Meaningful Use of Meaningful Use Kevin Larsen MD Medical Director, Meaningful Use Office of the Na;onal Coordinator of Health IT March 7 2013
Our Na;onal Quality Strategy Aims Be#er Health for the Popula0on Be#er Care for Individuals Lower Cost Through Improvement
The only way you can achieve the triple aim is not to do one thing but to do everything. Don Berwik
New Care Models Medicare ACOs (CMMI) Medicaid ACOs (SIM) Commercial ACOs Na;onal Quality Strategy Standards Health IT 4/9/13 Office of the Na;onal Coordinator for Health 4
Na0onal Quality Strategy Priori0es 1. Making care safer 2. Ensuring person and family engagement 3. Promo;ng communica;on and care coordina;on 4. Promo;ng preven;on and treatment prac;ces 5. Promo;ng community best prac;ces to enable healthy living. 6. Making quality care more affordable
Advanced clinical processes Improved outcomes Data capturing and sharing Stage 3 Stage 2 Stage 1 6
Meaningful Use of Meaningful Use
I am the expert about me. 8
Hurricane Sandy
Interoperability
Health Information Exchange
INTEROPERABILITY
Complex Adap;ve System 13
SIM Award States 14
HIV Cascade 4/9/13 Office of the Na;onal Coordinator for Health 15
HHS Core HIV Indicators Measure Numerator Denominator HIV posi0vity Number of HIV posi;ve tests in the 12- month measurement period Number of HIV tests conducted in the 12- month measurement period Late HIV diagnosis Linkage to HIV Medical Care Reten0on in HIV Medical Care An0retroviral Therapy (ART) Among Persons in HIV Medical Care Viral Load Suppression Among Persons in HIV Medical Care Number of persons with a diagnosis of Stage 3 HIV infec;on (AIDS) within 3 months of diagnosis of HIV infec;on in the 12- month measurement period Number of persons who a`ended a rou;ne HIV medical care visit within 3 months of HIV diagnosis Number of persons with an HIV diagnosis who had at least one HIV medical care visit in each 6 month period of the 24 month measurement period, with a minimum of 60 days between the first medical visit in the prior 6 month period and the last medical visit in the subsequent 6 month period Number of persons with an HIV diagnosis who are prescribed ART in the 12- month measurement period Number of persons with an HIV diagnosis with a viral load <200 copies/ml at last test in the 12 month measurement period Number of persons with an HIV diagnosis in the 12- month measurement period Number of persons with an HIV diagnosis in 12- month measurement period Number of persons with an HIV diagnosis with at least one HIV medical care visit in the first 6 months of the 24- month measurement period Number of persons with an HIV diagnosis and who had at least one HIV medical care visit in the 12- month measurement period Number of persons with an HIV diagnosis and who had at least one HIV medical care visit in the 12- month measurement period Housing Status Number of persons with an HIV diagnosis who were homeless or unstably housed in the 12- month measurement period Number of persons with an HIV diagnosis receiving HIV services in the last 12 months 16
Blue Bu`on Data VA, DoD and CMS effort to give pa;ents access to their own data (FEHB plans beginning to also offer blue bu`on) 300,000 CMS beneficiaries have downloaded their data to date 2012 enhancements: Moving from 1 year of data to 3 years of data Moving from Parts A and B data to Parts A, B and D data Opportuni;es for private sector 17
Quality 18
Quality Ecosystem Local EHR Registry or data intermediary Benchmarking Coaching Technical support 4/9/13 Office of the Na;onal Coordinator for Health 19
Only those who provide care can improve care
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HIT enable prac;ce of the future 23
Vision for the Future Measures Drive Improvement Real- ;me Local ownership with benchmarking Linked to decision support and pa;ent dashboards Measures Drive Value- Based Purchasing Reliable Accurate Outcomes- based Measures Inform Consumers Meaningful Transparent
Small Data is our short term focus Small Data is our Short Term Focus. Dr. Joe Kimura Dr. Joe Kimura 25
I wouldn t give a fig for simplicity on this side of complexity but I d give my right arm for simplicity on the other side of complexity. Oliver Wendell Holmes
Ques;ons? Kevin.larsen@hhs.gov For more informa+on about ONC visit: healthit.gov 4/9/13 Office of the Na;onal Coordinator for Health 27