Your SlideShare is downloading. ×
Ge Healthcare Top 10 For 2010
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×

Introducing the official SlideShare app

Stunning, full-screen experience for iPhone and Android

Text the download link to your phone

Standard text messaging rates apply

Ge Healthcare Top 10 For 2010

1,365
views

Published on

Webinar presented by GE Healthcare

Webinar presented by GE Healthcare


0 Comments
1 Like
Statistics
Notes
  • Be the first to comment

No Downloads
Views
Total Views
1,365
On Slideshare
0
From Embeds
0
Number of Embeds
1
Actions
Shares
0
Downloads
53
Comments
0
Likes
1
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. GE Healthcare Top 10 for 2010 How can your practice prepare for the changes ahead? 1/ GE Top 10 in 2010 / 12/10/2009
  • 2. This presentation does not constitute a representation or warranty or documentation regarding the product or service featured. All illustrations are provided as fictional examples only. Your product features and configuration may be different than those shown. Information contained herein is proprietary to GE. No part of this presentation may be reproduced for any purpose without written permission of GE. Any descriptions of future functionality reflect current product direction, are for informational purposes only and do not constitute a commitment to provide specific functionality. Timing and availability remain at GE’s discretion and are subject to change and applicable regulatory clearance Portions of this presentation made by third parties represent the views of the specific authors and presenters.  The content and materials presented by the third party have not been screened, approved or reviewed by GE Healthcare. GE, GE Monogram and Centricity are trademarks of General Electric Company. ©2009 General Electric Company – All rights reserved. 2/ GE Top 10 in 2010 / 12/10/2009
  • 3. Today’s speakers Don McDaniel President and CEO, Sage Growth Partners Faculty, Healthcare Economics and Competitive Strategy, The Johns Hopkins University Mark J. Segal, PhD Director, Government and Industry Affairs, GE Healthcare Chris Freer, MBA, CPHIMS General Manager, GE Healthcare 3/ GE Top 10 in 2010 / 12/10/2009
  • 4. Top 10 for 2010 1. The push for HCIT – Stimulus 101 2. EMR arrives in earnest 3. Key bodies shaping future directions 4. Health reform 5. Cost containment and reimbursement pressures mount 6. Will pay for performance take shape? 7. Consolidation all around 8. Physician enterprise challenges continue 9. Workforce and skills 10. The age tsunami 4/ GE Top 10 in 2010 / 12/10/2009
  • 5. 1 The Push for HCIT: Stimulus 101
  • 6. The push for HCIT – Stimulus 101 • $36.6B Investment (CMS: $45B for incentives) • Objective: Increase EHR Adoption – Goal: All in U.S. by 2014 – Projection: 90% Physicians and 70% Hospitals by 2019 • Incentives and Penalties – Medicare major factor for most physicians (Medicaid for some) – Physicians (non-hospital-based): $44K maximum for 2011-12 start – There is no fixed pot for incentives: based in a statutory formula – Physician penalties start 2015: 1-3% of allowed charges at risk • Terms: Qualified EHR, Certified EHR , Meaningful Use • State HIE Infrastructure • New Privacy and Security Rules 6/ GE Top 10 in 2010 / 12/10/2009
  • 7. 2 EMR Arrives in Earnest
  • 8. EMR arrives in earnest • Key Regulations: December 2009/Spring 2010 • Certification: What is in the EMR – Shift from current approach: driven by meaningful use, interop, security – “ARRA” Certification, modular/site, multiple certifiers – Criteria (“final”) and process (proposed) in ONC December rules • Meaningful Use: What you do with the EMR/HIT – Step up in rigor every two years from “light(er)” 2011-12 – Structured data, quality reporting, HIE, CPOE, CDSS, patient-centric – CMS December NPRM rule: Refinement of Policy Committee proposal – RECs • Payment Policies: Medicare and Medicaid – How payments flow and how do I prove certification and meaningful use – “When do I have to be a meaningful user?” – In CMS December NPRM rule Change (management) the only constant 8/ GE Top 10 in 2010 / 12/10/2009
  • 9. 3 Key Bodies Shaping Future Directions
