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Meaningful Use Stages 2 and 3 –
Eligible Professionals

Adele Allison
National Director of Government Affairs

April 10, 2...
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Meaningful Use – State of the Union
• $11.8 Billion in Total Incentives Program to Date
o ↑ $2.4 Billion in Medicare Incen...
Meaningful Use – State of the Union
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Active Registrations
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Medicare Eligible Providers → 253,477 (834,769 U.S. Ph...
Meaningful Use – Highest / Lowest
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Top 5 States – Hospitals/Providers (34%)
State
Medicare Medicaid Paid Count

Texas
Ca...
Polling the Audience

888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Stage 2

Stage 1

4 Marks of Meaningful Use

Adopt and
Use CEHRT

Move
DATA

888.879.7302 • www.SuccessEHS.com

Capture
DA...
Stage 1 Changes – CY2013-14
• Core CPOE Denominator – CY2013 and beyond → “New” Option:

# of

orders for Rx during EHR Re...
4 Marks of Meaningful Use
• Cultural Shift
o Change is hard → “We’ve
always done it this way.”
o Leadership and Profession...
4 Marks of Meaningful Use
• Workflows must be
consistent
• 3 Data-entry Types
1. Narrative Text
2. Structured Data
3. Obje...
4 Marks of Meaningful Use
• Define your Use Cases
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Referral Management
ED/Hospitalization Notification
Emergency –...
4 Marks of Meaningful Use
• Clinical Data Reporting is
Crucial!
o Drive Reimbursement Reform
under ACA (E.g. VBM)
o Physic...
MU2 Health IT Implementation List
CEHRT
Extensions

CEHRT
Standard Offerings
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CPOE

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eRx, Rx History and Formulary
(E....
888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Medicare Penalties
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Applies to EPs treating Medicare Part B PFS Patients
HITECH requires Payment Adj...
Medicare Penalties
• Penalties are cumulative with other CMS Programs
2015
EP subject to MU adjustment only
EP also subjec...
888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Clinical Quality Measures (CQMs)
• Removed as MU Measure → Now Part of Definition of
“Meaningful EHR User”
• Electronic re...
Clinical Quality Measures (CQMs)
• Prior to CY2014 → Manual attestation of 6:44 CQMs
• CY2014 and Beyond → Electronic subm...
888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Plugging into the Matrix
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Americans are plug into the Matrix more than ever
88% Age 18+ have a cell phone (77% of Rur...
Plugging into the Matrix
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Area of
Family, Friends, Both Equally
Is Patient Decision-making Affected? Yes!
Professional
A...
Gov’t and PPC – By the Numbers
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23 percent of federal budget goes to health care
36 times ACA mentions Patient...
Patient Centered Care and the Gov’t
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Behavioral Economics is about an Engaged Patient
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Effects of social, c...
Proposed Stage 2 Core Measures

Fed. Objective
Programs & Measure
Patient Engagement
Threshold
Exclusions

No.

Implement ...
ACOs and Patient Engagement
• 33 Quality Performance Measures
• 7 Patient / Caregiver Experience
Measure
Getting Timely Ca...
NCQA PCMH 2011
Standard and Element

PCMH and Patient Engagement
Points

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VBP & Patient Engagement
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Hospitals → CMS payment adjustments based on
patient experience – Oct. 1, 2012
Evalua...
Communication Shift
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Patient Portals have existed since 1990
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Patient Engagement was transactional – Financial Fo...
888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
Stage 3 Policymaking – CY2015
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ONC Draft Recommendations → Comments
from Nov. 2012 through Jan. 2013

