Welcome “ Meaningful Use –  What does it  mean ? Panel Discussion May 19, 2010
Meaningful Use – What Does it  Mean ? Panel Discussion Moderator: Paula M. Zalucki, FACHE President, Salus Strategy Group ...
<ul><li>“ Meaningful Use”  </li></ul><ul><li>Cheat Sheet from  Healthcare Executive  magazine </li></ul><ul><li>Certificat...
 
Susan Walker Regional Director, Beacon Partners, Inc.
Meaningful Use, It’s Not Just an IT Project  A Roadmap to Organizational Readiness Presented by: Susan Walker Regional Dir...
Beacon Partners <ul><li>Leader in Healthcare Consulting </li></ul><ul><ul><li>Boston – San Francisco – Toronto </li></ul><...
Beacon Partners’ Position Meaningful Use This is part of an evolutionary path
<ul><li>This is not an I.T project- it’s about Organizational Readiness </li></ul><ul><li>It’s about </li></ul><ul><li>Dev...
Key Components <ul><li>Governance and Communication </li></ul><ul><li>Physician Alignment </li></ul><ul><li>Information Te...
Governance and Communication C-Suite Support of IT
Common Vision <ul><li>Must be created together to align organizational and IT objectives.  </li></ul><ul><li>Should point ...
Challenges <ul><li>Political </li></ul><ul><ul><li>Champions  </li></ul></ul><ul><ul><li>Supportive environment </li></ul>...
Meaningful Use Check List “Starter Kit” Full Version Available in PDF
Vision <ul><li>Have you discussed your IT strategy with your governing body? </li></ul><ul><li>Have you developed a strate...
Change Management <ul><li>Develop a robust change management plan </li></ul><ul><ul><li>Just because incentives are availa...
Clinical IT Adoption Process Have your organizational goals and expected results for the clinical IT project been identifi...
Measurement <ul><li>Have you completed your ARRA financial incentives estimator? </li></ul><ul><li>Have you matched qualit...
Lessons Learned <ul><li>Start the process early </li></ul><ul><li>Lay the foundation with planning </li></ul><ul><li>Educa...
Reference Documents <ul><li>MU Analysis and Recommendations Report </li></ul><ul><li>MU Starter Kit </li></ul><ul><ul><li>...
Questions & Answers Thank You Susan Walker [email_address]
Denise Webb Glass Partner,  Fulbright & Jaworski, LLP
Legal Issues Associated with Meaningful Use Standards Denise Webb Glass Women’s Healthcare Executive Network May 19, 2010
EHR Incentive Program Rules <ul><li>CMS issued proposed rule on the EHR incentive programs on December 30, 2009, published...
Current Status <ul><li>On March 30, 2010, Senate Finance and HELP Committee leaders urged changes be made to proposed mean...
Medicare Payment Incentives for Eligible Professionals (EPs) <ul><li>Start January 2011  </li></ul><ul><li>Equal to 75% of...
Medicare Payment Incentives for Hospitals  <ul><li>Start October 2010 </li></ul><ul><li>Up to four years of incentive paym...
Medicaid Payment Incentives <ul><li>Must meet minimum Medicaid patient volume percentages, and must waive rights to duplic...
Components to be Eligible for Incentive Payments <ul><li>Eligible professional or eligible hospital </li></ul><ul><li>Mean...
Eligible Providers--Medicare <ul><li>Eligible Professionals (EPs)  </li></ul><ul><ul><li>Doctor of Medicine or Osteopathy ...
Eligible Providers--Medicaid <ul><li>Eligible Professionals (EPs) </li></ul><ul><ul><li>Physicians (Pediatricians have spe...
Meaningful Use—3 components <ul><li>Use of certified EHR in a meaningful manner (ex: e-prescribing) </li></ul><ul><li>Use ...
Meaningful Use--Defined in 3 Stages <ul><li>Stage 1 –2011 </li></ul><ul><li>Stage 2 –2013* </li></ul><ul><ul><li>Expand up...
Stage 1 Meaningful Use in a Nutshell <ul><li>EPs </li></ul><ul><ul><li>25 Objectives and Measures </li></ul></ul><ul><ul><...
