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Kickoff Meeting Cris Ross, co-chair Anita Somplasky, co-chair November 17, 2015 Certified Technology Comparison (CTC) Task Force.

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Presentation on theme: "Kickoff Meeting Cris Ross, co-chair Anita Somplasky, co-chair November 17, 2015 Certified Technology Comparison (CTC) Task Force."— Presentation transcript:

1 Kickoff Meeting Cris Ross, co-chair Anita Somplasky, co-chair November 17, 2015 Certified Technology Comparison (CTC) Task Force

2 1 Welcome, Opening Remarks & Membership Introduction Review of charge Review of environmental scan Review draft workplan and hearing outline Public Comment Adjourn Agenda

3 2 Membership First Name Last nameTitleOrganization CrisRossCIOMayo Clinic AnitaSomplaskyDirectorQuality Insights ChristopherTashjianPartner/PhysicianVibrant Health Family Clinics ChristineKennedyNursing Informatics Coordinator Lawrence and Memorial Hospital DavidSchlossmanHematologist/OncologistMissouri Cancer Associates JohnTravisVice President, Solution Strategist - Regulatory Compliance Cerner Corporation JoeWivodaChief Information OfficerNational Rural Health Resource Center LizJohnsonVP, Applied Clinical Informatics Tenet Healthcare StevenStackPresidentAmerican Medical Association DawnHeisey-GroveStaff LeadONC

4 Task Force Charge The taskforce is charged with providing recommendations on the most feasible public-private approaches that could be used to create and maintain a tool that will compare certified technology products. This taskforce may address: – The different health IT needs for providers across the adoption and implementation spectrum – The development and maintenance of the tool, taking into account feedback from providers and vendors Recommendations from the taskforce may include policy, technical, or other considerations that arise during the course of its work. 3

5 4 MACRA Language (3) STUDY AND REPORT ON THE FEASIBILITY OF ESTABLISHING A MECHANISM TO COMPARE CERTIFIED EHR TECHNOLOGY PRODUCTS.— (A) STUDY.—The Secretary shall conduct a study to examine the feasibility of establishing one or more mechanisms to assist providers in comparing and selecting certified EHR technology products. Such mechanisms may include— (i) a website with aggregated results of surveys of meaningful EHR users on the functionality of certified EHR technology products to enable such users to directly compare the functionality and other features of such products; and (ii) information from vendors of certified products that is made publicly available in a standardized format. The aggregated results of the surveys described in clause (i) may be made available through contracts with physicians, hospitals, or other organizations that maintain such comparative information described in such clause. (B) REPORT.—Not later than 1 year after the date of the enactment of this Act, the Secretary shall submit to Congress a report on mechanisms that would assist providers in comparing and selecting certified EHR technology products. The report shall include information on the benefits of, and resources needed to develop and maintain, such mechanisms.

6 5 Questions that need to be addressed in the report Feasibility: Is such a tool necessary? – Who could benefit from this tool? – What resources are necessary to develop and maintain such a tool? – What are the gaps in existing tools? – What role (if any) should the federal government take in implementing this tool? Tool function: to help health care providers compare and select certified health IT products – How might the tool be implemented? – What data is necessary to make the tool useful?

7 ADOPTION AND USE OF CERTIFIED HEALTH IT Who could benefit from the tool? 6

8 7 Overall adoption of certified EHR: 74% Based on data brief that summarized findings from the 2014 National Electronic Health Record Survey of ambulatory care physicians: http://dashboard.healthit.gov/evaluations/data-briefs/quantifying-physician-ehr-adoption.php Participating in, or planning to participate Not participating 11+ physicians 6-10 physicians 2-5 physicians Solo physician HMO/other health care corp. Medical/academic health center Community health center Physician/group practice Primary care Medical specialists Surgical specialists Disparities in certified EHR adoption among physicians in 2014

9 8 Adoption and use of certified health IT is not equal across all provider types Data represent meaningful use achievement among eligible professionals and hospitals registered for the Medicare & Medicaid EHR Incentive Programs through September, 2015. Maps and additional meaningful use achievement data available here: http://dashboard.healthit.gov/quickstatshttp://dashboard.healthit.gov/quickstats *Physician assistants and nurse practitioners are only eligible for the Medicaid EHR Incentive Program.