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CPOE
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Recor...
Stage 3 Policymaking – CY2015
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Problems, Meds, Allergies EHR Certification Criteria
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CDS to support additions, ...
Stage 3 Policymaking – CY2015
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Patient requested “amendment” to health record
Patient-Ed available in top 5 non-En...
888.879.7302 • www.SuccessEHS.com
MU2 and 3 – Eligible Professionals
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888.879.7302 • www.SuccessEHS.com
5 Tips for Success – Patient Engagement
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Tip 1: Measure Patient Satisfaction Pre- and Post-Project
Tip 2: Involve the ...
5 Tips for Success – Patient Engagement
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Tip 5: Promote, Promote, Promote!
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Refine the Message → F...
5 Tips for Success – HIE and TOC
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Tip 1: Define your Use Cases
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Does it improve quality?
Does it decrease costs?
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6 Health IT Tips – Your IT Vendor
• Tip 1: Meaningful Use, PQRS and Other Dashboards?
o Metrics / Analytics by Provider
o ...
CEUs available at:
webinars@successehs.com
Copies available on SlideShare or
www.SuccessEHS.com/webinars

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Transcript of "Successehs webinar-stage-2-and-3-mu-130424105245-phpapp02 (1)"

  1. 1. Meaningful Use Stages 2 and 3 – Eligible Professionals Adele Allison National Director of Government Affairs April 10, 2013 888.879.7302 • www.SuccessEHS.com
  2. 2. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  3. 3. Meaningful Use – State of the Union • $11.8 Billion in Total Incentives Program to Date o ↑ $2.4 Billion in Medicare Incentives Paid – Hospitals/Providers o ↑ $1.8 Billion in Medicaid Incentives Paid – Hospitals/Providers o ↑ $7.3 Billion in Medicare/Medicaid to Hospitals • ↑ 372,000 Hospitals / Professionals registered • 49 States, D.C. and PR have launched Medicaid Programs o Hawaii, Guam, Am. Samoa – Unknown o Virgin Islands – Unknown 888.879.7302 • www.SuccessEHS.com
  4. 4. Meaningful Use – State of the Union • Active Registrations o o • Medicare Eligible Providers → 253,477 (834,769 U.S. Physicians – 30%) o • Hospitals → 4,257 (5,724 in U.S. – 74%) Medicaid Eligible Providers → 114,866 (U.S. Physicians – 14%) Hospital Attestation → $7,861,299,090 Medicare EP Stage 1 Attestation → $2,134,906,925 Program to Date Top 10 Physician Specialties – Payments 21,685 Internal Med. 22,565 Family Med. 8,416 Cardiology 3,643 OB/Gyn 4,886 Gastro 3,356 Urology 3,354 Ophthal. 4,222 Gen’l Surgery 5,716 Ortho 3,301 Neurology 29,778 Other • Medicaid EP Year 1 & Year 2 Attestation → $1,595,896,115 Program to Date Eligible Professionals – Payments AIU MU 53,337 Physicians 12,443 Nurse Prac. 1,527 Mid-Wives 5,247 Dentists 833 Physician Asst. 4,964 Physicians 1,126 Nurse Prac. 181 Mid-Wives 70 Dentists 68 Physician Asst. 888.879.7302 • www.SuccessEHS.com
  5. 5. Meaningful Use – Highest / Lowest • Top 5 States – Hospitals/Providers (34%) State Medicare Medicaid Paid Count Texas California Florida New York Pennsylvania • $501,037,496 $481,333,892 14,288 $479,811,536 $461,003,962 15,717 $530,306,093 $299,686,531 12,443 $370,073,044 $276,918,295 11,207 $374,894,112 $169,392,763 11,617 Total $982,371,388 $940,815,499 $829,992,624 $646,991,338 $544,286,875 Lowest 5 States – Hospitals/Providers (7%) State Medicare Medicaid Paid Count Total Hawaii $29,956,453 $0 482 $29,956,453 Vermont $10,157,423 $19,555,139 793 $29,712,562 North Dakota $16,408,274 $3,254,834 341 $19,663,108 Wyoming $5,766,153 $9,718,002 214 $15,484,155 District of Columbia $8,585,360 $0 392 $8,585,360 888.879.7302 • www.SuccessEHS.com
