2020 Current ltpac activities
The last five years (2015-2019) have been very busy years as John Derr, RPh, FASCP has continued to build upon the 2015 ONC Brief on the Value Proposition of Long Term & Post Acute Care (LTPAC) and role of LTPAC in the new care and payment models being proposed by CMS and ONC.
The following paragraphs provide a profile of my activities in support of LTPAC Providers and Health Information Technology Developers. Basically I attend meetings and:
Give Presentations on LTPAC Value Proposition;
Write Articles for Publications;
Write Strategic White Papers for Clients;
Provide Strategic Clinical Technology Assessments;
Strategic Plans; and
Provide Expert Advice and Opinion.
I currently serve or have served on a number of Federal and State Advisory Committees Since 2002
I have served on a number of Boards
The following paragraphs provide a profile of my activities in support of LTPAC Providers and Health Information Technology Developers. Basically I attend meetings and:
Give Presentations on LTPAC Value Proposition;
Write Articles for Publications;
Write Strategic White Papers for Clients;
Provide Strategic Clinical Technology Assessments;
Strategic Plans; and
Provide Expert Advice and Opinion.
I currently serve or have served on a number of Federal and State Advisory Committees Since 2002
- National Quality Forum (NQF) Member - Expert Panel on Quality Measurements for EHRs (2019 - Present)
- HHS CAH, Rural Health and Veteran Workgroup (2015 - Present))
- AHCA IT Committee (Founder - 2002 - Present)
- LTPAC HIT Collaborative (Founder 2005 - Present)
- HIMSS LTPAC Committee (2018 - Present)
- AMDA Policy Committee (2016 - Present)
- NASL IT Committee (Founder 1998 - Present)
- HHS Federal Advisory Committee on HIT Standards (2009 - 2016)
- Home Care Technology Association of America Advisory Board (2013 - 2016)
- HIMSS Connected Health Committee (2016-2018)
- HIMSS LTPAC Roundtable Co-Chair (2016-2018)
I have served on a number of Boards
- International Remote Imaging (IRIS) BOD - Clinical Chemistry
- Genelex BOD - Pharmacogenetics
- CarePort Advisory Board Healthcare Interoperability Software
- Kno2 Advisory Board Healthcare Interoperability Software
- BlueOrange Advisory Board - Security Software
SUMMARY of Major ACTIVITIES
MEMBER OF THE STANDARDS COMMITTEE (HITSC) - 2009 - 2016
In 2009 the American Restoration and Reinvestment Act was passed and formed the HITECH Act. The HITECH Act established two Federal Health Information Technology (HIT) Advisory Committees. One on HIT Policy and a second on HIT Standards. ONC provides support to these two Federal advisory committees. Their charge is to provide input on the policies and technologies needed to improve health and care. They provide a direct means for private and public sector health IT leaders as well as the public to provide input to U.S. Department of Health and Human Services (HHS). The Health IT Standards Committee (HITSC) is charged with making recommendations to the National Coordinator for Health IT on standards, implementation specifications, and certification criteria for the electronic exchange and use of health information. Initially, the Health IT Standards Committee will focus on the policies developed by the Health IT Policy Committee's initial eight areas. (https://www.healthit.gov/FACAS/health-it-standards-committee) After 7 years my appointment term on the Standards Committee expired on June 30, 2016 and cannot legally be extended. I was succeeded by Terrance (Terry) O'Malley, MD of Boston Partners and Harvard. |
CMS TESTING EXPERIENCE AND FUNCTIONAL TOOLS (TEFT) GRANT eLTSS DEVELOPMENT - 2014 - PRESENT
The electronic Long-Term Services & Supports (eLTSS) Initiative is a ONC-CMS partnership that will focus on identifying and harmonizing electronic standards that can enable the creation, exchange and re-use of interoperable service plans for use by health care and community-based long-term services and supports providers, payers and the individuals they serve. These plans can help to improve the coordination of health and social services that support an individual’s mental and physical health. The eLTSS is very important to Medicaid and Home and Community Based Services (HCBS) and allowing a person to live at the home of their choice to receive care. MEDICATION REGIMEN REVIEW AND RECONCILIATION - 2016 - PRESENT
It is general knowledge that medication errors are one of the major causes of rehospitalization, poor quality of life, and death from adverse effects from medication mismanagement. Two of the major medication error possibilities are: Medication Reconciliation and Medication Regimen Review. These functions are performed in various ways by the different providers in a persons Spectrum of Care. It is the charge of the members of this CMS Grant to develop approved standards to be used throughout the spectrum of Care. Medication safety is a primary focus by many groups as we move to person centric electronic longitudinal care. We are looking at Polypharmacy (the taking of multiple medications). The average number of medication an elderly person who has chronic conditions with comorbidities is increasing. With the multitude of prescribers it is a growing concern that many of the the medication are counter indicated. We are also looking at pharmacogenomics to assist in polypharmacy and insurance that the medications a person takes are metabolized. LTPAC HEALTH IT COLLABORATIVE (http://ltpachitcollaborative.wikispaces.com) 2005 - PRESENT
The Collaborative represents the member association membership on issues of clinical technology. The members discuss the issues almost weekly. The Collaborative has held the only LTPAC Clinical Technology Health IT Summit in the US for 12 years. Derr is a member having been one of the three founders. He contributes to the weekly conference calls; is on the Summit Planning Committee and speaks at the Annual Summit; and assists in forming the Collaborative's comments on ONC and CMS Requests for Information (Interoperability RFI) and Proposed Rules (MACRA). Derr gave this years Eye Opener presentation on the Value Proposition of LTPAC and was also the Monitor of the Precision Medicine and Decision Support Software Panels. See Collaborative page on this Website. NATIONAL ASSOCIATION FOR THE SUPPORT OF LONG TERM CARE (NASL) (https://www.nasl.org/) 1998 - PRESENT
The National Association for the Support of Long Term Care (NASL) is a trade association representing the legislative and regulatory interests of over 100 companies providing physical, occupational and speech-language pathology therapies; portable x-ray/EKG and ultrasound; health information technology systems; and products such as complex medical equipment, parenteral and enteral supplies, equipment and nutrients; and additional specialized supplies for long term and post acute care settings nationally. The mission of NASL is to represent ancillary service providers and suppliers in the long term and post acute care community on healthcare policy and to advocate for high-quality, cost-effective care. Derr is a member of the IT Committee which he formed in 1998 to represent the Health IT vendors and developers of LTPAC software. |