August 29, 2010 TechMed Summit 2010: “Get Ready for Success in Health IT” November 10 th , 2010 HIT Session – Day 1 Presen...
<ul><li>AGENDA </li></ul><ul><li>Welcome & Introductions </li></ul><ul><li>Strategic Healthcare Solutions  </li></ul><ul><...
August 29, 2010 Welcome  Introductions & Networking
DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project  HDS Healthcare & Life Sciences  The National Healthcare Land...
DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project  HDS Healthcare & Life Sciences  The National Healthcare Land...
August 29, 2010 Healthcare national landscape effecting healthcare IT Government Initiatives: The Healthcare Echo System
DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project  HDS Healthcare & Life Sciences  The National Healthcare Land...
November 2nd, 2010 Healthcare national landscape effecting healthcare IT ARRA  HITECH  HEALTHCARE REFORM ACO~ACCOUNTABLE C...
<ul><li>National Healthcare Legislation </li></ul><ul><li>OBAMA Administration </li></ul><ul><li>President Barack Obama, A...
<ul><li>National Healthcare Legislation </li></ul><ul><li>NATIONAL STATEWIDE HIE INITIATIVES </li></ul><ul><li>FEDERAL & S...
<ul><li>What is ARRA? (American Recovery & Reinvestment Act of 2009) </li></ul><ul><li>The American Recovery and Reinvestm...
August 29, 2010 Healthcare national landscape effecting healthcare IT Where Your Money Is Going? $787 billion   source: ht...
August 29, 2010 Healthcare national landscape effecting healthcare IT for Economic and Clinical Health Act? HITECH Act: Wh...
August 29, 2010 Healthcare national landscape effecting healthcare IT The Health Information Technology for Economic and C...
Regional extension centers Workforce training Medicare & Medicaid  Incentives and penalties State grants for health  Infor...
<ul><li>What is a Beacon Community? </li></ul><ul><li>The 15 selected communities will use health IT to connect health car...
<ul><li>What are the Regional Extension Centers (RECs)? </li></ul><ul><li>The  RECs  will support and serve health care pr...
August 29, 2010 Healthcare national landscape effecting healthcare IT Meaningful Use: The Next Steps
Making Meaning of “Meaningful Use” <ul><li>Improving health and transforming health care through Meaningful Use of HIT </l...
The Final Rule: Meaningful Use  WASHINGTON  – Federal officials released the final rule on  meaningful use   Tuesday, July...
The Final Rule: Meaningful Use  Key changes in the final CMS rule include: Greater flexibility with respect to eligible pr...
<ul><li>The Final Rule: Who is Impacted by Meaningful Use? </li></ul><ul><li>ACUTE CARE HOSPITALS </li></ul><ul><li>CAH’s ...
<ul><li>Meaningful Use and Why it matters? </li></ul><ul><li>It’s the standard that doctors and hospitals must achieve to ...
<ul><li>The Final Rule: Meaningful Use Criteria </li></ul><ul><li>Electronic Prescribing (eRX) </li></ul><ul><li>Computeri...
<ul><li>The Final Rule: Medicare & Medicaid Incentive Schedule </li></ul><ul><li>2011 - 2016 </li></ul><ul><li>Maximum Med...
<ul><li>The Final Rule: Meaningful Use Timeline for Practices </li></ul><ul><li>January 2011- Medicare/Medicaid registrati...
Meaningful Use Incentives by Adoption Year source: HIT Policy Meaningful Use Workgroup, July 16, 2009 Meaningful  User 200...
August 29, 2010 Healthcare national landscape effecting healthcare IT HITECH: An Interoperetta in Three Acts   http://www....
August 29, 2010 Healthcare national landscape effecting healthcare IT Thank You!   Contact Us: Paula J. Magnanti, MT(ASCP)...