  6. 6. Polling the Audience 888.879.7302 • www.SuccessEHS.com
  7. 7. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  8. 8. Stage 2 Stage 1 4 Marks of Meaningful Use Adopt and Use CEHRT Move DATA 888.879.7302 • www.SuccessEHS.com Capture DATA Report DATA
  9. 9. Stage 1 Changes – CY2013-14 • Core CPOE Denominator – CY2013 and beyond → “New” Option: # of orders for Rx during EHR Reporting Period • Core Vitals Exclusion Clause – CY2014 → “New”: EP can split to exclude 1 only of BP and/or Height-Weight • Core Vitals Age Requirements – CY2014 → “New”: BP patients age 3+ • Core Test of Exchanging Key Clinical Information → Removed • Core ePrescribing Exclusion → Added where EP not within 10 mile radius of ePharmacy effective CY2013 • 3 Menu Measures → Public Health for Immunizations, Reportable Labs and Syndromic Surveillance → Removed “except where prohibited” • Core Electronic Copy and Menu Timely Electronic Access → Replaced with CY2014 Stage 2 measure of Patient View, Download and Transfer • Core Submission of CQMs part of MU definition • Stage 1 EPs must choose 5 Menu Measures if available 888.879.7302 • www.SuccessEHS.com
  10. 10. 4 Marks of Meaningful Use • Cultural Shift o Change is hard → “We’ve always done it this way.” o Leadership and Professionalism Adopt and Use CEHRT • Redesign will create temporary Chaos • Address techno-challenged users o Scribes o Focused training o Super-users • Celebrate your success! 888.879.7302 • www.SuccessEHS.com
  11. 11. 4 Marks of Meaningful Use • Workflows must be consistent • 3 Data-entry Types 1. Narrative Text 2. Structured Data 3. Object-oriented, Codified Data • Apply the 5-Rights 1. 2. 3. 4. 5. Right Information Right Person Capturing Right Data Format Right Technology Channel Right Time in Workflow 888.879.7302 • www.SuccessEHS.com Capture DATA
  12. 12. 4 Marks of Meaningful Use • Define your Use Cases o o o o Referral Management ED/Hospitalization Notification Emergency – “Break-the-Glass” New/Unknown Patient • Use Cases → 2 Clear Goals o ↑ Quality o ↓ Costs Move DATA 888.879.7302 • www.SuccessEHS.com • Interface vs. HIE • Health Information Exchange o Sustainability Model o Emerging Technology
  13. 13. 4 Marks of Meaningful Use • Clinical Data Reporting is Crucial! o Drive Reimbursement Reform under ACA (E.g. VBM) o Physician Compare Website • CQMs to be electronically submitted by CY2014 • Medicare Data → PQRS o Claims-based o Registry-based o EHR Direct • Medicaid Data → Ind. State o Process and Timelines o Interface or HIE 888.879.7302 • www.SuccessEHS.com Report DATA
  14. 14. MU2 Health IT Implementation List CEHRT Extensions CEHRT Standard Offerings • CPOE • eRx, Rx History and Formulary (E.g., Surescripts / RxHub) • Rx Database • Master Patient Index • Evidence-based Guidelines • Patient Administration • Advanced Patient Portal • Detailed Vitals • Patient Education • Smoking Status • HIE → Direct / Exchange • Population Health Mgmt. • Bidirectional Lab Interface / HIE • Thin-Client Operations • Immunization Interface / HIE • Data Encryption Technology • PACS Interface / HIE • Internet Enabled Technology • • Structured Knowledge Base Public Health, Cancer and/or Specialty Registry Interface / HIE • Documentation Tools • Hosting / Emergency Backup 888.879.7302 • www.SuccessEHS.com
  15. 15. 888.879.7302 • www.SuccessEHS.com
  16. 16. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  17. 17. Medicare Penalties • • • • • • • • • • Applies to EPs treating Medicare Part B PFS Patients HITECH requires Payment Adjustment if no MU by 2015 Adopt, Implement or Upgrade (AIU) is NOT MU Payment Adjustment based on prior year’s reporting period – 2 year lag MU in 2011/2012 = Full Year of MU in 2013 to avoid penalty Any MU in 2013 = No Adjustment in 2015 Medicare MU registration & attestation by 10.1.2014 = No Adjustment in 2015 This means 90-day reporting period no later than 7.1.2014 EP must continue to meet MU annually to avoid adjustments in subsequent years Hospital-based EPs (90% of Services) not eligible so not subject to penalties 888.879.7302 • www.SuccessEHS.com
