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TRANSCRIPT
Welcome to MDH/Stratis Health
E-Health Toolkit Training
Kari Guida, Phil Deering
Social Services Presentation
January 29, 2014
Our Agenda
2
e-Health in Minnesota – presentation by Kari Guida 15
Questions for Kari 5
Videos – Annette Sandler and
James Dungan-Seaver
15
Using the Stratis Health Toolkits – presentation by
Phil Deering
35
Questions on all topics 15
There will be short pauses
between each of the
presentations
Ground Rules
• Sound will be over the phone, not over
computer
• Your phone will be muted during
presentations
• Please use chat function on webinar to
ask questions
• Any unanswered questions will be
captured and answered
e-Health in Minnesota
Kari Guida, MPH, MHI
Senior Health Informatician,
Office of Health Information Technology,
Minnesota Department of Health
4
e-Health in Minnesota
Kari Guida, MPH, MHI
Senior Health Informatician
Office of Health Information Technology
Minnesota Department of Health
HIT Toolkit Training Session
January, 2014
5
Topics
• What is e-health?
• Drivers of e-health
• Progress of e-health in Minnesota
• Resources
• Key Actions
– Professional
– Association
– Consumer
6
What is e-Health?
• e-Health is the adoption and effective use of electronic health records (EHR) systems and other health information technology including health information exchange to:
– improve health care quality
– increase patient safety
– reduce health care costs
– enable individuals and communities to make the best possible health decisions
7
Drivers of e-Health
• Triple Aim – Improved consumer experience
– Improved population health
– Lower per capita health care costs
• Care Coordination
• Policies – Minnesota 2011 e-Prescribing Mandate
– Minnesota 2015 Interoperable EHR Mandate
– Federal Meaningful Use Incentive Program
8
Achieving e-Health
9
Minnesota Model for Adopting Interoperable Electronic Health Records
Developed by the Minnesota e-Health Initiative to • Provide guidance for providers in achieving the
Minnesota mandates and improving care • Assess progress and barriers
Minnesota Adoption of EHRs
10
25%
69%
87%
94%
96%
97%
0% 20% 40% 60% 80% 100%
Chiropractic Offices (2011)
Nursing Homes (2011)
Clinics (2013)
Local Health Depts (2012)
Hospitals (2012)
Clinical Labs* (2011)
Percent of Providers with EHRs
* Clinical Labs use lab information systems rather than EHRs Source: Minnesota Department of Health, Office of Health Information Technology
Effective Use
11 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html, data from 2013 clinic survey, 2012 hospital survey, and 2011 nursing home survey.
Impact of EHRs on Practice
12 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html
36%
42%
52%
57%
57%
59%
66%
67%
33%
31%
24%
23%
20%
20%
26%
23%
0% 20% 40% 60% 80% 100%
Order fewer tests due to better availability of other lab results
Identify needed lab tests
Be reminded to provide preventive care
Be alerted to critical lab values
Provide care that meets clinical guidelines for patients with chronic disease
Order more on-formulary drugs
Enhance patient care in your clinic
Be alerted to potential medication errors
Percent of Clinics with EHRs (N= 1,125)
Agree Agree Somewhat
Health Information Exchange
13 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html
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Components of Interoperability
Technical
• Transmitting the data
• Hardware, software, networks
Semantic
• Communicating the meaning of the data
• Data content, terminologies and structure
Process
• Best practices on the use of data
• People interacting with the system
• Workflow, user roles, etc.
Resources ( 1 of 2)
• Guide 1: Addressing Barriers to EHR Adoption
• Guide 2: Recommended Standards
• Guide 3: e-Prescribing
• Guide 4: Effective Use of EHRs
• Guide 5: Health Information Exchange
15
http://www.health.state.mn.us/e-health/reports.html
Resources (2 of 2)
• Guidance for Understanding the Minnesota 2015 Interoperable EHR Mandate
• E-Health/HIT Toolkit
http://www.health.state.mn.us/e-health/hitimp/index.html 16
Become Involved (1 of 3)
• Health Care Professionals and Organizations
– Collaborate with organizations and other health care settings
– Participate in e-health training, education and committees or workgroups
– Use, adapt and share e-health tools
– Join/participate in the Minnesota e-Health Initiative
• Subscribe to e-Health updates
• Participate in the e-Health Initiative and workgroups
http://www.health.state.mn.us/e-health
17
Become Involved (2 of 3)
• Associations – Achieve or more towards consensus:
• E-health needs and requirements for your setting
• Policies for e-health specific to your setting
• Create/offer trainings
– Create/support opportunities for collaboration statewide and regionally
– Watch for and respond to the Request for Proposals to be released this Winter/Spring regarding the Minnesota Accountable Health Model (MAHM), funded by federal SIM dollars. • www.mn.gov/SIM
18
Become Involved (3 of 3)
• Consumer/Patient –Request your provider send a prescription to
pharmacy electronically (e-prescribing)
–Communicate with your doctor through the internet/computer (secure email, patient portal)
–Receive text message to remind you to take medication (mobile health, m-Health)
–Request a summary of your clinic visit
–Use a mobile app or website to track healthy living activities (water, calories, yoga, meditation)
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Questions?
Contact the Office of Health Information Technology (OHIT):
www.health.state.mn.us/e-health
Learn more about MAHM/SIM
www.mn.gov/sim
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