Your SlideShare is downloading. ×
0
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Selecting the Right Meaningful Use Criteria for Your Practice - October 25, 2010

535

Published on

Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine …

Speaker: Peter Basch, MD, FACP, Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health. He is a Senior Fellow with the Center for American Progress, practices general internal medicine in Washington, DC. Dr. Basch is an early adopter of electronic health records and e-prescribing.

Dr. Basch explained the Stage 1 Meaningful Use Criteria including the 15 Core Measures you must meet plus how to select the 5 Menu Measures that are most appropriate to your practice.

Published in: Health & Medicine
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
535
On Slideshare
0
From Embeds
0
Number of Embeds
2
Actions
Shares
0
Downloads
0
Comments
0
Likes
0
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. Webinar:<br />Selecting the Right Meaningful Use Criteria for Your Practice<br />Dr Peter Basch<br />
  2. Introduction<br />Housekeeping<br />Please enter your questions in the QA box at the bottom right of your screen. <br />Please mute your phone when not talking<br />Dr Peter Basch<br />Practicing Physician<br />Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health<br />Senior Fellow in Health IT Policy, Center for American Progress<br />Visiting Scholar, Engelberg Center for Health Care Reform, Brookings Institution<br />
  3. Preparing for Meaningful Use:An Approach to Foundational Measure Selection and Metric Adherence<br />ACP Webinar<br />October 25, 2010<br />Peter Basch, MD, FACP<br />Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health<br />Senior Fellow in Health IT Policy, Center for American Progress<br />Visiting Scholar, Engelberg Center for Health Care Reform, Brookings Institution<br />
  4. Review of Meaningful Use<br />Part of the HITECH Act within the American Recovery and Reinvestment Act of 2009 (the “Stimulus Bill”)<br />Provides ~$30B between 2011 – 2016 to incentive physicians and hospitals to adopt and “meaningfully use” EHRs<br />Provides for Medicare penalties (starting in 2015) for physicians / hospitals that are not meaningful users of EHR technology<br />
  5. Incentives / Penalties MC<br />5<br />
  6. Incentive – Medicaid <br />6<br />
  7. Purpose of Meaningful Use<br />National Health Priorities<br />Improving quality, safety, efficiency, and reducing disparities<br />Engaging patients / families in their healthcare<br />Improve care coordination<br />Improve population and public health<br />Ensure adequate privacy and security protections for personal health information<br />Other Policy Goals / Considerations<br />Robust health IT is a prerequisite of any high functioning healthcare system<br />Have > tipping point of MDs / hospitals using robust IT in the provision of healthcare by ~2015<br />Reduce or eliminate the #1 barrier to MD EHR adoption<br />Opportunity to influence development and use of EHRs and other health IT<br />7<br />
  8. What Meaningful Use Says to Me<br />Meaningful use of health IT is the law of the land<br />Using health IT to improve care is an emerging expectation of patients, employers, payers<br />Opportunity for us to take advantage of federal bonus to recoup upfront costs (and avoid future penalties)<br />Opportunity for MDs to assume leadership in how health IT can improve care (or to assume reluctant “followship” and let others dictate what comes next)<br />8<br />
  9. Two Approaches to Core Measures<br />Literal / Incremental<br />Crawl / Walk / Jog / Run<br />Plan to satisfy metric<br />Objective / Goal Oriented<br />Develop clear picture of desired end-state<br />Assess technology / end-user readiness<br />Move iteratively (or with quantum leaps) towards that goal<br />9<br />
  10. Meaningful Use – Core Measures<br />10<br />
  11. Example of Goals Focused Approach<br />Substitute clinical data for claims data for quality reporting / reminders<br />Improve quality for preventive and chronic care measures<br />Use patients at the point-of-care whenever to validate their own problems, meds, allergies<br />We need to have problems, medications, and allergies list<br />Complete<br />Up-to-date<br />Understandable by patients<br />We can readily create and make use of a pre-visit form for some / all patients<br />We can readily create a post-visit summary<br />We trust our reminders and internal reporting strategy<br />11<br />
  12. Meaningful Use – Core Measures<br />12<br />
  13. Aiming for 100% Accurate / Complete Problems / Meds / Allergies for 100% of Patients<br />13<br />
  14. Meaningful Use – Core Measures<br />14<br />
  15. Making it Easy to Create Clinical Summaries<br />15<br />
  16. Meaningful Use – Core Measures<br />16<br />
  17. Using CDS to Improve Collection % for VS and Smoking Status<br />17<br />
  18. Meaningful Use – Core Measures<br />18<br />
  19. Getting ePrescribing % Over the Threshold of 40%<br />Using reporting<br />Run a report to establish baseline<br />Run regular (monthly) reports to show progress<br />Share reports for individuals / groups to stimulate action<br />Other Barriers to ePrescribing<br />System<br />UTD list of pharmacies / PBMs<br />Default setting = eRx<br />Pharmacy<br />Process to identify preferred pharmacies that are not yet connected<br />Contacting pharmacies to get them connected<br />Patient<br />Encouraging use <br />ePrescribeand print backup Rx<br />19<br />
  20. Meaningful Use – Core Measures<br />20<br />
  21. MU – Menu Set<br />21<br />
  22. MU – Menu Set<br />22<br />
  23. MU – Menu Set<br />23<br />
  24. MU – Menu Set<br />24<br />
  25. Providing On-Demand Access to New Lab Results w/in 4d<br />Patient portal approach<br />Aggressive marketing to providers and patients<br />Takes time and effort to get patients on-board<br />Decision point<br />Providers have to review labs before they are made available to the patient portal<br />Need to make sure that providers are reviewing labs in a timely fashion<br />Labs (at least most of them) are made to the patient portal simultaneous with their entry into the EMR<br />May generate an increase in patient queries as to meaning of their labs for them<br />25<br />
  26. MU – Menu Set<br />26<br />
  27. Using Point-of-Care CDS to Address Quality Care Opportunities<br />27<br />
  28. Correlation Between Use of Point-of-Care CDS and Quality Metrics<br />28<br />
  29. MU Alignment with Other Payers<br />29<br />
  30. Bottom Line<br />“Meaningful Use” as a way of pushing significant incentives and penalties is the “law of the land”<br />It is expected to dramatically accelerate EHR adoption and “optimal use” over the next 4+ years<br />It is also expected to be just the first step in a fundamental change to how providers and hospitals are paid for care<br />Those that are “meaningful users” will not just reap benefits and avoid penalties – they will be prepared for success with PCMHs, ACOs, and other payment reforms<br />30<br />
  31. Comments and Questions<br />Selecting the Right Meaningful Use Criteria for Your Practice<br />

×