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Weds tech med_summit2010_shs_11.10.10final

  1. 1. August 29, 2010 TechMed Summit 2010: “Get Ready for Success in Health IT” November 10 th , 2010 HIT Session – Day 1 Presented by: Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Strategic Healthcare Solutions
  2. 2. <ul><li>AGENDA </li></ul><ul><li>Welcome & Introductions </li></ul><ul><li>Strategic Healthcare Solutions </li></ul><ul><li>The National Healthcare Landscape </li></ul><ul><li>The Healthcare Echo System </li></ul><ul><li>The Final Rules: Overview of Meaningful Use & HITECH Act </li></ul><ul><li>Meaningful Use: The Next Steps </li></ul><ul><li>What are the Regional Extension Centers? </li></ul><ul><li>Next Steps </li></ul>Healthcare national landscape effecting healthcare IT
  3. 3. August 29, 2010 Welcome Introductions & Networking
  4. 4. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Biography Strategic Healthcare Solutions (SHS) is a New England-based healthcare consulting firm providing services for clients in electronic health records, heath information management, healthcare IT, health & wellness services organizations, physician practices, retail pharmacies, long-term care, pharmaceutical, public health, consulting, and market research. We specialize in delivering strategic business solutions servicing clients from small start-ups to large healthcare organizations looking to rapidly increase market development, or to strengthen and enhance the connection and collaboration of health information management through IT. Ms. Magnanti is the founder and managing Principal of Strategic Healthcare Solutions. As a strategic thinker and healthcare consultant, she has brought more than 20 years of executive leadership experience in managing client project engagements to healthcare organizations, private corporations and nonprofit associations by evaluating and responding to emerging healthcare IT market trends and government policy initiatives. Locally, In New England she has also been invited to serve on the Healthcare Advisory boards for the New England Chapter of HIMSS, New England Council, the Massachusetts Technology Leadership Council, the Mass Health Data Consortium’s EHR Forum, and the Hartford CIO Forum's Executive Advisory Council. For her dedication to the HIMSS community over the past ten years, Ms. Magnanti has been bestowed and honored with the following recognition awards; “2009 NEHIMSS 10 Year Board of Excellence Recognition Award”, “May 2007 Spirit of HIMSS Award”, nominated in 2006 for the HIMSS Chapter Leader of the Year Award and was awarded the “2005 NE HIMSS Board Recognition Award”.
  5. 5. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT Paula J. Magnanti, MT(ASCP) Founder & Managing Principal Biography Ms. Magnanti earned a Bachelor of Science degree in Medical Laboratory Science with honors from Northeastern University. She is a registered Medical Technologist and board-certified by the American Society of Clinical Pathologists. (SHS) recent client project engagement involved hiring Ms. Magnanti as an Independent Consultant assuming the role as a dedicated partner and Healthcare Advisor for a medical grade document management, electronic health records (EHR) and personal health records (PHR) company for physician practices, prior to that she was hired in an executive leadership role as the Northeast Regional Director of healthcare delivery for a document management services company specializing in processing health information management. In this role she was responsible for launching their entire products and services in the Northeast--including overseeing market development, strategic development along with all marketing and sales efforts, and client relations. In addition, prior to that, Ms. Magnanti was hired as a consultant assuming the role as a Healthcare Advisor for a start-up enterprise access security software company. Before that, Paula was hired on consulting project acting in the role as the Vice President of Strategic Development for a start-up Internet Healthcare Company that specialized in customized web sites for physician practices. Prior to founding Strategic Healthcare Solutions, she was Senior Manager of Strategic Partnering at Bizland, an Internet start-up that provides web services for small businesses & Fortune 500 companies. Before that, she was Director of Sales & marketing at Psyche Systems, a developer of Laboratory Information Systems for the hospital market, and prior to that, she worked for Corporate Software & Technology as the Vendor Manager for Sybase .
