Health Tech Council: Health IT Supporting Engaged Patients Damon L. Davis Special Assistant to the National Coordinator, Consumer e-Health

Health Information Technology Improving patients’ experience of care within the Institute of Medicine’s 6 domains of quality: Safety, Effectiveness, Patient- Centeredness, Timeliness, Efficiency, and Equity. Better healthcare Keeping patients well so they can do what they want to do. Increasing the overall health of populations: address behavioral risk factors; focus on preventive care. Better health Lowering the total cost of care while improving quality, resulting in reduced monthly expenditures for Medicare, Medicaid, and CHIP beneficiaries. Reduced costs $ Health IT lays the Foundation for New Payment and Delivery Models to Enable the Three-Part Aim 1

ONC: Catalyzing Health IT Adoption  Regional Extension Centers - 62 to support small practices  Health Information Exchange - 56 state programs  Beacon Communities – 17 demonstration projects of EHR value  SHARP Research Projects – 4 HIT adoption breakthrough advances  Security  Patient-Centered Cognitive Support  Application & Network Design  Secondary Use of EHR Data  Standards & Certification interoperability specifications  Workforce Training Programs to support HIT education  University Based Programs – 9 universities  Community College Consortiums – 5 regions  Curriculum Development & Competency Exam 10/2/2016 Office of the National Coordinator for Health Information Technology 2

Telling the HITECH Story – What, Why, and How

10/2/2016 Office of the National Coordinator for Health Information Technology Basic EHR adoption among office-based physicians Primary Care Total Data source: National Ambulatory Medical Care Survey (NAMCS) Electronic Health Record Supplement mail surveys,

Rural: 38% Total: 34% Small primary care practices: 35% 10/2/2016 Office of the National Coordinator for Health Information Technology Basic EHR adoption among office-based physicians in rural areas and small primary care practices Rural refers to physicians in a county outside of a Metropolitan Statistical Area. Small primary care practices refer to primary care physicians in practices with 10 or fewer physicians. Data source: National Ambulatory Medical Care Survey (NAMCS) Electronic Health Record Supplement mail surveys,

10/2/2016 Office of the National Coordinator for Health Information Technology Notes: Adoption requires the EHR system to have at least a basic set of EHR functions as defined in Estimates reported are based on adoption of at least a Basic EHR without Clinician Notes. *Significantly different from previous year (p < 0.05). Data Source: ONC/AHA, AHA Annual Survey Information Technology Supplement Basic EHR adoption among non-federal acute care hospitals

10/2/2016 Office of the National Coordinator for Health Information Technology Share of office-based physicians who intend to apply for Meaningful Use, 2011 Data source: National Ambulatory Medical Care Survey (NAMCS) Electronic Health Record Supplement mail survey, 2011.

10/2/2016 Office of the National Coordinator for Health Information Technology Share of non-federal acute care hospitals that intend to attest to Meaningful Use, 2011 Figures represent share of hospitals that plan to attest to Meaningful Use of an EHR by Data Source: ONC/AHA, AHA Annual Survey Information Technology Supplement

EHR Incentive Program <74,317 Hospitals and Critical Access Hospitals <287,219 have registered for the Medicare EHR Incentive Program. <$3.6B in Medicare EHR incentives <$3.3B in Medicaid EHR incentives 10/2/2016 Office of the National Coordinator for Health Information Technology 9

Meaningful Use Baking in consumer engagement: Timely electronic access to health information Electronic hospital discharge instructions Clinical summaries Tailored educational resources View, Download, Transmit

Health IT Supports Consumer Engagement Patient as partners Care coordination Communication with providers Manage health and wellness

Consumer Engagement = Better Care 12 49%

ONC’s Three A’s for Consumer Engagement Give consumers secure, timely electronic access to their health information. Support the development of tools that help consumers to take action using information. Action Help expectations about consumer (and provider) roles to evolve. Attitude

Today’s Reality vs. Potential for Consumers 9% have mobile app to manage health 10% have a personal health record (PHR) 20% have accessed their health info online 27% have tracked their weight, diet, exercise routine online 80% of Internet users seek health info online Use of mobile for health has doubled in 1 year 52% would use a smart phone to monitor health 65% are interested in using a medical device to monitor their condition

Blue Button (Access) 10/2/2016 Office of the National Coordinator for Health Information Technology 15 Download medical records in digital form from a secure website offered by their doctors, insurers, pharmacies or other health-related service. HealthIT.gov/BlueButton

Blue Button Mashup Challenge 17

Health IT Animation (Attitudes)

ONC Future Plans Better coordinate federal partners Address the needs of the underserved Monitor and explore “frontier issues” Proxy access to health data mHealth Social media and health Gaming for health Consumer access to cost, quality, & community data Integrating consumer data into the EHR

Join Us! Take the Blue ButtonPledge: Upcoming Webinars Join the National e-Health Collaborative’s Consumer Consortium: Develop messages and materials Develop a roadmap for organizations

Stay connected, communicate, and collaborate Visit ONC’s website at: healthIT.govhealthIT.gov click the Facebook “Like” button to add us to your network Contact us at: Visit the ONC Newsroom for the latest news andONC Newsroom announcements Subscribe, watch, and share:    Health IT and Electronic Health RecordsHealth IT and Electronic Health Records   Health IT Buzz Blog

Office of the National Coordinator for Health Information Technology

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