The Annual Innovation Showcase: Using Technology to Transform the Practice of Medicine June 22, 2017 NJIT Campus Center

Notice of Disclosure: 6/22/2017 Disclosure information: HRET, planners and the following speakers have disclosed they have no relevant financial interest or relationship with any manufacturer(s) or any commercial product(s) discussed in this educational activity. The following have provided disclosures: Aline Holmes, DNP, MSN, RN; Nancy Winter, MSN, RN, Thomas R. Ortiz, MD, FAAFP, Tyla Housman, Van Ly, and Annacler Harris-Blevin

Breakout Session 1B: Keeping Current with Healthcare Technology Learning Objectives: 1. Identify the Right Technology Tools to Use in Clinical Practice 2. Adopt New Technology Tools to Streamline Clinical Workflows Presented by: Van Ly, Program Director, Garden Practice Transformation Network Annacler Harris-Blevin, Assistant Director, Measures Management Date: June 22, 2017

Agenda How to Approach Technology The Need for Technology in Health Care Quality Payment Program (QPP) and Technology Technology Tools to Support Value-Based Care

A Systems Approach Toolkit Available for Assessing the Impact of Health Information Technology on Workflow in Provider Offices healthit.ahrq.gov

CMS Quality Strategy Goals https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/QualityInitiativesGenInfo/Downloads/CMS-Quality-Strategy-Goals-Poster.pdf

Delivering on the Triple Aim Tie physician compensation to performance Equip physicians with the right tools to help them meet performance goals Invest in technology capabilities to connect and integrate the tools Practicing value-based care: What do doctors need? Perspectives from the Deloitte 2016 Survey of US Physicians

Need for Technology Data is everywhere; Technology is the vehicle Closing gaps in care: electronic transmission of information About 80% of all serious medical errors involve miscommunication during care transitions In 2015, only 59% of U.S. hospitals routinely electronically notified patient’s PCPs upon emergency room entry. (https://dashboard.healthit.gov) 53% of health plan executives said EHRs had everything physicians need, while only 54% of physicians agreed (http://ddx.questdiagnostics.com/2017study) Physician incentives increasingly tied to quality and costs

Value-Based Care Impact of the Merit-Based Incentive Payment System

Quality Payment Program Where are you today? How can you succeed in each of these categories?

Technology Tool Selection Which is right for you? What problem(s) are you trying to solve? Do not get stuck with a bundle when it does not solve your problem! Can the technology solution integrate with the EHR and other technology I already have in place? Is it within my budget/overhead? Support, maintenance, privacy & security Service Level Agreement. 24x7 availability, financial penalties for non-compliance It’s a BALANCE. Technology is available. Go with these best practices and your gut!

Quality Technology Tools to Improve Quality Use of Registries and QCDRs (Qualified Clinical Data Registries) What data formats are required? Is the Registry certified for the quality reporting programs I need to participate in? (eg, MIPS) Clinical Decision Support Does it work seamlessly with my EHR? What’s the burden on my staff? Reporting accurately on quality of care being provided Delivering standardized care through compliance with quality standards and protocols Improve health outcomes • 85% need additional resources to comply with Medicare required quality reporting at their practices • 74% say collecting and reporting the information for these quality measures is burdensome

Use of Registries and QCDRs “Slice and Dice” your patient data to better understand your patient population How many Diabetic patients do I treat? How many of those Diabetic patients with an A1c > 9 have been hospitalized in the past 12 months? How many of Diabetic patients also have Hypertension? CAD? Compare your performance to national benchmarks Analyze trends in quality measures over time

Cost / Resource Use Technology Tools to Reduce Cost Payer Resource Use Reports Health Information Exchange Referral Decision Tools Data Analytics Reduce longitudinal patient costs Know where your patients are going and what services they’re getting Understand which patients are highest risk, highest cost patients Reduce unnecessary utilization Only 20 percent of physicians receive data on care costs1. 1Perspectives from the Deloitte 2016 Survey of US Physicians

Payer Resource Use Reports Medicare’s Quality Resource and Use Report (QRUR)

Payer Resource Use Reports Medicare’s Quality Resource and Use Report

Health Information Exchange

Referral Decision Tools ReferralMD https://getreferralmd.com Case Studies: Glendale MRI (16 staff) 20% overall time savings per day (1.5 hours a day per staff) UCSF Dept of Oral and Maxillofacial surgery 48% lower wait times 395 referral sources

Improvement Activities Technology Tools to Enable Quality Improvement Telehealth Mobile Health Technologies Online Registration and Appointment Booking

Resources AMA STEPS Forward - https://www.stepsforward.org/ AHRQ - https://healthit.ahrq.gov HealthIT.gov