presentation to la health...

A project of L.A. Care Health PlanA project of L.A. Care Health Plan

Presentation to LA Health Collaborative

Health Information Technology Extension Centerfor Los Angeles

February 14, 2011

This presentation is incomplete without supporting oral commentary

A project of L.A. Care Health Plan

Federal HITECH Act

“To improve the quality of our health care while lowering its costs, we

will make immediate investments necessary to ensure that, within five

years, all of America’s medical records are computerized. This will cut

waste, eliminate red tape and reduce the need to repeat expensive

tests… But it just won’t save billions of dollars and thousands of jobs;

it will save lives by reducing the deadly but preventable medical errors

that pervade our health care system.”

President Obama

January 2009


HITECH Program

• Medicare and MedicaidIncentives & Penalties

• State Grants for HIE• Standards & Certification Framework

• Privacy & Security Framework

$60B HITECH Program: How the Pieces Fit Together

Improved Individual & Population Health

Outcomes

Increased Transparency &

Efficiency

Improved Ability to Study & Improve Care

Delivery

ADOPTION

MEANINGFUL USE

EXCHANGE

Health IT Practice Research

• Regional Extension Centers

• Workforce Training

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Regional Extension Centers

• Not-for-profit organizations that provide subsidized, on-site technical assistance to help primary care providers select, implement, and use EHRs in a meaningful way

• Goal is for 100,000 priority primary care providersto become meaningful users of EHRs within four years; 42,000 enrolled to date

• Four year program, 90% paid for by federal government


HITEC-LA

• April 2010 – L.A. Care awarded a federally

funded grant to serve 3,000 providers in Los

Angeles County

• HITEC-LA formed as a separate division of L.A.

Care

• Experienced 12-person core team; over 100

with Service Partners/EHR vendors

• We are not vendors; we are a neutral party

advised by providers


Available Monies

• Contracted,

eligible

providers can

receive $5,000

from HIT

incentive

program

• Additional grant

money is

available

• Utilize REC’s

Service Partners

• On-site

technical

assistance from

readiness

through MU

Stage I, paid for

by HITEC-LA

program

L.A. CareHITEC-LA

• Medicare/

Medicaid

incentive

program

• Medicare:

up to $44,000

• Medicaid:

up to $63,750

CMS


Provider Incentive Eligibility CrosswalkProvider Type/License Eligible for Medi-Cal

Incentives1

Eligible for Medicare Incentives

Eligible for Subsidized REC Services

Eligible for L.A. Care

Health IT Incentives

Medical Doctor (MD) YES3 YES3 YES2 YES

Doctor of Osteopathy (DO) YES3 YES3 YES2 NO

Psychiatrists (MD) YES3 YES3 NO4 NO

Dentist (DDS, DMD) YES YES NO4 NO

Nurse Practitioner (NP) YES3 NO YES2 NO

Certified Nurse Midwife (CNM) YES3 NO YES2 NO

Chiropractor (DC) NO YES NO4 NO

Physician Assistant (PA) YES5 NO YES2 NO

Psychologists NO NO NO4 NO

Optometrists (OD) YES YES NO4 NO

Podiatrists (DPM) NO YES NO4 NO

Residents YES3 YES3 NO NO

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1Must meet Medi-Cal Patient volume criteria

• Minimum 30% Medicaid patient volume

• Minimum 20% Medicaid patient volume and is a pediatrician

• Practice predominantly in a Federally Qualified Health Center or Rural Health Clinic and have a minimum 30% patient volume of needy individuals2Non-Hospital based, certified in Internal Medicine, Family Practice, Pediatrics, Adolescent Medicine, OB/GYN, or Family Practice practicing in one of the following settings:

• Physician Practices of 10 providers or less

• Community health centers, primary care clinics and rural health clinics

• Ambulatory care clinics associated with public hospitals, critical access hospitals, or rural hospitals

• Other medically underserved settings3Non-Hospital based: if more than 90% or the provider’s services are performed in a hospital in-patient or emergency room setting, that provider is Hospital-Based and not eligible for the EHR incentive program4May be eligible for REC services on a Fee for Service basis5Physician Assistants are only eligible if practicing in FQHC or RCH that is “Physician Assistant-led”


HITEC-LA Members

• 1500 providers

Aids HealthCare Foundation

Denise A. Albury, MD

AltaMed Health Systems

American Indian Healing Center

Ali Awada MD

Asian Pacific Health Care Venture

Lily Balette, MD

Clinica Msr Oscar Romero

Compton Central Health

Lina C. Dela Cruz, MD

Eisner Pediatric and Family Medical

Center

El Proyecto del Barrio

Family Health Care Center of L.A.

