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  • Requirements Slide
  • Most Healthcare Providers have a significant number of stove pipe systems that have been developed over the years. Each department has their own unique reporting requirements, along with different levels of reporting needs across various user groups. Management and Administration typically wants to see an aggregate view of their information, analysts need to do root-cause-effect queries with the ability to drill down from aggregate levels down to more granular transaction-level details. The general clinicians tend to want more self-service oriented reporting where they can logon through a browser and see the status on health procedures completed to date or the number of beds available for utilization. Last but not least, IT needs higher productivity tools to help them address all of the requirements of the various users across their organization. Information sharing involves not only providing information to all levels of the enterprise on your intranet but extending out past your firewall to secure extranet applications with information being shared with the national Healthcare community. For example, some hospitals use KPI’s posted on the internet to compare their progress against national norms to allow potential customers to view how well they are doing and drive business to their healthcare facilities. With iWay web services and internal data containment systems become open services and are easily distributed via web interfacing to those users both internal and external.iWay – Brings the Data TogetherCustom calculations and agregations are available through web focusWebFocus turns the data you need in to usable information via dashboards, alerts, reports, and more all available in any format and distributable across the enterprise to any decision makers.
  • Most Healthcare Providers have a significant number of stove pipe systems that have been developed over the years. Each department has their own unique reporting requirements, along with different levels of reporting needs across various user groups. Management and Administration typically wants to see an aggregate view of their information, analysts need to do root-cause-effect queries with the ability to drill down from aggregate levels down to more granular transaction-level details. The general clinicians tend to want more self-service oriented reporting where they can logon through a browser and see the status on health procedures completed to date or the number of beds available for utilization. Last but not least, IT needs higher productivity tools to help them address all of the requirements of the various users across their organization. Information sharing involves not only providing information to all levels of the enterprise on your intranet but extending out past your firewall to secure extranet applications with information being shared with the national Healthcare community. For example, some hospitals use KPI’s posted on the internet to compare their progress against national norms to allow potential customers to view how well they are doing and drive business to their healthcare facilities. With iWay web services and internal data containment systems become open services and are easily distributed via web interfacing to those users both internal and external.iWay – Brings the Data TogetherCustom calculations and agregations are available through web focusWebFocus turns the data you need in to usable information via dashboards, alerts, reports, and more all available in any format and distributable across the enterprise to any decision makers.

Slide 1 Slide 1 Presentation Transcript

  • Achieving Meaningful Use:Ready? Set? GO! Anna Twomey, SME Healthcare Solutions Architect
  • Meaningful Use Agenda MU Background MU Phase One Criteria Breakdown MU Technology Support MU Case Study Clinical (EPs) Setting MU Case Study Hospital (Admissions) Setting Questions and Wrap Up
  • Meaningful Use Overview The American Recovery and Reinvestment Act of 2009 (ARRA) offers funding for several healthcare programs with a total of approximately $30 billion. The stimulus plan incorporates programs with a total spending amount of $787 billion. Of this amount, approximately $30 billion is allocated to several healthcare programs, including:  IT adoption.  Health information exchange.  Research and development.  Standards development.  Education and outreach. Though the federal government has published funding programs and incentive amounts, it has not yet published the process for accessing those funds.
  • Meaningful Use - Definition and Timing The Health Information Technology for Economic and Clinical Health (HITECH) Act contains funding through a Medicare payment incentives and penalties program ($17.2 billion) and the Office of the National Coordinator for Health Information Technology (ONC) ($2 billion).  The Medicare incentives are offered to nonhospital-based physicians who are using EHRs in a meaningful way. To show that physicians are “meaningful users,” they need to:  Use an eligible EHR system.  Use electronic prescription.  Participate in the electronic exchange of health information to improve the quality of care.  Measure and report clinical quality measures.  The secretary’s calculation of a provider’s incentive payment amount and determination of whether a provider is a meaningful EHR user is non- reviewable.  ONC, in conjunction with the secretary of HHS, will govern the standards and policies of ARRA.
