health and human services: schuck%20milligan
TRANSCRIPT
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 1/13
Current Heal t h Qual i t y andInform at ion Tec hno logy
Reform Proposa lsJuly 12, 2006
Charles Milligan, JD, MPH
Medicaid Commission Meeting
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 2/13
-2-
Preview of Present a t ion
Quality initiatives – objectives Quality initiatives – tactics and tools
Quality initiatives – the Commission’s role
Health IT – objectives
Health IT – tactics and tools
Health IT – the Commission’s role
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 3/13
Qual i t y In i t ia t ives
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 4/13-4-
Qual i t y In i t ia t ives --
Objec t ives
Reduce medical errors
Improve patient safety
Drive the health care system’s adoption of best
clinical practices Improve coordination of care across providers,
particularly for complex patients
Change patient behavior to improve eachperson’s overall health
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 5/13-5-
Qual i t y Ini t ia t ives –
Tac t i c s and Too ls
Payment Pay-for-performance
Consumer-directed health
Financing for wellness and prevention Eliminate payment for non-efficacious care
Transparency and reporting Public reporting
Dissemination
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 6/13-6-
Qual i t y Ini t ia t ives –
Tac t ic s and Tools (c on’t )
Infrastructure Electronic health records
E-prescribing
Research
Identify and develop evidence-based guidelines
Identify and develop accepted performancemeasurement standards
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 7/13-7-
Qual i t y In i t ia t ives –
Tac t ic s and Too ls (c on’t )
Aggregation Managed care (HEDIS, CAHPS, etc.)
Care coordination and disease management
“Partnerships”
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 8/13-8-
Qua l i t y In i t i at i ves – t he
Com m iss ion ’s Role and Tools Payment recommendations?
Transparency/reporting recommendations?
Infrastructure recommendations?
Research recommendations?
Aggregation recommendations?
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 9/13
Healt h In fo rm at ion
Technology
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 10/13-10-
Healt h IT -- Ob jec t i ves Clinical information exchange across a patient’s
various health care providers
Create early alert system (e.g. polypharmacy)
Reduce errors created by multiple manual entryprocess
Reduce administrative time and waste associatedwith multiple manual entry process
Protect confidentiality and data security
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 11/13-11-
Heal t h IT – Tac t ic s and
Tools
Electronic health records
Defining data standards, security standards,etc.
Investment in adoption
E-prescribing
Information exchanges (data warehousing)
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 12/13-12-
Healt h IT – t he Com m iss ion’s
Role and Tools
Electronic health record recommendations? Recommendations about defining data
standards, security standards, etc.?
Recommendations about financing theinvestment in adoption?
E-prescribing recommendations?
Recommendations about informationexchanges (data warehousing)?
8/14/2019 Health and Human Services: sChuck%20Milligan
http://slidepdf.com/reader/full/health-and-human-services-schuck20milligan 13/13