  18. 18. Medicare Penalties • Penalties are cumulative with other CMS Programs 2015 EP subject to MU adjustment only EP also subject to eRx adjustment EP also subject to PQRS adjustment EP also subject to Value-Based Modifiers (VBM) 2016 2017 2018 2019 2020+ 99% 98% 97% 96% 95% 95% 98% 98% 97% 96% 95% 95% 96.5% 96% 95% 94% 93% 93% +/TBD +/TBD +/TBD +/TBD +/TBD +/TBD • EP Hardship Exceptions 1. 2. 3. 4. 5. Infrastructure → E.g. Lack of Broadband New EP → 2-year limited exception Unforeseen Circumstances → E.g. Natural Disaster Lack of Face-to-Face or F/up Need with Patients → E.g. Pathology, Radiology, Anesthesiology Multiple Locations and Lack of control over availability of CEHRT for more than 50% of patient encounters 888.879.7302 • www.SuccessEHS.com
  19. 19. 888.879.7302 • www.SuccessEHS.com
  20. 20. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  21. 21. Clinical Quality Measures (CQMs) • Removed as MU Measure → Now Part of Definition of “Meaningful EHR User” • Electronic reporting by CY2014 for ‘Care regardless of Stage • PQRS will be the vehicle for Clinical Reporting for ‘Care • Clinical Reporting will drive VBM under ACA • Reporting will be reported publicly on “Physician Compare” • ACA requires CMS to align MU with other Federal programs (E.g. PQRS and eRx) • No change in ‘Care CQMs through CY2013 → 2 Reporting Methods o Manual calculation / Attestation on CMS website o eReporting under PQRS EHR Incentive Program Pilot • ‘Caid EPs → Look to State on process and timelines 888.879.7302 • www.SuccessEHS.com
  22. 22. Clinical Quality Measures (CQMs) • Prior to CY2014 → Manual attestation of 6:44 CQMs • CY2014 and Beyond → Electronic submission of 9:64 CQMs o First year EP → Aggregated data for All Payers through attestation o Subsequent Years, 2 Options   Electronic reporting of Aggregate data for All Payers, or Individual Continuity-of-Care Document (CCD) on Medicare only through PQRS EHR Direct using CEHRT • 9 CQMs must include 1 measure in 3 Nat’l Quality Strategy Domains, minimal (Core Sets of 9 Recommended) 1. 2. 3. 4. 5. 6. Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes / Effectiveness 888.879.7302 • www.SuccessEHS.com
  23. 23. 888.879.7302 • www.SuccessEHS.com
  24. 24. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  25. 25. Plugging into the Matrix • • Americans are plug into the Matrix more than ever 88% Age 18+ have a cell phone (77% of Rural Residents) • 67% Texting → Dominates, especially with Teens 75% of all Teens text o Teens average 60 texts per day o Girls text more than boys at 100 / day compared to 50 / day o Black teens text average of 80 / day o 57% have a Laptop • 19% have a Tablet Computer • 19% Own and e-book Reader 52% Adult Americans use phones while watching TV • • 888.879.7302 • www.SuccessEHS.com
  26. 26. Plugging into the Matrix • Area of Family, Friends, Both Equally Is Patient Decision-making Affected? Yes! Professional Advice Sought Fellow stress mgmt. 49% Influences view of diet, exercise, Patients • Accurate Diagnosis 91% 5% • 38% Affected decision about seeing a doctor Rx Information 85% 9% • 38% Altered Alternative Treatment way of coping with Chronic Condition 63% 24% Specialist Recommendation 62% 27% / 2% 3% Pain 5% 6% Hospital Recommendation 62% 27% 6% Illness Emotional Support 30% 59% 5% Quick Remedy for Health Issues 41% 51% 4% 888.879.7302 • www.SuccessEHS.com