Meaningful Use Standards <ul><li>Use computerized physician order entry (CPOE) </li></ul><ul><li>Implement drug-drug, drug...
Meaningful Use Standards <ul><li>Incorporate clinical lab-test results into EHR as structured data </li></ul><ul><li>Gener...
Meaningful Use Standards <ul><li>Provide patients with an electronic copy of their health information upon request </li></...
Legal Issues Arising from Meaningful Use Criteria <ul><li>Meeting 80% threshold for electronic claims submission and elect...
When You Think   HEALTH CARE, Think Fulbright. TM AUSTIN • BEIJING • DALLAS • DENVER • DUBAI • HONG KONG • HOUSTON • LONDO...
Patricia Johnston, MS, FHIMSS Vice President, Electronic Health Record, Ambulatory and Acute Care
Preparing for Meaningful Use: A Provider’s Perspective May 19,  2010
Texas Health Resources <ul><li>One of the largest faith-based, non-profit health care delivery systems in the US… </li></u...
National Perspective Level of Concern in Meeting Deadline CHIME Survey/Dec 09  n=178
National Perspective Top Concerns in Implementing Standards CHIME Survey/Dec 09  n=178
What is on the Table for THR ? ENTITY 2010 2011 2012 2013 2014 TOTAL DENTON $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xx...
Organizing for Action Infrastructure Development Capacity Building Proposal Development Number & $ Amount of Grants (ROI) ...
Establishing Goals <ul><li>By Base Camp 2* and for each subsequent year, Texas Health entities** will meet or exceed crite...
Creating Accountability Goals Primary Secondary <ul><ul><li>Improve quality, safety, & efficiency; reduce disparities </li...
Tracking Progress
Reporting Results Self Assessment Score   Requirements Fully Implemented Life Cycle Score   Process Group Overall 2011 201...
Challenges and Opportunities <ul><li>Primary benefit is improving quality, safety, efficiency, for our patients, such as: ...
Bottom Line <ul><li>We will be rewarded for doing the right thing! </li></ul>
Discussion and Q&A <ul><li>PatriciaJohnston </li></ul><ul><li> PatriciaJohnston@Texashealth.org </li></ul>
Questions for the Panelists
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Women Healthcare Executive Network

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  • As the largest independent healthcare management consulting firm in the country, Beacon Partners is chosen by organizations in the Healthcare Community to provide expertise in the adoption of information technology to improve overall operational and financial performance. With their strategic approach and depth of experience, Beacon Partners is uniquely qualified to help organizations navigate the challenges in healthcare and optimize their potential to deliver the highest possible level of patient care. This proven approach allows healthcare organizations to maximize their Enterprise Yield™ – the alignment of people, processes and technologies – with the important understanding that success depends on the ability to adapt quickly to issues pertaining to clinical transformation, revenue cycle management, interoperability, workflow optimization, EHR implementation and more. As the HITECH portion of the American Recovery and Reinvestment Act (ARRA) of 2009 becomes a priority to healthcare organizations, Beacon Partners’ ARRA expertise helps organizations develop a roadmap that will lead to “meaningful user” status and maximize available incentives. Beacon Partners, the only firm in the industry that provides a satisfaction guarantee, has offices in Boston, San Francisco, and Toronto. 
  • Meaningful Use When 5 19 10

    1. 1. Welcome “ Meaningful Use – What does it mean ? Panel Discussion May 19, 2010
    2. 2. Meaningful Use – What Does it Mean ? Panel Discussion Moderator: Paula M. Zalucki, FACHE President, Salus Strategy Group Panelists: Susan Walker Regional Director, Beacon Partners, Inc. Denise Webb Glass Partner,  Fulbright & Jaworski, LLP         Patricia Johnston, MS, FHIMSS Vice President, Electronic Health Record, Ambulatory and Acute Care Texas Health Resources
    3. 3. <ul><li>“ Meaningful Use” </li></ul><ul><li>Cheat Sheet from Healthcare Executive magazine </li></ul><ul><li>Certification criteria and standards for achieving “meaningful use” of certified health IT products </li></ul><ul><li>Established through the American Recovery and Reinvestment Act of 2009 </li></ul><ul><li>(aka the Stimulus Bill) </li></ul><ul><li>Notice of Proposed Rule Making establishing the Electronic Health Record Incentive Program was finally released in late December 2009 </li></ul>
    4. 5. Susan Walker Regional Director, Beacon Partners, Inc.
