CCHIT Town Call: Updating Expansion Roadmap

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Information about CCHIT Town Call: Updating Expansion Roadmap
Health & Medicine

Published on December 1, 2008

Author: cchit

Source: slideshare.net

Certification Commission for Healthcare Information Technology Town Call: Updating the Expansion Roadmap - How to Participate in the Process Mark Leavitt, MD, PhD – Chair, CCHIT Alisa Ray, Executive Director Sue Reber, Marketing and Outreach Director Dec 1, 2008 4:00 pm ET / 1:00 pm PT – duration approximately 1 hour Participant Dial-In Number: (866) 612-6319 Conference ID Number: 611877

Agenda • Brief Background of CCHIT • Expanding and Refining Health IT Certification • Expansion Roadmap Process and Schedule • How to Participate • Q & A – live responses to your questions submitted online before and during the call at ehrdecisions.com © 2008 | Slide 2 | Dec 1, 2008

Certification Commission for Healthcare Information Technology Brief Background

Mission and Goals Mission: Goals: Accelerate the adoption • Reduce the risks of of robust, interoperable investing in health IT health IT by creating • Facilitate interoperability an efficient, credible of health IT certification process. • Unlock adoption incentives and regulatory relief • Protect the privacy of health information CCHIT is an independent, nonprofit 501(c)3 organization © 2008 | Slide 4 | Dec 1, 2008

Certification Programs Base Domain Certification Options History/Status (Add-on to Base Domain) Ambulatory EHR Launched May 06 Updated May 07 Updated July 08 Ambulatory Child Health Launched July 08 Ambulatory Cardiovascular Medicine Launched July 08 Inpatient EHR Launched August 07 Updated August 08 Emergency Dept Launched August 08 Amb+Inpt+ED Enterprise Launched August 08 HIE Launched Oct 08 PHR To be launched July 09 Stand-alone ePrescribing To be launched July 09 © 2008 | Slide 5 | Dec 1, 2008

Certification Programs In original HHS contract Expansion to other domains was at the Base Domain Certification Optionsrequest of stakeholders from those areas History/Status (Add-on to Base Domain) Ambulatory EHR Launched May 06 Updated May 07 Updated July 08 Ambulatory Child Health Launched July 08 Ambulatory Cardiovascular Medicine Launched July 08 Inpatient EHR Launched August 07 Updated August 08 Emergency Dept Launched August 08 Amb+Inpt+ED Enterprise Launched August 08 HIE Launched Oct 08 PHR To be launched July 09 Stand-alone ePrescribing To be launched July 09 © 2008 | Slide 6 | Dec 1, 2008

Development Process Inputs: * Scope Guidance from Commission * Roadmap (from previous year) Public Comment * Future Directions (from previous year) periods * Environmental Scan: - Use Cases from AHIC - Standards from HITSP, SDOs - Market research - More Refine Criteria Proposed Launch Develop Final Criteria April and Develop Final Criteria “09” Draft Criteria and Test Scripts 2008 Draft Test Scripts and Test Scripts Certification (July 2009) July Sept Dec Mar May 2008 2008 2008 2009 2009 Pilot Test Plans for expansion to a new domain must be in place at least 18 months before certification launch date © 2008 | Slide 7 | Dec 1, 2008

Volunteer Workgroup Organization Developing “09” Criteria (Planned for launch in July 2009) Develop Criteria for Cardiovascular Child Health Optional Medicine Workgroup Workgroup Developing “10” Criteria Additional (CH) (CV) (Planned for launch in July 2010) Certifications Long Term Behavioral Care Contribute Inter- Privacy & Health (Workgroup Security Workgroup Criteria for operability Compliance not yet Workgroup (BH) Specific (Sec) Workgroup Workgroup formed) Attributes (IO) (PC) Develop Base Ambulatory Inpatient Emerg Dept Network/ PHR Stand-alone Criteria for a EHR EHR EHR HIE Workgroup ePrescribing Domain Workgroup Workgroup Workgroup Workgroup (PHR) (eRx) (Amb) (IP) (ED) (Net) Over 200 volunteers currently serving © 2008 | Slide 8 | Dec 1, 2008

Certification Commission for Healthcare Information Technology Expanding and Refining Health IT Certification

Why “Expand and Refine” Certification? © 2008 | Slide 10 | Dec 1, 2008

Health Care is Complex Professional Populations Specialties and Care Subspecialties Settings Med. Specialty A Small Office Children Med. Specialty B Large Clinic Adolescents Surg. Specialty C Emergency Dept Adults Nurs. Specialty D Hospital / Inpatient Expectant Women Prof. Specialty E Hospital / Outpat. Elderly Specialty F Extended Care Chronic Disease Specialty G Home Health Underserved Subspecialty G1 Etc... Etc Subspecialty G2 Susspecialty G3 Etc... © 2008 | Slide 11 | Dec 1, 2008

