Putting the Meaning into

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Putting the Meaning into Meaningful Use

• Joshua Seidman, PhD
• Acting Director, Meaningful Use
• Office of Provider Adoption Support
• Office of the National Coordinator for HIT

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A Seasonal View of Meaningful Use
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A Seasonal View of Meaningful Use
Grass
Meaningful Use of Grass
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A Personal View on Meaningful UseBecause
Getting to MU Can Be a Painful (But Rewarding)
Experience
2010 Boston Marathon
Meaningful Use of Running Shoes
Running Shoes
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Getting to Meaningful UseTo Improve Health
Health Care
PRACTICE REDESIGN
TECHNOLOGY ADOPTION

• OUTCOMES
• Better Health
• Transformed Care Delivery
• Reduce Health Disparities

MEANINGFUL USE
HEALTH INFORMATION EXCHANGE
CONSUMER ENGAGEMENT
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Staging of Meaningful Use

• HITECH goals
• Not about technology
• Improving health and transforming health care
  through meaningful use of HIT

Stage 3
Focus of
Stage 2
Stage 1
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Framework HIT Policy Committees Recommended
Five Priorities

• Improve quality, safety, efficiency and reduce
  health disparities
• Engage patients families in their health care
• Improve care coordination
• Improve population and public health
• Ensure adequate privacy security protections
  for personal health information

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Time to GetMUVing
Getting There
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Meaningful Use Vanguard Cohort (MUVers)

• MUVers will be role models and practices of
  excellence
• Early adopters and thought leaders
• Provide input in evaluation of achievement of
  Stage 1 MU objectives
• MUVers can be a testing ground for other
  initiatives e.g., PCMHs

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POSITION FOR PCMH, ACOs, OTHER HEALTH REFORM
INNOVATIONS
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Thinking Long-Term AboutMeaningful Use
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Stage 2 MU Development Process
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HIT Policy Committee MU Workgroup Patient/Family
Engagement Hearing

• Public hearing held April 20
• FACA (Federal Advisory Committee) blog
• 50 comments
• Input accepted at http//healthit.hhs.gov/blog/fac
  a/
• Part of planning trajectory for evolution of MU
  definition (Stages 2 3)

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Themes Emerging from Hearing Blog

• Provide real-time patient access to data
• Incorporate patient-generated data into EHR
• Encourage innovation
• Connect home/community to care delivery settings
• Consider a bold initiative (e.g., 50 of care
  rendered at home)
• Create sense of community among patients with
  health team
• Achieve 4 Es engage, educate, empower, and
  enable
• Meet needs of diverse population
• Focus more on patient outcomes measures
• vs. traditional process measures
• Engage with the public about MU
• Consider re-orienting MU criteria to what's
  meaningful to patients

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June 4 HITPC/MU WG HearingFocused on Health
Disparities

• Using HIT to reduce disparities
• Focus on solutions
• Three panels
• Health literacy data collection
• Culture (includes language)
• Access to
• Health care
• Health information
• Technology

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Agenda Overview

• Panel 1 Health Literacy Data Collection
• Moderator Neil Calman
• Sara Czaja, University of Miami
• Cynthia Solomon, MiVia
• Gena Wilson, The Institute for Family Health
  invited
• Silas Buchanan, The Cave Institute
• Panel 2 Culture
• Moderator Joshua Seidman
• Russell Davis, National Health IT Collaborative
  for the Underserved
• M. Chris Gibbons, Johns Hopkins Urban Health
  Institute
• Dianne Hasselman, Center for Health Care
  Strategies
• Deena Jang, Asia/Pacific Islander American Health
  Forum
• Panel 3 Access
• Moderator George Hripcsak
• Carolyn Clancy, Agency for Healthcare Research
  Quality, HHS
• Howard Hays, MD, Indian Health Service, HHS
• Ian Erlich, Maniilaq Association, Alaska
  invited

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Questions to Panelists

• What are greatest risks of HIT implementation in
  increasing disparities?
• What innovations can prevent these risks?
• What research can guide HIT implementers?
• What patient/family engagement strategies can
  help support future MU of HIT?
• How can MU of HIT reduce disparities?
• What HIT applications can improve literacy,
  access, cultural relevance of health info?

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Some Strategies to Pursue

• Ignoring technology not a viable strategy
• Ethnographic observation to identify needs
• Meet people where they are
• EHR-generated data to tailor health info
• Implications of making chart patient-accessible ?
  Changing what clinicians record
• Translation of clinical administrative data
• Multimedia Not only text-based health info
• Interactive approaches

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Engaging with ONC in Blogosphere Twittersphere

• Health IT Buzz
• http//healthit.hhs.gov/blog/onc/
• Federal Advisory Committee Hearings
• http//healthit.hhs.gov/blog/faca/
• Real-Time Updates on Twitter
• https//twitter.com/ONC_HealthIT