Wednesday, June 01, 2016

#ONC2016 Community Services – Integration and Opportunities to promote accessibility and Usability

More from ONC 2016 in Washington DC.

Community Based Services: Integration and Opportunities to Promote Accessibility and Usability (Room 208A/B)

This session will highlight federal and state technology advancements to improve coordination and communication across health care and community-based service providers that support person-centered care for individuals and caregivers. Attendees will learn about work underway through the CMS TEFT Demonstration Grant including the use of PHR systems with Medicaid beneficiaries and the identification of health IT standards to enable interoperability in home and community-based services. Experts will also discuss opportunities for developing accessible and usable health IT tools.

  • Caroline Coy, Health IT Program Analyst, ONC
  • Joseph Walburn, Health Policy Analyst, Maryland Department of Health and Mental Hygiene
  • Deborah Kaplan, 508 Policy Lead and HHS 508 Coordinator, HHS Office of the CIO
  • Scott Cory, Chief Information Officer and Director, Office of Information Resources Management, ACL
  • Josh Hardy, Health Insurance Specialist, Division of Quality and Health Outcomes, CMS

Home and Community-based Care – Josh Hardy

Long Term Services and Support can be provided by states based on need.

Affordable Care Act added to range of services available to States.

ACA introduced Section 2701 – Testing Experience and Functional Tools.

  1. Experience of Care Survey
  2. Functional assessment and Standardized Items
  3. Personal Health Record
  4. eLTSS Plan (electronic long term plan)

Electronic Long Term Services and Supports Initiative – Caroline Coy

Identify, evaluate and harmonize eLTSS Standard.

Identify, test and evaluate standards.

  • Ties to Nationwide Interoperability Roadmap
  • Fed Health IT Strategic Plan
  • CMS Quality Plan

eLTSS is a structured Longitudinal person-centered service plan.

eLTSS is NOT a Care Plan, Plan of Care, Treatment Plan.
But there can be overlaps.

1. Create plan
2. Approve Services
3. Display Plan
4. Update Plan

Accessibility Concerns:

Vision Loss >7 million (2013)
Hearing Loss >11 Million
Color Blind: 1 in 12 men, 1 in 200 Women
Carpal Tunnel Syndrome: 2.7 rising to 5.8%

508 Compliance:

  • Images must be tagged with machine readable text
  • Content must be structured with headings
  • Buttons and other functional elements must be labeled
  • Videos must be captioned and audio described
  • Navigation must not require use of a mouse
  • If using color for meaning another way to show meaning must be used.

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