Levels of Technology Readiness and Capabilities May Differ Widely Professional Populations Specialties and Care Subspecialties Settings Med. Specialty A Small Office Children Med. Specialty B Large Clinic Adolescents Surg. Specialty C Emergency Dept Adults Nurs. Specialty D Hospital / Inpatient Expectant Women Prof. Specialty E Hospital / Outpat. Elderly Specialty F Extended Care Chronic Disease Specialty G Home Health Underserved Subspecialty G1 Etc... Etc Subspecialty G2 Susspecialty G3 Advanced? Etc... Intermediate? Etc... Basic? © 2008 | Slide 12 | Dec 1, 2008

CCHIT’s First Steps in Certification: •Two broadly defined care settings: ambulatory and inpatient •No differentiation by specialty or population •No differentiation of basic vs advanced capabilities Professional Patient Specialties and Care Settings Populations Subspecialties Med. Specialty A Small Office Children Med. Specialty B 2006 Large Clinic Adolescents Surg. Specialty C Emergency Dept Adult Men Nurs. Specialty D 2007 Hospital / Inpatient Adult Women Prof. Specialty E Hospital / Outpat. Elderly Specialty F Extended Care Chronic Disease Specialty G Home Health Underserved Subspecialty G1 Etc... Etc Subspecialty G2 Susspecialty G3 Etc... Etc... © 2008 | Slide 13 | Dec 1, 2008

Expansion Roadmap A schedule for adding new certification programs more precisely tailored to various specialties, settings, populations, and levels of technology readiness/capabilities Professional Patient Specialties and Care Settings Populations Subspecialties Med. Specialty A Small Office Children Population V: ‘10 Med. Specialty B Large Clinic Adolescents Surg. Specialty C Add Setting Dept Emergency T: ‘10 Adult Men Nurs. Specialty D Hospital / Inpatient Adult Women Population W: ‘11 Add Specialty R: ‘09 Prof. Specialty E Hospital / Outpat. Elderly Add Setting U: ‘12 Specialty F Extended Care Chronic Disease Specialty G Home Health Underserved Subspecialty G1 Etc... Etc Subspecialty G2 Susspecialty G3 Add Subspecialty X: ‘11 Add Advanced Etc... Capability S: ‘10 Etc... © 2008 | Slide 14 | Dec 1, 2008

Certification Commission for Healthcare Information Technology Expansion Roadmap Process and Schedule

Process and Schedule • Environmental scan – Dec 1 – Town Call inviting interested organizations to submit environmental scan forms advocating expansion/refinement – Forms accepted via email Dec 1 – 31, 2008 • Review submissions and success potentials; develop and approve draft expansion roadmap – Commission meeting of Jan 13, 2009 • Public Comment on draft expansion roadmap – Jan 15 – Feb 5, 2009 • Finalization of updated expansion roadmap – Commission meeting of Feb 17, 2009 © 2008 | Slide 16 | Dec 1, 2008

Opportunities • We continually receive inquiries regarding expansion of certification to other practice areas – Now is your opportunity to make a formal request, supported with evidence • Already committed for launch in ‘10: – Behavioral Health – Long Term Care – Additional area(s) still possible • 2011 and beyond is still ‘wide open’ © 2008 | Slide 17 | Dec 1, 2008

Prioritization is Based on a Value Equation • Environmental Scan – gather data on three key parameters for each expansion area: – Benefit of expanding certification – Readiness for certification – Cost to develop certification • Assess potential for success: – Potential for Success = ( Benefit x Readiness ) / Cost • Commission and Trustees will review environmental scan data and success potentials before setting priorities for expansion © 2008 | Slide 18 | Dec 1, 2008

Fiscal Realities • Developing the first set of Ambulatory EHR criteria took 2 years, ~$3M in funds, and thousands of volunteer hours • Levels of continued Federal funding are uncertain • CCHIT must focus its expansion efforts by deploying resources where they can deliver the most value • CCHIT will take into account potential sources of development support as well as self-sustainability of the resulting certification program © 2008 | Slide 19 | Dec 1, 2008

Relative Costs of Certification Development Development resources Low Medium High required: Optional Add-On (e.g. Cardiology) New Specialty New Domain (e.g. Behavioral (e.g. Long Term Care) Existing Domain Health) (e.g., Ambulatory EHR) Many criteria Complete and test steps review or reusable redesign needed • Commission will favor expansion opportunities that can leverage our existing base of knowledge • Before launching development of highly resource-intensive expansions, funding sources must be identified © 2008 | Slide 20 | Dec 1, 2008

Certification Commission for Healthcare Information Technology How to Participate

How to Participate • Review the Town Call material – Presentation and audio podcast available at www.cchit.org/expansion • Download the Environmental Scan form – Also available at www.cchit.org/expansion • In preparing your submission, collaborate with other stakeholders in your domain if possible • Submit the form as an email attachment to expansion@cchit.org between Dec 1 – Dec 31, 2008 – Additional supporting materials may be attached or submitted as web links • Watch for publication of the draft expansion roadmap Jan 15, 2009 and submit any further comments © 2008 | Slide 22 | Dec 1, 2008

Thank you! Q & A Session Submit questions online at any time before or during the Town Call at ehrdecisions.com For more information: www.cchit.org

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