  • 10. Key bodies shaping future directions SDOs ? HIT ONC & CMS Certification Vendors HIT Policy HHS Secretary Standards Committee Federal Gov. Providers Committee GE is focused on monitoring and influencing key decision points 4/ GE / 10 / GE Top 10 in 2010 / 12/10/2009
  • 11. 4 Health Reform
  • 12. Health reform • Insurance Market Reform • Covering the Uninsured • Delivery Reform and “Bending the Curve” – Bundling – Pay for Performance – Care Coordination – Accountable Care Organizations – Medical Homes • Quality Measurement and Reporting • HIT as an Enabler • Funding Reform: Taxes and Medicare Cuts 12 / GE Top 10 in 2010 / 12/10/2009
  • 13. 5 Cost Containment & Reimbursement Pressure
  • 14. Cost containment and reimbursement pressures mount • Reform may further constrain public sector reimbursement • Fee for Service under assault – Poorly aligned incentives – Recovery Audit Contractors – Bundled and Global payment “Demonstrations” – P4P – Denials for mistakes? • Higher deductibles with patient due balances • New codes and documentation procedures for PQRI, ARRA, and eRX incentives 14 / GE Top 10 in 2010 / 12/10/2009
  • 15. 6 Will Pay for Performance Take Shape?
  • 16. Will pay for performance take shape? • Consensus Shifting from Pay for Volume • Healthcare Reform Will be a Major Driver • But Private Payer use Continues to Rise • Focus on “Efficiency” and Episodes of Care • Increased Funding for Quality Measures • Quality Reporting from EMRs: ARRA/PQRI are Drivers • PQRI: Shift to Penalties from Incentives • Medicare P4P – Hospitals by 2013 (Senate HCR) – Physicians by 2015 (Senate HCR) 16 / GE Top 10 in 2010 / 12/10/2009
  • 17. 7 Consolidation All Around
  • 18. Consolidation all around • Physicians – Lifestyle – Health IT deployment needs – Employment – Skills – Cottage – industry • Hospitals – expect more IDN formation given environment – Regulatory – Access to capital challenged – Reimbursement – Investment portfolio returns down – Public payor reimbursement • Health IT Vendors – Certification regimen – Commitment to industry – Balance sheet – Above and beyond: “the health – R&D care cloud” 18 / GE Top 10 in 2010 / 12/10/2009
  • 19. 8 Physician Enterprise Challenges Abound
  • 20. Physician enterprise challenges abound • Scale dis-economies still the order of the day – 50% of US physicians operate in groups of less than 5 physicians* • Reimbursement environment tough—inflation +/- for foreseeable future • Health reform on back of medicine cuts • Tremendous pressure on operating expenses in many places despite economic downturn – Labor and related (health insurance) – Rent – Medical malpractice • Inability to fund “productivity enhancing” technologies *Source: 20 / http://www.hschange.org/CONTENT/1078/?words=Practice+Size#fig1 GE Top 10 in 2010 / 12/10/2009
  • 21. 9 Workforce and Skills
  • 22. Workforce and skills • Physician shortages here and anticipated, especially in the primary care arena • Aging of nursing workforce continues, “calamity” stalled by economy, structural issues remain • Big push to deploy technology – both to enhance productivity and improve quality of care and patient safety • Informatics capacity will be challenged to reach 90% EHR physician organization user adoption by 2019 22 / GE Top 10 in 2010 / 12/10/2009
  • 23. 10 The Age Tsunami
  • 24. The age tsunami • Population over 65 will grow from 13% to 20% by 2050 • Includes substantial growth in racial and ethnic minorities • Complexity intensifies! – One-quarter of all Medicare recipients – Have five or more chronic conditions* – See, on average, 13 physicians per year – Secure 50 prescriptions per year – Over 13,000 different drugs being sold in the U.S. in 2007 – 16x what was available 50 years ago *Source: New England Journal of Medicine: 353;3, July 21, 24 / 2005: “Medicare and Chronic Conditions”, Gerard F Anderson, GE Top 10 in 2010 / 12/10/2009 PHD
  • 25. For more information • General questions – EMR@ge.com • Stimulus Simplicity and the ARRA HITECH Act – www.gehealthcare.com/HITECHtoday – HITECH@ge.com – 1-800-535-7921 • EMR Value Calculator – www.gehealthcare.com/EMRValueCalculator Thank you! 25 / GE Top 10 in 2010 / 12/10/2009