Initiatives in Healthcare Initiatives in Healthcare Quality and HITQuality and HIT

P. Jon White, MDP. Jon White, MDHealth IT Portfolio DirectorHealth IT Portfolio Director

Agency for Healthcare Research and QualityAgency for Healthcare Research and QualityMarch 28, 2007March 28, 2007

Core Values and PrinciplesCore Values and Principles

Improve the quality, safety, efficiency Improve the quality, safety, efficiency and effectiveness of healthcare for all and effectiveness of healthcare for all AmericansAmericans

Evidence through Research, Evaluation Evidence through Research, Evaluation and Demonstrationand Demonstration

Convene Key StakeholdersConvene Key Stakeholders Inform PolicyInform Policy

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Portfolio GoalsPortfolio Goals

Patients will receive appropriate care for Patients will receive appropriate care for prevention and treatmentprevention and treatment

Patients will report a positive experience Patients will report a positive experience with healthcarewith healthcare

Patients will be able to routinely access Patients will be able to routinely access reports of quality and safety for their reports of quality and safety for their providers and practices. providers and practices.

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Where have we been?Where have we been?

Transforming Healthcare Quality through ITTransforming Healthcare Quality through IT

State and Regional DemonstrationsState and Regional Demonstrations

AHRQ’s National Resource Center for AHRQ’s National Resource Center for Health ITHealth IT

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healthit.ahrq.govhealthit.ahrq.gov

Privacy and SecurityPrivacy and Security

$17.4 million dollar contract$17.4 million dollar contract 33 states and Puerto Rico33 states and Puerto Rico Final report this summerFinal report this summer National meeting in MarchNational meeting in March Additional regional meetings and TAAdditional regional meetings and TA

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Where else have we been?Where else have we been?

E-prescribingE-prescribing– Medicare Modernization Act PilotsMedicare Modernization Act Pilots

TV Pilot for PBSTV Pilot for PBS Questions Are The AnswerQuestions Are The Answer

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What are we learning?What are we learning?

One part IT, one part culture, one part One part IT, one part culture, one part workflowworkflow

Privacy and security are foundationalPrivacy and security are foundational Be a healthy skeptic of technology, but Be a healthy skeptic of technology, but

ignore it at your perilignore it at your peril It’s about the quality (stupid)It’s about the quality (stupid)

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Where are we now?Where are we now?

Ambulatory Safety and QualityAmbulatory Safety and Quality– Patient Centered CarePatient Centered Care– IQHITIQHIT– Enabling Quality MeasurementEnabling Quality Measurement

AHRQ NRCAHRQ NRC Centers for Research and Centers for Research and

Education in Therapeutics (CERTs)Education in Therapeutics (CERTs)

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InfectiousDiseases

Medicaid &Special

Populations

Drug Interactions, esp Women

AHRQ & FDA

Musculo-skeletal

Children

Heart & Blood Vessels

Older Adults Mental Health

Adherence/Consumers

Managed Care

Devices

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2007 CERTs

Where are we now?Where are we now?

ACTIONACTION Practice Based Research NetworksPractice Based Research Networks Dissertation and Training AwardsDissertation and Training Awards Innovations ExchangeInnovations Exchange National Guidelines Clearinghouse National Guidelines Clearinghouse

and National Quality Measures and National Quality Measures ClearinghouseClearinghouse

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Where are we now?Where are we now?

American Health Information CommunityAmerican Health Information Community

– WorkgroupsWorkgroups

– Demonstrations for BreakthroughsDemonstrations for Breakthroughs

– State work AHIMAState work AHIMA HITSP, CCHIT, NHINs, State eHealthHITSP, CCHIT, NHINs, State eHealth Federal PartnersFederal Partners

– DoD, VHA, CMS, FDA, NIH, ONC, HRSA, DoD, VHA, CMS, FDA, NIH, ONC, HRSA, HIS, SAMHSAHIS, SAMHSA

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Quality Measurement and HITQuality Measurement and HIT

The “Quality Enterprise”: AQA, HQA, QASCThe “Quality Enterprise”: AQA, HQA, QASC

Providers Healthcare Data Collection Providers Healthcare Data Collection ConferenceConference

AHIC Quality WorkgroupAHIC Quality Workgroup

RFI on Health Data StewardshipRFI on Health Data Stewardship

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Where will we go?Where will we go?

AHRQ Annual Meeting AHRQ Annual Meeting

September 26-28, 2007 Bethesda MDSeptember 26-28, 2007 Bethesda MD

Value ExchangesValue Exchanges

Personalized Medicine: Network of NetworksPersonalized Medicine: Network of Networks

CDS and MedicaidCDS and Medicaid

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FinFin

Never doubt that a Never doubt that a small group of small group of thoughtful, thoughtful, committed people committed people can change the can change the world. Indeed, it is world. Indeed, it is the only thing that the only thing that ever has.ever has.– Margaret MeadMargaret Mead

Thank you!Thank you!healthit.ahrq.govhealthit.ahrq.gov