Your SlideShare is downloading. ×
0
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
What Meaningful Use Means for Dentists
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

What Meaningful Use Means for Dentists

829

Published on

This file, uploaded on Feb 6 2012, is an overview of the relevance of the meaningful use program for dentists and dental clinics. …

This file, uploaded on Feb 6 2012, is an overview of the relevance of the meaningful use program for dentists and dental clinics.

This presentation was made by Rachel Ramoni at the 2012 Exan Summit in Vancouver.

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
829
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
4
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. What  Meaningful  Use     Means  for  Den3sts   Rachel  B.  Ramoni,  DMD,  ScD  Elsbeth  Kalenderian,  DDS,  MPH   Muhammad  Walji,  PhD   February  7,  2012  
  • 2. Through  the  2009  HITECH  (Health  Informa3on  Technology  for  Economic  and  Clinical  Health)  Act,  the  United  States  government  commiPed  $27  billion  through  2016  to  incen3vize  the  adop3on  and  “meaningful  use”  of  cer3fied  electronic  health  records  (EHRs).  
  • 3. The  goals  are  to:  1)  improve  the  accuracy  and  completeness  of   pa3ent  informa3on  2)  allow  bePer  coordina3on  of  care  3)  provide  secure  access  for  pa3ents  to  their   own  health  data  and  to  foster  shared   decision  making  4)  provide  safer  and  lower  cost  care  
  • 4. What  does  meaningful  use     mean  for  you?  
  • 5. $63,750   Per  Eligible  Provider   Over  6  Years  Under    The  Medicaid  Incen3ve  Program  
  • 6. Who  qualifies  as  an    eligible  provider  (EP)?  
  • 7. Den3sts  (or  physicians)  who  have  an  na3onal  provider  iden3fier  and  who  meet  the  pa3ent  threshold  volume.   Residents/advanced  graduate  students  can  qualify  
  • 8. What  is  the  pa3ent  threshold  volume   and  how  does  an  EP  meet  it?  
  • 9. Medicaid* patient encounters in a 90 day period over the previous calendar year ×100 Total patient encounters in a 90 day period over the previous calender year*  Or  other  payment  op3ons  for  needy  individuals  in  FQHC  or  RHC  seengs,  CHIP  program  qualifies  in  states  with  a  1115  waiver  
  • 10. Pa3ent  threshold  volume  can  be   calculated  on  an     individual  basis  or  by  proxy.  
  • 11. An  advantage  of  the  proxy  method  is  that   individuals  who  may  not  qualify  on  their  own  can  qualify  on  the  basis  of  the  clinic’s   pa3ent  threshold  volume.  
  • 12. An  EP  must  qualify  every  year  for   which  he/she  wishes  to  receive   incen3ve  payment.  
  • 13. What  does  a  qualified  EP  have  to  do  to  receive  the  incen3ve  payment?  
  • 14. Year  1   APest  to  having  purchased/adopted/ implemented/demonstrated  meaningful  use   of  a  cer3fied  EHR  Years  2   Report  90  days  of  meaningful  use  Years  3-­‐4   Report  full  year  of  meaningful  use  Remember,  the  year  is  with  respect  to  the  eligible  provider,  not  the  clinic.  
  • 15. 1   2   3   4   5   6   2012  $42,500   1   2   3   4   5   6   2015  $21,250   $8,500   $17,000  
  • 16. How  do  I  get  a  cer3fied  EHR?  
  • 17. There  are  two  approaches:   Complete     Modular   Single  system  which   A  set  of  two  or  more   fulfills  all  of  the   systems,  which   requirements   together  fulfill  the   requirements  hPp://onc-­‐chpl.force.com/ehrcert/EHRProductSearch?seeng=Ambulatory    Don’t  forget  to  pay  aPen3on  to  version  numbers!  
  • 18. You  obtain  an  EHR  Cer3fica3on  ID  by   selec3ng  your  complete  system  or  the  components  of  your  modular  system  at   hPp://onc-­‐chpl.force.com/ehrcert  
