Transcript Slide 1
HealthBridge is one of the nation’s largest and most successful health information exchange organizations.
The Road to Meaningful Use and Beyond:
Higher Payment, Better Patient Care Trudi Matthews Director of Policy and Public Relations HealthBridge Tri-State Regional Extension Center
What do you need to know to get paid?
MU Definition
Meaningful use (MU) is defined as:
• Use of a certified
Electronic Health Record (EHR)
• Electronic
exchange
of health information •
Quality reporting
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Meaningful Use Stages
1.
2.
3.
4.
Stage 1 2011*
Capturing health information in a coded format Using the information to track key clinical conditions Communicating captured information for care coordination purposes Reporting of clinical quality measures and public health information 1.
2.
3.
4.
5.
6.
7.
Stage 2 2013*
Disease management, clinical decision support Medication management Support for patient access to their health information Transitions in care Quality measurement Research Bi-directional communication with public health agencies 1.
2.
3.
4.
5.
Stage 3 TBD*
Achieving improvements in quality, safety and efficiency Focusing on decision support for national high priority conditions Patient access to self management tools Access to comprehensive patient data Improving population health outcomes
Capture information….
Report information… Leverage information to improve outcomes…
*Indicates “payment year” in which each Stage is first introduced. Actual compliance timeframe depends on an EP’s first payment year.
MU Final Rule
Eligible Professionals Must meet 15 core + 5 menu Eligible Hospitals Must meet 14 core + 5 menu
• Moved away from “all or nothing approach.” • 15 core requirements for Eligible Professionals • 14 core requirements for Hospitals.
• “Menu” of 10 additional requirements – have to chose 5 of the 10.
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MU Final Rule
• Thresholds must be met for many requirements (e.g., 40% e-prescribing) • Reporting by attestation required in 2011, electronic reporting to CMS required in 2012. • Quality measures required for reporting: • 6 for EPs – 3 core* + 3 menu • 15 measures for hospitals
*3 alternative core measures available for those EPs that cannot report on 3 core measures.
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The Challenges
• The final government regulations are complex (864 pages long). • As many as 30% of all EHR implementations fail. • EHR Use is not enough – Reporting and electronic interchange are key requirements
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Meaningful Use (MU) Final Rule – EPs – Core Set **
Core
1.
Use computerized order entry for medication orders.
2.
3.
Implement drug-drug, drug-allergy checks.
Generate and transmit permissible prescriptions electronically.
4.
5.
6.
Maintain an up-to-date problem list of current and active diagnoses.
Maintain active medication list.
7.
8.
Maintain active medication allergy list.
Record and chart changes in vital signs.
9.
Record smoking status for patients 13 years old or older.
10. Implement one clinical decision support rule. 11. Report ambulatory quality measures to CMS or the States.
12. Provide patients with an electronic copy of their health information upon request.
13. Provide clinical summaries to patients for each office visit.
14. Capability to exchange key clinical information electronically among providers and patient authorized entities.
15. Protect electronic health information (privacy & security) REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Meaningful Use (MU) Final Rule – EPs – Core Set **
Core
1.
Use computerized order entry for medication orders.
2.
3.
Implement drug-drug, drug-allergy checks.
Generate and transmit permissible prescriptions electronically.
4.
5.
6.
7.
8.
Record demographics.
Maintain an up-to-date problem list of current and active diagnoses.
Maintain active medication list.
Maintain active medication allergy list.
Record and chart changes in vital signs.
9.
Record smoking status for patients 13 years old or older.
10. Implement one clinical decision support rule.
11. Report ambulatory quality measures to
13. Provide clinical summaries to patients for each office visit.
14. Capability to exchange key clinical information electronically among providers and patient authorized entities.
15. Protect electronic health information (privacy & security) REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Meaningful Use (MU) Final Rule – EPs – Core Set **
Core
1.
Use computerized order entry for medication orders.
2.
3.
Implement drug-drug, drug-allergy checks.
Generate and transmit permissible prescriptions electronically.
4.
5.
6.
Record demographics.
Maintain an up-to-date problem list of current and active diagnoses.
Maintain active medication list.
7.
8.
Maintain active medication allergy list.
Record and chart changes in vital signs.
9.
Record smoking status for patients 13 years old or older.
10. Implement one clinical decision support rule. 11. Report ambulatory quality measures to CMS or the States.
12. Provide patients with an electronic copy of their health information upon request.
14. Capability to exchange key clinical
13. Provide clinical summaries to patients for each office visit.
patient authorized entities.
and patient authorized entities.
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Meaningful Use (MU) Final Rule – EP – Menu Set Menu:
1.
Implement drug-formulary checks.
3.
Incorporate clinical lab-test results into certified EHR as structured data.
Generate lists of patients by specific conditions to use for quality improvement, 4.
5.
6.
Send reminders to patients per patient preference for preventive/ follow-up care
reduction of disparities, research and
lab results, problem list, medication lists, allergies)
outreach.
patient if appropriate.
7.
8.
9.
Perform medication reconciliation as relevant Provide summary care record for transitions in care or referrals.
Capability to submit electronic data to immunization registries and actual submission.
10. Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission.
*Language from the final rule has been changed in places for brevity. ** These requirements are for eligible professionals (EPs). A table that includes hospital requirements is available at www.healthbridge.org
.
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Meaningful Use (MU) Final Rule – EP – Menu Set Menu:
1.
Implement drug-formulary checks.
2.
3.
Incorporate clinical lab-test results into certified EHR as structured data.
Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.
4.
5.
6.
Send reminders to patients per patient preference for preventive/ follow-up care Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies) Use certified EHR to identify patient-specific education resources and provide to patient if appropriate.
Perform medication reconciliation as relevant 8.
