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Overview of HRSAs Office of Health Information Technology and its Activities and Tools January 2009

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Title: Overview of HRSAs Office of Health Information Technology and its Activities and Tools January 2009


1
Overview of HRSAs Office of Health Information
Technology and its Activities and ToolsJanuary
2009
  • Johanna Barraza Cannon, Director,
  • Division of Health Information Technology Policy
  • U.S. Department of Health and Human Services
  • Health Resources and Services Administration
  • Office of Health Information Technology

2
Office of Health Information Technology (OHIT)
  • Mission
  • The Office of Health Information Technology
    (OHIT) promotes the adoption and effective use of
    health information technology (HIT) in the safety
    net community.
  • OHIT Includes
  • Division of Health Information Technology Policy
  • Division of Health Information Technology State
    and Community Assistance
  • Office for the Advancement of Telehealth

3
What OHIT Does
  • Award planning and implementation grants for
    telehealth, electronic health records, and other
    health information technology innovations.
  • Provide technical assistance to HRSA grantees and
    staff (e.g., project officers and Office of
    Performance Review) related to effective HIT
    adoption and Federal and state policies and
    legislation.
  • Provide leadership and representation for HRSA
    grantees with Federal and state policymakers,
    researchers, and other stakeholders.

4
What is the HRSA Health IT Community
  • Developed in collaboration with the AHRQ National
    Resource Center for Health IT (NRC)
  • Designed to provide news, tools, serves as a
    virtual community for health centers and access
    to research for HRSA's safety net providers
    interested in health IT.

5
What other features are on the Community?
  • Repository of information
  • Whats New in HRSA and Updates
  • HRSA Health IT Toolbox
  • EHR Selection Guidelines
  • Grantee Spotlight
  • Emerging Lessons
  • Private Communities
  • HIT Technical Assistance Webinars
  • Specialized Areas of Interest (e.g. HIV/AIDS,
    telehealth, maternal and child health)
  • Password protected except for toolbox

6
HRSA Health IT Community Landing Page
7
HRSA Health IT Community Landing Page (contd)
8
What is the HRSA Health IT Toolbox?
  • A compilation of health IT planning,
    implementation and evaluation resources to
    support HRSAs Section 330 federally funded
    Community Health Center grantees.
  • A tool designed to serve the needs of a broad
    audience within health centers and Health Center
    Controlled Networks.
  • http//healthit.ahrq.gov/toolbox

9
HRSA Toolbox Initial Concept
Problem Information Overload, Lack of
Trustworthy, Comprehensive Set of Resources to
Support Health IT in CHCs
  • Toolbox Objectives
  • Organize available resources online
  • Use QA format to seed thinking
  • Promote network formation, expansion
  • Walk grantees through an implementation lifecycle
  • Be useful to grantees at different levels of
    knowledge/stages of implementation
  • Integrate toolbox with the HRSA portal for
    sharing and exchange among grantees in a safe
    environment

10
List of Toolbox Modules
  • 1. Introduction to Health IT
  • 2. Getting Started
  • 3. Opportunities for Collaboration
  • 4. Project Management and Oversight
  • 5. Planning for Technology Implementation
  • 6. Organizational Change Management and Training
  • 7. System Implementation
  • 8. Evaluating, Optimizing, and Sustaining
  • 9. Advanced Topics Quality improvement
  • 10. Open Source Public Domain Software
  • 11. Privacy and Security

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23
TA - HIT TA Center
  • Provide consistent HIT TA to HRSA grantees.
  • TA One to Many" Calls
  • HIT 101
  • Workflow Analysis and HIT
  • Slides, transcripts and recordings of calls are
    on the HRSA Health IT Community.
  • Peer-to-peer technical assistance to obtain TA
    from an experienced peer in HIT.
  • Consultant technical assistance to obtain TA from
    an experienced consultant in HIT.

