HIT 2.0; Moving to Performance Based Health Care

1. HIT 2.0;Moving to Performance Based Health Care Dr. Tom Stevenson Chief Medical Officer Covisint Healthcare

2. Phase one; HIT Adoption • More than 30 years in the making • Still a long ways to go • Dynamic time, expect many changes in the technology used for ; • Ambulatory care • Hospital care • Care coordination • Still limited by silos of information without meaningful exchange • Next level is to move towards ‘Performance Based Care’

3. Phase 2; Performance Based Care • The ability to not only attempt to enhance the quality of the patient’s interaction, but to also measure it and make the changes necessary to continually improve it • Requires several elements; • HIT adoption on a robust level • Meaningful HIE • Coordinated care • Establishing quality measure benchmarks • The ability to engage the provider at the point of care to bridge gaps in care • Doing real time and retrospective analysis to make sure we are achieving the goals established

4. Why is this different? • Many of the current HIEs are not set up to do ‘meaningful exchange’ • Many are also without plans to establish benchmarks, or the ability to monitor the changes taking place • It is important to be able to do analytics at several levels; • Patient level- identify gaps in care to be addressed by clinicians at the point of care, or by care coordinators • Practice level- manage your own performance against established benchmarks to meet P4P and other programs • Population level- the ability to identify problem areas, address them, and measure performance changes • A good example is the Beacon Initiative in Tulsa- GTHAN

5. Thank you