Health Information Technology in Connecticut Physician Offices ACP Connecticut Chapter Scientific Me

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Health Information Technology in Connecticut
Physician Offices ACP Connecticut Chapter
Scientific Meeting Aqua Turf Club, Southington,
CTOctober 20, 2006

• Thomas P. Meehan, MD, MPH
• Qualidigm

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Medicare - Qualidigm Primary Care Technology
Initiative

• Electronic health records
• Patient registries
• E Prescribing

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Qualidigm HIT Activities Statewide

• Sponsor educational sessions/vendor fairs
• HIT activity updates on Qualidigm website and in
  partner newsletters
• Provide general contracting guidelines
• Share best practices website, newsletters

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Qualidigm HIT Activities Individual Primary Care
Offices

• HIT needs/barrier assessments
• Tools for selection of EMR, registries, e-Rx
• Guidance regarding conversion from paper charts
• Data analysis/interpretation
• Workflow analysis and redesign
• Disease/care management
• Press release/recognition awards

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Current Status

• Phase
• Planning/Selection
• Implementation
• Adv Application/Care Management
• Total

• Office
• 24
• 14
• 8
• 46

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eHealth Connecticut

• Independent, non-profit organization incorporated
  in 2006
• Multi-stakeholder board of directors
• 300,000 state appropriation to DPH
• 225,000 in seed grants and Summit sponsorship

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eHealth Connecticut

• Mission statewide health information exchange
  to improve health care quality, safety and
  efficiency
• Applications QI/patient safety, patient portal,
  disease/care management, medication management,
  e-prescribing, public reporting,
  pay-for-performance program, research, education,
  health policy, bio-surveillance.
• Clinical, IT, and Project Selection committees

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eHealth CT Physician Survey

• Qualidigm, CSMS-IPA collaboration
• Fax/electronic distribution
• 2,366 offices 6,956 physicians
• Responses 672 offices

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EHCT MD Survey ResultsSpecialties Represented
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EHCT MD Survey ResultsCurrent Technology Use
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EHCT - MD Survey ResultsBarriers to HIT Adoption
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EHCT - MD Survey ResultsFuture Technology Use
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EHCT - MD Survey ResultsIntended Use of
Information
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EHCT - MD Survey ResultsAnticipated Assistance
Needs
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EHCT MD Survey Conclusions

• Hospitals and physicians are currently sharing
  clinical information.
• Physicians are interested in HIT EMR, eRx, and
  registries.
• Most important barriers are cost and time,
  especially to PCPs and small practices.
• Physicians are looking for help!

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CSMS Qualidigm Collaboration

• Technology education sessions
• Technology readiness assessment and other tools
  via websites
• On-site assistance to 46 PCP offices
• eHealth Connecticut collaboration
• Medicare Part D pilot project
• CSMS Quality Committee
• Seek funding for future joint project(s)

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Data Aggregation Project

• Qualidigm, CSMS, CSMS-IPA, eHealth CT, health
  plans
• Aggregate HEDIS and Medicare FFS data at level of
  individual physician
• Standardized measures Ambulatory Quality
  Alliance, Bridges to Excellence
• Benchmark data with performance reports
• Potential funding CMS/AHRQ

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Health Information Exchange and ePrescribing
Project

• Department of Social Services (DSS), eHealth
  Connecticut
• Health information exchange (dx, rx) to improve
  point of care quality, efficiency
• Pilot e-prescribing in subset of providers
• Funding - Centers for Medicare Medicaid Services

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Qualidigm Contact

• Thomas P. Meehan, MD, MPH
• Chief Medical Officer
• Phone [phone]
• Email tmeehan_at_ctqio.sdps.org

This material was prepared by Qualidigm, the
Medicare Quality Improvement Organization for
Connecticut, under contract with the Centers for
Medicare Medicaid Services (CMS), an agency of
the U.S. Department of Health and Human
Services. The contents presented do not
necessarily reflect CMS policy. Pub.
8SOWCTMD2005006