  27. 27. Gov’t and PPC – By the Numbers • • • • • • 23 percent of federal budget goes to health care 36 times ACA mentions Patient Centeredness 15 times ACA references the Medical Home 93 times ACA references Quality Measures 29 times ACA links Quality to reporting Clinical Data 100 times ACA discusses Value-Based and Payment Modifiers as relates to Hospital/MD Reimbursement and Measures* * Commercial payers are now launching VBP payment models. 888.879.7302 • www.SuccessEHS.com
  28. 28. Patient Centered Care and the Gov’t • Behavioral Economics is about an Engaged Patient o o • • • • Effects of social, cognitive, emotion factors on patient decision-making E.g., Airport McDonalds Story, MyFitnessPal Federal Gov’t → Leadership role in Health Care Reform Transition → Episodic Care to Long-Term Healing and Wellness Patient Centered Care → Measured Quality Performance Federal Policymaking grounded in Patient Centered Care Regs CMS Meaningful Use Stage 2 - 7 Measures o Regs CMS Accountable Care Organizations (ACOs) – 7 Measures o Regs CMS Value-based Purchasing – Differential Payment Based on Quality o Regs CMS Public Measure Transparency – Physician Compare Website o Other Agency Initiatives – CMS PCORI, HRSA PCMH and VA PACT o 888.879.7302 • www.SuccessEHS.com
  29. 29. Proposed Stage 2 Core Measures Fed. Objective Programs & Measure Patient Engagement Threshold Exclusions No. Implement CDS to improve on high-priority condition: None 5 Rules and Rx alerting 1. 5 CDS interventions for 4 or more CQMs during entire reporting period; and by attestation 2. Enable drug-drug and drug-allergy checks for entire reporting period. For each office visit to patients within 24 hours, EP has no office visit which includes up-to-date lists of problems, during EHR reporting 50% (Unchanged) medications and Rx allergies (paper and electronic period must be avail. to pt.) 1 Implement Clinical Decision Support and Track Compliance 2 Provide Patients with Clinical Summaries 3 Use EHR for Patient-Specific Education Resources Provide patient-specific education resources to all patients 10% (Unchanged but EP has no office visit made Core and “if during EHR reporting appropriate removed) period 4 Generate Lists of Patients by Condition 1 List with a Specific Condition for use in quality improvement, reduction of disparities, research or outreach By attestation (Made Core) 5 Use of secured messaging with Patients Send secured messages to patients seen during reporting period 6 Patients can view online, download and transfer 1. Timely Electronic Access to Health info within 4 days of being available to EP, subject Information to EPs discretion to withhold certain info 2. Send Reminders to Patients 7 888.879.7302 • www.SuccessEHS.com Preventative and follow-up care for all patients based on clinically relevant info for anyone with 2 or more office visits in past 24 months None EP has no office visit 10% during EHR reporting period  EP has no orders / creates info required 50% of all pts.,  >50% visit in county and with >50% with 5% of pts. access 4Mbps broadband avail. 10% (↓ from 20%, all patients and Made Core) EP has no office visit in previous 24 months
  30. 30. ACOs and Patient Engagement • 33 Quality Performance Measures • 7 Patient / Caregiver Experience Measure Getting Timely Care, Appointments and Information How Well Your Doctors Communicate Patients’ Rating of Doctor Access to Specialists Health Promotion and Education Shared Decision-Making Health Promotion and Education Method of Data Submission Survey Survey Survey Survey Survey Survey Survey • Final Rule requires CMS qualified Survey Vendor by 2014 • HITPC Preliminary Stage 3 Draft (Aug → Final Recommendations expected in Nov) o Patients Option to submit data online → 10% submit Medical Histories o Patient education in non-English languages o 10% of Patients ability to update and correct information online 888.879.7302 • www.SuccessEHS.com
