Sign Up for Email Alerts Visit us on Twitter Visit us on Facebook Visit us on YouTube Subscribe to RSS Feeds


Home > Past Briefings > Briefing Detail Page
 

Briefing Detail Page

Change Text Size:   Smaller Text Size   Larger Text Size   Default Text Size    

A Dose of Reality in the Virtual World of Health IT


Friday, September 28, 2012

Electronic devices are pervasive throughout our culture. Still, they are a relatively new phenomenon in the physician’s office, even though electronic health records (EHRs) can help consumers stay connected with their care managers, monitor their health, and get reminders that it’s time to take their medicine. They can also help to better coordinate care, avoid duplication of services and eliminate medication errors.

Recently, adoption of EHRs, even those by physicians in smaller practices, has taken off. The Health Information Technology for Economic and Clinical Health (HITECH) Act, a provision of the 2009 economic stimulus package, provides incentives to physicians if they can demonstrate they are making “meaningful use” of the technology for clinical and administrative functions.

The September 28 briefing assess the progress of the act. How do HITECH programs such as Meaningful Use and Beacon Coedmmunities support the adoption of electronic health records? How does health information technology fit in the strategy for health care delivery transformation? What role are EHRs playing in care coordination, accountable care organizations and other innovations? What are the special challenges facing solo and small physician practices? How about safety net providers? What does the evidence show about the contribution health IT can make toward improving care and lowering costs?

A distinguished panel of experts addressed these and related questions. Speakers were: Farzad Mostashari, HHS’s National Coordinator of Health IT; Craig Samitt, Dean Health System, WI; Christine Sinsky, M.D., Medical Associates Clinic and Health Plans, IA; and Andrew Racine, M.D., Montefiore Medical Center, NY. Deanna Okrent of the Alliance and Anne Marie Audet of Commonwealth co-moderated.

CONTACT: Deanna Okrent or
Marilyn Werber Serafini
202/789-2300

Speakers

 Deanna Orkent, Alliance for Health Reform, Moderator
 Anne Marie Audet, The Commonwealth Fund, Moderator
 Farzad Mostashari, HHS’s National Coordinator of Health IT, Speaker
 Craig Samitt, Dean Health System, WI, Speaker
 Andrew Racine, Montefiore Medical Center, NY, Speaker
 Christine Sinsky, Medical Associates Clinic and Health Plans, IA, Speaker
(Click on the camera icon to see a video of the speaker's presentation.)

Event Summary and/or Webcast and Podcast

Full Webcast/Podcast: Webcast Link

The full webcast and podcast for this briefing, as well as videos of individual speakers' presentations, are provided by Kaiser Family Foundation.

Speaker Presentations

Audet Presentation (Adobe Acrobat PDF), 9/28/2012
Samitt Presentation (Adobe Acrobat PDF), 9/28/2012
Racine Presentation (Adobe Acrobat PDF), 9/28/2012
Sinsky Presentation (Adobe Acrobat PDF), 9/28/2012
Mostashari Presentation (Adobe Acrobat PDF), 9/28/2012

(If you want to download one or more slides from these presentations, contact us at info@allhealth or click here for instructions.)

Source Materials

Agenda (Adobe Acrobat PDF), , 9/28/2012
Source List (Adobe Acrobat PDF), , 9/28/2012
Speaker Biographies (Adobe Acrobat PDF), , 9/28/2012

Offsite Materials (briefing documents saved on other websites)

