Healthcare Information Technology
The 2009 American Reinvestment and Recovery Act (ARRA) included new initiatives and significant funding for increased adoption of electronic health records (EHR), health information exchange (HIE) and other health information technology (HIT) initiatives. Programs created under ARRA include the Medicaid and Medicare EHR Incentive Program and the Statewide Health Information Exchange Collaborative Agreement Program. The goal of these initiatives is to improve patient outcomes, promote care coordination and increase efficiency of the healthcare system through the meaningful use of EHRs and HIT. The surge in HIT has also made the “big data” revolution possible. Clinical data collected electronically through EHRs and shared through health information exchange is the basis of the big data revolution in healthcare.
While the Patient Protection and Affordable Care Act (ACA) did not include the same type of programs or funding for HIT, many of the new ACA programs require the infrastructure and data made possible by HITL.
- Accountable Care Organization, Health Home and other patient-centered initiatives require clinical health information from all points of care to allow for care coordination and to measure and reward performance.
- State Innovation Model (SIM) grants, presents a unique opportunity for states to plan, test and implement innovative changes to their state Medicaid programs and the large-scale state initiatives developed under these grants all have some connection to HIT.
While there are unprecedented levels of funding, guidance and program opportunities at the state and federal levels related to HIT, states will face many challenges developing their HIT infrastructure. Once a state begins to have the necessary HIT infrastructure, states will face subsequent challenges in leveraging and coordinating the HIT infrastructure across the portfolio of state health and social services programs. States have an opportunity to transform their health and social services programs through HIT and achieve improvements in care and program efficiency but must take a measured and strategic approach to implementing and optimizing HIT.
Proven Track Record
Navigant continues to work at the forefront of state programs to implement and administer Federal HIT programs created under ARRA, other innovative programs created by the ACA and HIT programs developed by states. We have assisted a number of states with various aspects of their Medicaid EHR Incentive Program including reviewing Federal rules and policies, briefing Medicaid agency team members on HIT and Federal HIT programs, developing Federally-mandated documentation requests for enhanced Federal funds and for innovative program developments and operationalizing the program.
Over the past four years Navigant has assisted the Commonwealth of Pennsylvania Department of Public Welfare with all aspects of its Medicaid EHR incentive program from developing the initial request to planning funds to current work on an innovative health information exchange pilot for behavioral health and long-term care providers. Navigant also worked with Pennsylvania to develop an HIE sustainability model and plan that included stakeholder participation from across the Commonwealth.
The Navigant Difference
The planning, implementation and operational challenges require expertise in diverse areas. Navigant brings a highly experienced team with decades of healthcare consulting experience spanning the full spectrum of healthcare services. Navigant’s healthcare practice is a nationwide network of nearly 500 dedicated consultants with proven experience in Medicaid and other state health and social services programs, as well as assisting state Medicaid agencies to develop and administer Federal and state HIT initiatives. In addition to our healthcare expertise, the Navigant team includes the necessary experts in finance, economics, clinical process improvement, statistics, modeling and data analytics, to support successful HIT planning, development, implementation and sustainability.