    5. 6. Meaningful Use, It’s Not Just an IT Project A Roadmap to Organizational Readiness Presented by: Susan Walker Regional Director Date: 05/19/2010
    6. 7. Beacon Partners <ul><li>Leader in Healthcare Consulting </li></ul><ul><ul><li>Boston – San Francisco – Toronto </li></ul></ul><ul><li>Privately Held </li></ul><ul><li>Consulting Services </li></ul><ul><ul><li>IT Strategy, ARRA, Physician Alignment </li></ul></ul><ul><ul><li>Implementation, Clinical and Operations services </li></ul></ul><ul><li>Modern Healthcare Top 20 healthcare consulting firms </li></ul>
    7. 8. Beacon Partners’ Position Meaningful Use This is part of an evolutionary path
    8. 9. <ul><li>This is not an I.T project- it’s about Organizational Readiness </li></ul><ul><li>It’s about </li></ul><ul><li>Developing a patient care, quality and safety strategy supported by I.T. and doing it right the first time. </li></ul>
    9. 10. Key Components <ul><li>Governance and Communication </li></ul><ul><li>Physician Alignment </li></ul><ul><li>Information Technology Considerations </li></ul><ul><li>Vendor Sustainability </li></ul><ul><li>Patient Flow </li></ul><ul><li>Quality </li></ul><ul><li>HIPAA /HITECH </li></ul>
    10. 11. Governance and Communication C-Suite Support of IT
    11. 12. Common Vision <ul><li>Must be created together to align organizational and IT objectives. </li></ul><ul><li>Should point back to strategic planning documents </li></ul><ul><li>Communicate timelines and milestones toward meaningful use within organization </li></ul><ul><li>Create “One Voice” to organization </li></ul>
    12. 13. Challenges <ul><li>Political </li></ul><ul><ul><li>Champions </li></ul></ul><ul><ul><li>Supportive environment </li></ul></ul><ul><li>Organizational </li></ul><ul><ul><li>Governance </li></ul></ul><ul><ul><li>Shared goals and objectives </li></ul></ul><ul><ul><li>Operating rules </li></ul></ul><ul><ul><li>Physician Alignment </li></ul></ul><ul><li>Financial </li></ul><ul><ul><li>Access to capital </li></ul></ul><ul><ul><li>Sustainable model </li></ul></ul><ul><li>Technical Considerations </li></ul><ul><ul><li>Integration with legacy systems </li></ul></ul><ul><ul><li>Security and privacy </li></ul></ul><ul><ul><li>Data management </li></ul></ul><ul><ul><li>Staffing skills assessment </li></ul></ul>
    13. 14. Meaningful Use Check List “Starter Kit” Full Version Available in PDF
    14. 15. Vision <ul><li>Have you discussed your IT strategy with your governing body? </li></ul><ul><li>Have you developed a strategic plan and roadmap? </li></ul><ul><li>Have you assessed your facility’s meaningful use? </li></ul><ul><li>Have you positioned champions for project success? </li></ul><ul><li>Has your vendor provided you with a sustainability plan that ensures CCHIT certification beyond the initial rule? </li></ul><ul><li>Physician alignment: Who should we be aligned with to move our vision, mission and values forward? </li></ul>
    15. 16. Change Management <ul><li>Develop a robust change management plan </li></ul><ul><ul><li>Just because incentives are available does not mean physicians will fall in line. </li></ul></ul><ul><li>Have you completed a clinical workflow analysis </li></ul><ul><li>Do you have clinicians as team members and champions? </li></ul><ul><li>Plan monthly meetings with executive committee, clinicians and IT for communication and governance . </li></ul>
    16. 17. Clinical IT Adoption Process Have your organizational goals and expected results for the clinical IT project been identified in the planning stage? Design system from clinicians perspective. Successful Go-Live means TRAINING
    17. 18. Measurement <ul><li>Have you completed your ARRA financial incentives estimator? </li></ul><ul><li>Have you matched quality efforts and reporting to federal guidelines? </li></ul><ul><li>Have you determined your up front ability to fund the EHR project? </li></ul><ul><li>Have you audited your Security and Privacy policies? </li></ul><ul><li>Have you assessed future penalties for not adopting? </li></ul>
