Transcript ARRA and Health IT

ARRA and HHS Data Policy
Initiatives
Academy Health NAHDO
All Payer All Claims Data Bases
James Scanlon, HHS
Deputy Assistant Secretary/ASPE
Overview
American Reinvestment & Recovery Act
 HITEC Provisions
 Prevention and Wellness Fund
 Comparative Effectiveness Research
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ARRA Overview for HHS
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$167 billion over ten years
$22 billion in discretionary spending
Prevention & Wellness Fund $1 billion
Comparative Effectiveness Research $1.1 billion
Health IT $22 billion – $48+ billion
State fiscal relief, health care safety net,
biomedical research, construction and human
services
Health Information Technology Economic & Clinical Health Act
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HITEC Capacity Building $2 billion
 Grants to States for HIE
 National and Regional Extension Centers (70)
 Health IT Workforce Grants
 Public health and infrastructure
 Standards, policy, process and regulations
Incentives for Medicare & Medicaid providers
who demonstrate “meaningful use of EHRs
$19 - $48 billion beginning in 2011
Prevention and Wellness Fund
$1billion
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Immunization Grant Program - $300 mil to States
Healthcare Associated Infection - $50 mil to States
Communities Putting Prevention to Work - $650
mil for evidence based interventions to
 Increase levels of physical activity
 Improve nutrition
 Decrease overweight/obesity prevalence
 Decrease tobacco use, and exposure to
secondhand smoke
 Evaluation and data
Comparative Effectiveness
Research - $1.1 billion
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Three components
 NIH $400 million
 AHRQ 300 million
 Secretary’s Fund $400 million
IOM Report
Federal Coordinating Council on CER
FCC Report to President and Congress
HHS Spending Plan due November 1, 2009
Comparative Effectiveness Research
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IOM Study – Recommend national priorities for
CER to be funded by ARRA.
Portfolio Criteria - Research area, population,
interventions, methodology, prevalence, mortality,
morbidity, cost and variability
100 CER priority topics, e.g. Reproduction, end of
life care, respiratory, psychiatry, disparities etc.
“CER program should help to develop large scale,
clinical and administrative data networks to
facilitate better use of data and efficient ways to
collect new data for CER.”
Federal Coordinating Committee for
CER Research
15 members from federal government
 Public listening sessions
 Definition
 Strategic Framework
 Report to President and Congress
 Areas of investment and priorities
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FCC CER Report
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Four areas of investment
 CE research
 Human and scientific manpower for CER
 Data infrastructure for CER
 Dissemination and translation of CER
Priorities
 Priority populations
 Priority conditions
 Types of interventions
FCC CRE Definition
Comparative effectiveness research is the conduct and synthesis of
research comparing the benefits and harms of different interventions
and strategies to prevent, diagnose, treat and monitor health conditions
in “real world” settings. The purpose of this research is to improve
health by developing and disseminating information to patients,
providers, and decision-makers, responding to their expressed needs,
about which interventions are most effective for which patients under
specific circumstances. To provide this information, comparative
effectiveness research must assess a comprehensive array of healthrelated outcomes for diverse patient populations and sub-groups.
Defined interventions compared may include medications, procedures,
medical and assistive devices and technologies, diagnostic testing,
behavioral change, and delivery system strategies. This research
necessitates the development, expansion, and use of a variety of data
sources and methods to assess comparative effectiveness and actively
disseminate the results.
FCC CER Strategic Framework
CE Research
Human &
Scientific Capital
for CER
CER Data Infrastructure
Dissemination and
Translation of CER
Priority Populations
Crosscutting
Priority
Themes
Priority Conditions
Types of Interventions
Legend
Primary investment
Secondary investments
Supporting investment
Data infrastructure examples
Linked longitudinal claims data
 Expanded Medicare /Medicaid claims data
 Linked distributed clinical data networks
 EHR data
 Registries
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Other HHS Data Initiatives
New HHS CTO
 Making HHS data mere accessible
 Data.Gov
 HHS portals
 Data to reduce disparities
 Health data collection investments
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Questions?