  31. 31. NCQA PCMH 2011 Standard and Element PCMH and Patient Engagement Points • 20 4 4 2 2 2 2 4 17 3 4 4 5 17 4 3 4 3 3 9 6 3 18 6 6 6 20 4 4 4 3 3 2 PCMH Standard 1: Enhance Access and Continuity Element A: Access during office hours Element B: Access after hours Element C: Electronic Access Element D: Continuity Element E: Medical Home Responsibilities Element F: Culturally & Linguistically Appropriate Services (CLAS) Element G: Practice Organization PCMH Standard 2: Identify and Manage Patient Populations Element A: Patient Information Element B: Clinical Data Element C: Comprehensive Health Assessment Element D: Using Data for Population Management PCMH Standard 3: Plan and Manage Care Element A: Implement evidence-based guidelines  Element B: Identify High-Risk Patients Element C: Manage Care Element D: Management Medications  Element E: Electronic Prescribing PCMH Standard 4: Provide Self-Care and Community Support  Element A: Self-Care Process Element B: Referrals to Community Resources  PCMH Standard 5: Track and Coordinate Care Element A: Test Tracking and Follow-up  Element B: Referral Tracking and Follow-up Element C: Coordinate with Facilities / Care Transitions  PCMH Standard 6: Measure and Improve Performance Element A: Measures of performance Element B: Patient / Family feedback Element C: Implements Continuous Quality Improvement Element D: Demonstrates Continuous Quality Improvement Element E: Performance Reporting Element F: Report Data Externally Number of Factors 34 4 5 6 3 4 4 8 35 12 9 10 4 23 3 2 7 5 6 10 6 4 25 10 7 8 22 4 4 4 4 3 3 NCQA now offers a new Distinction in Patient Experience o o o Optional with PCMH Recognition “Consumer Experience is Critical Component of Quality of Care” Uses CAHPS PCMH Survey to access: Access Information Communication Coordination of Care Comprehensiveness Self-Management Support and Shared Decision-Making 100 888.879.7302 • www.SuccessEHS.com 149 Must Pass? Yes No No No No No No No No No Yes No No Yes No No Yes No No Yes No No No Yes No No No 6
  32. 32. VBP & Patient Engagement • • • • Hospitals → CMS payment adjustments based on patient experience – Oct. 1, 2012 Evaluated / Scored on performance improvements over baseline Patient Experience → HCAHPS scores Hospital staff → patient satisfaction, customer service and communication training • • • • Results published on Hospital Compare website ACA has Physician VBM program starting in 2015 based on 2013 performance Physician Compare website now in place to show performance metrics - first publishing (limited) in CY2013 CMS launching CAPHS survey for MDs – FR 3.22.2013 888.879.7302 • www.SuccessEHS.com
  33. 33. Communication Shift • Patient Portals have existed since 1990 o o • Patient Engagement was transactional – Financial Focus 56M accessed records through Patient Portal (Oct 2011) Paradigm shift in the way health information disseminated Pull Information Model Push Information Model 888.879.7302 • www.SuccessEHS.com
  34. 34. 888.879.7302 • www.SuccessEHS.com
  35. 35. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  36. 36. Stage 3 Policymaking – CY2015 • ONC Draft Recommendations → Comments from Nov. 2012 through Jan. 2013 • CPOE o o Recording of Date/Time Reviewed o Bidirectional Lab Interface o • Delinquency Results Tracking o • “Never” Drug-Drug Interactions (DDI) Orders for Referrals/TOC ePrescribing → 50% Formulary Checking Demographics EHR Certification Criteria o Occupation/Industry Codes o Sexual orientation, gender identity o Disability status (patient reported v. medically determined) 888.879.7302 • www.SuccessEHS.com
  37. 37. Stage 3 Policymaking – CY2015 • Problems, Meds, Allergies EHR Certification Criteria o o • • CDS to support additions, edits, deletions (E.g., Hypoglycemic Rx → DM Dx?) Coding of Rx allergies and linkage to drug family Advanced Directives recorded → Patients 65+ CDS Greatly Expanded o 15 CDS Interventions linked to CQMs o EHR Certification Criteria – “Ingesting” interventions from repositories o Patient-oriented dashboards for QI • Accessibility of ALL imaged results (E.g. ECGs) • High-priority Family Histories • Patient-Preference Automated “Transmit” Care Record Summary • Patient generated health information into EHR (E.g. Questionnaires) 888.879.7302 • www.SuccessEHS.com
