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KS RuralEnvironment Tilden

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Information about KS RuralEnvironment Tilden
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Published on November 28, 2007

Author: Marian

Source: authorstream.com

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HIE in Rural America Why it matters so much…..:  HIE in Rural America Why it matters so much….. Chris Tilden, Ph.D. Kansas Department of Health & Environment Office of Local and Rural Health HIT Strategies in Kansas:  HIT Strategies in Kansas H4C HIT WD4 About Rural Health (Kansas): WD4:  About Rural Health (Kansas): WD4 Workforce Density (98.9% of landmass is rural; 29% of population)* Demographics (age, diversity) Distance Delivery (84 Critical Access Hospitals, 176 Rural Health Clinics, 6 Rural FQHCs, Indian Health Service, Migrant Health, Home Health, EMS, etc.) U.S. Census Bureau (University of Kansas Policy Research Institute analysis) Slide5:  Kansas (over age 65) Source: U.S Census Bureau (map from University of Kansas Policy Research Institute (http://www.ku.edu/pri/ksdata/ksdata.shtml) Obstacles to use of HIT in rural areas:  Obstacles to use of HIT in rural areas Source: 2005 Dixon Hughes Critical Access Hospital Survey (n=201) Obstacles to use of HIT:  Obstacles to use of HIT Deficiency of broadband/cost of lines No business case for linkages Lack of “change agents” Security/privacy concerns Stark (self referral), anti-kickback, etc. Absence of clear and consistent definitions, policies and standards It’s tough to implement HIT…:  It’s tough to implement HIT… Does your hospital use bar-coded patient identification bracelets? No = 88% Does your hospital use electronic medical records? No = 83% TASC 2005 Survey of Critical Access Hospitals It’s tough to implement HIT…:  It’s tough to implement HIT… In your hospital, is incident/error reporting computerized? No = 86% In your hospital, are any laboratory functions computerized? No = 53% It’s tough to implement HIT…:  It’s tough to implement HIT… Do departments within your hospital share clinical data electronically? No = 64% Does your hospital have a formal Information Technology (IT) plan? No = 64% …but there is reason for optimism!:  …but there is reason for optimism! Awareness of the “sea change” 49 Kansas Critical Access Hospitals are members of the KAN-ED network Rural attitudes changing MN Survey: 83% - we are in an era where we must exchange patient data electronically 67% - primary benefit of EHRs are enhanced quality …but there is reason for optimism!:  …but there is reason for optimism! Rural emphasis on Quality http://www.nap.edu/catalog/11140.html …but there is reason for optimism!:  …but there is reason for optimism! The IOM committee developed a five-pronged strategy to address the quality challenges in rural communities: Adopt an integrated, prioritized approach to addressing both personal and population health needs at the community level; Establish a stronger quality improvement support structure to assist rural health systems and professionals in acquiring knowledge and tools to improve quality; Enhance the human resource capacity of rural communities, including the education, training, and deployment of health care professionals, and the preparedness of rural residents to engage actively in improving their health and health care; Monitor rural health care systems to ensure that they are financially stable and provide assistance in securing the necessary capital for system redesign; and Invest in building an ICT infrastructure, which has enormous potential to enhance health and health care over the coming decades. …but there is reason for optimism!:  …but there is reason for optimism! Legal/Operational/Relationship barriers not as insurmountable in Rural Areas …but there is reason for optimism!:  …but there is reason for optimism! Network planning: Shared goals IT/CFO long-term HIT strategy development Targets for HIT applications and/or investments KAN-ED utilization (49 CAHs) …but there is reason for optimism!:  …but there is reason for optimism! Policy Focus: “Promote EHR diffusion in rural and underserved areas.” “Promote use of telehealth systems.” Framework for Strategic Action (David Brailer, July 21, 2004) …but there is reason for optimism!:  …but there is reason for optimism! Policy Focus: National Rural Health Association, Policy Brief on Rural Health Information Technology, March 2006 Selected Recommendations: Establish regional networks in rural areas Liberalize the Stark laws Create funding mechanisms to support infrastructure and health information technology in rural areas Create job training programs that will provide a skilled technology workforce in rural areas …but there is reason for optimism!:  …but there is reason for optimism! Policy Focus: “Efforts to develop local and national health information technology infrastructures should focus specific attention on rural communities." (Quality Through Collaboration: The Future of Rural Health Care, Institute of Medicine, November 2004) HIT adoption in rural areas….it does matter!:  HIT adoption in rural areas….it does matter! Chris Tilden, Ph.D. Director, Office of Local and Rural Health Kansas Department of Health & Environment (785) 296-1200 ctilden@kdhe.state.ks.us

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