    18. 19. Lessons Learned <ul><li>Start the process early </li></ul><ul><li>Lay the foundation with planning </li></ul><ul><li>Educate the entire team on “One Voice” </li></ul><ul><li>Understand vendor solutions early on </li></ul><ul><li>Utilize physician and clinician champions </li></ul><ul><li>Communicate </li></ul>
    19. 20. Reference Documents <ul><li>MU Analysis and Recommendations Report </li></ul><ul><li>MU Starter Kit </li></ul><ul><ul><li>Roadmap </li></ul></ul><ul><ul><li>Check List </li></ul></ul><ul><li>Stark Talking Points </li></ul><ul><li>Contact Susan Walker for electronic copies [email_address] </li></ul>
    20. 21. Questions & Answers Thank You Susan Walker [email_address]
    21. 22. Denise Webb Glass Partner,  Fulbright & Jaworski, LLP
    22. 23. Legal Issues Associated with Meaningful Use Standards Denise Webb Glass Women’s Healthcare Executive Network May 19, 2010
    23. 24. EHR Incentive Program Rules <ul><li>CMS issued proposed rule on the EHR incentive programs on December 30, 2009, published in the federal Register on January 13, 2010 with 60 day comment period. </li></ul><ul><li>The comment period for the proposed rule closed on March 15, 2010 . </li></ul><ul><li>Next steps for CMS: </li></ul><ul><ul><li>CMS reviews comments </li></ul></ul><ul><ul><li>Draft final regulation </li></ul></ul><ul><ul><li>Obtain clearance from HHS/OMB </li></ul></ul><ul><ul><li>Final rule publication—estimated to be Spring 2010 </li></ul></ul>
    24. 25. Current Status <ul><li>On March 30, 2010, Senate Finance and HELP Committee leaders urged changes be made to proposed meaningful use rule: </li></ul><ul><ul><li>Abandon all-or-nothing approach, requiring providers to meet all Stage 1 criteria to be eligible for incentives. </li></ul></ul><ul><ul><li>Change rule to allow hospital-based physicians to be eligible for incentive payments (even if legislation passed to allow incentives). </li></ul></ul>
    25. 26. Medicare Payment Incentives for Eligible Professionals (EPs) <ul><li>Start January 2011 </li></ul><ul><li>Equal to 75% of Medicare allowable charges for covered services furnished by the EP in a year, subject to maximum payment in the first, second, third, fourth, and fifth years of $15,000; $12,000; $8,000; $4000; and $2,000, respectively.  </li></ul><ul><ul><li>Max payment for early adopters (2011 or 2012) is $18,000 in 1 st year. </li></ul></ul><ul><ul><li>10% increase in incentive payment for EPs who predominantly furnish services in a HPSA. </li></ul></ul><ul><li>No payments for meaningful EHR use after 2016 and no payments to EPs who first become meaningful EHR users in 2015 </li></ul><ul><li>Payment Adjustments: Medicare fee schedule amount for professional services provided by an EP who was not a meaningful EHR user for the year reduced by 1% in 2015; 2% in 2016, 3% in 2017 and between 3 to 5 percent in subsequent years.  </li></ul>
    26. 27. Medicare Payment Incentives for Hospitals <ul><li>Start October 2010 </li></ul><ul><li>Up to four years of incentive payments, beginning with FY 2011 </li></ul><ul><li>No payments to hospitals that become meaningful EHR users after 2015 </li></ul><ul><li>No payments after 2016 </li></ul><ul><li>Incentive payment calculated based on the product of (a) $2 million base, (b) the Medicare share (fraction based on the number of discharges, and (c) a transition factor to phase down payments over the 4 year period.  </li></ul>
    27. 28. Medicaid Payment Incentives <ul><li>Must meet minimum Medicaid patient volume percentages, and must waive rights to duplicative Medicare EHR incentive payments.  </li></ul><ul><li>EPs may receive up to 85% of the net average allowable costs for certified EHR technology, including support and training, up to a maximum level, and incentive payments are available for no more than a 6-year period.   </li></ul><ul><li>May receive incentive payments associated with the initial adoption, implementation or upgrade of EHR technology </li></ul><ul><li>Medicare definition = minimum definition of meaningful use for Medicaid; state can change (with approval by CMS), but: </li></ul><ul><ul><li>must ensure that populations with unique needs, such as children, are addressed.  </li></ul></ul><ul><ul><li>may also require providers to report clinical quality measures </li></ul></ul><ul><ul><li>EHR technology may need to be compatible with State or Federal administrative management systems. </li></ul></ul><ul><li>EPs may not receive an incentive under both Medicare and Medicaid in a given year (but hospitals can) </li></ul>
