Efforts to improve the quality of our nation’s healthcare system date back a century ago. In addition, our health system has been challenged with managing rising healthcare costs. In DoD alone, “by 2030, Defense Health Agency estimates project costs will grow to more than five times ($95B) from the 2001 level, due to large increases in new eligible beneficiaries, expanded benefits, increased utilization, and health care inflation.” Currently, CMS is leading the way to incentives-based healthcare delivery programs that are not only high in quality, but also high in value. Promoting better clinical outcomes at lower costs (that is what value-based care aims to achieve), depends on advanced data sharing, data mining, and clinical decision support tools. This panel will discuss how CMS, VA, and DoD tap into Health IT to advance Value-Based-Care (VBC).
 

• Fee-for-service revenue remains the most important contributor to margins. While that is the case, what investment strategies on Health IT systems should be considered that accelerates value-based-care?
• Care coordination and interoperability across value-based care need common data sharing standards (e.g. FHIR) and an implementation guide. Where do you see the progress made so far and is there a roadmap for future implementation? Is there a roadmap to develop integrated Information Systems such as integrated data warehouse and real-time information exchange?
• Military has taken steps towards value-based care including the use of Integrated Resourcing and Incentive System (IRIS), National Surgical Quality Improvement Program (NSQIP) and Joint Outpatient Experience Survey (JOES). What is the role of Health IT in implementing and improving the effectiveness of these programs? What are other of programs where DHA is using or planning to use Health IT to advance VBC?
• How does the VA view value-based care considering the Veterans Choice Act? In addition, how are the Community Care Networks and its use of HIT promoting value-based care delivery?
• EHR and digital health play a major role in clinical decision support and evidence-based care delivery. The digital transformation has the potential to help measure value beyond cost and efficiency. In this regard, what are the considerations now and in the future on DoD and VA’s EHR modernization efforts?

Panelists:

• COL Francisco Dominicci, Chief, Solutions Division, J-6, Defense Health Agency (Confirmed)
• David R. Hunt, MD, FACS, Medical Director, Patient Safety, Office of the National Coordinator for Health IT (ONC) (Confirmed)
• David F. Massaro, MD, MHCDS, MBA, FAAFP, FACHE, Deputy Chief Medical Officer and Primary Care Lead, VA MidSouth Healthcare Network (regional multistate Veterans Integrated Service Network), Veterans Health Administration (VHA), Department of Veterans Affairs (VA) (Confirmed)
• Andrew Robie, MD, Chief Medical Information Officer, Unity Health Care, Washington, DC (Confirmed)
• Dawn Van Dyke, Director, Marketing, Sequoia Project-Connected we stand! (Confirmed)

Moderator:

• Dan Blum, HIMSS NCA Chapter Board Member

Program Documents:

HIMSS NCA - Sept 2019 - Program Announcement
HIMSS NCA - Sept 2019 - Slides
HIMSS NCA - Sept 2019 - Speaker Bio