Meaningful Use & GA-HITREC

Denise W. Hines, DHA, PMP, FHIMSS Director-Marketing, Education & Outreach GA-HITREC 877-658-1990 [email_address] Meaningful Use & GA-Health Information Technology Regional Extension Center (GA-HITREC) <?xml version="1.0"?><AllQuestions /> <?xml version="1.0"?><AllAnswers /> <?xml version="1.0"?><AllResponses /> <?xml version="1.0"?><Settings><answerBulletFormat>Numeric</answerBulletFormat><answerNowAutoInsert>No</answerNowAutoInsert><answerNowStyle>Explosion</answerNowStyle><answerNowText>Answer Now</answerNowText><chartColors>Use PowerPoint Color Scheme</chartColors><chartType>Horizontal</chartType><correctAnswerIndicator>Checkmark</correctAnswerIndicator><countdownAutoInsert>No</countdownAutoInsert><countdownSeconds>10</countdownSeconds><countdownSound>TicToc.wav</countdownSound><countdownStyle>Box</countdownStyle><gridAutoInsert>No</gridAutoInsert><gridFillStyle>Answered</gridFillStyle><gridFillColor>255,255,0</gridFillColor><gridOpacity>50%</gridOpacity><gridTextStyle>Keypad #</gridTextStyle><inputSource>Response Devices</inputSource><multipleResponseDivisor># of Responses</multipleResponseDivisor><participantsLeaderBoard>5</participantsLeaderBoard><percentageDecimalPlaces>0</percentageDecimalPlaces><responseCounterAutoInsert>No</responseCounterAutoInsert><responseCounterStyle>Oval</responseCounterStyle><responseCounterDisplayValue># of Votes Received</responseCounterDisplayValue><insertObjectUsingColor>Red</insertObjectUsingColor><showResults>Yes</showResults><teamColors>Use PowerPoint Color Scheme</teamColors><teamIdentificationType>None</teamIdentificationType><teamScoringType>Voting pads only</teamScoringType><teamScoringDecimalPlaces>1</teamScoringDecimalPlaces><teamIdentificationItem></teamIdentificationItem><teamsLeaderBoard>5</teamsLeaderBoard><teamName1></teamName1><teamName2></teamName2><teamName3></teamName3><teamName4></teamName4><teamName5></teamName5><teamName6></teamName6><teamName7></teamName7><teamName8></teamName8><teamName9></teamName9><teamName10></teamName10><showControlBar>All Slides</showControlBar><defaultCorrectPointValue>0</defaultCorrectPointValue><defaultIncorrectPointValue>0</defaultIncorrectPointValue><chartColor1>187,224,227</chartColor1><chartColor2>51,51,153</chartColor2><chartColor3>0,153,153</chartColor3><chartColor4>153,204,0</chartColor4><chartColor5>128,128,128</chartColor5><chartColor6>0,0,0</chartColor6><chartColor7>0,102,204</chartColor7><chartColor8>204,204,255</chartColor8><chartColor9>255,0,0</chartColor9><chartColor10>255,255,0</chartColor10><teamColor1>187,224,227</teamColor1><teamColor2>51,51,153</teamColor2><teamColor3>0,153,153</teamColor3><teamColor4>153,204,0</teamColor4><teamColor5>128,128,128</teamColor5><teamColor6>0,0,0</teamColor6><teamColor7>0,102,204</teamColor7><teamColor8>204,204,255</teamColor8><teamColor9>255,0,0</teamColor9><teamColor10>255,255,0</teamColor10><displayAnswerImagesDuringVote>Yes</displayAnswerImagesDuringVote><displayAnswerImagesWithResponses>Yes</displayAnswerImagesWithResponses><displayAnswerTextDuringVote>Yes</displayAnswerTextDuringVote><displayAnswerTextWithResponses>Yes</displayAnswerTextWithResponses><questionSlideID></questionSlideID><controlBarState>Expanded</controlBarState><isGridColorKnownColor>True</isGridColorKnownColor><gridColorName>Yellow</gridColorName><AutoRec></AutoRec><AutoRecTimeIntrvl></AutoRecTimeIntrvl></Settings>

Re-Establish ONC for HIT to develop rules by 2010
Established 2 Workgroups: Policy & Standards
Savings, Quality Care Coordination & Error Reduction
2011-Data Collection and Sharing
2013-Incorporate Data in clinical processes; measure
2015-Validate improved health outcomes
Over $34B allocated to HIT (plus $$billions for CHC, Telecom& Broadband)
State Health Information Exchange (HIE )
60-70 Regional Extension Centers and HIT Research Center
Medicare and Medicaid Incentive Programs
HITECH Act Health Information Technology for Economic and Clinical Health Act © Copyright 2010 All Rights Reserved.

1. Improve quality, safety, and efficiency
Problem, medication, allergy lists; CPOE; progress notes; e-prescribing; pt demographics; lab results
2. Engage patients
Electronic copy or access for patients to clinical information; educational sources; clinical summaries
3. Improve care coordination
Exchange clinical information among providers; perform medication reconciliation
4. Reduce health disparities through public/population data sharing
Submit electronic data to immunization registries, public health agencies, syndrome surveillance agencies
5. Ensure privacy and security
Compliance with HIPAA, conduct security risk assessments and security updates
Objectives and Examples of 2011 Meaningful Use Requirements

Meaningful Use Components:
Use of certified EHR in a meaningful manner (e.g., e-prescribing)
Use of certified EHR technology for electronic exchange of health information to improve quality of health care
Use of certified EHR technology to submit clinical quality measures(CQM) and other such measures selected by the Secretary

Eligible Providers (EPs)
Eligible Hospitals
Criteria Flexibility
15 core measures and
5 of 10 menu of choices
More flexible timeline for implementation and payment
Meaningful Use Stage 1 © Copyright 2010 All Rights Reserved.

