HIT HIT Implementation Implementation

AssistanceAssistanceARRA Section 3012ARRA Section 3012

(Public Health Service (Public Health Service Act)Act)

HIT Research Center HIT Research Center (national)(national)

Provide Technical AssistanceProvide Technical Assistance Develop or recognize best practices to Develop or recognize best practices to

support and accelerate efforts to:support and accelerate efforts to: Adopt, implement, and effectively utilize HIT Adopt, implement, and effectively utilize HIT

that Allows forthat Allows for Electronic exchange and Electronic exchange and Use of informationUse of information

In compliance with standards, implementation In compliance with standards, implementation specifications, and certification criteria specifications, and certification criteria adopted under Section 3004 of the HITECH adopted under Section 3004 of the HITECH Act.Act.

HIT Research Center HIT Research Center purposespurposes

Forum for the exchange of knowledge and Forum for the exchange of knowledge and experienceexperience

Accelerate the transfer of lessons learnedAccelerate the transfer of lessons learned Assemble, analyze, and widely disseminate Assemble, analyze, and widely disseminate

evidence and experienceevidence and experience Provide technical assistance for HIEProvide technical assistance for HIE Provide technical assistance for solutions to Provide technical assistance for solutions to

barriers for HIEbarriers for HIE Learn about effective ways of adopting/using Learn about effective ways of adopting/using

HIT in medically underserved areasHIT in medically underserved areas

HIT Regional Extension HIT Regional Extension CentersCenters

Provide technical AssistanceProvide technical AssistanceDisseminate best practices Disseminate best practices

and other informationand other informationSupport and accelerate Support and accelerate

efforts to adopt, implement, efforts to adopt, implement, and utilize HIT.and utilize HIT.

Best Practices Best Practices through Extension through Extension

programsprogramsParallels to U.S. Dept of Parallels to U.S. Dept of

AgricultureAgriculture Land Grant Land Grant

UniversitiesUniversities Cooperative Cooperative

Extension: County Extension: County Agricultural AgentsAgricultural Agents

Enormous benefit to Enormous benefit to 2020thth century century agricultureagriculture

Regional Extension Regional Extension CentersCenters

Four year grant cycleFour year grant cycle Years 1 & 2: 90% federal shareYears 1 & 2: 90% federal share Years 3 & 4: 10% federal shareYears 3 & 4: 10% federal share

Estimated 70 centers, by geographic Estimated 70 centers, by geographic areaarea

Supporting 100,000 providersSupporting 100,000 providers Nonprofit institutions Nonprofit institutions

Oklahoma Regional Oklahoma Regional Extension CenterExtension Center

Oklahoma Primary Care Association Oklahoma Primary Care Association initiatedinitiated

Began meeting in June 2009Began meeting in June 2009 OHA, OSMA, OOA, OFMQ, OSU, OU, OHA, OSMA, OOA, OFMQ, OSU, OU,

OHCA, OSDH, OKPRN, AHEC, HAU, OHCA, OSDH, OKPRN, AHEC, HAU, othersothers

Oklahoma Foundation for Medical Oklahoma Foundation for Medical Quality selected as grant applicantQuality selected as grant applicant

Hospitals & HIT Extension Hospitals & HIT Extension Program – ARRA excerptProgram – ARRA excerpt

(4) REGIONAL ASSISTANCE.—Each regional center shall (4) REGIONAL ASSISTANCE.—Each regional center shall aim to provide assistance and education to all providers aim to provide assistance and education to all providers in a region, but shall prioritize any direct assistance in a region, but shall prioritize any direct assistance first to the following:first to the following:

(A) Public or not-for-profit hospitals or critical (A) Public or not-for-profit hospitals or critical access hospitals.access hospitals.

(B) Federally qualified health centers (as defined in (B) Federally qualified health centers (as defined in section 1861(aa)(4) of the Social Security Act).section 1861(aa)(4) of the Social Security Act).

(C) Entities that are located in rural and other areas (C) Entities that are located in rural and other areas that serve uninsured, underinsured, and medically that serve uninsured, underinsured, and medically underserved individuals (regardless of whether such underserved individuals (regardless of whether such area is urban or rural).area is urban or rural).

(D) Individual or small group practices (or a consortium (D) Individual or small group practices (or a consortium thereof) that are primarily focused on primary care.thereof) that are primarily focused on primary care.

May 28 Federal Register May 28 Federal Register notice - “draft notice - “draft description” description”

We propose that the goals of the regional We propose that the goals of the regional center program should be to:center program should be to:

Encourage adoption of electronic health Encourage adoption of electronic health records by records by clinicians and hospitalsclinicians and hospitals;;

Assist Assist clinicians and hospitalsclinicians and hospitals to become to become meaningful users of electronic health meaningful users of electronic health records; andrecords; and

Increase the probability that adopters of Increase the probability that adopters of electronic health record systems will electronic health record systems will become meaningful users of the technology.become meaningful users of the technology.

August 20 – Funding August 20 – Funding Opportunity AnnouncementOpportunity Announcement Pursuant to requirements of the HITECH Act, Pursuant to requirements of the HITECH Act, priority priority

shall be given to providers that are primary-care shall be given to providers that are primary-care providersproviders (physicians and/or other health care (physicians and/or other health care professionals with prescriptive privileges, such as professionals with prescriptive privileges, such as physician assistants and nurse practitioners) physician assistants and nurse practitioners) in any of in any of the following settingsthe following settings::

individual and small group practices (ten or fewer individual and small group practices (ten or fewer professionals with prescriptive privileges) primarily professionals with prescriptive privileges) primarily focused on primary care; focused on primary care;

public and Critical Access Hospitalspublic and Critical Access Hospitals; ; Community Health Centers and Rural Health Clinics; Community Health Centers and Rural Health Clinics;

and and other settings that predominantly serve uninsured, other settings that predominantly serve uninsured,

underinsured, and medically underserved populations. underinsured, and medically underserved populations.

Application and Award Application and Award Process: Process:

$598 Million$598 Million