Meaningful Use & GA-HITREC

Denise W. Hines, DHA, PMP, FHIMSS Director-Marketing, Education & Outreach GA-HITREC 877-658-1990 [email_address] Meaningful Use & GA-Health Information Technology Regional Extension Center (GA-HITREC) <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllAnswers /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl></Settings>

Re-Establish ONC for HIT to develop rules by 2010 Established 2 Workgroups: Policy & Standards Savings, Quality Care Coordination & Error Reduction 2011-Data Collection and Sharing 2013-Incorporate Data in clinical processes; measure 2015-Validate improved health outcomes Over $34B allocated to HIT (plus $$billions for CHC, Telecom& Broadband) State Health Information Exchange (HIE ) 60-70 Regional Extension Centers and HIT Research Center Medicare and Medicaid Incentive Programs HITECH Act Health Information Technology for Economic and Clinical Health Act © Copyright 2010 All Rights Reserved.

1. Improve quality, safety, and efficiency Problem, medication, allergy lists; CPOE; progress notes; e-prescribing; pt demographics; lab results 2. Engage patients Electronic copy or access for patients to clinical information; educational sources; clinical summaries 3. Improve care coordination Exchange clinical information among providers; perform medication reconciliation 4. Reduce health disparities through public/population data sharing Submit electronic data to immunization registries, public health agencies, syndrome surveillance agencies 5. Ensure privacy and security Compliance with HIPAA, conduct security risk assessments and security updates Objectives and Examples of 2011 Meaningful Use Requirements

Meaningful Use Components: Use of certified EHR in a meaningful manner (e.g., e-prescribing) Use of certified EHR technology for electronic exchange of health information to improve quality of health care Use of certified EHR technology to submit clinical quality measures(CQM) and other such measures selected by the Secretary

Eligible Providers (EPs) Eligible Hospitals Criteria Flexibility 15 core measures and 5 of 10 menu of choices More flexible timeline for implementation and payment Meaningful Use Stage 1 © Copyright 2010 All Rights Reserved.

Examples of Meaningful Use Criteria Use CPOE Implement drug-drug, drug-allergy, drug-formulary checks Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT ® Maintain active medication allergy list Record demographics Record and chart changes in vital signs Record smoking status for 13 and old Provide electronic syndromic surveillance data Implement electronic capability to exchange key clinical info © Copyright 2010 All Rights Reserved.

Medicare EPs Eligible Professionals (EPs) Doctor of Medicine or Osteopathy Doctor of Dental Surgery or Dental Medicine Doctor of Podiatric Medicine Doctor of Optometry Chiropractor Eligible Hospitals Acute Care Hospitals Critical Access Hospitals (CAHs) © Copyright 2010 All Rights Reserved.

Medicare First Calendar Year in which the EP Receives an Incentive Payment Calendar Year 2011 2012 2013 2014 2015 & Later 2011 $18,000 2012 $12,000 $18,000 2013 $8,000 $12,000 $15,000 2014 $4,000 $8,000 $12,000 $12,000 2015 $2,000 $4,000 $8,000 8,000 $0 2016 $2000 $4,000 $4,000 $0 Total $44,000 $44,000 $39,000 $24,000 $0 © Copyright 2010 All Rights Reserved.

Eligible Professionals (EPs) Physicians Nurse Practitioners (NPs) Certified Nurse-Midwives (CNMs) Dentists Physician Assistants Eligible Hospitals Acute Care Hospitals Children’s Hospitals Medicaid EPs © Copyright 2010 All Rights Reserved.

Medicaid First Calendar Year in which the EP Receives an Incentive Payment Calendar Year 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 $8,500 2019 $8,500 $8,500 $8,500 2020 $8,500 $8,500 2021 $8,500 Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750 © Copyright 2010 All Rights Reserved.

Hospitals Incentive Facts Hospitals - $2million base + discharge incentives CAH- payment for reasonable cost of EHR Hospitals- can qualify for payments from Medicare and Medicaid

Georgia Health Information Technology Regional Extension Center The Roadmap to Meaningful Use

GA-HITREC Funding & 2-Year Objectives $19.5 million to assist providers with selection, successful implementation, and meaningful use of certified EHR systems $1.5 million – Core Funding $18 million – Direct Assistance 5,200 Priority Primary Care Providers Family Medicine, Internist, OB-GYN, Peds MD, DO, NP, PA 56 Critical Access Hospitals ($1m) Work Collaboratively with Statewide HIE ($13m) © Copyright 2010 All Rights Reserved.

GA-HITREC Facts Provides Support to help providers meet qualifications for Medicaid and Medicare incentives NO direct funding to providers Bulk ($18 mil/5200 ppcp) drawn down per implementation © Copyright 2010 All Rights Reserved.

GA-HITREC Services Education and Outreach to Providers Meaningful Use Education and Training Vendor Selection and Group Purchasing EHR Implementation Support Follow through to Meaningful Use Workforce Development © Copyright 2010 All Rights Reserved.

GA-HITREC Goals & Objectives Community-Oriented Approach Collaborate with Statewide Partners Patient-Centered Medical Home Standards Equitable Group Purchasing Agreements Competent Technical Teams Work Collaboratively with State HIE (GA DCH) Excellent Quality Service Build a National Reputation as a Reliable HIT Source © Copyright 2010 All Rights Reserved.

Partnerships © Copyright 2010 All Rights Reserved. Partner Organizations American College of Physicians Georgia Institute of Technology Coalition of Athens Area Physicians Georgia Medical Care Foundation Community Health Works Georgia State Medical Association East Georgia Health Cooperative Georgia Partnership for Telehealth Georgia Academy of Family Physicians Health One Alliance Georgia Association of Primary Health Care Hybrid Health IT Georgia Board of Regents Morehouse Medical Associates Georgia Department of Community Health MD Tech Pro

10-Step Roadmap to Meaningful Use Provider Sign-Up Online Workflow Assessment On-site Workflow Verification Gap Analysis (“As Is, To Be”) EHR Selection, if applicable Implementation Training and Support Go “Live” Track Progress Towards Meaningful Use Meaningful Use Certification! © Copyright 2010 All Rights Reserved.

GA-HITREC Current Activities Continuing to build operations Ongoing meetings w/ONC and Extension Centers Participating in public meetings and conferences with provider groups Gathering Provider Agreements Planning for CAH outreach and services Finalizing 1 st 5 Preferred EHR Vendors for Group Purchasing Plan © Copyright 2010 All Rights Reserved.

Top Reasons EHRs are Succeeding Meaningful use (MU) incentives – and future reimbursement penalties are creating additional reasons to implement EHRs. MU, as defined for the EHR incentive program, eliminates ambiguity about what comprises an inpatient EHR, and provides guidance for implementation. Partly because of the above, vendor products are getting better – finally incorporating all required functionality, with improved ease of use. © Copyright 2010 All Rights Reserved.

Thank You! 877-658-1990 [email_address]

Meaningful Use & GA-HITREC

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