  6. 6. August 29, 2010 Healthcare national landscape effecting healthcare IT Government Initiatives: The Healthcare Echo System
  7. 7. DATALINK HEALTHCARE PRACTICE Go-To-Market: Strategic Project HDS Healthcare & Life Sciences The National Healthcare Landscape Strategy Formulation September 2nd, 2010 August 29, 2010 Healthcare national landscape effecting healthcare IT The National Healthcare Landscape
  8. 8. November 2nd, 2010 Healthcare national landscape effecting healthcare IT ARRA HITECH HEALTHCARE REFORM ACO~ACCOUNTABLE CARE ORGANIZATIONS HIE's, HIO's, RHIO's REC~REGIONAL EXTENSION CENTERS The National Healthcare Landscape MEANINGFUL USE CCHIT, EHR's, PHR's BEACON COMMUNITIES PATIENT-CENTERED MEDICAL HOMES HIPAA 5010, HIPAA HITECH ICD10
  9. 9. <ul><li>National Healthcare Legislation </li></ul><ul><li>OBAMA Administration </li></ul><ul><li>President Barack Obama, ARRA & HITECH Acts 2009 </li></ul><ul><li>ONC (Office of the National Coordinator for Health Information Technology) </li></ul><ul><li>David Blumenthal, MD, national coordinator for health information technology </li></ul><ul><li>DHHS (Department of Health and Human Services) </li></ul><ul><li>Kathleen Sebelius, Department of Health and Human Services Secretary </li></ul><ul><li>CMS (Centers for Medicare & Medicaid Services) </li></ul><ul><li>THE FEDERATION OF AMERICAN HOSPITALS </li></ul>Who‘s Driving? Healthcare national landscape effecting healthcare IT
  10. 10. <ul><li>National Healthcare Legislation </li></ul><ul><li>NATIONAL STATEWIDE HIE INITIATIVES </li></ul><ul><li>FEDERAL & STATE MANDATES HITECH/HIPAA </li></ul><ul><li>STATE OF MASSACHUSETTS Governor Deval L. Patrick </li></ul><ul><li>Mandated Laws </li></ul><ul><ul><li>Massachusetts Hospital CPOE Initiative, 2008, </li></ul></ul><ul><ul><li>www.masstech.org/ehealth/cpoe.html </li></ul></ul><ul><ul><li>Massachusetts Chapter 305 of the Acts of 2008 www.mass.gov/legis/laws/seslaw08/sl080305.htm </li></ul></ul><ul><ul><li>Massachusetts Data Security Laws, Massachusetts 201 CMR 17.00 </li></ul></ul><ul><ul><li>www.mass.gov/Eoca/docs/idtheft/201CMR1700reg.pdf </li></ul></ul>Healthcare national landscape effecting healthcare IT
  11. 11. <ul><li>What is ARRA? (American Recovery & Reinvestment Act of 2009) </li></ul><ul><li>The American Recovery and Reinvestment Act of 2009 (ARRA) </li></ul><ul><li>is an economic stimulus bill created to help the United States economy recover from an economic downturn that began in late 2007. Congress enacted ARRA February 17, 2009. </li></ul><ul><li>ARRA allocates $787 billion to fund tax cuts and supplements to social welfare programs as well as increased spending for education, health care, infrastructure and the energy sector. </li></ul><ul><li>According to ARRA's statement of purpose, it was developed to: </li></ul><ul><ul><li>To preserve and create jobs and promote economic recovery. </li></ul></ul><ul><ul><li>To assist those most impacted by the recession. </li></ul></ul><ul><ul><li>To provide investments needed to increase economic efficiency by spurring technological advances in science and health. </li></ul></ul><ul><ul><li>To invest in transportation, environmental protection, and other infrastructure that will provide long-term economic benefits. </li></ul></ul><ul><ul><li>To stabilize State and local government budgets, in order to minimize and avoid reductions in essential services and counterproductive state and local tax increases. </li></ul></ul><ul><ul><li>source: http://www.hhs.gov/recovery/ </li></ul></ul>Healthcare national landscape effecting healthcare IT
  12. 12. August 29, 2010 Healthcare national landscape effecting healthcare IT Where Your Money Is Going? $787 billion source: http://www.hhs.gov/recovery/
