1. AHRQ’s Role in Building Evidence to Advance the Accessibility and Usability of Health IT Tiffani J. Bright, PhD Senior Staff Fellow, Health IT September 18, 2015

2. Agenda HHS Organizational Focus AHRQ’s Mission Health IT at HHS AHRQ Health IT Funding Building the Evidence of Health IT Impact Conclusion

3. HHS Organizational Focus NIH Biomedical research to prevent, diagnose, and treat disease CDC Population health and the role of community-based interventions to improve health AHRQ Long-term and system-wide improvement of health care quality and effectiveness

4. AHRQ’s Mission To produce evidence to make health care safer, higher quality, more accessible, equitable, and affordable, and work within the U.S. Department of Health and Human Services and with other partners to make sure that the evidence is understood and used.

5. Health IT at HHS AHRQ Building Evidence of Health IT Impact on Health Care Quality and Safety ONC Coordinating Health IT Policy and Programs CMS Setting Rules for Payment

6. AHRQ Health IT Funding Projects awarded to over 180 distinct institutions in 46 States and the District of Columbia FY15 Budget: $28M AHRQ Health IT Investment: $450 million

7. How AHRQ Build’s the Evidence of Health IT Impact Research grants ► Program announcements (PA) ► Request for applications (RFA) Research contracts ► Demonstration projects ► Systematic literature reviews

8. Evidence of Health IT Impact Enabling Healthcare Decisionmaking Through Clinical Decision Support and Knowledge Management Enabling Patient-Centered Care Through Health IT Grant Initiative Barriers and Drivers of Health IT Use for the Elderly, Chronically Ill, and Underserved Designing Consumer Health IT: A Guide for Developers and Systems Designers

9. Health IT Usability Research PIInstitutionProject Title Zia AghaVeterans Medical Research/San Diego Quantifying Electronic Medical Record Usability to Improve Clinical Workflow John WindleUniversity of Nebraska Medical Center Optimizing the Electronic Health Record for Cardiac Care David FlumUniversity of Washington Developing Design Principles to Integrate PROs into clinical practice through HIT: Data, user experience, and workflow requirements for PRO Dashboards Richelle J Koopman University of Missouri- Columbia Optimizing Display of Blood Pressure Data to Support Clinical Decision Making Elizabeth Chrischilles University of Iowa Personal Health Records and Elder Medication Use Quality

10. Empowering Older Adults and Caregivers Research PIInstitutionProject Title Judith MatthewsUniversity of Pittsburgh Self-management via Health Kiosk by Community-residing Older Adults Charles SafranBeth Israel Deaconess Medical Center InfoSAGE Information Sharing Across Generation and Environments Anne TurnerUniversity of Washington Addressing the Personal Health Information Management Needs of Older Adults

11. Health IT Accessibility Research PIInstitutionProject Title Rupa ValdezUniversity of Virginia Accessibility and beyond: designing consumer Health IT for disabled individuals

12. Conclusion Substantial contributions in developing and disseminating evidence and evidence-based tools demonstrating how Health IT can improve the quality of care and patient safety ► Health IT strategic planning ► Innovative ways to address those evidence needs Producing future evidence of Health IT impact on quality of care and patient safety requires understanding how to “effectively” design systems that are more usable and accessible

13. Questions For more information: www.healthit.ahrq.gov @AHRQNews