    28. 29. Components to be Eligible for Incentive Payments <ul><li>Eligible professional or eligible hospital </li></ul><ul><li>Meaningful Use </li></ul><ul><li>Certified EHR Technology (yet to be fully defined) </li></ul><ul><ul><li>Interim final rules also published on January 13, 2010 </li></ul></ul>
    29. 30. Eligible Providers--Medicare <ul><li>Eligible Professionals (EPs) </li></ul><ul><ul><li>Doctor of Medicine or Osteopathy </li></ul></ul><ul><ul><li>Doctor of Dental Surgery or Dental Medicine </li></ul></ul><ul><ul><li>Doctor of Podiatric Medicine </li></ul></ul><ul><ul><li>Doctor of Optometry </li></ul></ul><ul><ul><li>Chiropractor </li></ul></ul><ul><li>Eligible Hospitals </li></ul><ul><ul><li>Acute Care Hospitals </li></ul></ul><ul><ul><li>Critical Access Hospitals (CAHs) </li></ul></ul><ul><li>Hospital-based EPs do not qualify for Medicare EHR incentive payments </li></ul>
    30. 31. Eligible Providers--Medicaid <ul><li>Eligible Professionals (EPs) </li></ul><ul><ul><li>Physicians (Pediatricians have special eligibility & payment rules) </li></ul></ul><ul><ul><li>Nurse Practitioners </li></ul></ul><ul><ul><li>Certified Nurse-Midwives </li></ul></ul><ul><ul><li>Dentists </li></ul></ul><ul><ul><li>Physician Assistants who lead/direct an FQHC or RHC </li></ul></ul><ul><li>Eligible Hospitals </li></ul><ul><ul><li>Acute Care Hospitals </li></ul></ul><ul><ul><li>Children’s Hospitals </li></ul></ul>
    31. 32. Meaningful Use—3 components <ul><li>Use of certified EHR in a meaningful manner (ex: e-prescribing) </li></ul><ul><li>Use of certified EHR for electronic exchange of health information to improve quality of health care </li></ul><ul><li>Use of certified EHR to submit clinical quality and other measures </li></ul>
    32. 33. Meaningful Use--Defined in 3 Stages <ul><li>Stage 1 –2011 </li></ul><ul><li>Stage 2 –2013* </li></ul><ul><ul><li>Expand upon the Stage 1 criteria in the areas of disease management, clinical decision support, medication management, support for patient access to their health information, transitions in care, quality measurement and research, and bi-directional communication with public health agencies.    </li></ul></ul><ul><ul><li>CMS may consider applying the criteria more broadly to IP and OP hospital settings.  </li></ul></ul><ul><li>Stage 3 –2015* </li></ul><ul><ul><li>Focus on achieving improvements in quality, safety and efficiency, focusing on decision support for national high priority conditions, patient access to self management tools, access to comprehensive patient data, and improving population health outcomes. </li></ul></ul><ul><li>* to be defined by CMS in future rulemaking </li></ul>
    33. 34. Stage 1 Meaningful Use in a Nutshell <ul><li>EPs </li></ul><ul><ul><li>25 Objectives and Measures </li></ul></ul><ul><ul><li>8 Measures require ‘Yes’ or ‘No’ as structured data </li></ul></ul><ul><ul><li>17 Measures require numerator and denominator </li></ul></ul><ul><li>Eligible Hospitals and CAHs </li></ul><ul><ul><li>23 Objectives and Measures </li></ul></ul><ul><ul><li>10 Measures require ‘Yes’ or ‘No’ as structured data </li></ul></ul><ul><ul><li>13 Measures require numerator and denominator </li></ul></ul><ul><li>Reporting Period –90 days for first year (must be continuous); one year subsequently </li></ul>