Santosh Garg MD

Harbor Community Clinic

Mona Iskander MD

Wilbert Jordan MD

Vigen Khojayan MD

Gia D. Le

Los Angeles Christian Centers

Manuel F. Mendoza, MD

Willy Murtidjaja, MD

Narinder Nat, MD

Oscar Perez, MD

QueensCare Family Clinics

Alagia Rangarajan, MD

Ruben M Ruiz, III MD

Saban Free Clinic

South Central Family Health Center

St. John's Well Child & Family

Center

Darren Takeuchi MD

Terence TZ Tan MD

T.H.E. Clinic Inc.

UMMA Community Clinic

URDC Human Services

Venice Family Clinic

Z. Joseph Wanski, MD

Watts Healthcare Corporation

Kong-Tay Wu, MD

Raquel M. Ynchausti, MD


How We Help Our Members

• First, a telephone practice assessment to determine readiness:

– 900 assessments completed so far; 80% of our providers are ready

• Next, a Service Partner is assigned, meets with practice, and begins the work to help onsite from start to finish:

– Currently 700 providers are getting service including vendor selection, infrastructure selection, upgrades to certified EHRs, workflow redesign, and meaningful use achievement

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On-Site Assistance

Readiness Assessment

Vendor Selection Implementation Training Go Live Meaningful Use

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• On-site Assessment

• Gap Report• Boot Camp• Education

• Assist with EHR Selection

• Arrange Demo

• Coordinates HW/SW Install

• Oversee/Test Equipment

• Hand-Holding• Customizing

Templates

• Onsite Support• Workflow

Redesign

• Rx Connection• Lab Connection• Monitoring MU

Reports

•Vendor Demo•Price Quote•Sign Contract

Installation:•Internet•Hardware•EHR

•EHR Training•Template Design

•Conversion


Group Purchasing of EHRs

• We work with ANY ONC certified vendor/product

• We will offer standard contracts/pricing for:

– Solo/Small

• Allscripts

• Athenahealth

• eClinicalWorks

• e-MDs

• And one or two more in contract discussions

– Clinics/Larger Practices

• eClinicalworks

• GE (Practice and Advanced Systems)

• Greenway

• McKesson Practice Partner

• NextGen


TestimonialsHere is just a sample of what members are saying about HITEC-LA:

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“It is good that we have someone well informed and knowledgeable to help us through implementation

of EHR.”

Joseph DianchianAdministrator, Helen Rostalmoo MD

“We were impressed with their rapid response to our request for

assessment....We are very pleased with HITEC-LA and plan to call on

them further as we move forward to achieve meaningful use of our EHR.

Thank you HITEC-LA!”

Paula WilsonPresident and Chief Executive Officer,

Valley Community Clinic

“The help we received from the REC was invaluable to us. HITEC-LA found us a great service provider team who

worked side by side with us and brought the knowledge and skill we

needed to get the job done!”

Tracy Robinson, MDChief Medical Officer, T.H.E. Clinic, Inc.

“The L.A. Care incentive provides us with much-

needed funding that helps us complete key initiatives,

and HITEC-LA will play a central role in coordinating the various elements of our

EHR implementation to successfully get us to

meaningful use. We expect that our EHR will enable us to make significant strides towards achieving greater standards of care to the

communities that we serve.”

Gary ZimbleChief Information Officer,

St. John’s Well Child& Family Center

"I just wanted to say thank you for your support and assistance while we worked to submit our School-Based Health Center Capital grant program to HRSA. We submitted the application this morning and are hopeful HRSA will fund the

purchase of an EHR system for the new SBHC."

Jackie Provost, MPHDirector of Programs,

UMMA Community Clinic


Why Enroll Now?

• EHR adoption is happening

• We eliminate the confusion and help

keep your practice running

• We have subsidies for 3,000 eligible

providers, 1500 enrolled to-date

• Our on-site assistance program ends

in 2014


www.hitecla.org

1 (888) 524-4832

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http://www.hitecla.org/

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