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. Packerwpacker@healthinsight.org

cHIEwww.mychie.org

Questions?