collaborative for Healthcare Quality ◦ Julie Bartels - Secretary Wisconsin Health Information Organization ◦ Steve Brenton - Treasurer Wisconsin Hospital Association ◦ Statuto tory Brett Davis Medicaid Director ◦ Henry Anderson, M.D. Acting State Public Health Officer ◦ Denise Webb State Health IT Coordinator ◦ Elected ted Craig Samitt, MD Dean Health System ◦ Ken Letkeman Marshfield Clinic ◦ John Foley Anthem Blue Cross Blue Shield ◦ Sheila Jenkins Network Health Plan ◦ Dianne Kiehl Business Health Care Group (BCHG) ◦ Chuck Nason Worzalla Publishing ◦ Jane Cooper Patient Care ◦ Patti Brennan UW School of Nursing/College of Engineering ◦ 15
Standing Committees ◦ Governance, Executive, Finance, Audit, Compensation Advisory Committees ◦ Policy licy, Chair: Matthew Stanford, Vice Chair: Julie Bartels ◦ Techni hnical cal, Chair: Dave Lundal, Vice Chair: Ken Letkeman ◦ Comm mmuni unicati cations ons, Chair: Peter Thompson (Invited), Vice Chair: Jane Cooper 16
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Six HIE Meaningful Use Requirements in Stage 1 and Wisconsin’s status ◦ e-Prescribing (Core) ◦ Patient clinical summary exchange among providers and patient authorized entities (Core) ◦ Structured lab results ◦ Reportable lab results to public health (Menu, Hospitals only) ◦ Immunization data to public health (Menu) ◦ Syndromic surveillance data to public health (Menu) Ensure all providers have at least one option for meeting the HIE requirements 18
e-Prescribi escribing ng (Co Core) e) Category Count Percentage Pharmacies Currently Accepting Electronic Prescriptions and Refill Requests 1,201 95% Pharmacies Not Currently Accepting Electronic Prescriptions and Refill 45 4% Requests Pharmacies (Closed (3), Declined Participation (1), Veterinary Pharmacies 18 1% (4), or No Response (10) 1,264 100% Total (Data ta currentl rently y bei eing rev eview ewed/vali ed/validated ated by DHS and WISHIN) N) 19
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Patient clinical summary exchange among providers and patient authorized entities (Core) About 50% or more of 12,755 physicians in the state have access to HIE through one or more of the following networks: ◦ EPIC Care Everywhere Network ◦ Marshfield-Ministry HIE ◦ Kiara Clinical Integration Network (KCIN) — affiliated with Heart Sisters Hospital System (HSHS) ◦ Community Health Information Collaborative (CHIC) ◦ Wisconsin Health Information Exchange (WHIE) 21
Clinical Care Summary Exchange between Unaffiliated Providers* * Within identified HIE networks 22
Structured lab results (Menu) ~767 potential reference labs in Wisconsin Category Count Percent Labs Sending Results Electronically 527 69% Labs Not Sending Results Electronically 168 22% Labs Unknown – No response or Declined participation 63 8% Labs Other (Labs sent out, no lab, or closed) 9 1% 767 100% Total (Data a currently ntly being g reviewed/ wed/va valid lidate ated by DHS a and WISHIN) Narrowed focus to labs doing testing for entities outside lab’s parent organization 23
Electronic Lab Results Delivery 24
Public Health requirements ◦ Reportable lab results to public health (Menu, Hospitals only), October 2011 ◦ Immunization data to public health (Menu), April 2011 ◦ Syndromic surveillance data to public health (Menu) Existing or currently planned ADT feeds to the WHIE may satisfy requirement 25
Principles: es: Includes architecture and core Network-of-networks approach HIE services to help eligible professionals and hospitals Statewide deployment roadmap meet meaningful use Standards-based architecture requirements Use of existing assets Technical services to support Stage 1 Near-term plan is to enable HIE MU Core/Menu Set Requirements providers use of Direct secure Exchange with Public Health for messaging services in 2011 Stage 1 HIE MU Menu Set Plan for 2012 is to have infrastructure and HIE services to support robust query-retrieve HIE —―push and pull‖ health data WISHIN contracted with WHIE to serve as the Technical Manager to manage and lead the technical aspects of the WIRED for Health project, i.e., implementation of the Statewide Health Information Network and HIE services 26
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