Transcript Aneesh Chopra Presentation

NOVA Regional Conference ~
Health Information Management
@aneeshchopra
Candidate for Democratic Nomination, Lt. Governor of Virginia
Health Innovation Seeds Planted in 2006-8
Centra: Nation’s first
outpatient EHR link with
ACC’s outpatient
cardiac registry to
benchmark adherence
to practice guidelines
and measures
CareSpark:
Comprehensive
approach to regional
HIE aligned to NHIN
goals; specific
attention to rural
health disparities in
region
CCNV: Fully funded EHR
implementation at all clinic
sites (15 live today) with
pilot connectivity to public
health services in Southside
UVA: Telemedicine
initiative to identify
high-risk poor pregnant
woman to minimize
pre-term labor in the
Valley*
NOVARHIO: Access to
patient medical
histories in ERs;
comprehensive
outreach campaign for
a voluntary web-based
“File for Life” that could
be accessed by
emergency responders
MedVirginia: EMR adoption
by free clinics with HIE
interfaces for secure
messaging, Rx history, vitals,
aligned with NHIN;
assessment of e-Rx for
mental health providers
Boosting Productivity is the Key to Growth
Public Sector-Influenced Firms Have Struggled to Harness Tech
MIT Study finds
“data-driven
decision-making”
boosts
productivity 5-6%
Publicly-influenced
sectors comprise
20+% of GDP
Source: U.S. Bureau of Economic Analysis; U.S. Bureau of Labor Statistics; “Strength in Numbers: How Does Data-Driven Decisionmaking Affect Firm Performance?”, Prof. Erik Brynjolfsson; McKinsey Global Institute analysis
Notes (1): Excludes sectors with contributions with an absolute value of less than 0.015%. Numbers may not sum due to rounding.
Argument in Brief: There Has Never Been a
Better Time to Be an Innovator in Health Care
Information Liberation
+
New Incentives
=
Rocket Fuel for Innovation
Open Health Data
Engaging Citizens in Health Improvement at the Community-Level
Community
Health
Provider
Directories
& Quality
Govt
Spending
Medical/
Scientific
Knowledge
HHS
(Growing)
Catalog of
Liberated Data
Consumer
Product
Information
Source: Asthmapolis, iTriage, Symcat, Healthline
“Blue
Button”
“Blue Button” Standard for Health
Virginia On the Cusp of Leading in Consumer Empowerment
Healthcare Adopts “Blue Button”
“Blue Button for Virginia”
Scaling Beyond Government
HB1873
President challenges VA to deliver
simple health download from PHR
on 08/10; delivered 10/10 and has
>1,000,000 users to date
New Incentives, Part I: “Meaningful Use”
Growing Evidence Linking Quality to Health IT Adoption
Office-Based Physicians an EHR
Quality of Diabetes Care
ePrescribing on the Surescripts Network
Cleveland Clinic Providers
using EHRs vs. Paper Records
Dramatic uptick in EHR adoption –
more than half of eligible
professionals and 80 percent of
eligible hospitals have demonstrated
“meaningful use”
Source: Office of the National Coordinator for Health IT; Source: Cebul, Randall D., et al. New England
Journal of Medicine, August 2011; Surescripts
Care Processes: Measure Hemoglobin; Kidney
Mgmt; Pneumococcal Vaccine; Eye Exam
Outcomes: LDL<100 mg/dl; smoking; glycated
hemoglobin <8%; BP <140/80; BMI<30
New Incentives, Part II: Payment Reform
Pay for “Value” to Drive New Markets for Care Coordination
Patient
• Organized outpatient care,
coordination and team-based
Centered
approaches
Medical Homes
Innovations Needed:
Data Mining/Analytics
Accountable
Care
Organizations
• Shared savings; Redesigned
care processes for high quality,
efficient delivery
Bundled
Payments
• Pilot program for episodes of
care; incentivizes reduced costs
around eight conditions
Readmission
Reduction
Programs
• Motivates hospitals to engage
with care coordinators and better
organize delivery systems
Care Integration Tools
Timely Clinical Data,
Decision-Support
Technology to Extend
Physician Reach
Consumer Engagement
Tools/Platforms/Apps
Coda ~ Health IT as Job Growth Engine