  • Meaningful Use Key Terms and Conditions By 2011, the definition implies an EHR actively used at the point of care with CPOE (which may drop to fax), alerts/reminders, medicines, vitals, demographics, ADR, coded problem list, e-prescribing, and quality measures. Copyright 2007, Information Builders. Slide 5
  • Meaningful Use – Medicare Stimulus Payments Qualified physicians who adopt EHR technology by 2011 will receive a maximum payment of $44,000. Physicians who adopt to EHR technology in or after 2015 will receive penalties up to 3% of their Medicare reimbursements. Amount Physicians Receive Each Year (assuming meaningful use is demonstrated by the beginning of that year)Year Physicians 2011 2012 2013 2014 2015 2016 2017 TotalFirst File2011 $18,000 $12,000 $8,000 $4,000 $2,000 $0 $0 $44,0002012 $0 $18,000 $12,000 $8,000 $4,000 $2,000 $0 $44,0002013 $0 $0 $15,000 $12,000 $8,000 $4,000 $0 $39,0002014 $0 $0 $0 $12,000 $12,000 $4,000 $0 $24,0002015 and After(penalty up to amaximum of 3%) $0 $0 $0 $0 -1% -1% -1% -3% Additionally, the payments will be increased by 10% if the physicians are working in areas certified by the secretary of HHS as “health professional shortage areas.”
  • Meaningful Use – Medicaid Stimulus Payments Medicaid payments to physicians are limited to $65,000 over 5 years. The first-year payment is capped at $25,000, and these costs should occur no later than 2016.  States may make payments to Medicaid providers to encourage adoption and use of certified EHR technology.  Providers must demonstrate a meaningful use of EHR.  A minimum of 30% (20% for pediatricians) of patients should be covered by Medicaid.  Payments are made to physicians based on average costs determined by ONC.  The payment schedule is as follows: Year Physicians First First Second Third Fourth Fifth Total File Year Year Year Year Year 2011 til 2016 $25,000 $10,000 $10,000 $10,000 $10,000 $65,000  First-year costs should occur no later than 2016, and no payments will be made after 2021.  No duplicative Medicare and Medicaid payments will be made.
  • So.. Phase One Breakdown… Phase One Providers have through 2012 to meet Stage 1 criteria, after which the criteria become more stringent. Phase One Includes:  CPOE used for orders for 80% of EPs and 10% for Hospitals  75% of prescriptions are transmitted electronically.  80% of patients seen or admitted have at least one structured medication entry (or “None”).  80% of hospitals and EPs maintain an up-to-date problem list of current and active diagnoses based on ICD9 or SNOMED CT ®  Maintain active medication list for all patients (80% for EPs and 80% for Hospital admissions)  80% of hospitals and EPs maintain active medication allergy lists for patient clientele and admissions.  Etc.
  • Technology Breakdown Front office Mobile Visualization Applications App/Dev, Portals & Mapping & Mash-ups Enterprise Predictive Search Analytics Performance MS Office & Management Query & Dashboards e-Publishing Analysis Reporting Information Delivery Data Warehouse Business to & ETL Business Extensions to the Data Quality Business Activity WebFOCUSBack office Master Data Monitoring platform allow you to Management build more application types at a lower cost Copyright 2007, Information Builders. Slide 9
  • Achieving Meaningful Use of Health Data means… 2009 2013 2011 2015 Cost Cutting & Consolidation Improving Physician Alignment Achieving Outcomes Cost EMR/EHR/PHR/HIE Advanced Effective Clinical Treatments Patient Flow Process Data Whole Patient P4P Sharing Across Reduce Readmits Data Platforms Chronic Disease Mgt. Capture Comparative Effectiveness Clinical Decision Support
  • Meaningful Use Data Exchange… 1) Patient Centric – One patient, One record 2) Usable – Usability must be second nature technology (3 click max) 3) Interoperable – Agnostic to any data format or message exchange methodology 4) No Borders – GRID technology that spans national and international boundaries (use what we have… internet technologies) 5) Affordable - Affordability is the key to adoption (hosted SaaS/ASP model)
