MSO Program Overview

CRISP Maryland’s Regional Extension Center MSO Program Overview June 2 and June 9, 2010

REC, As Defined By The ONC
The purpose of the Regional Centers is to furnish assistance, defined as education, outreach, and technical assistance, to help providers in their geographic service areas select, successfully implement, and meaningfully use certified EHR technology to improve the quality and value of health care. Regional Centers will also help providers achieve, through appropriate available infrastructures, exchange of health information in compliance with applicable statutory and regulatory requirements, and patient preferences. The support for health information exchange that is provided by Regional Centers will also be consistent with any applicable State Plan(s) for HIE developed and HHS-approved via the cooperative agreements issued by ONC pursuant to PHSA Section 3013, as added by ARRA.
2 Cited from Health Information Technology Extension Program: Regional Extension Centers Cooperative Agreement Program, Funding Opportunity Announcement and Grant Application Instructions

CRISP Mission Statement
To advance the health and wellness of Marylanders by deploying health information technology solutions adopted through cooperation and collaboration. We will enable the Maryland health care community to appropriately and securely share data, facilitate and integrate care, create efficiencies, and improve outcomes.
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Mission And Vision
Mission Statement:
The Mission of the REC is to advance the health and wellness of Marylanders by assisting 1,000 priority primary care providers successfully achieve Meaningful Use by 2012.
Vision Statement:
The REC will facilitate a minimum of 1,000 priority primary care providers throughout the state to successfully implement, and meaningfully use certified electronic health record technology to improve the quality and value of health care. The REC will utilize Management Services Organizations (MSOs), designated by the state, as the mechanism for achieving widespread adoption and Meaningful Use.
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CRISP/REC Background
April 6, 2010 - CRISP receives notice of grant award from ONC to becomes Maryland’s REC
CRISP is awarded $5,535,423 (original request for $12,196,128)
CRISP REC Model - MSOs will be sub-recipients of CRISP to provide direct assistance to 1,000 providers in Maryland
Direct Assistance Funding - Based on milestone payments: provider signature, Go-Live, Meaningful Use
Education and Outreach - CRISP, in partnership with MedChi, will provide best practice guidelines and educational material to providers

Maryland’s Unique REC Program
On May 19, 2009, Governor Martin O’Malley signed into law House Bill 706, Electronic Health Records- Regulation and Reimbursement
Law requires the MHCC to designate one or more State Designated MSOs that offer EHRs throughout the state by October 12, 2012
MSOs will be capable of supporting multiple EHR products at reduced cost through economies of scale and bulk pricing
REC is expected to be the driver for new MSO entrants into the market and as such will support the state’s vision to offer education, outreach, and technical assistance to physician practices largely through designated MSOs
Meant to spark the adoption of EHRs throughout the state by allowing regionally managed MSOs to assist providers in their geographic area

CRISP REC Program President David Horrocks REC Program Director Daniel Wilt Clinical Improvement Coordinator Deborah Kephart MSO Coordinator Robert Horst Outreach Coordinator Cheryl Jones MSOs MSOs MSOs MSOs

CRISP Contact Information
Email [email_address] with questions
1 Regional Extension Center Team Member Name Title Organization David Horrocks President CRISP Daniel Wilt REC Program Director CRISP Cheryl Jones Director of Outreach CRISP Rob Horst MSO Coordinator Audacious Inquiry Deb Kephart Clinical Coordinator Audacious Inquiry

Eligible Providers
As outlined by the ONC, a priority primary care provider (PPCP) is a licensed clinician with prescriptive privileges (MD, DO, NP, PA) that works in the following practice care settings:
Private physician practice of 10 or less
Non-profit primary care clinics including community health centers and rural health clinics
The ambulatory care clinics associated with public, rural, and critical access hospitals.

