Slide 1 The Mountain-Pacific DOQ-IT Project
Slide 1
The Mountain-Pacific DOQ-IT Project
Slide 2
Overview
• What is the DOQ-IT Project?• Mountain-Pacific’s progress in DOQ-IT• Mountain-Pacific’s perspective on HIT in our states• 9th Scope of Work
Slide 3
What is DOQ-IT?
• Doctor’s Office Quality Information Technology (DOQ-IT)
• Voluntary Program, funded through the CMS/QIO 8SoW
• Goals– Work with 5% of Primary Care Practice in each state– Assist these practices in adopting EHRs, e-Rx, Care
Management Processes, and Data Reporting– Focus on Diabetes, CHF, CAD, Hypertension, and
Preventive Care Measures
Slide 4
DOQ-IT Objectives
• Facilitate the adoption of Electronic Health Records (EHRs) in small- to medium-sized practices (1-8 physicians)
• Ensure that practices are using EHRs and IT to the fullest capability to improve office efficiency
• Use clinical data reports for improved practice performance and patient outcomes
Slide 5
Benefits for Physicians
• Analysis of practice processes• Recommendations for improved office efficiencies• Assistance with EHR vendor selection and implementation
• Improved chronic care and preventive clinical outcomes
• Increased patient safety• Free tools
Slide 6
Impact of DOQ-IT on Medicare Beneficiaries
• Promote continuity of care• Help stabilize medical conditions• Prevent or minimize acute exacerbations of chronic conditions
• Reduce adverse health outcomes (i.e. adverse drug interactions)
Slide 7
Mountain-Pacific DOQ-IT Sites
Alaska9 Sites
Wyoming10 Sites
Montana13 Sites
Hawaii32 Sites
Slide 8
Mountain-Pacific DOQ-IT
• Working with 64 Primary Care Practices sites total• 49 of these sites had no-EHR at recruitment• Currently;
13 sites without an EHR at recruitment have adopted and fully implemented an EHR
7 sites are currently implementing their EHR4 sites are in the RFP/contract negotiation stage and are
anticipated to have an EHR soon22 sites are utilizing their EHRs for care management44 non-eligible sites have expressed interest in the program
Slide 9
DOQ-IT Participants Quotes
• “DOQ-IT was the key to our successful implementation. It helped lead us and give us next steps. They outlined the process really well.” – Shannon Walker, Office Manager; Red Rock Family Practice, Thermopolis, WY
• “I would strongly encourage other practices to use (Mountain-Pacific Quality Health’s) services.” – Travis Bomengen, MD; Red Rock Family Practice, Thermopolis, WY
• “DOQ-IT was a big help in guiding the practice in the right direction. The help given in the implementation gave Dr. Fischer a comfort zone.” – Barbara World, Office Manager; Carol Fischer, MD, P.C., Cheyenne, WY
Slide 10
Wyoming Progress
1 - Recruitment Phase 2 - Assessment Phase 3 - Planning Phase 4 - Selection Phase5 - Implementation Phase (EHR installed) 6 - Evaluation Phase7 - Improvement Phase (Care Management)
Wyoming DOQ-IT Roadmap Progress
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A B C D E F G H I J
Participating Practices
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Stage at Recruitment Progress
Slide 11
Factors for EHR Success
• Leadership
– Physician, Nurse, and Administrative Champions
• Thorough Project Management
– Practices need to invest adequate time and resources to their EHR project
• Ask for help
– DOQ-IT, Other Practices/Peers, HIT Consultants, Lawyers, Accountants, etc.
Slide 12
Health IT Barriers
• Cost
• IT Support
• EHR Vendor Penetration/Accessibility
• Privacy/Security
• Time/Resources
• Perceived need and Provider Interest
• Scope and funding of DOQ-IT is limited
Slide 13
Health IT in Our View
• Interest in the utilization of health IT is on the rise.
• Motivated healthcare providers are making efforts to investigate health IT.
• The lack of available IT support in rural communities makes our states ideal for ASP solutions. However, reliable broadband Internet access hampers this.
Slide 14
Ninth Scope of Work
• Focus of preventive care measures
– Mammography
– Colorectal Cancer Screening
– Influenza Immunization
– Pneumococcal Pneumonia Immunization
• Participating practices will utilize their EHRs to improvement performance in these areas
• Quality data will be collected and sent to CMS for comparison
Slide 15
Contact Information
Kris Urbanek
Health Information Technology Coordinator
307-587-3396
www.mpqhf.org
This material was prepared by Mountain-Pacific Quality Health, the Medicare Quality Improvement Organization for Wyoming, Montana, Hawaii and Alaska, under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 8SOW-MPQHF-WY-PPQI-08-01