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 HIT.
- 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 present 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 and other innovative programs created by the ACA.
Navigant is helping states to advance coordinated HIT, quality, public health, and payment strategies. We provide assistance to states with numerous initiatives:
- Developing, implementing, operating and ongoing improvement of state Medicaid EHR incentive programs and other HIT initiatives including conducting auditing activities
- Reviewing Federal rules and policies
- Briefing Medicaid agency team members on HIT and Federal HIT programs
- Developing Federally-mandated documentation
- Developing requests for enhanced Federal funds (including developing Advanced Planning Documents and State Medicaid HIT Plans)
- Designing innovative payments programs that use HIT as a core feature
- Developing and operationalizing pilot and other innovative programs to promote HIT adoption and use by providers serving vulnerable populations including patients needing behavioral health services and long-term services and supports
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.