  13. 13. August 29, 2010 Healthcare national landscape effecting healthcare IT for Economic and Clinical Health Act? HITECH Act: What is Health Information Technology The Health Information Technology for Economic and Clinical Health Act (HITECH Act) legislation created to stimulate the adoption of electronic health records (EHR) and supporting technology in the United States. President Obama signed HITECH into law on February 17, 2009 as part of the American Recovery and Reinvestment Act of 2009 (ARRA), an economic stimulus bill. The HITECH act stipulates that, beginning in 2011, healthcare providers will be offered financial incentives for demonstrating meaningful use of electronic health records (EHR). Incentives will be offered until 2015, after which time penalties may be levied for failing to demonstrate such use. The Act also establishes grants for training centers for the personnel required to support a health IT infrastructure. source: http://www.hhs.gov/recovery/
  14. 14. August 29, 2010 Healthcare national landscape effecting healthcare IT The Health Information Technology for Economic and Clinical Health Act (HITECH) source: http://www.hhs.gov/recovery/
  15. 15. Regional extension centers Workforce training Medicare & Medicaid Incentives and penalties State grants for health Information exchange Standards & certification framework Privacy & Security framework Adoption of EHRs Meaningful Use of EHRs Exchange of health information <ul><li>Improved individual and population health outcomes </li></ul><ul><li>Increased transparency and efficiency </li></ul><ul><li>Improved ability to study and improve care delivery </li></ul>Blumenthal D. Launching HITECH. N Engl J Med. 2010 Jan 4. http://healthcarereform.nejm.org/?p=2669 HITECH Act Innovation and Research to enhance HIT
  16. 16. <ul><li>What is a Beacon Community? </li></ul><ul><li>The 15 selected communities will use health IT to connect health care providers, community health </li></ul><ul><li>programs, federal programs and patients and develop new ways of improving quality and efficiency. </li></ul><ul><li>Each community has set measurable goals for three areas of health system improvement: Quality, </li></ul><ul><li>Cost-efficiency, and Population health </li></ul><ul><li>The 15 Beacon Communities and their awards are </li></ul><ul><li>Community Services Council of Tulsa, $12.04 million </li></ul><ul><li>Delta Health Alliance in Mississippi, $14.67 million </li></ul><ul><li>Eastern Maine Healthcare Systems, $12.75 million </li></ul><ul><li>Geisinger Clinic in Danville, Penn., $16.07 million </li></ul><ul><li>HealthInsight in Salt Lake City, Utah, $15.79 million </li></ul><ul><li>Indiana Health Information Exchange in Indianapolis, $16.01 million </li></ul><ul><li>Inland Northwest Health Services in Spokane, Wash., $15.7 million </li></ul><ul><li>Louisiana Public Health Institute in New Orleans, $13.53 million </li></ul><ul><li>Mayo Clinic Rochester in Minnesota, $12.28 million </li></ul><ul><li>Rhode Island Quality Institute, $15.91 million </li></ul><ul><li>Rocky Mountain Health Maintenance Organization in Grand Junction, Colo., $11.88 million </li></ul><ul><li>Southern Piedmont Community Care Plan in Concord, N.C., $15.91 million </li></ul><ul><li>The Regents of the University of California-San Diego, $15.28 million </li></ul><ul><li>University of Hawaii at Hilo, $16.09 million </li></ul><ul><li>Western New York Clinical Information Exchange in Buffalo, $16.09 million </li></ul>Healthcare national landscape effecting healthcare IT
  17. 17. <ul><li>What are the Regional Extension Centers (RECs)? </li></ul><ul><li>The RECs will support and serve health care providers to help them quickly become adept </li></ul><ul><li>and meaningful users of electronic health records (EHRs). RECs are designed to make sure </li></ul><ul><li>that primary care clinicians get the help they need to use EHRs. ONC has funded 60 RECs </li></ul><ul><li>in virtually every geographic region of the United States to ensure plenty of support to health </li></ul><ul><li>care providers in communities across the country. </li></ul><ul><li>Massachusetts Regional Extension Center (REC) </li></ul><ul><li>Massachusetts eHealth Institute: http://www.maehi.org/ , $25.6 million </li></ul><ul><li>Connecticut's Regional Extension Center (REC) </li></ul><ul><li>eHealthConnecticut: www.ehealth connecticut .org , was awarded a $5.75 million grant by ONC </li></ul><ul><li>source: http://www.mass.gov </li></ul>Healthcare national landscape effecting healthcare IT