24
OHIT TA Webinars
  • OHIT is holding regular webinars on HIT-related
    topics that have been very successful in terms of
    attendance and feedback. The calls held to date
    include
  • September 2007 HIT 101
  • December 2007 Important Factors to Consider
    When Selecting an EHR System
  • February 2008 Collaboration (How do I
    collaborate with networks, other groups, state
    entities, etc.)
  • February 2008 Telehealth 101
  • March 2008 Financing HIT

25
OHIT TA Webinars (cont.)
  • April 2008 Stark/Safe Harbor
  • April 2008 Open Source
  • May 2008 Readiness Assessments for HIT
  • May 2008 HIE 101
  • June 2008 Success Stories, Lessons Learned
  • June 2008 Internal/External Interfaces
  • July 2008 Efficient Deployment of HIT
  • July 2008 HIT for Special Populations

26
OHIT TA Webinars (cont.)
  • August 2008 Overview of the HRSA Health IT
    Community and Health IT Adoption Toolbox
  • September 2008 Using EHRs to Drive Quality
    Improvement
  • October 2008 HIT Privacy and Security
  • November 2008 Kids and HIT Pediatric EHRs
  • Future Calls
  • December 2008 Telehealth and Kids
  • January 2009 Rural HIT

27
Advancing HIT through Networks
  • Collaboration of health centers and other safety
    net providers
  • Economies of scale/cost efficiencies
  • Enhanced efficiencies in business and clinical
    core areas
  • Higher performance and value
  • Sharing of expertise and staff

28
HRSA Health Center Controlled Networks (HCCN)
  • Led by HRSA-funded health centers
  • Supports the creation, development, and operation
    of networks of safety net providers to ensure
    access to health care for the medically
    underserved populations through the enhancement
    of health center operations, including health
    information technology

29
New Funding for FY 2008
30
HIT Planning Grants
  • Objective
  • To support health centers in structured planning
    activities that will prepare them to adopt EHRs
    or other HIT innovations
  • Project Period One Year
  • Examples of Activities Supported by Grant
  • Planning for EHR adoption-readiness assessment
  • Workflow analysis
  • Due diligence in selecting vendor
  • Business planning
  • Determining specific network HIT function
  • Network of health centers has formed to purchase
    an EHR but needs funds to help with the readiness
    assessment and procurement process.
  • Network of health centers wants to form a health
    information exchange with other partners in the
    state and needs funds for planning and hardware
    purchases

31
FY 08 HIT Planning Grants
  • Barceloneta Primary Hlth. Care Svcs. Inc
  • Barceloneta, Puerto Rico
  • Chicago Family Health Center, Inc
  • Chicago, IL
  • Clinica Adelante, Inc
  • Surprise, AZ
  • Community Health Net
  • Erie, PA
  • Near North Health Service Corporation Chicago, IL
  • Sacopee Valley Health Center
  • Parsonsfield, ME

32
EHR Implementation Grants
  • Objective
  • To implement electronic health records (EHRs)
  • Project Period
  • Three Years
  • Examples of Activities Supported by Grant
  • Implementation of EHRs across network and is
    within 6 months to issuing a request for
    proposals, but needs additional funds to purchase
    the EHR system, training, hardware, and the
    conversion process from paper to electronic
  • Include networks interested in spreading their
    capacity to other centers, via ASP or other means

33
FY 08 EHR Implementation Grantees
  • Alliance for Rural Community Health Ukiah, CA
  • Barrio Comprehensive Family Health Care Center,
    Inc San Antonio, TX

34
HIT Innovation Grants
  • Objective
  • To implement health information technologies
    other than EHRs
  • Project Period
  • Three Years
  • Proposed Activities Include
  • E-prescribing
  • Patient Disease Registry
  • HIE
  • Data warehouse
  • Integrated Mental, Behavioral, Oral, and Primary
    Care Health Record

35
FY 2008 HIT Innovations Grantees
  • Community Health Access Network Newmarket, NH
  • Maine Primary Care Association Augusta, ME
  • Michigan Primary Care Association Lansing, MI
  • St. Louis Integrated Health Network St. Louis,
    MO

36
Summary of Innovation Grantee Projects
  • Maine Primary Care Association
  • E-prescribing, one-way transmission of emergency
    depart. discharge data to network providers
  • Michigan Primary Care Association
  • Point-of-care clinical tool to build off of
    current HIT that gives clinicians to enter key
    quality data measurements at the point of care
  • Community Health Access Network
  • HIE, data warehouse and e-prescribing
  • St. Louis Integrated Health Network
  • Master Patient Index