    34. 35. Meaningful Use Standards <ul><li>Use computerized physician order entry (CPOE) </li></ul><ul><li>Implement drug-drug, drug-allergy, drug-formulary checks </li></ul><ul><li>Maintain an up-to-date problem list of current and active diagnoses </li></ul><ul><li>Maintain active medication list </li></ul><ul><li>Maintain active medication allergy list </li></ul><ul><li>Record demographics </li></ul><ul><li>Record and chart changes in vital signs </li></ul><ul><li>Record smoking status for patients 13 years and older </li></ul>
    35. 36. Meaningful Use Standards <ul><li>Incorporate clinical lab-test results into EHR as structured data </li></ul><ul><li>Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach </li></ul><ul><li>Report ambulatory quality measures to CMS or the States </li></ul><ul><li>Implement 5 clinical decision support rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliance with those rules </li></ul><ul><li>Check insurance eligibility electronically from public and private payers </li></ul><ul><li>Submit claims electronically to public and private payers </li></ul>
    36. 37. Meaningful Use Standards <ul><li>Provide patients with an electronic copy of their health information upon request </li></ul><ul><li>Capability to electronically exchange key clinical information among providers of care and patient-authorized entities </li></ul><ul><li>Perform medication reconciliation at relevant encounters and each transition of care </li></ul><ul><li>Provide summary care record for each transition of care and referral </li></ul><ul><li>Capability to submit electronic data to immunization registries and actual submission where required and accepted </li></ul><ul><li>Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice </li></ul><ul><li>Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities </li></ul>
    37. 38. Legal Issues Arising from Meaningful Use Criteria <ul><li>Meeting 80% threshold for electronic claims submission and electronic eligibility verification from public and private payers </li></ul><ul><ul><li>Dependent on payor capabilities </li></ul></ul><ul><ul><li>Effect if outsource billing & collection or business office functions </li></ul></ul><ul><li>Calculating incentive payments in the event of a merger or acquisition </li></ul><ul><li>Physician reassignment of incentive payments </li></ul><ul><li>Donating EHR software to medical staff </li></ul><ul><ul><li>Stark exception/Anti-Kickback Statute safe harbor </li></ul></ul>
    38. 39. When You Think HEALTH CARE, Think Fulbright. TM AUSTIN • BEIJING • DALLAS • DENVER • DUBAI • HONG KONG • HOUSTON • LONDON • LOS ANGELES MINNEAPOLIS • MUNICH • NEW YORK • RIYADH • SAN ANTONIO • ST. LOUIS • WASHINGTON, D.C. www.fulbright.com • 866-FULBRIGHT [866-385-2744]
    39. 40. Patricia Johnston, MS, FHIMSS Vice President, Electronic Health Record, Ambulatory and Acute Care
    40. 41. Preparing for Meaningful Use: A Provider’s Perspective May 19, 2010
    41. 42. Texas Health Resources <ul><li>One of the largest faith-based, non-profit health care delivery systems in the US… </li></ul><ul><ul><li>18,000 Employees </li></ul></ul><ul><ul><li>3,600 Active Staff Physicians </li></ul></ul><ul><ul><li>14 Hospitals </li></ul></ul><ul><ul><li>6 JV Hospitals </li></ul></ul><ul><ul><li>30 Ambulatory Healthcare Sites </li></ul></ul><ul><ul><li>3500 Licensed Hospital Beds </li></ul></ul><ul><ul><li>16 Counties (6.2M people) </li></ul></ul>Odessa Amarillo Lubbock Austin San Antonio Houston Fort Worth/Dallas
    42. 43. National Perspective Level of Concern in Meeting Deadline CHIME Survey/Dec 09 n=178
    43. 44. National Perspective Top Concerns in Implementing Standards CHIME Survey/Dec 09 n=178
    44. 45. What is on the Table for THR ? ENTITY 2010 2011 2012 2013 2014 TOTAL DENTON $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THHEB $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THFW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THNW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THSW $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THC $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THEC $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THAM $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THK $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THP $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THA $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx THD $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx Total $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ x,xxx,xxx $ 53,649,710
