Cris Ross, co-chair Anita Somplasky, co-chair December 1, 2015 Certified Technology Comparison (CTC) Task Force.

Cris Ross, co-chairAnita Somplasky, co-chair

December 1, 2015

Certified Technology Comparison (CTC) Task Force

• Welcome and Opening Remarks• Comparison framework• Proposed panel questions• Review work plan• Public comment• Adjourn

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Agenda

COMPARISON FRAMEWORK

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When providers are looking to purchase certified health IT, what are their areas of focus?

• Certified health IT is modular• Some providers may not need all health IT

components • Need a tool that allows comparison of products

relevant to providers’ needs • Tool also must meet providers where they are in

adoption and use spectrum– Ex. new adopter, adding modular technology, shifting

to Alternative Payment Model, replacing existing technology

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Comparison Framework

Regulatory requirementsIdentifies which certified health IT modules meet federal program requirements.

Practice management/ financial system integrationScheduling, billing, payment processing, financials

Privacy and securityCertification criterion mapping, ease of use

Usability User reviews in relation to workflow and patient safety

Data migrationData portability, functionality to support effective migration, support payer audits

Population health management Analytic functionalities, panel management, case management

Patient engagementPatient access to health information, API, secure messaging, bill pay, scheduling, patient generated health data

Interoperability ServicesHISP connectivity, e-prescribing, public health interfaces, ability to connect to other EHRs, other interfaces (lab, radiology, etc.)

Transition to Alternative Payment Models (APMs)Provides guidance on selection of modules to support APM activities

Quality improvementAvailability of practice-relevant clinical quality metrics, ability to track performance over time, reporting architecture, audit accountability, data storage

Total cost of ownershipProvides information on the base cost of the product, service charges, interfaces, hardware costs, other recurrent fees

AccessibilityIdentifies products that provide accessibility-centered design

Categories not prioritized in any way

Comparison within categories

Within each category, items for comparison could include:

• Functionality• Usability and accessibility• User reviews / satisfaction• Cost

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PROPOSED PANEL QUESTIONS

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The Task Force will hold two virtual hearings in January to hear from experts in the field. Their feedback will help to inform final recommendations to the HITPC and HITSC.

Panel I Primary care providers• Inclusive of both non-adopters and experienced users, primary care providers

(physicians and advance practice providers), practice managers

Panel II Specialists• Health care providers who provide non-primary care services. May include physician

specialists, non-physician providers of care (ex. OT/PT/dentistry), and practice managers

Panel III Certified health IT developers• Developers of certified EHRs and other health IT

Panel IV Health IT comparison and informational tool vendors• Vendors who currently provide comparison and/or informational health IT selection

tools• ACBs/ATLs who provide CHPL data

Panel V Quality Improvement and Advanced Payment Model (APMs) Capabilities• Providers and/or vendors who can speak on the challenges of finding certified

health IT products that have the applicable CQMs or advanced health IT functionalities necessary to meet APM and quality reporting needs

Virtual Hearing: Proposed Panels

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Potential Panel I Questions

• If a comparison tool was established, would you use it? If you were to use it, is there a form or format that you would find most helpful?

• Current users of health IT: – If you are currently using health IT and contemplating making a

change, what are the factors you would entertain to accomplish that and what resources would be necessary?

– Did you use any comparison tools to help you select an EHR? If yes, comment on the efficacy of those tools. If no, why not?

• Non-adopters:– What information do you need to make your decision about which

product(s) to purchase?9

Panel I Primary care providers• Inclusive of both non-adopters and experienced users, primary care providers

(physicians and advance practice providers), practice managers

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Potential Panel II Questions

• Does your specialty have specific requirements for certified health IT? How do you identify those requirements?

• If a comparison tool was established, would you use it? If you were to use it, is there a form or format that you would find most helpful?

• If you are currently using an EHR and contemplating making a change, what are the factors you would entertain to accomplish that and what resources would be necessary?

Panel II Specialists• Health care providers who provide non-primary care services. May include

physician specialists, non-physician providers of care (ex. OT/PT/dentistry), and practice managers

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Potential Panel III Questions

• What specific modules are relevant for the typical ambulatory office, and how do you package those features?

• What should be standard features for comparison?• Does a vendor comparison tool foster competition and

innovation?

Panel III Certified health IT developers• Developers of certified EHRs and other health IT

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Potential Panel IV Questions

• What is the best way to develop a tool that meets the needs of different provider groups?

• Are there data that you would like to include in your comparison/informational product that are not currently available to you? How will that benefit the provider?

• For ACBs/ATLs: What information from the testing process would be useful for providers in selecting a certified product? Are there limitations in what can be shared?

Panel IV Health IT comparison and informational tool vendors• Vendors who currently provide comparison and/or informational health IT

selection tools

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Potential Panel V Questions

• How might a comparison tool be implemented that would guide providers to select certified health IT components necessary for quality improvement and/or APM participation?

• What specific health IT modules are relevant for APM participation?

• What information do providers need to know when selecting certified health IT to be used for quality measurement reporting?

Panel V Quality Improvement and Advanced Payment Model (APMs) Capabilities• Providers and/or vendors who can speak on the challenges of finding certified

health IT products that have the applicable CQMs or advanced health IT functionalities necessary to meet APM and quality reporting needs

NEXT STEPS

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Task Force Workplan

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Meeting Goals Meeting Tasks

Tue, Nov 17, 2015 9:00am • Overview of charge and plan• Initial considerations from committee• Overview of market research to date

Tues, Dec 1, 2015 12:30pm Potential Topic: Provider/vendor needs• How might a tool address different health IT needs for different stages of adoption or

implementation? (maturity model) • Does a tool need to address different provider types’ health IT? If so, how might that be

implemented?• Does a tool need to address different forms of patient care? If so, how might that be

implemented?• Does a tool need to provide resources to compare base EHR vs. modular health IT needs?

Thurs, Dec 3, 2015 – Admin Call (non-public)

• Refine the virtual hearing format

December 8, 2015 - Draft Recommendations to HITPC

• Status of current TF work• Expectations for what will be learned from the virtual hearing

December 10, 2015 - Draft Recommendations to HITSC

• Status of current TF work• Expectations for what will be learned from the virtual hearing

Thu, Jan 7, 2016 10:00am –Hearing • Hear from additional expertise to inform final recommendations

Fri, Jan 8, 2016 12:00pm • Refine recommendations

Fri, Jan, 15 2016 - Hearing • Hear from additional expertise to inform final recommendations

Tue, Jan, 19, 2016 12:00pm • Finalize recommendations

January 20, 2016 - Final Recs • Joint HITPC/HITSC Presentation