Paul Roemer, Health IT Strategy, Meanigful Use

Healthcare IT Strategy
paulroemer@healthcareitstrategy.com

Hi, I’m Paul
Thank you for coming
2

Notes? Up to you
3

Tonite:
EHR—the movie
Should you meet MU?
What if there was no MU?
4

EHR , MU, reform, RHIOs, RECs, & N-HIN,
are all
complicated

“Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”
PA CIO
Does meeting MU align with your business strategy?
Why buy a drill?
We’re listening…
Because you need
a hole.
6

PA CIO
EHR is not
7

PA CIO
Why buy a drill?
Why buy a drill?
Because you need a hole
Because you need
a hole.
Why buy an EHR?
8

PA CIO
Why buy a drill?
What’s the elephant in the room?
Because you need
a hole.
9

PA CIO
10

PA CIO
MU is not
11

PA CIO
Why buy a drill?
Because you need
a hole.
12

PA CIO
2 conflicting models
National
healthcare
yours
13

PA CIO
Meaningful use office
14

PA CIO
Are your businesses all the same?
15

PA CIO
Keep the focus on you…
Why buy a drill?
Because you need
a hole.
16

PA CIO
Color outside the lines…
17

PA CIO
Where are my stone
Tablets?
ONC
18

PA CIO
ONC: we’re listening…
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PA CIO
Heavy lifting
just beginning.
20

PA CIO
ARRA money
Good Luck
21

PA CIO
What if there were no
Meaningful Use?
22

PA CIO
Why buy a drill?
Because you need
a hole.
23

What are the influencers and inputs?
Meaningful Use Decision
Tie to HIT strategy
Your
HIS
Strategy
Text
HIT platform
How do we plan your HIT strategy?
Your Strategic Plan
Align to Reform
HIT initiatives
Strategic GAPS
MU options

Yes
Do you meet MU
No
Should you attempt to meet Meaningful Use and why?

Should you attempt to meet Meaningful Use and why?
By what date
Full MU
Yes
What Option
Partial
By When
Do you meet MU
What’s the plan
No

If Full MU, what is the best date for you to meet it?
2011
2012
21013
Full MU
By what date
21014
21015

What are the ARRA implications to you of the dates for full MU?
2011
100% of
incentive
2012
100% of
incentive
2013
100% of
incentive
What are the implications?
60% of
incentive
2014
2015
30% of
incentive

What are the risks to you of seeking to meet full MU?
Probability of passing MU?
External risks?
Align with your strategy?
What are the risks prior to 2016
Meeting your key metrics?
PENALTIES
After 2016

What is the probability of passing the MU test for full MU?
Determine by year of test
If the requirements change
What are Stage 2 requirements
Vendor certification
Impact of reform
What is the probability of passing MU?
What are Stage 3 requirements
Affect on your strategy
If the date change

What are the external risks to passing the MU test for full MU?
Determine by year of test
HIT staff shortages
Vendor Support
Change in Medicare payments
Impact of reform
What are the External Risks
Regulatory reform
Affect on strategy
Acquisitions by your firm

Does passing the MU test for full MU align with your strategy?
Supply Cost
Quality and Safety
Revenue Cycle
Culture and Service
Physician Collaboration
Growth
How does MU align with your strategy
Patient Retention
Centralize Business Support
Primary care growth
Labor Productivity

Does passing the MU test for full MU align with your metrics?
Increase staff satisfaction
Increase culture scores
Decrease length of stay
Increase operational excellence
Decrease waiting times
How does MU align with your metrics
Improve customer service
Increase clinical quality

What HIT projects do you have to do to meet full MU requirements?
Clinical Transformation
Eligibility checking
Standard orders
upgrades
Quality performance
What’s needed for 2011
EO Rx
Other years should be similar in terms of tasks
Meaningful Use CPOE

What influencers should be considered to meet full MU requirements?
Cost
When can you complete
Staffing
What is the ROI
Stage 2 & 3 requirements
What are the Influencers
Other HIS projects
Meaningful Use CPOE

What costs should be understood to meet full MU requirements?
Systems
Work flow improvement
Staffing
What is the ROI
What is the Cost
training
Change management

What staffing should be answered to decide meeting full MU requirements?
How many
By when?
What are staffing needs
Skill sets
Contractors

What does meeting full MU requirements do to other projects?
What are they
Can they be delayed
What are Non-MU projects
Allocating funds
Allocating staff

What is the impact of doing CPOE?
Would you do CPOE without MU
CPOE is the bulk of work and risk
What is CPOE’s impact
What is chance of success
Allocating staff

What is the best year to meet MU requirements?
2011-2013
2014-2015
When can you complete MU
What is the ROI by year
Impact of year on HIT projects

What will be the requirements of Stages 2 & 3 with MU?
Unknown requirements
Unknown cost
What are Stages 2 & 3
Unknown risk
What is chance of success

How do you measure the risk of trying to meet MU?
Determine individual risks
Determine their probability
Develop risk matrix
Perform Risk Analysis
Determine their impact
Map options by year to risks

PA CIO
2 conflicting models
National
healthcare
yours
43

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Paul Roemer, Health IT Strategy, Meanigful Use

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Paul Roemer, Health IT Strategy, Meanigful Use — Presentation Transcript