  18. 18. August 29, 2010 Healthcare national landscape effecting healthcare IT Meaningful Use: The Next Steps
  19. 19. Making Meaning of “Meaningful Use” <ul><li>Improving health and transforming health care through Meaningful Use of HIT </li></ul>2009 2011 2013 2015 source: HIT Policy Meaningful Use Workgroup, July 16, 2009
  20. 20. The Final Rule: Meaningful Use WASHINGTON – Federal officials released the final rule on meaningful use Tuesday, July 13 th , 2010 which will allow physicians and hospitals to qualify for thousands of dollars in stimulus funding incentives for the adoption of electronic health records. The 864-page final rule, several weeks late from its anticipated delivery before June 21, outlines the specific qualifications providers must meet to achieve the meaningful use of electronic health records. According to David Blumenthal, MD, national coordinator for health information technology, the final rule differs from the proposed rule issued last January: It allows providers more flexibility in choosing which measures to use for qualifications The proposed rule required doctors to comply with 23 measures, and hospitals 25 measures . The government received more than 2,000 comments on the rule, many of them asking for more flexibility in allowing clinicians to qualify. Blumenthal said the final rule took those comments into account. The final rule requires doctors to comply with a set of 15 core objectives during the first year - or Stage 1- of adoption . Hospitals are required to comply with 14 core objectives. In addition to the core objectives, both hospitals and doctors will have to choose five more objectives from a &quot;menu&quot; of 10, he said. The remaining objectives will be deferred to Stage 2 of adoption . The final rule also reduced the number of electronic prescriptions a doctor is required to make from 75 percent to 40 percent, Blumenthal said. Kathleen Sebelius, Department of Health and Human Services Secretary , said the Federation of American Hospitals is an &quot;enthusiastic supporter&quot; of the new rule. The federal government hopes other groups will join them, she said. Blumenthal, a physician, said he is confident the use of electronic health records will become a core professional competency among physicians, who will eventually lead the way in adoption. Until then, the government will encourage healthcare IT adoption through financial incentives, such as these set up under the meaningful use rule. The government will also supply &quot;shoulder-to-shoulder&quot; support for providers through the regional extension centers . source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use Healthcare national landscape effecting healthcare IT
  21. 21. The Final Rule: Meaningful Use Key changes in the final CMS rule include: Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating meaningful use.  The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012.  This gives providers latitude to pick their own path toward full EHR implementation and meaningful use. An objective of providing condition-specific patient education resources for both EPs (eligible providers) and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee. A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which  conforms to the Continuing Extension Act of 2010 CAHs (critical access hospitals) within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid. source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use Healthcare national landscape effecting healthcare IT
