Opportunities for Engaging Long-Term and Post-Acute Care Providers in Health Information Exchange Activities: Exchanging Interoperable Patient Assessment Information. VII. Next Steps - Engaging States And LTPAC Providers

12/01/2011

This report describes many important initiatives under way that are building the infrastructure for LTPAC providers to become meaningful users of HIT and participate in HIE activities.

National Governors Association (NGA) Issue Brief: HIT Integration in Long-Term Care

There is great promise for electronic exchange of health information to reduce fragmentation, especially for long-term care patients. It can improve the quality of care delivery and is a potential mechanism for reducing health care costs by reducing duplicative tests and services. Many LTCFs already use technology in their care settings, but connecting with broader state HIE efforts is just beginning. Although states understand the value of integrating HIT and long-term care, many challenges remain.33

ASPE is funding additional work, to be completed in 2012, of the HIE activities underway in state and other programs that target LTPAC (and behavioral health) providers and identify gaps, barriers, and opportunities to advance HIE and the use of HIT by these providers. This work includes:

  • Conducting an environmental scan of ONC State HIE grant and Beacon Community Programs, state Medicaid programs, and other initiatives to identify HIE activities underway and/or needed that focus on LTPAC (and behavioral health) providers, including identifying opportunities that could support quality and continuity of care through the efficient re-use of standardized assessment content.

  • Identifying and supporting the adoption of content and messaging standards, implementation specifications and EHR certification criteria needed to engage LTPAC and behavioral health providers.

  • Using the HIT Policy and Standards committees and ONC's standard-setting framework (the S&I Framework) to support and accelerate electronic HIE and use by LTPAC and behavioral health providers.

  • Identifying a method/mechanism to maintain and update HIT standards linked to PAIs as these instruments and standards evolve over time.

  • Identifying and addressing gaps in HIT standards needed to support HIE on behalf of LTPAC and behavioral health patients (e.g., functional and cognitive status).

Additional activities to advance HIE on behalf of LTPAC providers include understanding and overcoming the issues and challenges states and LTPAC providers face.

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