  • 19. What  is  meaningful  use?  
  • 20. APainment  of  a  set  of  objec3ves  and   repor3ng  of  clinical  quality  measures   using  cer3fied  EHR  technology  Note:  These  requirements  are  for  Phase  1  of  meaningful  use.    Phases  2  and  3  will  have  different  requirements.  Phase  2  is  expected  to  begin  in  2013.  
  • 21. You  must  use  your  cer3fied  EHR  to   meet  20  objec3ves:   15  core     5  out  of  10  menu  set   objec3ves  with     objec3ves   at  least  1   public  health   objec3ve  
  • 22. Examples  of  core  objec3ves:   Objec-ve Measure ExclusionsRecord  pa3ent  demographics   Over  50%  of  pa3ents’   None  (sex,race,  date  of  birth,   demographic  data  recorded  as  preferredlanguage)   structured  data  Record  vital  signs  and  chart   Over  50%  of  pa3ents  2  years  of   Any  EP  who  either  see  no  change  (height,  weight,  blood   age  or  older  have  weight,  height   pa3ents  2  years  or  older,  or  who  pressure,  BMI,  growth  chart  for   and  blood  pressure  recorded  as   believes  that  all  three  vital  signs  children)   structured  data   of  height,  weight,  and  blood   pressure  have  no  relevance  to   their  scope  of  prac3ce  during   the  repor3ng  period  Maintain  up  to  date  problem  list   Over  80%  of  pa3ents  have  at   None  of  current  and  ac3ve  disease   least  one  entry  recorded  as   structured  data  Maintain  ac3ve  medica3on  list   Over  80%  of  pa3ents  have  at   None   least  one  entry  recorded  as   structured  data  
  • 23. Examples  of  menu  set  objec3ves:   Objec-ve Measure ExclusionsGenerate  lists  of  pa3ents  by   Generate  at  least  one  lis3ng  of   None  specific  condi3on  to  use  for   pa3ents  with  specific  quality  improvement,   condi3on  research,  reduc3on  of  dispari3es,  or  outreach  Use  EHR  technology  to   Over  10%  of  pa3ents  are   None  iden3fy  pa3ent-­‐specific   provided  pa3ent-­‐specific  educa3on  resources  and   educa3on  resources  provide  those  to  the  pa3ent  as  appropriate  Perform  medica3on   Medica3on  reconcilia3on  is   An  EP  who  was  not  the  reconcilia3on  between  care   performed  for  over  50%  of   recipient  of  any  transi3ons  of  seengs   transi3ons  of  care   care  during  the  EHR  repor3ng   period  qualifies  for  an   exclusion  from  this  objec3ve/ measure   N/A  for  academic  den3stry  
  • 24. Example  of  public  health   menu  set  objec3ves:   Objec-ve   Measure   Exclusions  Submit  electronic   Perform  at  least  one  test  of   An  EP  who  administers  no  immuniza3on  data  to   data  submission  and  follow-­‐up   immuniza3ons  during  the  EHR  immuniza3on  registries  or   submission  (where  registries   repor3ng  period  or  where  no  immuniza3on  informa3on   can  accept  electronic  data)   immuniza3on  registry  has  the  systems   capacity  to  receive  the   informa3on  electronically   qualifies  for  an  exclusion  from   this  objec3ve/measure.   N/A  for  academic  den3stry.     May  apply  to  those  den3sts   who  provide  flu   immuniza3ons.  
  • 25. Unlike  objec3ves,  there  are  no  thresholds  for  the  clinical  quality  measures.  You  must,  however,  be  able  to  report  the  clinical  quality  measures  from  the  EHR.  
  • 26. You  must  use  your  cer3fied  EHR  to   meet  6  clinical  quality  measures:   3  core     3  addi3onal  CQMs   CQMs   selected  out  of    If  you  can’t  meet  one  or  more  of  these,  you  can  subs3tute  an   38  op3ons  alternate  core  CQM.  
