Slide 1

The Mountain-Pacific DOQ-IT Project

Slide 2

Overview

• What is the DOQ-IT Project?• Mountain-Pacific’s progress in DOQ-IT• Mountain-Pacific’s perspective on HIT in our states• 9th Scope of Work

Slide 3

What is DOQ-IT?

• Doctor’s Office Quality Information Technology (DOQ-IT)

• Voluntary Program, funded through the CMS/QIO 8SoW

• Goals– Work with 5% of Primary Care Practice in each state– Assist these practices in adopting EHRs, e-Rx, Care

Management Processes, and Data Reporting– Focus on Diabetes, CHF, CAD, Hypertension, and

Preventive Care Measures

Slide 4

DOQ-IT Objectives

• Facilitate the adoption of Electronic Health Records (EHRs) in small- to medium-sized practices (1-8 physicians)

• Ensure that practices are using EHRs and IT to the fullest capability to improve office efficiency

• Use clinical data reports for improved practice performance and patient outcomes

Slide 5

Benefits for Physicians

• Analysis of practice processes• Recommendations for improved office efficiencies• Assistance with EHR vendor selection and implementation

• Improved chronic care and preventive clinical outcomes

• Increased patient safety• Free tools

Slide 6

Impact of DOQ-IT on Medicare Beneficiaries

• Promote continuity of care• Help stabilize medical conditions• Prevent or minimize acute exacerbations of chronic conditions

• Reduce adverse health outcomes (i.e. adverse drug interactions)

Slide 7

Mountain-Pacific DOQ-IT Sites

Alaska9 Sites

Wyoming10 Sites

Montana13 Sites

Hawaii32 Sites

Slide 8

Mountain-Pacific DOQ-IT

• Working with 64 Primary Care Practices sites total• 49 of these sites had no-EHR at recruitment• Currently;

13 sites without an EHR at recruitment have adopted and fully implemented an EHR

7 sites are currently implementing their EHR4 sites are in the RFP/contract negotiation stage and are

anticipated to have an EHR soon22 sites are utilizing their EHRs for care management44 non-eligible sites have expressed interest in the program

Slide 9

DOQ-IT Participants Quotes

• “DOQ-IT was the key to our successful implementation. It helped lead us and give us next steps. They outlined the process really well.” – Shannon Walker, Office Manager; Red Rock Family Practice, Thermopolis, WY

• “I would strongly encourage other practices to use (Mountain-Pacific Quality Health’s) services.” – Travis Bomengen, MD; Red Rock Family Practice, Thermopolis, WY

• “DOQ-IT was a big help in guiding the practice in the right direction. The help given in the implementation gave Dr. Fischer a comfort zone.” – Barbara World, Office Manager; Carol Fischer, MD, P.C., Cheyenne, WY

Slide 10

Wyoming Progress

1 - Recruitment Phase 2 - Assessment Phase 3 - Planning Phase 4 - Selection Phase5 - Implementation Phase (EHR installed) 6 - Evaluation Phase7 - Improvement Phase (Care Management)

Wyoming DOQ-IT Roadmap Progress

0

1

2

3

4

5

6

7

A B C D E F G H I J

Participating Practices

Ro

ad

ma

p S

tag

e

Stage at Recruitment Progress

Slide 11

Factors for EHR Success

• Leadership

– Physician, Nurse, and Administrative Champions

• Thorough Project Management

– Practices need to invest adequate time and resources to their EHR project

• Ask for help

– DOQ-IT, Other Practices/Peers, HIT Consultants, Lawyers, Accountants, etc.

Slide 12

Health IT Barriers

• Cost

• IT Support

• EHR Vendor Penetration/Accessibility

• Privacy/Security

• Time/Resources

• Perceived need and Provider Interest

• Scope and funding of DOQ-IT is limited

Slide 13

Health IT in Our View

• Interest in the utilization of health IT is on the rise.

• Motivated healthcare providers are making efforts to investigate health IT.

• The lack of available IT support in rural communities makes our states ideal for ASP solutions. However, reliable broadband Internet access hampers this.

Slide 14

Ninth Scope of Work

• Focus of preventive care measures

– Mammography

– Colorectal Cancer Screening

– Influenza Immunization

– Pneumococcal Pneumonia Immunization

• Participating practices will utilize their EHRs to improvement performance in these areas

• Quality data will be collected and sent to CMS for comparison

Slide 15

Contact Information

Kris Urbanek

Health Information Technology Coordinator

307-587-3396

kurbanek@wyqio.sdps.org

www.mpqhf.org

This material was prepared by Mountain-Pacific Quality Health, the Medicare Quality Improvement Organization for Wyoming, Montana, Hawaii and Alaska, 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. 8SOW-MPQHF-WY-PPQI-08-01