Blumenthal Provides EHR/HIE ‘Meaningful Use’ Overview

 Blumenthal Provides EHR/HIE ‘Meaningful Use’ Overview
In the December 15, 2009 HIT Policy Committee Meeting , Nat’l Coordinator for Health IT David Blumenthal provides overview of ONC office transformation and a framework for viewing the paths to “Meaningful Use.” Description below follows Blumenthal’s remarks at this morning’s meeting from goals on right side of image working back to various structures and programs on left of image.

Click on the ARRA Enabling Strutures image, and the same image on the next page for larger, readable view. Image is part of Blumenthal’s slide presentation.

ARRA Enabling Structures
ARRA Enabling Structures

Goals and Purpose of Meaningful Use
1. Improved Clinical Outcomes
2. Improved Population Health Outcomes
3. Increased Efficiency in the Health Care System
4. Empowered Individuals
5. Learning Health Care Systems

Two Critical Issues toward Meaningful Use
1. Exchange & Enhanced Uses
2. Adoption

Path One (outlined below) forms a Pathway for Exchange toward Exchange & Enhanced Uses.

Path Two (outlined below) impact both Exchange & Enhanced Uses and Adoption.

Path Three (outlined below) supports Trusted and Effective EHRs.

Three Key Paths
Path One
     State HIE Grants
     Public Health Infrastructure
     Standards & Certification, NHIN
     Privacy & Security
     Federal Coordination & Planning
     R&D and Innovation

Path Two
     Medicare & Medicaid Incentives
     Regional Extension Centers
     Beacon Communities
     Workforce
     Provider & Consumer Demand (Pull)

Path Three
     R&D and Innovation
     Evaluation, Reports, & Studies
     Communications
     Transparency/Surveillance
     Standards & Certification
     Federal Coordination & Planning
     Regional Extension Centers (while not pictured in graphic, Blumenthal said REC were critical to this path as well).

For complete slide presentation, see
Briefing on the ONC Agenda [PPT - 1.37 MB]
from David Blumenthal, National Coordinator for Health IT

Blumenthal also provided review  of restructuring of ONC and its departments, which was detailed in an earlier post on e-Heathcare Marketing. The office has grown from about 33 FTEs (full time equivalents) when Blumenthal initially joined to over 50 currently, with expectation that it will increase to closer to 100.

Blumenthal also noted that the grant funding programs managed by ONC were labelled “cooperative agreements” since ONC will be partnering with grant recipients and overseeing implementation, not merely granting funds and reviewing results or benchmarks. 

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