Examples of Meaningful Use Criteria
Use CPOE
Implement drug-drug, drug-allergy, drug-formulary checks
Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT ®
Maintain active medication allergy list
Record demographics
Record and chart changes in vital signs
Record smoking status for 13 and old
Provide electronic syndromic surveillance data
Implement electronic capability to exchange key clinical info
© Copyright 2010 All Rights Reserved.

Medicare EPs
Eligible Professionals (EPs)
Doctor of Medicine or Osteopathy
Doctor of Dental Surgery or Dental Medicine
Doctor of Podiatric Medicine
Doctor of Optometry
Chiropractor
Eligible Hospitals
Acute Care Hospitals
Critical Access Hospitals (CAHs)

Medicare First Calendar Year in which the EP Receives an Incentive Payment Calendar Year 2011 2012 2013 2014 2015 & Later 2011 $18,000 2012 $12,000 $18,000 2013 $8,000 $12,000 $15,000 2014 $4,000 $8,000 $12,000 $12,000 2015 $2,000 $4,000 $8,000 8,000 $0 2016 $2000 $4,000 $4,000 $0 Total $44,000 $44,000 $39,000 $24,000 $0 © Copyright 2010 All Rights Reserved.

Eligible Professionals (EPs)
Physicians
Nurse Practitioners (NPs)
Certified Nurse-Midwives (CNMs)
Dentists
Physician Assistants
Eligible Hospitals
Acute Care Hospitals
Children’s Hospitals
Medicaid EPs © Copyright 2010 All Rights Reserved.

Medicaid First Calendar Year in which the EP Receives an Incentive Payment Calendar Year 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 $8,500 2019 $8,500 $8,500 $8,500 2020 $8,500 $8,500 2021 $8,500 Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750 © Copyright 2010 All Rights Reserved.

Hospitals Incentive Facts
Hospitals - $2million base + discharge incentives
CAH- payment for reasonable cost of EHR
Hospitals- can qualify for payments from Medicare and Medicaid

Georgia Health Information Technology Regional Extension Center The Roadmap to Meaningful Use

GA-HITREC Funding & 2-Year Objectives
$19.5 million to assist providers with selection, successful implementation, and meaningful use of certified EHR systems
$1.5 million – Core Funding
$18 million – Direct Assistance
5,200 Priority Primary Care Providers
Family Medicine, Internist, OB-GYN, Peds
MD, DO, NP, PA
56 Critical Access Hospitals ($1m)
Work Collaboratively with Statewide HIE ($13m)

GA-HITREC Facts
Provides Support to help providers meet qualifications for Medicaid and Medicare incentives
NO direct funding to providers
Bulk ($18 mil/5200 ppcp) drawn down
per implementation

GA-HITREC Services
Education and Outreach to Providers
Meaningful Use Education and Training
Vendor Selection and Group Purchasing
EHR Implementation Support
Follow through to Meaningful Use
Workforce Development

GA-HITREC Goals & Objectives
Community-Oriented Approach
Collaborate with Statewide Partners
Patient-Centered Medical Home Standards
Equitable Group Purchasing Agreements
Competent Technical Teams
Work Collaboratively with State HIE (GA DCH)
Excellent Quality Service
Build a National Reputation as a Reliable HIT Source

Partnerships © Copyright 2010 All Rights Reserved. Partner Organizations American College of Physicians Georgia Institute of Technology Coalition of Athens Area Physicians Georgia Medical Care Foundation Community Health Works Georgia State Medical Association East Georgia Health Cooperative Georgia Partnership for Telehealth Georgia Academy of Family Physicians Health One Alliance Georgia Association of Primary Health Care Hybrid Health IT Georgia Board of Regents Morehouse Medical Associates Georgia Department of Community Health MD Tech Pro

10-Step Roadmap to Meaningful Use
Provider Sign-Up
Online Workflow Assessment
On-site Workflow Verification
Gap Analysis (“As Is, To Be”)
EHR Selection, if applicable
Implementation
Training and Support
Go “Live”
Track Progress Towards Meaningful Use
Meaningful Use Certification!

GA-HITREC Current Activities
Continuing to build operations
Ongoing meetings w/ONC and Extension Centers
Participating in public meetings and conferences with provider groups
Gathering Provider Agreements
Planning for CAH outreach and services
Finalizing 1 st 5 Preferred EHR Vendors for Group Purchasing Plan

Top Reasons EHRs are Succeeding
Meaningful use (MU) incentives – and future reimbursement penalties are creating additional reasons to implement EHRs.
MU, as defined for the EHR incentive program, eliminates ambiguity about what comprises an inpatient EHR, and provides guidance for implementation.
Partly because of the above, vendor products are getting better – finally incorporating all required functionality, with improved ease of use.

Thank You! 877-658-1990 [email_address]

Meaningful Use & GA-HITREC

by Lloyd Sirmons on Mar 15, 2011

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