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2011 ONC Annual Meeting
IT Bricks and Mortar to Optimize Patient
Centered Medical Homes
(Twitter: #ITPCMH )
 November 17, 2011
IT Bricks and Mortar to Optimize
PCMH

   Session Agenda
         – Session Aims and Introduction: 5 min
         – The Macro-opportunity and The Micro-challenge: 10 min
         – Progress at the Community Level (panelists): 40 min
         – Getting to scale/building the agenda for different
           stakeholders and Q&A: 25 min
         – Recap/Lessons Learned: 5 min




                           Office of the National Coordinator for
  11/17/11                    Health Information Technology         1
IT Bricks and Mortar to Optimize
PCMH

   Session Aims
   Janhavi Kirtane, Director of Clinical Transformation, Beacon
   Community Program, ONC
   1. Understand the tremendous opportunity for IT to deliver on
       the promise of PCMH
   2. Appreciate the current environment for practices on the
       ground: increased focus on supporting PCMH at the macro
       level, but real challenges around implementation and
       achieving results
   3. Propose priorities for individual practices as well as
       stakeholders who could accelerate improvement at the
       macro level
                         Office of the National Coordinator for
  11/17/11                  Health Information Technology          2
IT Bricks and Mortar to Optimize
PCMH

  The Macro-opportunity and The Micro-challenge

  Featuring Guests:
     – David Nace, MD, Vice President and Medical Director,
       McKesson Corporation
     – Steven Waldren, MD, MS, Director, Center for Health
       Information Technology, American Academy of Family
       Physicians (swaldren@aafp.org @techydoc)




                         Office of the National Coordinator for
  11/17/11                  Health Information Technology         3
What is PCMH?




  11/17/11      4
IT PCMH Blueprint


   • There is not just one
   • Requires detailed
     descriptions of PCMH
   • Must take into account
     all relevant attributes
   • Much more than check
     the box functionality
   • Ultimately requires
     effective use                               Image Source: http://www.flickr.com/photos/wscullin/3770015203




                       Office of the National Coordinator for
  11/17/11                Health Information Technology                                                      5
Welcome to the Practice’s World


         Health Reform                                                  Comprehensive Primary Care
                             Accountable Care Organizations
 Certified EHR technology            E-prescribing Incentive                         ICD-10

                      Meaningful Use                                  Patient Empowerment

               Quality Reporting                  Care Coordination
                                                                                Looming SGR Cuts
                                         HIE
Seeing patients                                                    Patient-centered medical home
                            Pay for Performance

             Weak Economy                                     Private practice vs. Employed



                                     Office of the National Coordinator for
                                        Health Information Technology                                6
  11/17/11
Aligning for Synergy

                                         PCMH
                                                                                     PCMH
                      Comprehensive Primary Care

        Accountable Care Organizations                                Comprehensive Primary Care

 Meaningful Use                                                     Accountable Care Organizations
                                                                                                    ICD-10
                                                                                Meaningful Use
                              ICD-10

E-prescribing Incentive                                                     E-prescribing Incentive



          Quality Reporting                                                     Quality Reporting

                                       Office of the National Coordinator for
    11/17/11                              Health Information Technology                                      7
Progress at the Community Level


   Quick Community Round-Robin (7-8 min each)
         – Crescent City Beacon Community (New Orleans):
             • Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane
               Community Health Centers
             • Elizabeth Pharo, Director of Client Services at SuccessEHS, Project
               Facilitator, CCBC/PCMH project
         – Rhode Island Beacon Community:
             • Darby Buroker, Director, Beacon Program Management / Rhode
               Island Quality Institute
             • Chuck Jones, President and CEO / Thundermist Health Center
         – Western NY Beacon Community:
             • Sarah Fleming Cotter, Director, Ambulatory Health Information
               Technology at Catholic Medical Partners
  11/17/11                       Office of the National Coordinator for              8
                                    Health Information Technology
Getting to scale/building the agenda
for different stakeholders and Q&A


   • Opportunity: Decrease the noise by setting clear priorities for
     an IT-PCMH agenda
      – What do we need to every time in a practice, and do well?
      – What will drive greater scale and uptake of promising IT-
        enabled interventions and practice transformation?
      – What are the top priorities for other stakeholders who
        could accelerate improvement at the macro level:
        employers, payers, states, vendors, professional
        organizations, collaborative?