Better Care through Sharing Electronic Medical Records., Health Affairs Blog, 9/4/2012
Finding the Meaning in Meaningful Use, The New England Journal of Medicine, 9/1/2011
CMS and ONC Final Regulations Define ‘Meaningful Use’ and Set Standards for Electronic Health Record Incentive Program (Adobe Acrobat PDF),Centers for Medicare & Medicaid Services, 7/13/2010
EHR adoption rates jump for solo practices, American Medical News, 3/26/2012
EHR standards get tougher under finalized meaningful use stage 2, American Medical News, 9/3/2012
First Year of CMS’s Incentive Programs Shows Opportunities to Improve Processes to Verify Providers Met Requirements, Government Accountability Office, 4/1/2012
NCHS Data Brief: Physician Adoption of Electronic Health Record Systems: United States, 2011, Center for Disease Control, 7/1/2012
Making IT Meaningful: How Consumers Value and Trust Health IT, National Partnership for Women & Families, 2/1/2012
Final rules for Stage 2 meaningful use released, Healthcare IT News, 8/21/2012
Meaningful Use’ of Electronic Health Records, Health Affairs, 8/24/2010
What Does Meaningful Use Stage Two Final Rule Mean for FPs?, American Academy of Family Physicians, 9/5/2012
Washington Health Policy Week in Review Next Stage of Meaningful Use Regulations Drawing Hill Scrutiny, The Commonwealth Fund, 9/4/2012
Meaningful Use of Electronic Health Records: Does it Improve Health Outcomes?, Becker’s Hospital Review, 8/10/2012
Certification/Adoption Workgroup Usability Panel, Certification/Adoption Workgroup, 4/21/2011
HIT Policy Meaningful Use Workgroup Care Coordination Panel, Meaningful Use Workgroup, 8/2/2010
Transforming Health Care: The Role of Health IT, Bipartisan Policy Center, 1/1/2012
Meaningful Use Stage 3 Emphasizes Better Decision Support, Information Week Healthcare, 8/6/2012
Meaningful Use of Electronic Health Record Systems and Process Quality of Care: Evidence from a Panel Data Analysis of U.S. Acute-Care Hospitals, Health Services Research, 7/20/2012
At a Glance: Stage 2 Final Rule, Healthcare IT News, 8/23/2012
The ‘Meaningful Use’ Regulation for Electronic Health Records, The New England Journal of Medicine, 8/5/2010
The Financial and Nonfinancial Costs of Implementing Electronic Health Records in Primary Care Practices, Health Affairs, 3/1/2011
Escaping the EHR Trap – The Future of Health IT, The New England Journal of Medicine, 6/14/2012
Electronic Medical Records and Communication with Patients and Other Clinicians: Are We Talking Less?, Center for Studying Health System Change, 4/1/2010
Evaluation Design and Technical Assistance Opportunities: Early Findings from the Beacon Community Program Evaluation Teams, The Commonwealth Fund, 1/1/2012
Epic Challenge: What the Emergence of an EMR Giant Means for the Future of Healthcare Innovation, Forbes, 6/9/2012
Using Electronic Health Records to Improve Quality and Efficiency: The Experiences of Leading Hospitals, The Commonwealth Fund, 7/1/2012
Surprising Decline in Consumers Seeking Health Information, Center for Studying Health System Change, 11/1/2011
Comparative User Experiences of Health IT Products: How User Experiences Would Be Reported and Used, Institute of Medicine, 9/1/2012

Photos

Private sector physicians are increasingly adopting electronic health records, and they will continue to do so, Anne-Marie Audet of The Commonwealth Fund said at a


Private sector physicians are increasingly adopting electronic health records, and they will continue to do so, Anne-Marie Audet of The Commonwealth Fund said at a Sept. 28 Alliance briefing, A Dose of Reality in the Virtual World of Health IT.


Providing monthly data reports to physicians has improved care quality at Dean Health System in Wisconsin, Craig Samitt said at a Sept. 28 Alliance briefing, A Dose of Reality in the Virtual World of Health IT. (photo by James Ryder)

Farzad Mostashari, HHS's point person on electronic health records, gives a status report on the 2009 stimulus money that has helped medical providers to adopt electronic records, and the "meaningful use" status of those systems. (Photo by James Ryder)

Despite benefits, electronic health records present challenges, Christine Sinsky of Medical Associates said at a Sept. 28 briefing. They're working longer hours, and are looking at computer monitors more and patient faces less, she said. (Photo by James Ryder)

Opting out of the Medicaid expansion would leave hospitals and physicians with an uninsured problem, says Lumpkin. "Who's going to pay for those costs? They're going to be asking their state governments to help."