    45. 46. Organizing for Action Infrastructure Development Capacity Building Proposal Development Number & $ Amount of Grants (ROI) “ Meaningful User” Definition for THR Data Collection Strategy Development Use of Consultants Stakeholder Development Preparation/Planning Assessment Advancing Physician Engagement Organizational Visibility THR Stimulus Taskforce Community Collaborations Activities/Tactics Outcomes Inputs Timing Staffing HIE PI’s TREI Grant Writers Agility Imperatives Stakeholders Enhanced Services & Systems Improved Health Outcomes Processes Organizational Capacity Community Health Comparative Effectiveness Prioritize Projects/Efforts ID Funding Opportunities Review for Capacity THR’s Funding Focus ITS Finance THR Org. Phys. Nursing Adv. & CB Dependencies Enhance Research Mission for TREI Cost-Effective System Provider & Coordinator of Care Execute Plan Health Information Technology Comprehensive View of Quality Transformational Themes Impacts Diversity Strengthening Our Culture C4L
    46. 47. Establishing Goals <ul><li>By Base Camp 2* and for each subsequent year, Texas Health entities** will meet or exceed criteria for demonstrating meaningful use in order to achieve the maximum available incentive of the HITECH provision of ARRA </li></ul><ul><ul><li>*Target = 2011, Par = 2012, Threshold = 2013 </li></ul></ul><ul><ul><li>** All wholly owned entities (incl. THDN) and THPG practices </li></ul></ul>
    47. 48. Creating Accountability Goals Primary Secondary <ul><ul><li>Improve quality, safety, & efficiency; reduce disparities </li></ul></ul>Velasco Benson <ul><ul><li>Engage patients & their families </li></ul></ul>Marx Johnston <ul><ul><li>Improve care coordination </li></ul></ul>Johnston Velasco <ul><ul><li>Improve population and public health </li></ul></ul>Tesmer Marx <ul><ul><li>Ensure privacy and security protections </li></ul></ul>Gerson/Myles Tesmer
    48. 49. Tracking Progress
    49. 50. Reporting Results Self Assessment Score   Requirements Fully Implemented Life Cycle Score   Process Group Overall 2011 2013 2015 Overall 2011 2013 2015   Clin Doc 0% 0% 0% NA 80% 80% 80% NA   Decision Support 0% 0% 0% 0% 65% 80% 80% 20%   Discharge Process 0% NA 0% NA 40% NA 40% NA   Financial Mgmt 0% 0% NA NA 80% 80% NA NA   Health Mgmt 0% 0% 0% 0% 42% 70% 30% 28%   Meds Mgmt 0% 0% 0% NA 66% 75% 53% NA   Orders Mgmt 0% 0% 0% NA 80% 80% 80% NA   Patient Mgmt 0% NA 0% 0% 30% NA 60% 0%   Registration 0% 0% NA NA 80% 80% NA NA   Reporting 0% 0% 0% 0% 35% 56% 20% 15%   Regulatory Compliance 0% 0% NA 0% 40% 80% NA 0%   Total 0% 0% 0% 0% 52% 73% 53% 17%
    50. 51. Challenges and Opportunities <ul><li>Primary benefit is improving quality, safety, efficiency, for our patients, such as: </li></ul><ul><ul><li>Reporting quality metrics </li></ul></ul><ul><ul><li>ePrescribing </li></ul></ul><ul><ul><li>Health reminders </li></ul></ul><ul><ul><li>Health Information exchange </li></ul></ul><ul><ul><li>Patient access to electronic data </li></ul></ul><ul><ul><li>Online reporting to public health agencies </li></ul></ul><ul><li>Challenges for early compliance include: </li></ul><ul><ul><li>Understanding the metrics </li></ul></ul><ul><ul><li>Reporting capabilities of our key software packages </li></ul></ul><ul><ul><li>Implementing new workflows </li></ul></ul><ul><ul><li>Compliance with data capture </li></ul></ul>
    51. 52. Bottom Line <ul><li>We will be rewarded for doing the right thing! </li></ul>
    52. 53. Discussion and Q&A <ul><li>PatriciaJohnston </li></ul><ul><li> PatriciaJohnston@Texashealth.org </li></ul>
    53. 54. Questions for the Panelists

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