10 9 Different stages of health IT adoption and use StageDescriptionIn scope for task force? Resources needed to support comparison and selection of products New adoptionConsumer is completely new to health IT and needs to select a certified health IT product for the first time Yes Identification of health IT functionalities necessary for basic adoption Consumer satisfaction reports Product costs ImplementationConsumer has certified health IT and needs to modify workflow to maximize health IT potential NoN/A Upgrading or supplementing existing technology Consumer is considering upgrading or supplementing existing certified health IT for meaningful use, patient engagement, population health management, medical home functionality, and/or delivery system reform. Yes Identification of certified health IT functionalities applicable for advanced use Consumer satisfaction reports Product costs Compatibility/interoperability with consumer’s existing systems Replacing existing technology Consumer is considering replacing existing health IT due to dissatisfaction with current product(s) Yes Health IT functionality Consumer satisfaction reports Product costs Compatibility or interoperability concerns necessary to address data migration Tool function: to help health care providers compare and select certified health IT products

11 EXISTING TOOLS 10

12 11 Tool Types Comparison tools: allow consumers to select products from a list and compare features, with detailed information about each product for the selected features Informational tools: provide consumers with information about product; these tools do not provide comparison functionality Selection tools: checklists, sample contracts, questions, requests for proposals, etc. that may help the provider during the selection process; these tools do not provide specific information regarding products (out of scope)

13 12 Sample of existing comparison tools OrganizationDescriptionTool Cost & Accessibility Data source Includes consum er reviews Includes product costs Software Insider ehr.softwareinsider.c om Allows for comparison of EHR products on basis of many characteristics Free Online access to all Highlights sponsored products Yes, limited Free quote comparison guide after you provide personal information AmericanEHR http://www.america nehr.com/ratings/eh r_ratings/EHR- Product- Comparison.aspx Compare up to 2 vendor products at a time by selecting one EHR product from a drop-down and comparing to another product side-by-side. Free Accessible to all once provide demographic information Yes, limited Some

14 13 Sample of existing informational tools OrganizationDescriptionInformation cost & accessibility Includes consumer reviews Includes product costs BlackBook http://www.blackbookran kings.com/healthcare/ Product ranking list and loyalty index reports (consumer research) Between $2,00-$5,000YesUnk California Healthcare Foundation http://www.chcf.org Toolkit provides a list of functional criteria that should be considered when evaluating vendors that sell EHR systems to CHCs. Free Accessible to all online No CHPL 2.0List of certified health IT productsFree Accessible to all online No KLASIn-depth analysis and ranking of health IT products Cost to access information YesUnk

15 14 Sample of existing selection tools (out of scope) OrganizationDescriptionInformation cost & accessibility Includes consumer reviews Includes product costs HIMSSSample vendor scenarios, questionnaire, and other specialty-specific information when choosing EHR vendor. HIMSS Model for EHR vendor captures specific requirements needed for key electronic health technology (PACS, Patient Portals, Lab, etc.). Free Accessible to all online No HealthIT.govSample contracts, questionnaires for vendors and practices to consider during selection process, RFP templates, pricing template Free Accessible to all online No HealthInfoNetPractice assessment tool, behavioral health EHR toolkit, Workflow process mapping for EHR Implementation guide Free Accessible to all online No

16 Virtual Hearing Overview: Proposed Panels The Task Force will hold two virtual hearings in January to hear from experts in the field. Their feedback will help to inform final recommendations to the HITPC and HITSC. Panel IPhysicians Inclusive of both primary care and specialists, non-adopters and experienced users Panel IINon-Physician health care providers Health care providers who use certified health IT who are not physicians, non- adopters and experienced users Panel IIICertified health IT developers Developers of certified EHRs and other health IT Panel IV Health IT comparison and informational tool vendors Vendors who currently provide comparison and/or informational health IT selection tools Panel VClinical Quality Measures (CQMs) and Advanced Payment Model (APMs) Capabilities Providers and/or vendors who can speak on the challenges of finding certified health IT products that have the applicable CQMs or advanced health IT functionalities necessary to meet APM and quality reporting needs

17 Task Force Workplan 16 Meeting GoalsMeeting Tasks Tue, Nov 17, 2015 9:00am Overview of charge and plan Initial considerations from committee Overview of market research to date Tues, Dec 1, 2015 12:30pmPotential Topic: Provider/vendor needs How might a tool address different health IT needs for different stages of adoption or implementation? (maturity model) Does a tool need to address different provider types’ health IT? If so, how might that be implemented? Does a tool need to address different forms of patient care? If so, how might that be implemented? Does a tool need to provide resources to compare base EHR vs. modular health IT needs? Dec – Admin Call (non-public) Refine the virtual hearing format December 8, 2015 - Draft Recommendations to HITPC Status of current TF work Expectations for what will be learned from the virtual hearing December 10, 2015 - Draft Recommendations to HITSC Status of current TF work Expectations for what will be learned from the virtual hearing Thu, Jan 7, 2016 10:00am –Hearing Hear from additional expertise to inform final recommendations Fri, Jan 8, 2016 12:00pm Refine recommendations Fri, Jan, 15 2016 - Hearing Hear from additional expertise to inform final recommendations Tue, Jan, 19, 2016 12:00pm Finalize recommendations January 20, 2016 - Final Recs Joint HITPC/HITSC Presentation

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