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HIT Implementation Assistance

This initiative aims to provide technical assistance, disseminate best practices, and remove barriers to the adoption, implementation, and effective use of Health Information Technology (HIT) in compliance with standards and certification criteria. The HIT Research Center and Regional Extension Centers support providers, hospitals, and healthcare entities to become meaningful users of electronic health records, particularly in underserved areas. Priority is given to primary care providers and entities serving vulnerable populations. The program, funded at $598 million, promotes the exchange of knowledge and experience to accelerate HIT implementation. Nonprofit institutions and state organizations collaborate to enhance healthcare through HIT.

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HIT Implementation Assistance

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  1. HIT Implementation Assistance ARRA Section 3012 (Public Health Service Act)

  2. HIT Research Center (national) • Provide Technical Assistance • Develop or recognize best practices to support and accelerate efforts to: • Adopt, implement, and effectively utilize HIT that Allows for • Electronic exchange and • Use of information • In compliance with standards, implementation specifications, and certification criteria adopted under Section 3004 of the HITECH Act.

  3. HIT Research Center purposes • Forum for the exchange of knowledge and experience • Accelerate the transfer of lessons learned • Assemble, analyze, and widely disseminate evidence and experience • Provide technical assistance for HIE • Provide technical assistance for solutions to barriers for HIE • Learn about effective ways of adopting/using HIT in medically underserved areas

  4. HIT Regional Extension Centers • Provide technical Assistance • Disseminate best practices and other information • Support and accelerate efforts to adopt, implement, and utilize HIT.

  5. Parallels to U.S. Dept of Agriculture Land Grant Universities Cooperative Extension: County Agricultural Agents Enormous benefit to 20th century agriculture Best Practices through Extension programs

  6. Regional Extension Centers • Four year grant cycle • Years 1 & 2: 90% federal share • Years 3 & 4: 10% federal share • Estimated 70 centers, by geographic area • Supporting 100,000 providers • Nonprofit institutions

  7. Oklahoma Regional Extension Center • Oklahoma Primary Care Association initiated • Began meeting in June 2009 • OHA, OSMA, OOA, OFMQ, OSU, OU, OHCA, OSDH, OKPRN, AHEC, HAU, others • Oklahoma Foundation for Medical Quality selected as grant applicant

  8. Hospitals & HIT Extension Program – ARRA excerpt (4) REGIONAL ASSISTANCE.—Each regional center shall aim to provide assistance and education to all providers in a region, but shall prioritize any direct assistance first to the following: • (A) Public or not-for-profit hospitals or critical access hospitals. • (B) Federally qualified health centers (as defined in section 1861(aa)(4) of the Social Security Act). • (C) Entities that are located in rural and other areas that serve uninsured, underinsured, and medically underserved individuals (regardless of whether such area is urban or rural). • (D) Individual or small group practices (or a consortium thereof) that are primarily focused on primary care.

  9. May 28 Federal Register notice - “draft description” We propose that the goals of the regional center program should be to: • Encourage adoption of electronic health records by clinicians and hospitals; • Assist clinicians and hospitals to become meaningful users of electronic health records; and • Increase the probability that adopters of electronic health record systems will become meaningful users of the technology.

  10. August 20 – Funding Opportunity Announcement Pursuant to requirements of the HITECH Act, priority shall be given to providers that are primary-care providers (physicians and/or other health care professionals with prescriptive privileges, such as physician assistants and nurse practitioners) in any of the following settings: • individual and small group practices (ten or fewer professionals with prescriptive privileges) primarily focused on primary care; • public and Critical Access Hospitals; • Community Health Centers and Rural Health Clinics; and • other settings that predominantly serve uninsured, underinsured, and medically underserved populations.

  11. Application and Award Process: $598 Million

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