 


Uwe Reinhardt Questions Bundled Payment Savings Prospects


Video (2:58)

A new Alliance for Health Reform video features Princeton’s Uwe Reinhardt questioning whether bundling payments for medical services might actually lead to higher – not lower – costs.

"The ACO's, the accountable care organizations, could create local monopolies that could dictate to you what that bundled price would be, and some of us fear that bundled prices might be even more than what the fee-for-service for that bundle would be today. … You really should align all the payers and say, 'Let us jointly negotiate with the ACOs what those bundles should be so that they cannot divide and rule and sort of make us on the buy side weak.'"

FULL TRANSCRIPT

Read More 


Sister Carol Keehan on Health Law Enrollment Challenges this Year


Video 3:00

A new Alliance for Health Reform video features Sister Carol Keehan of the Catholic Health Association of the United States addressing the challenges of quickly enrolling millions of Americans for health insurance this fall. Open season begins October 1 of this year, yet she says that up to 85 percent of those who will be newly eligible for Medicaid or for subsidies to buy private insurance in state-based exchanges don't know it.  FULL TRANSCRIPT

Read More 


Jonathan Blum on CMS Efforts to Keep Medicare Spending Growth Down


Video (2:54)

Jonathan Blum, acting principal deputy administrator and director of the Center for Medicare at the Centers for Medicare and Medicaid Services (CMS), addresses the slower growth of Medicare spending over the last few years, and what his agency is doing to try and continue the trend. “There are promising signs that this strategy to change the payment system, to change the payment models, to focus on waste and abuse, is paying off," he said. "We are taking a whole new approach to addressing fraud in the program. Much more data resources, much more on the ground reaction. We have seen dramatic spending declines in areas of spending, such as home health and durable medical supplies that historically fueled lots of the fraud.”  FULL TRANSCRIPT

Read More 


Two Former Medicare Administrators Discuss How to Save the Program


A new Alliance for Health Reform video features two former Medicare administrators -- Gail Wilensky and Bruce Vladeck -- on their ideas about how to save the program.

Ms. Wilensky, who ran Medicare in a Republican administration, argued for increasing the eligibility age of Medicare for future retirees, while still making the program available at age 65 for those who are disabled.

Watch at http://www.youtube.com/watch?v=GQjsfam9-w0

Read More 


Douglas Holtz-Eakin: Health Care Spending Lull Only Temporary


Video (3:11)

A new Alliance for Health Reform video features Douglas Holtz-Eakin of the American Action Forum, and a former director of the Congressional Budget Office, arguing that recent slower spending growth in health care won’t continue.

"We also saw a slowdown in the mid-90s, and we all declared victory and it came right back. I think next year we’ll see a noticeable uptick. There will be lots of new people entering the insurance markets because of the exchanges and the subsidies that come along with them, and those subsidies are very generous. … These are an invitation for people to get coverage and to buy more health care. I think that’ll place a lot of pressure on spending."

FULL TRANSCRIPT

Read More 

Marketplace Enrollment Helpers Toolkit


Beginning October 1, insurance marketplaces open for enrollment, and millions of people will be eligible to purchase plans. To guide them in the application process, the federal government has invested in programs to train community organizations and hired staff.

Read More 

The Employer Mandate of the Patient Protection and Affordable Care Act


The Toolkit, available here, details the ACA’s employer requirements and penalty. It also includes information about the delay in the mandate to 2015, and analysis about its impact on employer-based coverage.

Read More 

Toolkit: Replacing the SGR


A new Alliance for Health Reform Toolkit summarizes the recent policy debate surrounding the decade-long problem In the last six months, the House Energy and Commerce Committee, House Ways and Means, and Senate Finance committees all put forth similar bills to repeal and reform the flawed Medicare physician payment formula. Further, with the CBO estimating the cost of repeal at $116.5, the lowest since 2006, many health policy experts are speculating that 2014 is the year that policymakers enact a permanent change to the SGR.

Read More 

Copyright 1997-2014 Alliance for Health Reform
1444 Eye Street, NW, Suite 910 Washington, DC 20005-6573      202-789-2300      202-789-2233 fax      info@allhealth.org      Sitemap