a health department-led initiative to advance and monitor the statewide hit infrastructure to...
TRANSCRIPT
A health department-led initiative to advance and monitor the statewide HIT
infrastructure to support public and population health in Minnesota
Karen SoderbergOffice of Health Information Technology (OHIT)Minnesota Department of Health
Public Health Informatics ConferenceApril 29, 2014
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Topics
• Framework for monitoring e-health• Policy levers• E-Public Health Minnesota• Resources• Emerging issues
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Collaborators
• Marty LaVenture, OHIT• Kari Guida, OHIT• MDH Office of Performance Improvement• The Minnesota e-Health Initiative
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Minnesota e-Health Initiative
A public-private collaboration established in 2004Legislatively charteredCoordinates and recommends statewide policy on e-HealthDevelops and acts on statewide e-health priorities Reflects the health community’s strong commitment to act in a coordinated, systematic and focused way
“Vision: … accelerate the adoption and effective use of Health Information Technology to improve healthcare quality, increase patient safety, reduce healthcare costs, and enable individuals and communities to make the best possible health decisions.”
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Policy Levers
• Minnesota Law:– E-prescribing mandate– Interoperable EHR mandate– HIE oversight– Health records act
• CMS meaningful use incentives (HITECH Act)
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About Minnesota
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Local Public Health (Community Health Boards)
2010 Population: 5.3 Million
(source: US Census Bureau)
MN’s e-Health Framework
• Adoption of electronic health record (EHR) systems • Effective use of EHRs• Interoperability
– the secure and standardized exchange of health information among providers/organizations
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Assess Plan InteroperateReadinessEffective UseImplementSelect
Continuumof EHR
Adoption
Adopt ExchangeUtilize
The Minnesota Model
MN e-Health Profile
• Surveys that measure provider/organization e-health status using the framework of the MN Model– Adoption of EHRs– Effective use– Interoperability
• Identify gaps and barriers • Help develop programs and inform decisions at
the local, state and federal levels of government, and support community collaboration efforts.
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Methods• Online surveys; option to complete hard copy• Participation required for hospitals/labs, clinics, local
public health• Collaborate with the community to develop and field
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Year Response Resp Rate
Hospitals 2013 140/148 95%
Clinics 2013 1,180/1,399 84%
Clinical labs 2012 137/137 100%
Local Health Departments* 2013 52/52 100%
Nursing Homes 2011 316/382 83%
Chiropractic Offices 2011 277/803 34%
* MN has 71 city and county-based health departments, 34 of which belong to combined jurisdictions called Community Health Boards
Minnesota Adoption of EHRs
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~ Community Health Boards, some of which have >1 local health department* Clinical Labs use lab information systems rather than EHRsSource: Minnesota Department of Health, Office of Health Information Technology
LPH Electronic Systems Used, 2012
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EHR System Number Percent
PH-Doc 24 46%CHAMP 20 38%CareFacts 8 15%Digital Health Department 3 6%Custom-built local system 3 6%Decade 1 2%Other 4 8%No system in place 2 4%Total* 52
* More than one system may be in use in multi-county jurisdictions
Changes Planned for EHR in 2013
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Informatics Activities Conducted in 2012
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Public Health HIE Activity, 2012
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Gap
-6
-7
-18
0
-2
-9
Clinical HIE Activity, 2012
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Gap
-40
-38
-19
-16
-9
-4
Health Information Exchange Activities Used, 2012
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Hospital and ClinicHIE with Public Health, 2013
17Hospital N = 139; Clinic N = 1,114
EHR-related Skills and/or Roles Needed, 2012
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MN e-Health Guidance• MN e-Health Guides
– Guide 1: Addressing Barriers to EHR Adoption– Guide 2: Recommended Standards– Guide 3: e-Prescribing– Guide 4: Effective Use of EHRs – Guide 5: Health Information Exchangehttp://www.health.state.mn.us/e-health/reports.html
• Stratis Health HIT Toolkithttp://www.stratishealth.org/expertise/healthit/
localpublichealth/index.html
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Continuing and Emerging Issues
• MDH readiness for HIE• Privacy and security• Workforce training• Patient/consumer engagement• Accountable care models• Learning health system
– http://www.iom.edu/Activities/Quality/LearningHealthCare.aspx
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Contact Information
Karen SoderbergPhone: (651) [email protected]
http://www.health.state.mn.us/e-health
Assessment reports and survey instruments:http://www.health.state.mn.us/e-health/assessment.html
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