“Safety Net” RECs: Best Practices for Provider Engagement Panelist: Ruth T. Perot, Managing Director, NHIT David R. Hunt, MD, FACS Dominic H. Mack, MD, MBA Antonio Fernandez Tom Kauley August 6 th, 2013

Webinar Overview This webinar is the second in a series, sponsored by the National Health IT Collaborative for the Underserved (NHIT), that highlights the impact of HIT on the underserved and health disparities. NHIT works to assure that providers and consumers, with a focus on communities of color, benefit from HIT advances and resources. This event will focus on the role of Regional Extension Centers (RECs) in assisting providers in and from these populations. Panelists are leaders of RECs that have helped providers adopt electronic health records and receive meaningful use (MU) incentives.

Webinar Objectives Understand the purpose and role of RECs Clarify requirements/timelines for REC services Learn about RECs focused on providers in and from communities of color – who they engage, activities and results Hear discussion of lessons learned – what works and what does not work to engage providers of focus Identify promising/best practices and strategies Foster discussion among webinar participants

David R. Hunt, MD, FACS Medical Dir., HIT Adoption & Patient Safety ONC, Office of the Chief Medical Officer “Safety Net” RECs: Best Practices for Provider Engagement."

Practice Sustainability Dominic H. Mack MD, MBA

GA-HITEC GA-HITEC is Georgia’s only federally-funded and endorsed expert to assist primary care providers in achievement of meaningful use of electronic medical records technology.

GA-HITEC PPCP Zip Code Distribution 53 Hospitals & Primary Care Provider Members

Research EHR adoption, Vendor utilization EHR Implementation MU Tech Support : P&S, ICD-10, Loans, tax credits HIT infrastructure Lab Interface, HIE outreach and education, Meaningful Use Tech Assistance Practice Management PCMH, ACOs, improve Clinical Outcomes Outreach Education and Training Boots on the Ground, Distance Learning, Web based training HIT Center Cloud Based Tech Services Technical Assistance Practice Management Outreach, Ed. & Training GA-HITEC Supports Georgia Providers & Hospitals

Road Map to Meaningful Use (MU)

Rural and CAHs GA-HITEC Education and Training SessionAttendees HIPAA-Privacy, Security, & HIPAA Training & Certification36 MU Series (1-6) for Hospitals404 MU Sessions for Hospital physicians145 Computing433 Medicare/Medicaid/HIT2298 CNO Workshop (2)95 Fall Conference240 GA Rural HIT Forum73 MUVers Ceremony82 ONC Workforce Development42 Attestation Support Series (Nov-Dec)32 Total Attendees4516+

Membership Benefits  Dedicated resource  Assistance with attaining MU goals within 1 year* (Guaranteed!) Stage 1 or 2  Access to CE training  Discounted fee-for-service offerings  Access to “virtual” HIT lab

Meaningful Use

Your Trusted Advisor for Meaningful Use and HIT

Antonio Fernandez Director Ponce School of Medicine & Health Sciences Regional Extension Center

 MISSION: The Ponce School of Medicine & Health Science Regional Extension Center (PSM REC) was organized to assist 4,038 Priority Primary Care Physicians, all serving Minority and Underserved Communities in the Adoption and Meaningful Use of Electronic Health Records and Health IT to improve access, quality of patient care and efficiency of their practices. Ponce School of Medicine REC

 Population in PR & USVI 3.9 Million  1.7 Million are Medicaid Eligible  700,000 are Medicare Beneficiaries  400,000 are served at 50+ FQHC’s  About1.4 Million Commercially Insured  About 400,000 are uninsured Facts Slide

 Over 60% of the population is served under “Medicaid” Managed Care Plans managed by Private Insurers, and sub-contracted with IPAs and Medical Groups  78% of Medicare Population enrolled in Medicare Advantage Programs  Commercial Sector mostly PPO/Open Access Fee-For-Service Overview of Health System

 As of August 4, 2013 Milestone 1 4,038 + (100% of Goal) Milestone 2 2,411 (60% of Goal) Milestone (8%) - 94% of Providers Serve Medicaid Population % in Small Group (mostly solo) Practices  Additional Providers served by REC Specialists & Dentists 500 Acute Care Hospitals 30 Status & Goals

 Enhanced Practice Support for EHR Adoption and MU for Small Practices  Development of Spanish Modules for Patients and Families including Discharge/Clinical Summaries, CCDs, Patient Reminders  E-Prescription Education Campaign  Bilingual HIT Workforce Development Curriculum and Programs Areas of Opportunity

 Best Practices & Collaboration – ONC, Other RECs  Alignment with various federal initiatives and innovation programs (ACOs, PCMHs, CMMI)  Medicaid HITECH Programs and Funding Support  Collaboration with Health Plans for quality, care coordination & continuity of incentives  Foster Customization of HIT Solutions  Bilingual Patient & Family Engagement Programs  Expansion of Scope to other Regions with Minorities and Under-served populations working with other RECs (NY, NJ, DL, IL, FL) Strategic Approaches & Solutions

Tom Kauley, Senior Consultant, National Indian Health Board REC

 Provide health IT services to 2,700 primary care providers working in Indian Health Service/Tribal/Urban Indian (I/T/U) health facilities.  Providers serve approximately 2 million American Indians and Alaska Natives located in medically-underserved communities in 35 states across the U.S. National Indian Health Board REC

Per Capita Health Care Expenditures Comparison  IHS expenditure on user population: $2,741  Total U.S. population expenditure: $7,239 Source: year2013profile/ year2013profile/

* There are 33 urban programs, ranging from community health to comprehensive primary health care services. Source: Indian Health Service Website Indian Health System Indian Health System Facilities HospitalsHealth Centers Alaska Village Clinics Health Stations IHS 2861N/A33 Tribal

National Indian Health Board (NIHB) REC Serving “INDIAN COUNTRY”

Status as of August 2, 2013 – Eligible Providers  NIHB REC Milestone 1 = 2,700 Providers = 100%  NIHB REC Milestone 2 = 2,700 Providers = 100%  NIHB REC Milestone 3 = 715 Providers = 26% Status as of August 2, 2013 – CAHs/RHs  NIHB REC Milestone 1 = 26 CAHs/RHs = 100%  NIHB REC Milestone 2 = 25 CAHs/RHs = 96%  NIHB REC Milestone 3 = 19 CAHs/RHs = 73% ONC Milestones NIHB REC Goals

NIHB REC “Boots-on-the-Ground” National Service Delivery Strategy Four Sub Recipients  Alaska Native Tribal Health Consortium (ANTHC) – State of Alaska  California Rural Indian Health Board (CRIHB), Inc. – State of California and REC services to Tribal and Urban Indian health facilities that select to implement and use Commercial-Off-The-Shelf (COTS) Electronic Health Records (EHRs)  Northwest Portland Area Indian Health Board (NPAIHB) – States of Oregon, Washington, and Idaho  United South and Eastern Tribes, Inc. (USET) – 30 State service area (AL, AZ, CO, CT, FL, IL, IA, KS, LA, ME, MA, MD, MI, MN, MS, MT, NE, ND, NV, NM, NY, NC, OK, RI, SC, SD, TX, UT, WI, WY)

Interaction Among Panelist

Q&A

Sponsor future webinars to share current information and successes from the field and foster exchange of views Congressional briefing in September to present multicultural perspectives on HIT adoption and use Report forthcoming on HIT successes involving people of color and other underserved Visit orgwww.nhitunderserved Next Steps

Thank You! Ruth T. Perot Managing Director, NHIT Luis Belen Senor Consultant, NHIT Contact Us: