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

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

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