Regional HIT Extension Center – Michigan Center for Effective IT Adoption (M-CEITA) Presentation to the Michigan Primary Care Consortium October 19, 2009

Regional Extension Centers Health IT Regional Extension Centers will provide technical assistance and disseminate best practices to support and accelerate efforts to adopt, implement, and effectively utilize health information technology. (ARRA Sec. 3012(c)) Michigan’s REC applicant is M-CEITA – the Michigan Center for Effective IT Adoption ( M-CEITA will advance the meaningful use of HIT across Michigan promoting improvements in quality and enabling patient-centered medical home. 2

Role of Technology in Supporting Care Delivery 3 Technology Role Broaden understanding Provide Data Information Complexity Decision Support Documentation Tool Computational Aid Communication Tool Internal to Practice Combined with External Sources Presents new ideas from existing information reducing the need to mentally group, compare or analyze information. Combines patient characteristics with standards and protocol to enhance the ability to make evidence based decisions. Supports the entry, storage and display of information to reduce the need to rely on memory alone to complete tasks. Enhances the ability to communicate information and findings to other providers and patients in a manner consistent with their needs and understanding.

Key IT Capabilities to Support PCMH “While (PCMH) characteristics, in theory, may be achieved without the use of health IT….health IT can be an empowering facilitator to the establishment of a medical home…..” Collect, store and access relevant health information X X 2. Report on and review individual and population processes, outcomes and care quality XX X X 3. Enhance communication between providers, patients and other members of care team XXXX 4. Improve support for evidence based care delivery X XX 5. Support patient self management and health literacy X XX 1 Center for eHealth Information Adoption and Exchange (2009). Meaningful Connections: A resource guide for using health IT to support the patient centered medical home, Patient Centered Primary Care Collaborative.

M-CEITA Development Current organizations participating in full application development: – Altarum Institute (Prime Applicant & Program Management) – University Research Corridor: MSU, U of M, Wayne State – Michigan Peer Review Organization (MPRO) – Michigan Primary Care Association (MPCA) – Michigan Public Health Institute (MPHI) – Central Michigan University Research Corp (CMU-RC) 5 August 20 FOA Released M-CEITA Planning February M-CEITA Collaborative Formed September 8 Preliminary Application September 28 Preliminary Approval November 3 Full Application December 11 Awardee Selection M-CEITA Roll Out

Activities in Progress Finalize Organizational Structure – Alignment with other HIT efforts – Effective Governance – Operational Model Define Scope of Services – Direct Assistance – Core Support Develop Sustainability Plan – Grant funding – Matching Funds – Provider payments 6 Governance Operations Sustainability M-CEITA Workgroups Current Planning Activities

M-CEITA Steering Committee M-CEITA Advisory Committee M-CEITA Structure 7 M-CEITA Executive Committee M-CEITA Program Management Executive Committee (EC) members will consist of the Charter Member organizations and other qualified nonprofit organizations Steering Committee (SC) members will be representative end-users of REC services, i.e. primarily priority PCPs Advisory Committee (AC) members will include nationally-recognized health IT experts, including the American Academy of Family Physicians, the Patient Centered Primary Care Collaborative, TransforMED, and the National HIT Collaborative for the Underserved Program Management includes project oversight, management of sub- contracts, and meeting federal / grant reporting requirements Governance

M-CEITA Operational Model 8 The M-CEITA operational model is based on the agricultural regional extension service model, and will meet the needs of both priority and other participating providers across Michigan. M-CEITA Administration Executive, Steering and Advisory committees Program Management 9 Regional MTA Managers, subject matter experts Small Primary Care practices <10 providers FQHCs / CHCs / Rural Health Centers Tribal Health Clinics; other settings with underserved populations Other participating providers Critical Access and Public Hospitals Governance

M-CEITA Scope of Services The service area for M-CEITA is the entire state of Michigan – Around 18,000 PCPs; 7,000 priority PCPs; Over 200 Federally-supported practice networks; 14 HIE efforts FOA Requirements – Each Regional Center will provide assistance to a minimum of 1,000 priority PCPs in the first two years (serve at least 20% of the PCPs in the area) – M-CEITA’s goal is to reach 4,000 priority PCPs and 6,000 providers total over the first 2 years 9 Direct Assistance Support Prioritized to priority primary care providers - Vendor selection and group purchasing - Implementation and project management - Practice and workflow redesign - Functional interoperability and health information exchange - Privacy and security best practices - Progress towards meaningful use Direct Assistance Support Prioritized to priority primary care providers - Vendor selection and group purchasing - Implementation and project management - Practice and workflow redesign - Functional interoperability and health information exchange - Privacy and security best practices - Progress towards meaningful use Core Support Available to all participating providers -Education and outreach -Local workforce support -Participation in peer-learning and knowledge transfer activities, facilitated by the national Health Information Technology Resource Center / National Learning Consortium Core Support Available to all participating providers -Education and outreach -Local workforce support -Participation in peer-learning and knowledge transfer activities, facilitated by the national Health Information Technology Resource Center / National Learning Consortium Operations

10 Primary-care providers MDs, DOs, NPs, CNMs & PAs who practice family, general internal or pediatric medicine or obstetrics and gynecology Priority PCPs – Individual and small group practices (<10) primarily focused on primary care – Public and Critical Access Hospitals – Community Health Centers and Rural Health Clinics – Settings that serve uninsured, underinsured, and medically underserved populations

Direct Assistance Approach M-CEITA will provide a variety of individualized services to priority providers supporting effective IT adoption and use. 11 Implementation Adoption Selection Organization Effective Use Operations Readiness Assesment Workplan Development EHR Objectives Process Mapping Goal Setting Communication Plan Docment Review Documentation Change Management Leadership and Culture EHR Transformation Business Case Budget Practice Goals Due Dilligence Vendor Review Provider Rights Contracting Group Purchasing Vendor Agreements Implementation Plan Goals & Workflows Hardware & Strategies Functional Transition Templates and Forms Chart Conversion Installation Issues Management Guidelines/Security System Go Live System Testing User training Evaluation Evaluation Metrics Evaluation Plan Process Improvement Meaningful Use EHR Optimization Reporting Public Health Reporting Meaningful Use Eval Care Management Disease Registries Decision Support

Core Support Approach M-CEITA Knowledge Broker Model Access Leverage research, Federal guidance and local experiences to identify, analyze, filter and disseminate best practices for effective HIT use. Outreach & Collaboration Maintain effective communication channels with Federal partners, local providers and staff to create a collaborative community of informed HIT adopters. Knowledge Transfer Facilitate peer to peer knowledge sharing and feedback of lessons learned to the National HIT Research Center. 12 Operations M-CEITA will ensure all Michigan providers have access to current best practices and federal guidance in HIT adoption and use.

Sustainability Plan Total amount of funding available: $598,000,000; approximately 70 awards Project period length: four-year project period with two separate two-year budget periods Funding is distributed upon milestone completion which includes signed provider contracts, EHR “go live” and meaningful use achievement including e-prescribing and quality reporting Self-sustaining business plan is required in full application, and must be executed to support REC activities beyond Federal funding Sustainability plan will include award funding, matching funds and direct provider payments 13 Sustainability

What is Needed from MPCC Ideas / assistance in obtaining provider commitments, Steering and Advisory committee membership – Provider commitments are needed and letter templates can be found at mceita.org. – Steering or Advisory Committee interest must be submitted to no later than October 27, 2009 to be included in final November 3 rd application Use of your communication channels to spread the word about M-CEITA and its services to providers Additional letters of support to include in full application Contact: Or: 14