Health IT Perspective – Today and Into the Future

Author: Office of Communications
May 14, 2012

HITECH: Catalyst for Transformation

Three-Part Aim:
Better Healthcare Paper Records
Pre 2009 A system plagued by inefficiencies

Better Health HITECH Act

Reduced Costs EHRs & HIE

2009 EHR Incentive Program and 62 Regional Extension Centers

2014 Widespread adoption & meaningful use of EHRs


The Time is Now …
• President Bush’s Commits to HIT
“… By computerizing health records, we can avoid dangerous medical mistakes, reduce costs, and improve care.”
- State of the Union address,
Jan. 20, 2004

• Executive order established the Office of the National Coordinator for Health Information Technology (ONCHIT) as part of the Dept of Health & Human Services (HHS)
– Dr. David Brailer appointed the first National Coordinator

2009 – President Obama vows to continue the HIT Plan begun by President Bush
• President Barack Obama announces his commitment to Health IT:
“February 17, 2009 – the American Reinvestment and Recovery Act (ARRA – Stimulus Bill) signed into law”

– HITECH component of ARRA provides an incentive program to stimulate the adoption and use of HIT, especially EHR’s – Establishes, by law, the Office of the National Coordinator for Health IT – Dr. David Blumenthal appointed the new National Coordinator

American Recovery & Reinvestment Act of 2009 (Stimulus Bill)
• • • • HR 1 -- 111th Congress $787 Billion Highly partisan vote Healthcare gets $147.7 Billion
• • • • $87B for Medicaid $25B for support for extending COBRA $10B for NIH $19B directly for HIT

HITECH = Health Information Technology for Economic and Clinical Health

Health IT- Enabled Health Reform
2009 2011 2013 2015

Criteria Phasing / Maturation

Meaningful Use Criteria

HITECH Policies

STAGE 1 Meaningful Use Criteria (Capture/share data)

STAGE 2 Meaningful Use Criteria (Advanced clinical processes with decision support)

STAGE 3 Meaningful Use Criteria (Improved Outcomes)

Toward the Tipping Point
Technology Adoption

Can’t be without it!
Transformational Change in Health Care Delivery

Do I need it?


Categories of Activities
EHR related applications Other BCHS Initiatives - Service Line Support Patient-Provider Integration Enterprise Data Management
DNA Double Helix

Information Systems is the Messenger RNA of the Enterprise


Administrative Systems

Enabling Technologies


EHR Global Elements New Areas and Facilities Research Education Disaster Recovery Business Continuity


Changing Roles in Health IT

• • • •

CDO to CIO The rise of the C?IO Value Analytics Value Model
═Traditional ROI + Project Risk + Value Realization Risk + Flexibility + All other intangibles


Market Forces
• Big Data
– – – – – – –

• International exchange
– Medical Tourism – Research – Privacy and Security

Standards Architecture Talent Governance Privacy and security Pattern recognition – accidental or directed? Clinical AND administrative data



Market Forces - continued
• Demographics • Consumer demand • Payment reform • Workforce shortages • New computing platforms
– Clinical – Technical – Dr. Craig’s List

• What should be in Stage 4?

– Apps – Clinical decision support modules – Post-implementation optimization – Diffusion of best practices – Other insights


HIT as the means, not the end
Dr. David Blumenthal, previous National Coordinator of HIT, emphasizes:
“HIT is the means, but not the end. Getting an EHR up and running in health care is not the main objective behind the incentives provided by the federal government under ARRA. Improving health is. Promoting health care reform is.”
- At the National HIPAA Summit
in Washington, D.C. on September 16, 2009

The EHR is a Journey … and Not a Destination

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