37
High Impact Grants
  • Objective
  • Promotes the high impact implementation of an EHR
    or an innovative HIT Goals include the adoption
    and effective use of EHRs and other HIT the
    creation of sustainable business models for
    deploying HIT in HCCNs and large multi-site
    health centers enhancing the ability of safety
    net providers to leverage initiatives and
    resources as well as improving quality and health
    outcomes in the CHC Program.
  • Project Period One Year
  • Examples of Activities Supported by Grant
  • Implementation of EHR or Innovative HIT across
    network or health center sites and is within 6
    months to issuing a request for proposals, but
    needs additional funds to purchase hardware,
    training, HIT systems, and the conversion process
    from paper to electronic
  • Include networks interested in spreading their
    capacity to other centers, via ASP or other means

38
FY 2008 High Impact EHR Grantees
  • OCHIN Portland, OR
  • Newark Community Health Centers Newark, NJ
  • Community Health Centers Alliance St. Petersburg,
    FL
  • Presbyterian Medical Services Santa Fe, NM
  • Yellowstone City County Health Department
  • Billings, MT
  • Near North Health Service Corporation Chicago, IL
  • West Virginia Primary Care Network, Inc.
  • Scott Depot, WV
  • Alta Med Health Services Corporation
  • Los Angeles, CA
  • Clinica Adelante, Inc Surprise, AZ
  • Illinois Primary Care Association Springfield, IL
  • Multi site health center

39
FY 2008 High Impact Innovation Grantees
  • Council of Community Clinics San Diego, CA
  • Boston HealthNet Boston, MA
  • Family Health Centers of San Diego
  • San Diego, CA
  • Georgia Association for Primary Health Care
    Decatur, GA
  • Maine Primary Care Association Augusta, ME
  • Health Choice Network, Inc. Miami, FL
  • Multi site health center

40
FY 2008 High Impact Innovations Grant Summary
  • Council of Community Clinics
  • Pharmacy management system that includes
    e-prescribing and generates customized reports
  • Boston HealthNet
  • eReferral system that enables data exchange among
    primary care providers specialists in partner
    hospital
  • Family Health Centers of San Diego, Inc
  • PDA technology to enable real-time clinical
    documentation decision support at point of care
  • Georgia Association for Primary Health Care, Inc
  • HIE, exchange between behavioral health
    clinicians and primary care clinicians
  • Maine Primary Care Association
  • Interface with state immunization registry and
    create decision support tools that boast
    childhood immunization rates
  • Health Choice Network, Inc
  • Horizontal HIE

41
Telehealth 3-Year Grants (FY 2009)
  • Telehealth Resource Center Grant Program
  • 6 awards
  • Telehealth Network Grant Program (including home
    health)
  • 16 awards
  • Licensure Portability Grant Program
  • 2 awards

42
Telehealth Network Grants University of
Arkansas for Medical Sciences, AR Northern Sierra
Rural Health Network, CA Ware County Board of
Health, GA The Queen's Medical Center, HI Public
Hospital Cooperative SE Idaho Inc., ID Illinois
Department of Human Services, IL University of
Kansas Medical Center Research Institute,
KS Eastern Maine Healthcare Systems,
ME Tri-County Hospital, MN Citizen's Memorial
Hospital District, MO St. Patrick Hospital
Health Foundation, MT Duke University,
NC Children's Hospital Medical Center of Akron,
OH Home Nursing Agency Visiting Nurse
Association, PA University of Washington,
WA Marshfield Clinic Research Foundation, WI
43
FY 2006 Telehealth Resource Center
Grantees/States Covered
  • California Telemedicine and eHealth Center
    California
  • Northeast Telehealth Resource Center (Medical
    Center at Lubec) Maine, Vermont, New Hampshire,
    Massachusetts
  • Midwest Alliance for Telehealth and Technologies
    Resources (Marquette Hospital) Michigan, Kansas
  • Northwest Regional Telehealth Resource Center
    (St. Vincent Foundation) Alaska, Hawaii, Idaho,
    Montana, Oregon, Utah, Washington State, Wyoming
  • Great Plains Telehealth Resource and Assistance
    Center (Avera Rural Health Institute) North
    Dakota, South Dakota, Nebraska, Minnesota
  • Center for Telehealth and E-Health Law National
    Center

44
Contact Information
  • Johanna Barraza Cannon, Director
  • DHHS/HRSA/OHIT
  • 5600 Fishers Lane, 7C-26, Rockville, MD 20857
  • Phone 301-443-4651
  • Fax 301-443-1330
  • jbarraza-cannon_at_hrsa.gov
  • http//www.hrsa.gov/healthit/
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