MEANINGFUL USE - MASSACHUSETTS eHEALTH COLLABORATIVE (Text Version)

Slide Presentation from the AHRQ 2009 Annual Conferenc

On September 15, 2009, Mickey Tripathi made this presentation at the 2009 Annual Conference. Select to access the PowerPoint® presentation (3 MB) (Plugin Software Help).

Slide 1

MEANINGFUL USE

September 14, 2009
MASSACHUSETTS eHEALTH COLLABORATIVE

Slide 2

THIS IS GOING TO BE VERY, VERY, VERY MESSY

• In 1901, there were 2,000,000 phone users in the US
• Cumulative public and private investment was $500M, or $13B in 2009 dollars (about $6500 per user)
• Networks were operated by:
  • AT&T: ~1.3m
  • Independent networks: ~700k
    
• Number of independent networks: 2,811

Slide 3

RECOVERY ACT FUNDING FLOWS
 

Slide 4

WHY DO SO MANY PHYSICIANS OFFICES LOOK LIKE THIS?

Courier just dropped off more envelopes
Prescription refill request on fax machine (Right behind the joke of the day)
Unopened mail
Printer with results from one lab
"Hey Sally! Where is Mrs. Jones x-ray?"
Unsorted results
About to ring with stat results
Web portal (from one hospital)
 

Slide 5

THE EHR MARKET IS MOVING, SLOWLY, BUT ALSO CREATING
A DIGITAL DIVIDE IN THE PROCESS

Source: CDC; Center for Health Systems Change; National Ambulatory Care Survey
 

Slide 6

HEALTH IT SPENDING IN ARRA

Slide 7

US GOV'T EXPECTING TO GET 50% PAYBACK ON
ARRA HEALTH IT INVESTMENTS

Slide 8

MEANINGFUL USE DOESN'T JUST HAPPEN, IT GETS DONE

Slide 9

PAYMENTS MAY NOT COVER THE OUTLAYS AT AN
INDIVIDUAL PHYSICIAN-LEVEL

Slide 10

MEANINGFUL USE INTEROPERABILITY REQUIREMENTS COULD PUSH THE ENTIRE INDUSTRY TOWARD HIE

Slide 11

ESTIMATED STATE-LEVEL HIE FUNDING ALLOCATIONS

Slide 12

Measure Process Workflow

Source: HIT Standards Committee, 9/15/2009
 

Slide 13

MAeHC ARCHITECTURE AND DATA FLOWS

Slide 14

CLINICAL USE OF DEPLOYED EHRs
% of Encounters Documented Clinically in EHRs (Q2 2006 - Q2 2008)

Slide 15

BREAKOUT OF CLINICAL USE MEASUREMENT

Slide 16

Records Received By MAeHC QDC
Through May 2009
 

Slide 17

QUALITY DATA CENTER IS BECOMING A "PUBLIC UTILITY",
AS WELL AS A COMMERCIAL PLATFORM

Slide 18

Micky Tripathi, PhD MPP

President & CEO

www.maehc.org