9.
Provide summary care record for transitions in care or referrals.
transitions in care or referrals.
submission.
10. Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission.
*Language from the final rule has been changed in places for brevity. ** These requirements are for eligible professionals (EPs). A table that includes hospital requirements is available at www.healthbridge.org
.
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CMS Incentive Program Timeline
• Registration with CMS begins in January, • EPs will be required to register for participation in either the Medicare or the Medicaid incentive program. • Medicaid Incentive Payments should start by June.
• Full Medicare incentive requires completion by December, 2012
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An Overview
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
What is the Tri-State REC?
• • New federally-funded collaboration led by HealthBridge
GOAL: Help eligible professionals
•
implement technology
•
achieve meaningful use and
•
qualify for incentives
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Who Do We Serve?
Who Do We Serve?
•
Priority Primary Care Practitioners
• •
(PPCP)
Primary Care = FPs, OB/Gyn, Peds, Int. Med Additional focus on: • Small practices (<10 prescribers;
physicians, PAs, ARNPs)
• • Community health centers Rural clinicians and those with critical access hospitals • Practices and clinics that serve the underserved REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
What Services Do We Provide?
• •
Meaningful Use Strategy and Planning EHR Selection Support
• •
Standard RFP Pre-negotiated Prices and Terms for five Supported Vendors
•
EHR Implementation Support
•
Workflow and process improvement
•
Health Information Exchange Support
•
Quality Reporting Support
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
REC Supported Vendors
• Allscripts - Professional • Athenahealth - AthenaNet • eClinicalWorks - eCW EHR • GE Healthcare - Centricity • NextGen Healthcare - NextGen EHR ALSO: • REC will work with any practice regardless of vendor. • REC will work with practices that choose a hospital supported EHR. REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Why Work with the Tri-State REC?
Bottom line: REC will help practices and health centers
• maximize funding • minimize expenses and • improve quality and efficiency of the practice
• REDUCE RISK of PROJECT FAILURE
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
An Overview
Beacon Community Program: Overview
17 Beacon Communities Extend advanced health IT and exchange infrastructure Leverage data to inform specific delivery system and payment strategies Demonstrate a vision of the future where: • Hospitals, clinicians and patients are meaningful users of health IT; and, • Communities achieve measurable & sustainable improvements in health care quality, safety, efficiency, and population health.
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Beacon Community Programs
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GCBC Activities
• • • • • •
HIT/HIE Interventions – HealthBridge Core Infrastructure Enhancements
• Master Patient Index, • Repository & • Enhanced Connectivity to EHRs
Alert system for ER & Hospital visit/discharge
ambulatory providers to
Disease registries & EHRs
support with clinical decision
Summary record exchange Patient portal availability Race, ethnicity and language data enhancement
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Contact Us
• For answers to your questions, additional information or to sign up to work with us: • Call 513-469-7222 • Visit our website,
www.healthbridge.org
• Email rec
@healthbridge.org
REC support is provided under cooperative agreement 90RC0025/01 from the Office of the National Coordinator for HIT, US Dept. of Health and Human Services .
Contact: Rob Edwards Acting Executive Director, Kentucky REC [email protected]
859-323-3193
KY REC Tri-State REC
Kentucky REC
An Equal Opportunity University
Vision Statement The long-term vision of Kentucky Regional Extension Center is to improve the quality and value of health care for the people of Kentucky and to serve as a model for other areas that face similar challenges.
Mission Statement The Kentucky Regional Extension Center based at the University of Kentucky will assist primary care providers and critical access/rural hospitals with EHR adoption, HIE participation, and achievement of meaningful use.
An Equal Opportunity University
Provide a comprehensive, coordinated array of services and strategies which will address barriers and enhance support for EHR adoption by priority primary care providers (PPCPs) throughout the state of Kentucky Tailor the needs of each practice by combining well-developed educational resources and systems, UK’s state-of-the-art continuing education resources, experience in EHR Adoption and implementation, and on-site PCPP consultation and coaching during the EHR adoption process
An Equal Opportunity University
Menu of KY REC Services Planning •Complete Practice Readiness Assessment •Identify Target Improvement Opportunities •Address Practice Readiness Barriers •Conduct a Practice Workflow Assessment •Perform MU Gap Analysis •Create a MU Work Plan •Facilitate Change Management on EHR Resources •Assist with Selection and Purchase of HER •EHR Implementation or Modification for MU •Facilitate HIE Connectivity Implementation Phase Monitoring Phase •Provide Supplemental UK REC Services •Continuing Education •Onsite Coaching and Mentoring
Estimated 50.5+ hours needed per practice from recruitment to MU
Achieving Meaningful Use •Demonstrate MU to CMS
An Equal Opportunity University
Primary Care Physicians • • • • FPs, OB/Gyn, Peds, Int. Med Small practices (<10 prescribers; physicians, PAs, ARNPs) Community health centers Practices and clinics that serve the underserved Critical Access Hospitals FQHCs/ PCCs
An Equal Opportunity University
The KY REC does not target specialty providers, however, we do want to help you.
• • We can help you find the best price for your EHR Let us introduce you to a technology consultant
An Equal Opportunity University
Fall 2010 Certification of EHR vendors will start
2010
April 2011 Attestation of meaningful use begins 2011-2012 Clinicians can begin using a certified EHR in a meaningful Manner (must use for 90 days)
2011
Jan. 2011 Registration with CMS can begin. This will be done through PECOS May 2011 CMS payments Will begin
*Medicaid EHR incentives will be managed by states An Equal Opportunity University
An Equal Opportunity University
An Equal Opportunity University
We look forward to working with you.
An Equal Opportunity University
An Equal Opportunity University
Rob Edwards [email protected]