The Mountain-Pacific
DOQ-IT Project
Slide 1
Overview
• What is the DOQ-IT Project?
• Mountain-Pacific’s progress in DOQ-IT
• Mountain-Pacific’s perspective on HIT in our states
• 9th Scope of Work
Slide 2
What is DOQ-IT?
• Doctor’s Office Quality Information Technology
(DOQ-IT)
• Voluntary Program, funded through the CMS/QIO
8SoW
• Goals
– Work with 5% of Primary Care Practice in each state
– Assist these practices in adopting EHRs, e-Rx, Care
Management Processes, and Data Reporting
– Focus on Diabetes, CHF, CAD, Hypertension, and
Preventive Care Measures
Slide 3
DOQ-IT Objectives
• Facilitate the adoption of Electronic Health Records
(EHRs) in small- to medium-sized practices (1-8
physicians)
• Ensure that practices are using EHRs and IT to the
fullest capability to improve office efficiency
• Use clinical data reports for improved practice
performance and patient outcomes
Slide 4
Benefits for Physicians
• Analysis of practice processes
• Recommendations for improved office efficiencies
• Assistance with EHR vendor selection and
implementation
• Improved chronic care and preventive clinical
outcomes
• Increased patient safety
• Free tools
Slide 5
Impact of DOQ-IT on Medicare
Beneficiaries
• Promote continuity of care
• Help stabilize medical conditions
• Prevent or minimize acute exacerbations of chronic
conditions
• Reduce adverse health outcomes (i.e. adverse drug
interactions)
Slide 6
Mountain-Pacific DOQ-IT Sites
Alaska
Montana
9 Sites
13 Sites
Hawaii Wyoming
32 Sites 10 Sites
Slide 7
Mountain-Pacific DOQ-IT
• Working with 64 Primary Care Practices sites total
• 49 of these sites had no-EHR at recruitment
• Currently;
13 sites without an EHR at recruitment have adopted and
fully implemented an EHR
7 sites are currently implementing their EHR
4 sites are in the RFP/contract negotiation stage and are
anticipated to have an EHR soon
22 sites are utilizing their EHRs for care management
44 non-eligible sites have expressed interest in the program
Slide 8
DOQ-IT Participants Quotes
• “DOQ-IT was the key to our successful implementation. It
helped lead us and give us next steps. They outlined the
process really well.” – Shannon Walker, Office Manager; Red Rock
Family Practice, Thermopolis, WY
• “I would strongly encourage other practices to use (Mountain-
Pacific Quality Health’s) services.” – Travis Bomengen, MD; Red
Rock Family Practice, Thermopolis, WY
• “DOQ-IT was a big help in guiding the practice in the right
direction. The help given in the implementation gave Dr.
Fischer a comfort zone.” – Barbara World, Office Manager; Carol
Fischer, MD, P.C., Cheyenne, WY
Slide 9
Wyoming Progress
1 - Recruitment Phase
Wyoming DOQ-IT Roadmap Progress 2 - Assessment Phase
3 - Planning Phase
7 4 - Selection Phase
5 - Implementation
6 Phase (EHR installed)
6 - Evaluation Phase
5
Roadmap Stage
7 - Improvement
4 Phase (Care
Management)
3
2
1
0
A B C D E F G H I J
Participating Practices
Stage at Recruitment Progress
Slide 10
Factors for EHR Success
• Leadership
– Physician, Nurse, and Administrative Champions
• Thorough Project Management
– Practices need to invest adequate time and resources to
their EHR project
• Ask for help
– DOQ-IT, Other Practices/Peers, HIT Consultants, Lawyers,
Accountants, etc.
Slide 11
Health IT Barriers
• Cost
• IT Support
• EHR Vendor Penetration/Accessibility
• Privacy/Security
• Time/Resources
• Perceived need and Provider Interest
• Scope and funding of DOQ-IT is limited
Slide 12
Health IT in Our View
• Interest in the utilization of health IT is on the rise.
• Motivated healthcare providers are making efforts to
investigate health IT.
• The lack of available IT support in rural communities
makes our states ideal for ASP solutions. However,
reliable broadband Internet access hampers this.
Slide 13
Ninth Scope of Work
• Focus of preventive care measures
– Mammography
– Colorectal Cancer Screening
– Influenza Immunization
– Pneumococcal Pneumonia Immunization
• Participating practices will utilize their EHRs to
improvement performance in these areas
• Quality data will be collected and sent to CMS for
comparison
Slide 14
Contact Information
Kris Urbanek
Health Information Technology Coordinator
307-587-3396
kurbanek@wyqio.sdps.org
www.mpqhf.org
This material was prepared by Mountain-Pacific Quality Health, the Medicare Quality Improvement Organization for
Wyoming, Montana, Hawaii and Alaska, under contract with the Centers for Medicare & Medicaid Services (CMS), an
agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS
policy. 8SOW-MPQHF-WY-PPQI-08-01
Slide 15