  • Typical Healthcare Environment Revenue HR Physician Other Administrative Cycle Clinical OR/MRI/ER Schedule Practice Applications Applications Applications Applications Applications Applications Applications “External”• Accounting • Pre-Auth • EMR • Physician • Time and • Scheduling • JACHO• AP • MPI • Order Entry Preference Attendance • Charge • CMS (MMIS)• Fixed assets • Registration • ED Cards • Absence Capture • Infectious• Purchasing • Patient Charge • Pharmacy • Requisition Management • Billing Disease Trak• Inventory • Charge Master • Laboratory • Inventory • Licensing • Collection • Chronic• HR • Billing • Radiology • Implant Log • Credentials • Practice Plan Disease Trak• Benefits • Collections • Pathology • Scheduling • Productivity • Accounting • Fraud• Payroll • Claims • PACS • Accountable • Comp Plans Detection• EDI Scrubber • Cath Lab • Contract • DHS – • Grouper Negotiations Security • Contract HIPAA Negotiations BioHazard Custom applications/solutions for every reporting need within your enterprise Data capture across all systems as associated by patient encounter, (CCR/CCD) Integration to Different Applications and Systems• Lawson • McKesson • McKesson • McKesson • McKesson • McKesson • Gov Owned• Oracle • Siemens • Cerner • Cerner (PerSe) (PerSe) • City (PSFT) • Kauffman Hall • Epic • Orbit • Kronos • Cerner • State• Eclipsys TSI • Meditech • GE (IDX) • OR SOS • API • Epic • County• GEAC • Avega • Siemens • OR MIS • MEDITECH • Proprietary• SAP • Meditech • Oracle HR• McKesson • Eclipsys• D&B
  • Typical Healthcare Environment - Foundation Revenue HR Physician Other Administrative Cycle Clinical OR/MRI/ER Schedule Practice Applications Applications Applications Applications Applications Applications Applications “External”• Accounting • Pre-Auth • EMR • Physician • Time and • Scheduling • JACHO• AP • MPI • Order Entry Preference Attendance • Charge • CMS (MMIS)• Fixed assets • Registration • ED Cards • Absence Capture • Infectious• Purchasing • Patient Charge • Pharmacy • Requisition Adapters Management • Billing Disease Trak• Inventory • Charge Master • Laboratory • Inventory • Licensing • Collection • Chronic• HR • Billing • Radiology • Implant Log • Credentials • Practice Plan Disease Trak• Benefits • Collections • Pathology • Scheduling • Productivity • Accounting • Fraud• Payroll • Claims Scrubber • PACS 350+ Integration Assembly • Accountable • Comp Plans Detection• EDI • Grouper • Cath Lab • Contract • DHS – • Contract Negotiations Security Negotiations Information Management HIPAA BioHazard Integration to Different Applications and Systems• Lawson • McKesson • McKesson • McKesson • McKesson • Cerner • Gov Owned• Oracle (PSFT) • Siemens • Cerner • Cerner (PerSe) • Epic • City• Eclipsys TSI • Kauffman Hall • Epic • Orbit • Kronos • McKesson • State• GEAC • Meditech • GE (IDX) • OR SOS • API (PerSe) • County• SAP • Avega • Siemens • OR MIS • MEDITECH• McKesson • Meditech • Oracle HR• D&B • Eclipsys
  • iHIE Integration Power Providing support for all 7 styles of data integration required for business intelligence. Adapters The ability to integrate, transform and Integration Assembly migrate those assets for all Information Management business requirements. More than 350 packaged adapters, providing Transactions Documents Services connectivity to all enterprise information assets. Messages Databases Applications Copyright 2007, Information Builders. Slide 14
  • iHIE Adapters  Industry leading provider  All enterprise assets  85 databases  150 real-time sources Adapters  Applications Integration Assembly  Messages  Transactions Information Management  Documents  Services  Replaces manual programming Transactions Documents Services  Completely reusable Messages Databases Applications Copyright 2007, Information Builders. Slide 15
  • iHIE SOA Middleware Streamlines business processes Adapters Infrastructure augmentation Infrastructure standardization Process Trading Data Security Enterprise Multi-purpose integration Manager Partner MFT Migrator Option Index  SOA, EAI, B2B, etc. Adapters Service Consumption Service Specific industry solutions Governance Composition Registry  Financial Designer Explorer Transformer services, government, suppl Service Enablement y chain, healthcare, etc. Universal Adapter Suite Minimizes technology shifts, new business initiatives and mergers SOA Governance Information Management iWay Software offers the widest reaching integration solutions at the lowest cost ! Copyright 2007, Information Builders. Slide 16
  • Hospitals Data Therapy Clinics CaptureOrchestration of Services ME Death Immunization Labs Report E Card T L Nurse Orchestration of Ambulatory Managers Services & Analytics __________ Listeners / D Responses Q S Quality PH Physician Investigator Tracking Decision Home Health Orders Support Nurse Referral
  • Impacting the Practitioners Copyright 2007, Information Builders. Slide 18
  • Questions?