                           Office of the National Coordinator for
  11/17/11                    Health Information Technology            9
Recap/Lessons Learned


   • In this session, we reviewed:
         – Progress at the Community Level:
             • Crescent City Beacon Community (New Orleans)
             • Rhode Island Beacon Community
             • Western NY Beacon Community
         – The tremendous opportunity for IT to deliver on the
           promise of PCMH
         – The current environment for practices on the
           ground: increased focus on supporting PCMH at the
           macro level, but real challenges around
           implementation and achieving results
         – Priorities for individual practices as well as
           stakeholders who could accelerate improvement at
           the macro level
         – Evaluation Reminder

                                  Office of the National Coordinator for
  11/17/11                           Health Information Technology         10
Additional Resources


  • “Better to Best: Value-Driving Elements of the Patient
    Centered Medical Home and Accountable Care
    Organizations“ -
    http://www.pcpcc.net/guide/better_to_best

  • “The House that Tech Built” -
    http://digital.healthcaregroup.advanstar.com/nxtboo
    ks/advanstar/medec_20110710/index.php?startid=2
    6

                                                         11

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IT PCMH Blueprint

  • 1. 2011 ONC Annual Meeting IT Bricks and Mortar to Optimize Patient Centered Medical Homes (Twitter: #ITPCMH ) November 17, 2011
  • 2. IT Bricks and Mortar to Optimize PCMH Session Agenda – Session Aims and Introduction: 5 min – The Macro-opportunity and The Micro-challenge: 10 min – Progress at the Community Level (panelists): 40 min – Getting to scale/building the agenda for different stakeholders and Q&A: 25 min – Recap/Lessons Learned: 5 min Office of the National Coordinator for 11/17/11 Health Information Technology 1
  • 3. IT Bricks and Mortar to Optimize PCMH Session Aims Janhavi Kirtane, Director of Clinical Transformation, Beacon Community Program, ONC 1. Understand the tremendous opportunity for IT to deliver on the promise of PCMH 2. Appreciate the current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results 3. Propose priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level Office of the National Coordinator for 11/17/11 Health Information Technology 2
  • 4. IT Bricks and Mortar to Optimize PCMH The Macro-opportunity and The Micro-challenge Featuring Guests: – David Nace, MD, Vice President and Medical Director, McKesson Corporation – Steven Waldren, MD, MS, Director, Center for Health Information Technology, American Academy of Family Physicians (swaldren@aafp.org @techydoc) Office of the National Coordinator for 11/17/11 Health Information Technology 3
  • 5. What is PCMH? 11/17/11 4
  • 6. IT PCMH Blueprint • There is not just one • Requires detailed descriptions of PCMH • Must take into account all relevant attributes • Much more than check the box functionality • Ultimately requires effective use Image Source: http://www.flickr.com/photos/wscullin/3770015203 Office of the National Coordinator for 11/17/11 Health Information Technology 5
  • 7. Welcome to the Practice’s World Health Reform Comprehensive Primary Care Accountable Care Organizations Certified EHR technology E-prescribing Incentive ICD-10 Meaningful Use Patient Empowerment Quality Reporting Care Coordination Looming SGR Cuts HIE Seeing patients Patient-centered medical home Pay for Performance Weak Economy Private practice vs. Employed Office of the National Coordinator for Health Information Technology 6 11/17/11
  • 8. Aligning for Synergy PCMH PCMH Comprehensive Primary Care Accountable Care Organizations Comprehensive Primary Care Meaningful Use Accountable Care Organizations ICD-10 Meaningful Use ICD-10 E-prescribing Incentive E-prescribing Incentive Quality Reporting Quality Reporting Office of the National Coordinator for 11/17/11 Health Information Technology 7
  • 9. Progress at the Community Level Quick Community Round-Robin (7-8 min each) – Crescent City Beacon Community (New Orleans): • Eboni Price-Haywood, MD, MPH, Co-Executive Director, Tulane Community Health Centers • Elizabeth Pharo, Director of Client Services at SuccessEHS, Project Facilitator, CCBC/PCMH project – Rhode Island Beacon Community: • Darby Buroker, Director, Beacon Program Management / Rhode Island Quality Institute • Chuck Jones, President and CEO / Thundermist Health Center – Western NY Beacon Community: • Sarah Fleming Cotter, Director, Ambulatory Health Information Technology at Catholic Medical Partners 11/17/11 Office of the National Coordinator for 8 Health Information Technology
  • 10. Getting to scale/building the agenda for different stakeholders and Q&A • Opportunity: Decrease the noise by setting clear priorities for an IT-PCMH agenda – What do we need to every time in a practice, and do well? – What will drive greater scale and uptake of promising IT- enabled interventions and practice transformation? – What are the top priorities for other stakeholders who could accelerate improvement at the macro level: employers, payers, states, vendors, professional organizations, collaborative? Office of the National Coordinator for 11/17/11 Health Information Technology 9
  • 11. Recap/Lessons Learned • In this session, we reviewed: – Progress at the Community Level: • Crescent City Beacon Community (New Orleans) • Rhode Island Beacon Community • Western NY Beacon Community – The tremendous opportunity for IT to deliver on the promise of PCMH – The current environment for practices on the ground: increased focus on supporting PCMH at the macro level, but real challenges around implementation and achieving results – Priorities for individual practices as well as stakeholders who could accelerate improvement at the macro level – Evaluation Reminder Office of the National Coordinator for 11/17/11 Health Information Technology 10
  • 12. Additional Resources • “Better to Best: Value-Driving Elements of the Patient Centered Medical Home and Accountable Care Organizations“ - http://www.pcpcc.net/guide/better_to_best • “The House that Tech Built” - http://digital.healthcaregroup.advanstar.com/nxtboo ks/advanstar/medec_20110710/index.php?startid=2 6 11