  • 27. Core  CQMs:  •   Hypertension:  %  of  pa3ent  visits  for  pa3ents  aged  18  +  with  a  diagnosis  of  hypertension  who  have  been  seen  for  at  least  2  office  visits,  with  blood  pressure  (BP)  recorded.  •   Preventa3ve  care  and  screening  measure  pair  (tobacco  use  assessment  and  tobacco  cessa3on):  %  pa3ents  aged  18+  who  have  been  seen  for  at  least  2  office  visits  who  were  (a)  queried  about  tobacco  use  1+  within  24  months  and  (b)  received  cessa3on  interven3on.  •   Adult  weight  screening  and  follow  up:  %  of  pa3ents  aged  18  +  with  BMI  calculated  in  the  past  six  months  AND  if  the  most  recent  BMI  is  outside  parameters,  a  follow-­‐up  plan  is  documented.    
  • 28. Examples  of  Addi3onal  CQMs:  •   Asthma  Assessment:  %  of  pa3ents  aged  5  -­‐  40  years  with  a  diagnosis  of  asthma  and  who  have  been  seen  for  2+  visits,  who  were  evaluated  during  at  least  one  office  visit  within  12  months  for  the  frequency  (numeric)  of  day3me  and  nocturnal  asthma  symptoms.  •   Pneumonia  Vaccina3on  Status  for  Older  Adults:  %  of  pa3ents  65  years  of  age  and  older  who  have  ever  received  a  pneumococcal  vaccine.  
  • 29. How  does  an  EP  report  informa3on   necessary  to  receive  payment?  
  • 30. Year  1   Register  at  the  state  and  federal  levels.   Obtain  EHR  Cer3fica3on  ID.   APest  at  the  state  level  to  having  purchased,   adopted,  upgraded,  or  implemented  a   cer3fied  EHR.  Years  2   Report  90  days  of  meaningful  use  (objec3ves   and  clinical  quality  measures)  via  state’s   aPesta3on  system  Years  3-­‐6   Report  full  year  of  meaningful  use   (objec3ves  and  clinical  quality  measures)  via   state’s  aPesta3on  system  
  • 31. What  about  the  clinics?  
  • 32. It  is  at  the  states’  discre3on     whether  an  EP  may:  •   designate  a  clinic  to  register  and  aPest  on  his/her  behalf  •   assign  payment  to  a  single  clinic  with  whom  he/she  has  a  contractual  rela3onship   Several  states  do  allow  it:    check  on  the  state   registra3on/provider  enrollment  page  to  be  sure.  
  • 33. Year  1:  Pueng  it  all  together  
  • 34. Determine  if  clinic’s  pa3ent  profile  allows  EPs  to  qualify  via  proxy  approach  Determine  if  individual  EPs  qualify  Determine  if  3rd  par3es  can  register/aPest  on  behalf  of  EPs  in  your  state  Register  EPs  at  the  state  and  federal  levels  Upgrade/adopt  cer3fied  EHR  system  Obtain  EHR  cer3fica3on  ID  APest  to  having  upgraded/adopted  a  cer3fied  EHR  system  
  • 35. A  few  rules  and  regula3ons  •  An  EP  may  receive  only  one  payment  per  year,   even  if  they  work  at  more  than  one  clinic  •  An  EP  does  not  re-­‐start  the  cycle  if  he  or  she   changes  clinics  •  Defini3on  of  a  clinic:  A  legally  dis3nct  en3ty.   Clinics  opera3ng  under  the  same  ins3tu3onal   banner  may  or  may  not  be  considered  as   separate  en33es  for  the  purposes  of  the   incen3ve  program  
  • 36. Where  do  I  go  for  help?  
  • 37. You  can  get  more  informa3on  about  the  par3culars  of  aPes3ng  at  your  state’s  level  via  your  state’s  site.    You  can  find  your  state’s  site  at:  hPp://www.cms.gov/apps/files/statecontacts.pdf  
  • 38. The  Regional  Extension  Centers  ONC  has  funded  62  Regional  Extension  Centers  (RECs,  pronounced  RECs)  to  help  providers  achieve  meaningful  use  of  their  EHRs.    RECS  will  provide  “on  the  ground  assistance”.      “REC  services  include  outreach  and  educa3on,  EHR  support  (working  with  vendors,  helping  to  choose  a  cer3fied  system),  and  technical  assistance  in  implemen3ng  health  IT  has  using  it  in  a  meaningful  way  to  improve  care.”  hPp://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3519  

×