Health care stakeholders share progress notes on health IT adoption

Health information exchange and meaningful use were hot topics at this summer's Healthcare Stimulus Exchange (HSX) conference in Chicago, where health IT leaders shared stories and strategies related to health IT adoption. Check out these video clips from the second day of the conference, featuring the following speakers (in order of their appearance): Michael Matthews, CEO of Med Virginia; Patricia Becker, vice president of technology services and CIO of University Health; Alisa Ray, executive director of the Certification Commission for Health Information Technology; and David Mayer, acting senior adviser for the health information privacy, compliance and enforcement group at the U.S. Department of Health & Human Services Office for Civil Rights. To see full videos of the conference's speakers, visit the HSX media portal.

As a follow-up to the HSX conference series, the 2010 National Healthcare IT Connect Summit will be held Oct. 26-28 in Washington, D.C. This summit brings together stakeholders from across the country to discuss the progress of health IT and the role of innovation, interoperability and sustainability in creating a national connected health architecture.

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Read the full transcript from this video below:  

Health care stakeholders share progress notes on health IT adoption

Michael Matthews: Perhaps a little bit unique to HIEs and RHIOs in this space, we are both integrators of data, as well as users of integrated data. It is an important point for us in that we stand very close to what the end user requirements are for the data and the functionality. Our job is not just to grab it, pop it out to the providers, and tell them to have a nice day; we are also engaging with the providers on a number of fronts, including care coordination.

This is a schematic showing the range of care management activities that we are undertaking or have undertaken, to show an increasing level of patient engagement, in part, driven by health information technology and health information exchange. A lot of buzz about medical home, more buzz than money, but a lot of buzz about medical home. We have embraced medical home development ourselves; we have a medical home tool kit to help providers get to the highest level of NCQA Level 3 medical home certification. This configuration is helpful to us in explaining to the physicians, and actually to our own boards -- we have four different boards, four different board packets, four different financial segments each month, that we prepare.

Patricia Becker: We have one little catch. One of the other questions we asked in our survey was, ‘How many of you thought you would be able to meet the Meaningful Use rules with one certified system?’ More than 20% of our hospitals felt that they would need to certify at least two systems, and more than 40% of our practice plants felt that they would need to certify more than two systems, and in some cases, they thought they may need to certify two or three systems.

Alisa Ray: I guess we will, there is not a clear strategy, or it is a different way to approach this for every hospital or provider out there. Depending on your capabilities with your EHR shop, how much EHR technology you have installed and are using already, you might be more of a leading edge provider. You have adapted the technology, you might say, ‘I am ready to go. I am ready to meet meaningful use right out of the gates.’ Kat had some folks in her survey that said they were going to do that, 40-something percent? That is pretty impressive. There may be some that have some fixes to do. We are calling those the ‘just in time.’ They are in the process of adopting an EHR, maybe they started that journey, but not quite completed it, so they would likely look at trying to adapt or achieve those meaningful use stages in 2013 or 2014. They are going to have to step up to the higher stages more quickly, so the staircase gets a little bit steeper. They will leave a little bit of the money behind -- maybe only get 75%, but they cannot miss any of the steps. The game gets harder.

David Mayer:  ERA has given Attorneys General the right, where the state has a compelling interest, to file HIPAA complaints directly with the Federal Court. As far as I know, it is happened in Connecticut twice. They have two cases there. OCR is planning to do training for State Attorneys General, and that should happen before the end of the year. That is very new. OCR worries that the Attorneys General will not get it right. Connecticut has talked to us; we see the filings and they consult with us on some matters. Those are the big changes. We will try to leave time for some questions at the end. Thank you.

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