Transcript The Practice Manager’s Role in a Successful EHR Transition Federally-designated Regional Extension Center for the State of Missouri University of Missouri: Department of Health.

The Practice Manager’s Role in a
Successful EHR Transition
Federally-designated Regional Extension Center for the State
of Missouri
University of Missouri:
Department of Health Management and Informatics
Center for Health Policy
Department of Family and Community Medicine
Partners:
Hospital Industry Data Institute (Critical Access Hospitals)
Kansas City Quality Improvement Consortium
Missouri Primary Care Association
Missouri Telehealth Network
Primaris
Vision: Assist Missouri's health care providers
in using electronic health records to improve the
access and quality of health services; to reduce
inefficiencies and avoidable costs; and to
optimize the health outcomes of Missourians
This regional extension center is funded through
an award from the Office of the National
Coordinator for Health Information Technology,
Department of Health and Human Services
Award Number 90RC0039/01
Financial
Technical
Organization
Change
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Expense of system
Uncertainty around ROI
Provider and staff productivity
Uncertainty about financial incentives
• Concerns about technically supporting a system
• Lack of necessary computer skills
• Finding the right EHR to suit practice needs (“usability”)
• Having the right IT staff in place
• Possibility of information overload
• Disruption of workflow and productivity
• Privacy and security concerns
• Maintaining patient centeredness and satisfaction
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Require significant support to carry out proper
workflow re-design
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Result can be piecemeal and less effective use of
EHR capabilities and fewer financial and quality
benefits
 Substantial time spent customizing forms and redesigning
workflow
 More time spent with patients leading to longer workdays
or fewer patients during the initial period
 Overburdened planning and implementing without
additional technical support
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Priority:
Primary care providers, including physicians (Internal Medicine,
Family Practice, OB/GYN, Pediatrics) and other health care
professionals (NP, PA) with prescribing privileges in the
following settings:
•Small group practices (10 or fewer providers with prescriptive
privileges
•Ambulatory clinics connected with a public or critical access
hospital
•Community health centers and rural health clinics
•Other ambulatory settings that predominately serve uninsured,
underinsured, and medically underserved populations
55 Critical Access and Rural Hospitals
Population - 5,874,327
Primary Care Providers - 5300
Priority PCPs - 2400
Priority PCPs Served - 1167
Total Providers - 17,946
CAH and Rural Hospitals - 55
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Team of experienced, Missouri based Health IT
professionals
Part of a national network designated by HHS to assist
providers with modernizing their practices
Direct, rapid and reliable access to a pipeline of key
information on health IT and meaningful EHR use
For providers who do not have a certified EHR system We help you choose and implement one in your office
For providers who already have a system - We help
eligible providers meet the Medicare or Medicaid
criteria for incentive payments
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Continuing Education and Training for ALL Providers
Vendor Selection and Group Purchasing
 Group Purchasing
 Vendor Selection
EHR Implementation and Project Management
Practice Workflow Analysis and Redesign
 Practice Readiness Assessment
 Change Management
 Workflow Re-Design
Functional Interoperability and HIE
 Resources for Health Information Exchange
 Security Risk Analysis
Help Providers Achieve “Meaningful Use”
THE ROLE OF THE PRACTICE
MANAGER:
SUCCESSFULLY
TRANSITIONING TO AN EHR
Practice Managers Role and
Responsibilities
 Value of EHR
 Healthcare Environment
 ARRA Act Of 2009
 Meaningful Core Objectives
 Financial Incentives For Meaningful Use Of EHR
 Reform Ready
 Quality of Documentation equals the Quality of Clinical
Care Delivered
American Recovery and Reinvestment Act
(ARRA)
 According to ARRA of 2009
 The use of a certified EHR in a meaningful manner,
such as e-prescribing.
 The use of a certified EHR technology for electronic
exchange of health information to improve quality of
healthcare.
