Welcome to MDH/Stratis Health

E-Health Toolkit Training

Kari Guida, Phil Deering

Social Services Presentation

January 29, 2014

Our Agenda

2

e-Health in Minnesota – presentation by Kari Guida 15

Questions for Kari 5

Videos – Annette Sandler and

James Dungan-Seaver

15

Using the Stratis Health Toolkits – presentation by

Phil Deering

35

Questions on all topics 15

There will be short pauses

between each of the

presentations

Ground Rules

• Sound will be over the phone, not over

computer

• Your phone will be muted during

presentations

• Please use chat function on webinar to

ask questions

• Any unanswered questions will be

captured and answered

e-Health in Minnesota

Kari Guida, MPH, MHI

Senior Health Informatician,

Office of Health Information Technology,

Minnesota Department of Health

4

e-Health in Minnesota

Kari Guida, MPH, MHI

Senior Health Informatician

Office of Health Information Technology

Minnesota Department of Health

HIT Toolkit Training Session

January, 2014

5

Topics

• What is e-health?

• Drivers of e-health

• Progress of e-health in Minnesota

• Resources

• Key Actions

– Professional

– Association

– Consumer

6

What is e-Health?

• e-Health is the adoption and effective use of electronic health records (EHR) systems and other health information technology including health information exchange to:

– improve health care quality

– increase patient safety

– reduce health care costs

– enable individuals and communities to make the best possible health decisions

7

Drivers of e-Health

• Triple Aim – Improved consumer experience

– Improved population health

– Lower per capita health care costs

• Care Coordination

• Policies – Minnesota 2011 e-Prescribing Mandate

– Minnesota 2015 Interoperable EHR Mandate

– Federal Meaningful Use Incentive Program

8

Achieving e-Health

9

Minnesota Model for Adopting Interoperable Electronic Health Records

Developed by the Minnesota e-Health Initiative to • Provide guidance for providers in achieving the

Minnesota mandates and improving care • Assess progress and barriers

Minnesota Adoption of EHRs

10

25%

69%

87%

94%

96%

97%

0% 20% 40% 60% 80% 100%

Chiropractic Offices (2011)

Nursing Homes (2011)

Clinics (2013)

Local Health Depts (2012)

Hospitals (2012)

Clinical Labs* (2011)

Percent of Providers with EHRs

* Clinical Labs use lab information systems rather than EHRs Source: Minnesota Department of Health, Office of Health Information Technology

Effective Use

11 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html, data from 2013 clinic survey, 2012 hospital survey, and 2011 nursing home survey.

Impact of EHRs on Practice

12 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html

36%

42%

52%

57%

57%

59%

66%

67%

33%

31%

24%

23%

20%

20%

26%

23%

0% 20% 40% 60% 80% 100%

Order fewer tests due to better availability of other lab results

Identify needed lab tests

Be reminded to provide preventive care

Be alerted to critical lab values

Provide care that meets clinical guidelines for patients with chronic disease

Order more on-formulary drugs

Enhance patient care in your clinic

Be alerted to potential medication errors

Percent of Clinics with EHRs (N= 1,125)

Agree Agree Somewhat

Health Information Exchange

13 Source: Minnesota Department of Health, Office of Health Information Technology, www.health.state.mn.us/e-health/assessment.html

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Components of Interoperability

Technical

• Transmitting the data

• Hardware, software, networks

Semantic

• Communicating the meaning of the data

• Data content, terminologies and structure

Process

• Best practices on the use of data

• People interacting with the system

• Workflow, user roles, etc.

Resources ( 1 of 2)

• Guide 1: Addressing Barriers to EHR Adoption

• Guide 2: Recommended Standards

• Guide 3: e-Prescribing

• Guide 4: Effective Use of EHRs

• Guide 5: Health Information Exchange

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http://www.health.state.mn.us/e-health/reports.html

Resources (2 of 2)

• Guidance for Understanding the Minnesota 2015 Interoperable EHR Mandate

• E-Health/HIT Toolkit

http://www.health.state.mn.us/e-health/hitimp/index.html 16

Become Involved (1 of 3)

• Health Care Professionals and Organizations

– Collaborate with organizations and other health care settings

– Participate in e-health training, education and committees or workgroups

– Use, adapt and share e-health tools

– Join/participate in the Minnesota e-Health Initiative

• Subscribe to e-Health updates

• Participate in the e-Health Initiative and workgroups

http://www.health.state.mn.us/e-health

17

Become Involved (2 of 3)

• Associations – Achieve or more towards consensus:

• E-health needs and requirements for your setting

• Policies for e-health specific to your setting

• Create/offer trainings

– Create/support opportunities for collaboration statewide and regionally

– Watch for and respond to the Request for Proposals to be released this Winter/Spring regarding the Minnesota Accountable Health Model (MAHM), funded by federal SIM dollars. • www.mn.gov/SIM

18

Become Involved (3 of 3)

• Consumer/Patient –Request your provider send a prescription to

pharmacy electronically (e-prescribing)

–Communicate with your doctor through the internet/computer (secure email, patient portal)

–Receive text message to remind you to take medication (mobile health, m-Health)

–Request a summary of your clinic visit

–Use a mobile app or website to track healthy living activities (water, calories, yoga, meditation)

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Questions?

Contact the Office of Health Information Technology (OHIT):

MN.eHealth@state.mn.us

www.health.state.mn.us/e-health

Learn more about MAHM/SIM

www.mn.gov/sim

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