HIT 2.0; Moving to Performance Based Health Care Dr. Tom Stevenson Chief Medical Officer Covisint Healthcare

Phase one; HIT Adoption More than 30 years in the making Still a long ways to go Dynamic time, expect many changes in the technology used for ; Ambulatory care Hospital care Care coordination Still limited by silos of information without meaningful exchange Next level is to move towards ‘Performance Based Care’

Phase 2; Performance Based Care The ability to not only attempt to enhance the quality of the patient’s interaction, but to also measure it and make the changes necessary to continually improve it Requires several elements; HIT adoption on a robust level Meaningful HIE Coordinated care Establishing quality measure benchmarks The ability to engage the provider at the point of care to bridge gaps in care Doing real time and retrospective analysis to make sure we are achieving the goals established

Why is this different? Many of the current HIEs are not set up to do ‘meaningful exchange’ Many are also without plans to establish benchmarks, or the ability to monitor the changes taking place It is important to be able to do analytics at several levels; Patient level- identify gaps in care to be addressed by clinicians at the point of care, or by care coordinators Practice level- manage your own performance against established benchmarks to meet P4P and other programs Population level- the ability to identify problem areas, address them, and measure performance changes A good example is the Beacon Initiative in Tulsa- GTHAN

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