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

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

on

  • 560 views

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.

Statistics

Views

Total Views
560
Views on SlideShare
258
Embed Views
302

Actions

Likes
0
Downloads
0
Comments
0

3 Embeds 302

http://www.americanehr.com 300
https://www.americanehr.com 1
http://americanehr.com 1

Accessibility

Categories

Upload Details

Uploaded via as Microsoft PowerPoint

Usage Rights

© All Rights Reserved

Report content

Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
  • Full Name Full Name Comment goes here.
    Are you sure you want to
    Your message goes here
    Processing…
Post Comment
Edit your comment

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

  • Webinar:
    Selecting the Right Meaningful Use Criteria for Your Practice
    Dr Peter Basch
  • Introduction
    Housekeeping
    Please enter your questions in the QA box at the bottom right of your screen.
    Please mute your phone when not talking
    Dr Peter Basch
    Practicing Physician
    Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health
    Senior Fellow in Health IT Policy, Center for American Progress
    Visiting Scholar, Engelberg Center for Health Care Reform, Brookings Institution
  • Preparing for Meaningful Use:An Approach to Foundational Measure Selection and Metric Adherence
    ACP Webinar
    October 25, 2010
    Peter Basch, MD, FACP
    Medical Director, Ambulatory EHR and Health IT Policy, MedStar Health
    Senior Fellow in Health IT Policy, Center for American Progress
    Visiting Scholar, Engelberg Center for Health Care Reform, Brookings Institution
  • Review of Meaningful Use
    Part of the HITECH Act within the American Recovery and Reinvestment Act of 2009 (the “Stimulus Bill”)
    Provides ~$30B between 2011 – 2016 to incentive physicians and hospitals to adopt and “meaningfully use” EHRs
    Provides for Medicare penalties (starting in 2015) for physicians / hospitals that are not meaningful users of EHR technology
  • Incentives / Penalties MC
    5
  • Incentive – Medicaid
    6
  • Purpose of Meaningful Use
    National Health Priorities
    Improving quality, safety, efficiency, and reducing disparities
    Engaging patients / families in their healthcare
    Improve care coordination
    Improve population and public health
    Ensure adequate privacy and security protections for personal health information
    Other Policy Goals / Considerations
    Robust health IT is a prerequisite of any high functioning healthcare system
    Have > tipping point of MDs / hospitals using robust IT in the provision of healthcare by ~2015
    Reduce or eliminate the #1 barrier to MD EHR adoption
    Opportunity to influence development and use of EHRs and other health IT
    7
  • What Meaningful Use Says to Me
    Meaningful use of health IT is the law of the land
    Using health IT to improve care is an emerging expectation of patients, employers, payers
    Opportunity for us to take advantage of federal bonus to recoup upfront costs (and avoid future penalties)
    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)
    8
  • Two Approaches to Core Measures
    Literal / Incremental
    Crawl / Walk / Jog / Run
    Plan to satisfy metric
    Objective / Goal Oriented
    Develop clear picture of desired end-state
    Assess technology / end-user readiness
    Move iteratively (or with quantum leaps) towards that goal
    9
  • Meaningful Use – Core Measures
    10
  • Example of Goals Focused Approach
    Substitute clinical data for claims data for quality reporting / reminders
    Improve quality for preventive and chronic care measures
    Use patients at the point-of-care whenever to validate their own problems, meds, allergies
    We need to have problems, medications, and allergies list
    Complete
    Up-to-date
    Understandable by patients
    We can readily create and make use of a pre-visit form for some / all patients
    We can readily create a post-visit summary
    We trust our reminders and internal reporting strategy
    11
  • Meaningful Use – Core Measures
    12
  • Aiming for 100% Accurate / Complete Problems / Meds / Allergies for 100% of Patients
    13
  • Meaningful Use – Core Measures
    14
  • Making it Easy to Create Clinical Summaries
    15
  • Meaningful Use – Core Measures
    16
  • Using CDS to Improve Collection % for VS and Smoking Status
    17
  • Meaningful Use – Core Measures
    18
  • Getting ePrescribing % Over the Threshold of 40%
    Using reporting
    Run a report to establish baseline
    Run regular (monthly) reports to show progress
    Share reports for individuals / groups to stimulate action
    Other Barriers to ePrescribing
    System
    UTD list of pharmacies / PBMs
    Default setting = eRx
    Pharmacy
    Process to identify preferred pharmacies that are not yet connected
    Contacting pharmacies to get them connected
    Patient
    Encouraging use
    ePrescribeand print backup Rx
    19
  • Meaningful Use – Core Measures
    20
  • MU – Menu Set
    21
  • MU – Menu Set
    22
  • MU – Menu Set
    23
  • MU – Menu Set
    24
  • Providing On-Demand Access to New Lab Results w/in 4d
    Patient portal approach
    Aggressive marketing to providers and patients
    Takes time and effort to get patients on-board
    Decision point
    Providers have to review labs before they are made available to the patient portal
    Need to make sure that providers are reviewing labs in a timely fashion
    Labs (at least most of them) are made to the patient portal simultaneous with their entry into the EMR
    May generate an increase in patient queries as to meaning of their labs for them
    25
  • MU – Menu Set
    26
  • Using Point-of-Care CDS to Address Quality Care Opportunities
    27
  • Correlation Between Use of Point-of-Care CDS and Quality Metrics
    28
  • MU Alignment with Other Payers
    29
  • Bottom Line
    “Meaningful Use” as a way of pushing significant incentives and penalties is the “law of the land”
    It is expected to dramatically accelerate EHR adoption and “optimal use” over the next 4+ years
    It is also expected to be just the first step in a fundamental change to how providers and hospitals are paid for care
    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
    30
  • Comments and Questions
    Selecting the Right Meaningful Use Criteria for Your Practice