 The use of certified EHR technology to submit clinical
quality and other measures
Improve quality,
safety, efficiency,
and reduce health
disparities
Engage patients and
their families in
their health care
Improve care
coordination
Improve population
and public health
Financial incentives for Meaningful Use of
Electronic Health Record
2011
$21,250
Medicaid
EHR
Incentive
Payments
$18,000
Medicare
EHR
Incentive
Payments
2012
$8,500
2013
$8,500
2014
$8,500
2015
$8,500
2016*
$8,500
2017
2018
2019
2020
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$21,250
$8,500
$8,500
$8,500
$8,500
$8,500
$21,250
$8,500
$8,500
$8,500
$8,500
2021
Maximum
Payments
$63,750
$63,750
$63,750
$63,750
$63,750
$8,500
$63,750
$12,000
$8,000
$4,000
$2,000
$44,000
$18,000
$12,000
$8,000
$4,000
$2,000
$44,000
$15,000
$12,000
$8,000
$4,000
$39,000
$12,000
$8,000
$4,000
$24,000
*Under Medicaid Program years do not have to be consecutive. If an EP does not receive an incentive payment in a given year, then that
year would not be counted as a “payment year.” However, in order to receive maximum incentive payment 2016 is the final year to
register and then meet MU criteria the remaining 6 years.
Reform Ready
Health Care Trends
“Meaningful
Use”
PatientCentered
Medical
Home
Accountable
Care
Organizations
Challenges…
Alignment…
Opportunities…
• Significant increase in
reporting burden
• Rapidly changing
reimbursement and
competitive
environment
• Common data /
reporting needs across
various trends
• Health Centers face
common challenges
• Shared-learning
opportunities
• Existing best-practices
• Potential for
investment in CHCs
Public
Reporting
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Quality of Documentation = Quality of
Clinical Care Delivered
Quality of EHR
Documentation
Quality of Care
Delivered
Continuous
Improvement
Activities
High Value Data
Set
Engaging Patients
and their Care
Team
Continuous
Improvement
Activities
Role Of The Practice Manager
Identify & Coordinate “The
Right Team”
Change agent
Cheerleader
Champion
The Right Team
 Put together your team
 Create An Action Plan
 Staffing
 Training
 Support
 Communication
 Structured
 On-going
 At All Levels
Change Agent
Facilitate Change
Provide Tools & Support
Accountability
Ensures Staff Is Empowered
To Effective Change
Cheerleader
 Team Capitan
 Positive Attitude – “We Can Do”
 Leadership
 Emotional Support
 Be The Light At The End Of the
Tunnel
 Celebrate Success
Champion
Carries The Torch
Supports EHR Goals
Responsibilities
 Financial Stability
 Clinical Operational – Coordination
of clinical operations while
implementing
 The show has to go on
 Patients Stay Top Priority
 Holding People Accountable
 Contingency Plan
Keys to success
 Create and implement a robust Action plan
 Project Plan – requires upfront work and
preparation
 Staffing Plan
 Contingency Plan
 Defined Goals & Objectives Does Your
Organizational Philosophy and Documents
Support EHR
 Have the right Team
 Buy-in & Team Effort
 Celebrate Success
Best Practices
 Contract language
 Vendor accountability
 Adequate resources
 Staff – more than enough time to train, practice and
overcome learning curve.
 Support
 Structured data – ships sailing in the same direction
 Consistent Documentation in EHR
 Data validation
 Quality Of Data = Quality Of Care
Meaningful Use is just one step to helping you achieve
your organizational goals.
Own Your Data…Own Your Future
Quality
Improvement
Quality of data
equals quality of
care
EHR
Adoption
Stage 3
Stage 2
Stage 1
ACO /
PCMH
Clinical Quality Measures
• Report on 3 Measures From:
• Core Measures
• NQF 0028 – Preventive Care and Screening Measure Pair: a. Tobacco
Use Assessment, b. Tobacco Cessation Intervention
• NQF 0013 – Hypertension: Blood Pressure Measurement
• NQF 0421 – Adult Weight Screening and Follow-Up
• Alternate Core Measures
• NQF 0024 - Weight Assessment and Counseling for Children and
Adolescents
• NQF 0038 – Childhood Immunization Status
• NQF 0041 – Preventive Care and Screening: Influenza Immunizations
for Patients ≥ 50 Years Old
• Also Report on 3 Measures From 38 Other NQF Clinical Quality
Measures
Contact Information
 Noelle Parker- [email protected]
 Barbara Woods- [email protected]
Missouri Primary Care Association
3325 Emerald Lane
Jefferson City, MO 65109-6879
(573) 636-4222
www.mo-pca.org
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Website: http://ehrhelp.missouri.edu
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E-Mail:
 [email protected]
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Phone:
 1-877-882-9933