Meaningful Use and Its Implications for Your Practice - August 4, 2010

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This free national Webinar, "Meaningful Use and Its Implications For Your Practice," was presented by ACP and AmericanEHR Partners and featured Dr. David Blumenthal, National Coordinator for Health …

This free national Webinar, "Meaningful Use and Its Implications For Your Practice," was presented by ACP and AmericanEHR Partners and featured Dr. David Blumenthal, National Coordinator for Health Information Technology and Dr. Michael Zaroukian, FACP, Chief Medical Information Officer for Michigan State University. Dr. Blumenthal leads the federal government's programs on health IT adoption including Meaningful Use.

Funding to support this Webinar has been provided by Hewlett-Packard.

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  • 1. David Blumenthal, MD, MPP
    National Coordinator for
    Health Information Technology
    Meaningful Use and Its Implications for Your PracticeAugust 4, 2010
    Funding to support this Webinar has been provided by Hewlett-Packard
  • 2. David Blumenthal, MD, MPP
    National Coordinator for
    Health Information Technology
    Meaningful Use and Its Implications for Your PracticeAugust 4, 2010
    Funding to support this Webinar has been provided by Hewlett-Packard
  • 3. Michael Zaroukian, MD, PhD, FACP, FHIMSS
    Professor of Medicine &
    Chief Medical Information Officer at Michigan State University
    Meaningful Use and Its Implications for Your PracticeAugust 4, 2010
    Funding to support this Webinar has been provided by Hewlett-Packard
  • 4. Meaningful Use andIts Implications for Your PracticeAugust 4, 2010
    Michael Zaroukian, MD, PhD, FACP, FHIMSS
    Chief Medical Information Officer & Professor of Medicine, Michigan State University
    Medical Director, Clinical Informatics & Care Transformation, Sparrow Health System
    Member, ACP Medical Informatics Subcommittee
  • 5. Objectives
    Why we should strive to become meaningful users
    What it takes to make MU a habit
    Essentials for EHR meaningful use
    Getting started – tasks, decisions, issues
    What to focus on for 2011
    Working together to get MU done
    5
  • 6. Why Strive for Meaningful Use?
    Quality
    Health IT can support greater effectiveness, efficiency, safety, timeliness, equity
    Costs
    Urgent need to contain costs, improve value
    Incentives and penalties
    CMS meaningful use payments (2011-2015)
    Payment penalties if not a meaningful user by 2015
    6
  • 7. Why Strive for Meaningful Use?
    Payment reform is coming…
    Payment based on quality measures
    Payment for care coordination, medical homes, prevention, early detection, chronic disease management
    “Bundled” payments – shared responsibility for quality
    Resource use optimization, gain-sharing
    Accountable care organizations
    7
  • 8. To Be or Not to Be (Meaningful Users),What’s the Difference in the End?
    Meaningful Users
    $ to reward investment in needed change
    Decision support & data to demonstrate, improve quality & value
    Readiness & eligibility for new payment models
    Not Meaningful Users
    No $ for needed change
    Lower payments (1-5%)
    Fewer data to demonstrate, improve quality & value
    Less ready to participate in new payment models
    8
  • 9. Making Meaningful Use a Habit Means Knowing…
    “What to do”
    Clear, understandable, achievable initial measures
    “How to do it”
    Balancing standardization with flexibility
    Help for those who need it
    “Why to do it”
    Agreed upon goals and objectives for quality, engagement, coordination, population health, privacy/security
    9
  • 10. Meaningful Use Marathon Training: “Crawl-Walk-Jog-Run”
    10
    2015
    2013
    2011
  • 11. Essentials for EHR Meaningful Use
    11
    (Clinical and Informatics Leadership)
    (Practice Executive Leadership)
    (Information Technology Leadership)
  • 12. Getting Started:Early Tasks, Decisions, Issues
    Assess practice readiness
    Providers and staff
    Leadership
    IT capacity
    Create a plan
    Select or upgrade your “qualified” EHR
    Going it alone vs. connecting to existing EHR (vendor hosted, hospital, IDN, etc.)
    Decide how much help to get (e.g., RECs)
    12
  • 13. Getting Started: Early Tasks, Decisions, Issues
    Make sure everyone in your practice gets/stays on board
    Remind why meaningful use really matters
    Involve physicians early on
    Develop, support champions, super-users
    Train and verify competencies
    Measure and report what matters
    Align rewards, accountability with goals
    Focus on sustainability (payment reform)
    13
  • 14. Getting Started: Early Tasks, Decisions, Issues
    Focus on all 3 major components of technology adoption
    Technology, People, Processes
    Know the 15 “core” measures you must meet
    Pick 5 “menu” measures to meet first
    Optimize EHR workflows to make meeting the measures easier
    14
  • 15. Core Set: All 15 Required
    15
  • 16. Core Set: All 15 Required
    16
  • 17. Menu Set: 5 of 10 Required
    17
  • 18. Brief Description: Menu Set (5/10)
    18
  • 19. Working Together in Your Office to Getting Meaningful Use Done
    19
  • 20. Improve Quality, Safety, Efficiency, and Reduce Health Disparities – 2011 Objectives
    20
  • 21. Improve Quality, Safety, Efficiency, and Reduce Health Disparities – 2011 Measures
    21
  • 22. Engage Patients and Families:2011 Objectives and Measures
    22
  • 23. Improve Care Coordination:2011 Objectives and Measures
    23
  • 24. Improve Population and Public Health: 2011 Objectives and Measures
    24
  • 25. In Summary: What Office-based Physicians Should Do…
    If you already have an EHR…
    Make sure it is “qualified” for meaningful use
    Make a habit of using it in a “meaningful” way
    Positively engage your practice leadership in EHR optimization and meaningful use by all
    25
  • 26. In Summary: What Office-based Physicians Should Do…
    If you don’t yet have an EHR…
    Don’t wait…make a plan and then act on it
    Decide if you want to “go it alone”
    Consider getting help from those nearby with experience and resources
    26
  • 27. Comments and Questions
    Meaningful Use and Its Implications for Your PracticeAugust 4, 2010
    Funding to support this Webinar has been provided by HewlettPackard
    27