  38. 38. Stage 3 Policymaking – CY2015 • • • • Patient requested “amendment” to health record Patient-Ed available in top 5 non-English languages 10% of Patients using electronic messaging with EP Received TOC o o Data Sets defined in Continuity of Care Record for TOCs o • Reconcile Rx, Rx Allergies, Problems Acknowledged “Receipt” of Electronic Results Inbound Immunization Data and baseline recommendations by age • Query/Retrieve Production HIE • Population Management o ID undiagnosed patients with HTN, BP control o Referral of Smoker to quit-line services 888.879.7302 • www.SuccessEHS.com
  39. 39. 888.879.7302 • www.SuccessEHS.com
  40. 40. MU2 and 3 – Eligible Professionals • • • • • • • • 888.879.7302 • www.SuccessEHS.com
  41. 41. 5 Tips for Success – Patient Engagement • • Tip 1: Measure Patient Satisfaction Pre- and Post-Project Tip 2: Involve the Provider(s) o o • They must drive the medical responses They are going to get mad with some survey results Tip 3: Address Cultural-Change Challenges o o “Our patients will never go online” o • “One more thing I have to do!” Creates a mutual interdependence between Providers and Patients Tip 4: Add a “filter” and Map the Workflow o Make the workflow someone’s job (Think “Care Team”) o Get Providers into a routine (E.g. See patients, answer emails / flags, cycle again) o Perhaps schedule time on the Provider’s calendar 888.879.7302 • www.SuccessEHS.com
  42. 42. 5 Tips for Success – Patient Engagement • Tip 5: Promote, Promote, Promote! o o o o o o o o Refine the Message → Faster way to get lab results, refills, etc.; No more Phone-Tag! Strategically place Brochures (E.g., Ck-in / Ck-out, Waiting Room) Add information on appt. reminder cards → “Use our online scheduling!” Remind patients of ability to request refills online when they call for refills Computer in waiting room to assist patients in registering, completing paperwork, etc. Replace “on-hold” music with introduction to patient portal Add-on announcements with all statements, newsletters and ePublications Improve organizational branding 888.879.7302 • www.SuccessEHS.com
  43. 43. 5 Tips for Success – HIE and TOC • Tip 1: Define your Use Cases o o • Does it improve quality? Does it decrease costs? Tip 2: Involve the Stakeholders o o • Tip 3: Understand your HIE Market o o o • Hospital Specialty Providers Statewide / Local Market Progress and Barriers HISP Providers for Direct Exchange for more advance Query / Retrieve HIE Tip 4: Allow ample bandwidth to plan and implement o o Data-Sharing Agreements, SOW Understand related Costs 888.879.7302 • www.SuccessEHS.com
  44. 44. 6 Health IT Tips – Your IT Vendor • Tip 1: Meaningful Use, PQRS and Other Dashboards? o Metrics / Analytics by Provider o Facilitates quick numerators/denominators for MU attestation o Clinic analytics with drill-through details • Tip 2: Patient Portal Inherent with System? o Should be part of Core Offering o Avoids Additional vendor and integration considerations • Tip 3: Single database solution for PM and EHR • Tip 4: EHR Direct PQRS • Tip 5: More than just first call support o Initiative Toolkits (E.g. MU, PCMH, PQRS) o Consulting Support with domain experts • Tip 6: Ongoing Client Educational Offerings 888.879.7302 • www.SuccessEHS.com
  45. 45. CEUs available at: webinars@successehs.com Copies available on SlideShare or www.SuccessEHS.com/webinars Added to The BRIEF or Questions: adelea@successehs.com Follow me on Twitter: www.twitter.com/Adele_Allison 888.879.7302 • www.SuccessEHS.com
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