Milestone Definitions
Milestone One - Signed provider agreement between a healthcare practice and MSO
Milestone Two – EHR “Go Live” (“Go Live” must include e-Prescribing and quality reporting measures)
Milestone Three - Practice and its associated providers have met Meaningful Use. ONC will verify meaningful use based on the CMS standard
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NGA Funding Breakdown

Provider Value Proposition 12 Measurement Value Proposition Knowledgeable resources to assist in EHR acquisition Through supplemental funding through the REC program, MSOs will be capable of providing additional resources to assist PPCPs in identifying suitable EHR solutions. EHR Training and Go-Live support resources MSOs provide PPCPs with more regionally qualified and consistent training and go-live support resources for proven EHR systems. Resources to assist in reaching Meaningful Use MSOs have the knowledge and support structure necessary to assist PPCPs in reaching Meaningful Use. Providers receive incentives through utilization of a State Designated MSO “ Provider incentives in the regulations will be broad and may result in increased reimbursement for specific services; lump sum payments; gain-sharing arrangements; rewards for quality and efficiency; in-kind payments; and other items or services to which a specific monetary value can be assigned. “ (cited from http://mhcc.maryland.gov ) Connectivity with CRISP Health Information Exchange (HIE) PPCPs that receive direct assistance from MSOs will have access to resources that are familiar with the process of getting connected to the CRISP HIE.

MSO Value Proposition 13 Measurement Value Proposition Cost of implementing and supporting EHRs for employed and/or community providers Through participation with the REC, MSOs will can offset costs by participating in the REC program. Provide support for PPCPs already using an EHR to achieve Meaningful Use MSOs can offset the cost of assisting PPCPs already using an EHR to meet Meaningful Use criteria. As part of the mission of certain organizations, demonstrate value to community providers Becoming an MSO and providing REC services to community providers demonstrates an organization’s commitment to providing quality services that foster an interactive community of quality patient care. Operational support for the MSO to provide direct assistance to PPCPs ONC and the Health Information Technology Research Center (HITRC) will provide materials such as sample contracts, workflow templates, marketing materials, privacy/security guidelines and quality improvement curriculum. Connectivity with CRISP Health Information Exchange Connectivity with, or knowledge of connectivity requirements with the CRISP HIE will allow MSOs to provide additional value-added services to PPCPs.

Parallel Tracks
MSO applicants should pursue both at the same time:
Apply to become a State Designated MSO
Submit CRISP Sub-recipient application (not yet available)
Timelines are tight—we encourage you to move quickly.

Becoming State Designated
Visit the MHCC’s website for MSOs
Read the Program Overview and the MSO State Designation Criteria document
Complete the MSO State Designation Application and return to the MHCC
NOTE: If you have concerns about this process, or your organization’s ability to comply, please contact CRISP

CRISP Application Process
Thoroughly review the REC Funding Opportunity Announcement (FOA) that is located on the ONC website
Register as a government contractor at www.CCR.gov to receive DUNS #
Complete the CRISP Sub-recipient application (details will be posted on www.crisphealth.org )
Sign agreement with CRISP upon application review

Contents Of Sub-Recipient Application
Applicants will be asked to provide details about the following:
Organizational characteristics (background, mission, org chart, etc.)
Ability to provide REC core services
HIE Connectivity Plan for MSO and/or PPCPs
Provider geographic coverage area
Provider enrollment timeline
MSO service delivery plan
Financial information (ONC budget, etc.)

Key Dates For MSOs
May 17, 2010 – MHCC began accepting State Designation Applications
REC Program: All milestones must be met by April 6, 2012, or while funding is available

Next Steps for CRISP
Continued outreach to prospective MSOs
Review sub-recipient applications and sign contracts with MSOs
Awareness building amongst providers about the REC program in Maryland
Begin tracking milestones for MSOs in ONC-provided CRM tool
Modifications to www.crisphealth.org
Take comments and questions from this session and publish an updated FAQ

FAQs
The FAQs previously in this presentation have moved to http://crisphealth.org/REC/RECFAQ/tabid/133/Default.aspx

Questions?

http://www.crisphealth.org	917
http://crisphealth.org	254
http://crisp.audaciousinquiry.com	33

MSO Program Overview

by CRISP on Jul 01, 2010

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MSO Program Overview — Presentation Transcript