  22. 22. <ul><li>The Final Rule: Who is Impacted by Meaningful Use? </li></ul><ul><li>ACUTE CARE HOSPITALS </li></ul><ul><li>CAH’s (Critical Access Hospitals) </li></ul><ul><li>PHYSICIANS </li></ul><ul><li>AMBULATORY CARE CENTERS </li></ul><ul><li>COMMUNITY HEALTH CENTERS </li></ul><ul><li>STATE & FEDERAL GOVERNMENT KEY STAKEHOLDERS </li></ul><ul><li>HEALTHCARE INFORMATION TECHNOLOGY EXECUTIVES </li></ul>Healthcare national landscape effecting healthcare IT
  23. 23. <ul><li>Meaningful Use and Why it matters? </li></ul><ul><li>It’s the standard that doctors and hospitals must achieve to qualify for </li></ul><ul><li>Medicare and Medicaid incentive payments. </li></ul><ul><li>It’s the federal government’s new roadmap for linking HIT and HIE to </li></ul><ul><li>healthcare delivery system improvements. </li></ul><ul><li>It will be the central organizing principle for the ongoing work of the Office </li></ul><ul><li>of National Coordinator, the HIT Policy Committee, and the HIT Standards Committee </li></ul><ul><li>It will become a dominant consideration for EHR Vendors as they upgrade their products. </li></ul>Healthcare national landscape effecting healthcare IT
  24. 24. <ul><li>The Final Rule: Meaningful Use Criteria </li></ul><ul><li>Electronic Prescribing (eRX) </li></ul><ul><li>Computerized physician order entry (CPOE) </li></ul><ul><li>Reporting quality measures </li></ul><ul><li>Maintaining lists of a patient’s medical problems, allergies, and medications </li></ul><ul><li>Recording Patient Demographics </li></ul><ul><li>Recording and Changes in vital signs </li></ul><ul><li>Generating lists of patients with specific conditions for quality improvements efforts and outreach </li></ul><ul><li>Sending reminders to patients for preventative or follow-up care </li></ul><ul><li>Following clinical decision support rules </li></ul>Healthcare national landscape effecting healthcare IT
  25. 25. <ul><li>The Final Rule: Medicare & Medicaid Incentive Schedule </li></ul><ul><li>2011 - 2016 </li></ul><ul><li>Maximum Medicare Incentive Per Eligible Professional, $44,000 </li></ul><ul><li>- Doctors of Medicine and osteopathy </li></ul><ul><li>- Doctors of dental surgery or medicine </li></ul><ul><li>- Doctors of podiatric medicine </li></ul><ul><li>- Doctors of optometry </li></ul><ul><li>- Chiropractors </li></ul><ul><li>Maximum Medicaid Incentive Per Eligible Professional, $63,750 </li></ul><ul><li>- Physicians </li></ul><ul><li>- Dentists </li></ul><ul><li>- Certified Nurse Midwives </li></ul><ul><li>- Nurse Practitioners, Physician Assistants </li></ul><ul><li>Providers may not receive incentives from both Medicare and Medicaid </li></ul>Healthcare national landscape effecting healthcare IT
  26. 26. <ul><li>The Final Rule: Meaningful Use Timeline for Practices </li></ul><ul><li>January 2011- Medicare/Medicaid registration begins </li></ul><ul><li>April 2011 – Attestation for Medicare begins </li></ul><ul><li>May 2011 – Earliest date for EHR Medicare Incentive payments to begin </li></ul><ul><li>February 2012 – last day for all eligible professionals to register and attest to receive an Incentive payment for CY 2011. </li></ul>Healthcare national landscape effecting healthcare IT
  27. 27. Meaningful Use Incentives by Adoption Year source: HIT Policy Meaningful Use Workgroup, July 16, 2009 Meaningful User 2009 2010 2011 2012 2013 2014 2015 2016 Total Incentive 2011 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000 2012 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000 2013 $ 15,000 $ 12,000 $ 8,000 $ 4,000 $39,000 2014 $ 12,000 $ 8,000 $ 4,000 $ 24,000 2015 + $ Penalties
  28. 28. August 29, 2010 Healthcare national landscape effecting healthcare IT HITECH: An Interoperetta in Three Acts http://www.youtube.com/watch?v=Gv1s8fM3mMk
  29. 29. August 29, 2010 Healthcare national landscape effecting healthcare IT Thank You! Contact Us: Paula J. Magnanti, MT(ASCP) Founder & Managing Principal STRATEGIC HEALTHCARE SOLUTIONS 617.852.5564 cell [email_address] http://www.linkedin.com/in/paulajmagnanti &quot;Your Healthcare Advisor Executive&quot;
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