Office of Provider Adoption Support (OPAS): Supporting Primary Care Providers to Achieve Meaningful Use

February 29, 2012

HITECH: Catalyst for Transformation

Pre 2009 2009 2014

A system plagued by inefficiencies

EHR Incentive Program and 62 Regional Extension Centers

Widespread adoption & meaningful use of EHRs

Goal: Assist All Providers to Achieve Meaningful Use of EHR Systems

Community College Consortium

Provider Adoption Services

Provider Adoption Services Meaningful Use

Regional Extension Centers (RECs)

Health Information Technology

Research Center (HITRC)

Office of Provider Adoption Support (OPAS)

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 HealthHealth Care EfficiencyPatient Health Outcomes

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

REC Funding History

Help as many

providers as possible

get to MeaningfulUse of anElectronic

Health RecordSystem

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

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

Plan1 Transition2 Implement3 4

Primary goal: Give providers as much support as possible

RECs Cover the Full Range of Services

Interoperability & HIEAssist providers in meeting functional interoperability

requirements

Interoperability & HIEAssist providers in meeting functional interoperability

requirementsImplementation Support

Provide EHR project management support

Implementation SupportProvide EHR project

management support

Meaningful UseAssist providers on achieving

Meaningful Use objectives

Meaningful UseAssist 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

operationsPrivacy & Security

Implement best practices to protect patient information

Privacy & SecurityImplement best practices to protect patient information

Outreach & EducationShare best practices to select, implement, and meaningfully use EHRs

Outreach & EducationShare best practices to select, implement, and meaningfully use EHRs

Vendor SelectionAssess practice’s IT needs and help select/ negotiate

vendor contracts

Vendor SelectionAssess practice’s IT needs and help select/ negotiate

vendor contracts

WorkforceProvide EHR training to

providers and staff

WorkforceProvide EHR training to

providers and staff

REC Services

REC Services

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

REC Program Success To-date: (2/27/12)

Primary Care Providers (PCP) Enrolled

PCP on EHR PCP 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

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-HITRECGuam• Hawaii Pacific RECIllinois• Illinois HIT Regional Extension

Center

Indiana• Indiana Health Information

Technology Extension Center (I-HITEC)

Iowa• Telligen (IA)Kansas• Kansas Foundation for

Medical CareLouisiana• Louisiana Healthcare Quality

ForumMaine• HealthInfoNetMichigan• Michigan Center for Effective

IT Adoption (M-CEITA)Minnesota• REACH (Stratis Health)Mississippi• Mississippi Regional

Extension CenterMissouri• Missouri Health Information

Technology Assistance Center

Nebraska• Wide River TEC (NE)New Mexico• Lovelace Clinic Foundation-LCF Research

North Carolina•North Carolina RECOhio•Ohio Health Information PartnershipOregon•O-HITEC (OHITREC) (OR)Pennsylvania•PA REACH (West/East)South Dakota•HealthPointMulti-State•Greater Cincinnati Health Bridge Inc. (OH, KY, IN)•National Indian Health Board (DC)

CCC SHARP

REC

Beacon

HIE

HITRC’s Central Role Supports Health IT Optimization

Works with external communities and shares knowledge

ToolsTools

ResourcesResources

Communities of Practice

(CoPs)

Communities of Practice

(CoPs)

Works with HITRC community and shares knowledge

Collaboration Portal

Knowledge Sharing Network (KSN)

Training ServicesPractice Transformation Support

Communities of Practice (CoPs)

Customer Relationship Management (CRM)

Tools &Support for Adoption and MU

Public Website

Learning Systems

HITRC Resources

Community College ConsortiaWorkforce 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

REGION A

REGION C

REGION B

REGION D

REGION E