Joshua J. Seidman, PhDDirector, Meaningful Use

Office of the National Coordinator of Health Information Technology

US Department of Health & Human Services

May 26, 2011

Getting to Meaningful Use

A Seasonal View of Meaningful Use:WINTER

A Seasonal View of Meaningful Use: SPRING

A Seasonal View of Meaningful Use: SUMMER

• HITECH goals– Not about technology– Improving health and transforming health care through

meaningful use of HIT

Staging of “Meaningful Use”

ELECTRONIC INFORMATION INFRASTRUCTURE

MU of EHRs HIE Data Liquidity

KEY PROCESS FUNCTIONALITY

Care Coordination

Quality Measurement

BETTER

OUTCOMES

CompareProviders

ImproveQuality

EHR Core Functionalities Lay Foundation

for Better Outcomes

The framework consists of three aims, in addition to being guided by a set of core principles, that frame the underlying priorities and goals

Obstacle Intervention Funds Allocated

Market Failure, Need for Financial Resources

• Medicare and Medicaid EHR Incentive Programs for “Meaningful Use” • $27.3 B*

Addressing Adoption Difficulties and MeaningfulUse

• Regional Extension Centers• Health IT Research Center (HITRC)

• $643 M• $50 M

Workforce Training • Workforce Training Programs • $84 M

Addressing TechnologyChallenges and ProvidingBreakthrough Examples

• Strategic Health Information Technology Advanced Research Projects

• Beacon Communities Programs

• $60 M

• $250 M

Privacy and Security• Policy Framework• New Privacy and Security Policies

Addressedacross allPrograms

Need for Platform for Health Information Exchange

• NHIN, Standards and Certification• State Cooperative Agreement Program

• $64.3 M• $548 M

*$27.3 B is high scenario

How HITECH Addresses Barriers to Adoption

9

MU Division

MU Implementation MU Policy eQuality

Measurement

ONC’s MU Division—Functional Responsibilities

10

MU Implementation

MU Community of Practice

Training & Technical

Assistance

Tools & Resources

MUV

Cohort

MU Implementation Priorities

11

MU Community of Practice

Burning Issues

Tool Development

and Collaboration

Regular Meetings

MU Community of Practice

12

Training & Technical

Assistance

MU HITRC Contractors

Training Sessions

Knowledge Integrators

Training & Technical Assistance

13

Tools & Resources

Shared Resources

Knowledge Integration Tool HITRC Portal

Tools and Resources

800 MUVers identified by 25+ RECs

Meaningful Use Vanguard

POSITION FOR PCMH, ACOs, OTHER HEALTH REFORM INNOVATIONS

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MU Policy

Stage 1 MU Roll-Out & Follow-Up

Stage 1 Private Sector Alignment

Stage 2 Preparation & Development

MU Policy Priorities

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eQuality Measurement

Stage 1 QM Support (incl. popHealth)

Stage 2-3 eQM Innovation

QM Testing/ Partnership (e.g.,

Beacon)

eQuality Measurement Priorities

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• Clinical Quality Measure reporting tool

• Features:

Provider-friendly user interface

Includes all 44 Meaningful Use Stage I ambulatory clinical quality measures encoded per CMS electronic specifications

Affordable, accessible, open source and multi-platform software

• A reference implementation for vendors and providers

Clinical Quality Measure Reporting

Interoperability

Electronic Health Record Certification

Meaningful Use

What is popHealth?

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Provider Dashboard

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Patient List

Running Shoes

Meaningful Use of Running Shoes

2010 Boston

Marathon

A Personal View on Meaningful Use……Because Getting to MU Can Be a Painful (But Rewarding) Experience