Blueprint Integrated Pilot Programs (Text Version)

Slide presentation from the AHRQ 2009 conference

On September 19, 2009, Craig Jones made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (1 MB) (Plugin Software Help).

Slide 1

Slide 1. Blueprint Integrated Pilot Programs: A community system of health supported by HIT

Blueprint Integrated Pilot Programs

A community system of health supported by HIT
Craig Jones MD
Director, Vermont Blueprint for Health
craig.jones@vdh.state.vt.us

Slide 2

Slide 2. Blueprint Integrated Pilots: Coordinated Health System

Blueprint Integrated Pilots Coordinated Health System

Image: Figure displays a series of ovals. The central oval contains the following text:

Community Care Team

Nurse Coordinator
Social Workers
Dieticians
Community Health Workersv OVHA Care Coordinators
Public Health Prevention Specialist

Overlapping it are 4 small ovals all captioned as "PCMH," and 3 larger ovals that are captioned "Hospitals," "Mental Health and Substance Use Disorders" and "Public Health Prevention."

Below this figure are four bars bearing the following captions:

  • Health IT Framework
  • Global Information Framework
  • Evaluation Framework
  • Operations

Slide 3

Slide 3. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
EMRs used for Individual Patient CareEMR DatabasesData transmission & transformation VITL / GEEMR Reporting Tool or AnalystClinical Process MeasuresIndividual Patient Care & Support Services
DocSite used for Individual Patient Care DocSite DatabaseDocSite Reporting ToolHealth Status MeasuresPopulation Management
   Contracted Analysis ServicesHealthcare Quality Measures & Standards
 		Quality Improvement
Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer DatabaseBISCHA ReportsHealthcare Patterns & Resource UtilizationProvider Payment for Quality
VCHIP Chart Review & NCQA Scoring VCHIP DatabasesVCHIP Analysis & Report GenerationHealthcare Expenditures & Financial ImpactProgram Evaluation & Sustainability
Public Health Surveys & Data CollectionPublic Health Registries & DatabasesVDH Health Surveillance Analytic DatabaseVDH Health Surveillance AnalystPopulation Indicators & Risk FactorsCommunity Prevention Planning

Slide 4

Slide 4. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
EMRs used for Individual Patient CareEMR DatabasesData transmission & transformation VITL / GEEMR Reporting Tool or AnalystClinical Process MeasuresIndividual Patient Care & Support Services
  DocSite DatabaseDocSite Reporting ToolHealth Status MeasuresPopulation Management
     Quality Improvement

Slide 5

Slide 5. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
   Clinical Process MeasuresIndividual Patient Care & Support Services
DocSite used for Individual Patient CareDocSite DatabaseDocSite Reporting ToolHealth Status MeasuresPopulation Management
    Quality Improvement

Slide 6

Slide 6. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
   Healthcare Quality Measures & Standards
 		Quality Improvement
 
VCHIP Chart Review & NCQA ScoringVCHIP DatabasesVCHIP Analysis & Report Generation Provider Payment for Quality

Slide 7

Slide 7. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
   Clinical Process Measures
 
 
   Health Status MeasuresPopulation Management
VCHIP Chart Review & NCQA ScoringVCHIP DatabasesVCHIP Analysis & Report Generation Quality Improvement

Slide 8

Slide 8. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
  Contracted Analysis Services Quality Improvement
 
Medical Claims from Commercial Insurers & MedicaidBISCHA Multipayer DatabaseBISCHA ReportsHealthcare Patterns & Resource Utilization 
   Healthcare Expenditures & Financial ImpactProgram Evaluation & Sustainability

Slide 9

Slide 9. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
     Quality Improvement
      
      
Public Health Surveys & Data CollectionPublic Health Registries & DatabasesVDH Health Surveillance Analytic DatabaseVDH Health Surveillance AnalystPopulation Indicators & Risk FactorsCommunity Prevention Planning

Slide 10

Slide 10. Blueprint Integrated Pilots: Evidence Based Quality Improvement

Data SourceData Processing & StorageData AnalysisData Reports & Uses
EMRs used for Individual Patient CareEMR DatabasesData transmission & transformation VITL / GEEMR Reporting Tool or AnalystClinical Process MeasuresIndividual Patient Care & Support Services
DocSite used for Individual Patient Care DocSite DatabaseDocSite Reporting ToolHealth Status MeasuresPopulation Management
   Contracted Analysis ServicesHealthcare Quality Measures & Standards
 		Quality Improvement
Medical Claims from Commercial Insurers & Medicaid BISCHA Multipayer DatabaseBISCHA ReportsHealthcare Patterns & Resource UtilizationProvider Payment for Quality
VCHIP Chart Review & NCQA Scoring VCHIP DatabasesVCHIP Analysis & Report GenerationHealthcare Expenditures & Financial ImpactProgram Evaluation & Sustainability
Public Health Surveys & Data CollectionPublic Health Registries & DatabasesVDH Health Surveillance Analytic DatabaseVDH Health Surveillance AnalystPopulation Indicators & Risk FactorsCommunity Prevention Planning

Slide 11

Slide 11. Statewide Health Information Exchange

  • Federal HIT/HIE Policy, Oversight, & Standards—Office of the National Coordinator (ONC)
  • State HIT/HIE Policy, Oversight, & Standards — OVHA/HCR
    • State Government & Public Health
    • Vermont Health Care Providers & Institutions
NIH Connectivity
Public Health surveillance, registries, & other public health functionsHealth Information Exchange "Cloud " for secure, privacy protected interchange of health records, demographic data, image files, clinical messaging, & other digitized health information Statewide HIE Operated by VITLFederally Qualified Health Centers & Rural Health Clinics
Medicaid health programs case management functionality and connectivityFree Clinics
Other Medicaid & AHS case management functionality and connectivityMental Health/BH/SA Providers
Other state agency & dept. case management functionality and connectivityLong Term Care Providers
Law Enforcement, Corrections, & Court SystemHome Health & Hospice Providers
Tertiary and Community HospitalsCommunity Human Service Agencies (Family Centers, Area Agencies on Aging, etc.)
Primary Care & Specialty Providers
Individual Vermonters: connectivity to EHR Portals, Personal Health Records (PHR), Health 2.0 applications and Ix Services
 

Slide 12

Slide 12. Blueprint Integrated Pilots: Building a Scalable Model

Blueprint Integrated Pilots Building a Scalable Model

Multidimensional evaluation framework

  • Support patient care & population management
  • Support ongoing quality improvement
  • Evaluate trends in clinical outcomes
  • Evaluate trends of financial impact
  • Support sustainability & expansion
Current as of December 2009
Internet Citation: Blueprint Integrated Pilot Programs (Text Version). December 2009. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2009/jones/index.html