1. Office of Provider Adoption Support (OPAS): Supporting Primary Care Providers to Achieve Meaningful Use February 29, 2012

2. HITECH: Catalyst for Transformation Pre 200920092014 A system plagued by inefficiencies EHR Incentive Program and 62 Regional Extension Centers Widespread adoption & meaningful use of EHRs

3. Goal: Assist All Providers to Achieve Meaningful Use of EHR Systems Community College Consortium Provider Adoption Services Meaningful Use Regional Extension Centers (RECs) Health Information Technology Research Center (HITRC) Office of Provider Adoption Support (OPAS)

4. Big Picture Goal Regional Extension Center Community College Workforce Communities of Practice Health Information Technology Research Center (HITRC) Paper-Based Practice Support Network REC-Provider Partnership Fully Functional EHR Education and Outreach Workforce Vendor Relations Implementation Workflow Redesign Functional Interoperability Privacy and Security Meaningful Use Population Health Health Care Efficiency Patient Health Outcomes

5. 62 RECs Cover 100% of the USA Not-for-profit organizations Experts in EHR adoption Provide on-the-ground technical assistance Extensive stakeholder partnerships Focused on achieving MU Initial Program Goal: 100,000 priority primary care providers achieve meaningful use (MU) by 2014

6. REC Funding History REC Cycle 1 Feb 2010 32 Awards $375 million REC Cycle 2 April 2010 28 Awards $267 million REC Cycle 3 Sept. 2012 2 new award, 2 supplements $14 million Critical Access Hospital (CAH) Cycle 1 Targeted support for 1,777 Hospitals $19.8 million REC CAH Supplement 2 $12 million additional support to CAH Help as many providers as possible get to Meaningful Use of an Electronic Health Record System

7. United Purpose, Local Approaches Each REC has a: – Defined service area – Specific number of providers to assist National perspective with local expertise Approach differs by REC: – Local/regional centers (RECs within an REC) – Hospital partnerships – Payer partnerships REC Locations

8. Comprehensive Support throughout the Entire EHR Implementation Process Readiness assessment EHR system selection Readiness assessment EHR system selection Practice workflow redesign HIT education & training Practice workflow redesign HIT education & training Achieve meaningful use Prepare for future pay for performance Achieve meaningful use Prepare for future pay for performance EHR implementation Partnering with state & local HIEs EHR implementation Partnering with state & local HIEs Operate & Maintain Plan 1 Transition 2 Implement 34 Primary goal: Give providers as much support as possible

9. RECs Cover the Full Range of Services Interoperability & HIE Assist providers in meeting functional interoperability requirements Interoperability & HIE Assist providers in meeting functional interoperability requirements Implementation Support Provide EHR project management support Implementation Support Provide EHR project management support Meaningful Use Assist providers on achieving Meaningful Use objectives Meaningful Use Assist providers on achieving Meaningful Use objectives Practice & Workflow Design Assist practices in improvement of daily operations Practice & Workflow Design Assist practices in improvement of daily operations Privacy & Security Implement best practices to protect patient information Privacy & Security Implement best practices to protect patient information Outreach & Education Share best practices to select, implement, and meaningfully use EHRs Outreach & Education Share best practices to select, implement, and meaningfully use EHRs Vendor Selection Assess practices IT needs and help select/ negotiate vendor contracts Vendor Selection Assess practices IT needs and help select/ negotiate vendor contracts Workforce Provide EHR training to providers and staff Workforce Provide EHR training to providers and staff REC Services

10. REC Focus: Priority Primary Care Providers While RECs are encouraged to work with all providers, they will initially focus on Priority Settings: – Individual/small group primary care practices (<10 PCPs) – Public Hospitals and CAHs – Community Health Centers and Rural Health Clinics – Other settings that serve medically underserved populations

11. REC Program Success To-date: (2/27/12) Primary Care Providers (PCP) Enrolled PCP on EHRPCP to MU Local Health Department Providers PCPs registered with RECs=1,452 PCPs at Go-Live registered with RECs= 213 PCPs at Meaningful Use=13

12. RECs Currently Providing Services to Local Health Department Providers Alabama Alabama REC (University of South Alabama) Arkansas Arkansas Foundation for Medical Care, Inc. California California Health Information Partnership Services Organization North and South Florida Center for the Advancement of Health IT (FL) Central Florida HIT Initiative(FL) PaperFree Florida Collaborative Health Information Technology Regional Extension South Florida Regional Extension Center Georgia GA-HITREC Guam Hawaii Pacific REC Illinois Illinois HIT Regional Extension Center Indiana Indiana Health Information Technology Extension Center (I-HITEC) Iowa Telligen (IA) Kansas Kansas Foundation for Medical Care Louisiana Louisiana Healthcare Quality Forum Maine HealthInfoNet Michigan Michigan Center for Effective IT Adoption (M-CEITA) Minnesota REACH (Stratis Health) Mississippi Mississippi Regional Extension Center Missouri Missouri Health Information Technology Assistance Center Nebraska Wide River TEC (NE) New Mexico Lovelace Clinic Foundation-LCF Research North Carolina North Carolina REC Ohio Ohio Health Information Partnership Oregon O-HITEC (OHITREC) (OR) Pennsylvania PA REACH (West/East) South Dakota HealthPoint Multi-State Greater Cincinnati Health Bridge Inc. (OH, KY, IN) National Indian Health Board (DC)

13. HITRCs Central Role Supports Health IT Optimization Works with external communities and shares knowledge Tools Resources Communities of Practice (CoPs) Works with HITRC community and shares knowledge

14. Collaboration Portal Knowledge Sharing Network (KSN) Training Services Practice Transformation Support Communities of Practice (CoPs) Customer Relationship Management (CRM) Tools &Support for Adoption and MU Public Website Learning Systems HITRC Resources

15. Community College Consortia Workforce Program 5 regions $6 – $ 21 M per region April 2010 award 2 Years 10,500 to be trained 5 regions $6 – $ 21 M per region April 2010 award 2 Years 10,500 to be trained R EGION A R EGION C R EGION B R EGION D R EGION E