Meaningful Use Stage Two: The Future of Care Coordination
 

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The future of Meaningful Use has many over-arching effects on the health care industry beyond Stage Two measures. Care coordination teams, technology partnerships, data capture, practice redesign, and ...

The future of Meaningful Use has many over-arching effects on the health care industry beyond Stage Two measures. Care coordination teams, technology partnerships, data capture, practice redesign, and provider assessment are a few others to be considered when moving forward.

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Meaningful Use Stage Two: The Future of Care Coordination Presentation Transcript

  • 1. Meaningful Use Stage 2 – The Future of Care Coordination Adele Allison National Director of Government Affairs, SuccessEHS
  • 2. New Focus – Care Coordination
  • 3.
    • Big Tactic Step in next wave of health care reform
      • Accountable Care Organizations (ACOs)
      • Patient-Centered Medical Homes (PCMHs)
    • PPACA -> CMS Medicare FFS: Establish ACOs by 1.1.2012
  • 4.
    • ACO Final Rule ( Issued 10.20.2011 , 696 pages)
      • New Care Model for FFS Medicare – anticipating 270 to contract
      • Focus on Care Coordination as a Community
      • Must be Patient-Centered (definition follows)
  • 5.
    • Patient-Centered is defined to include:
      • Patient Survey, Communication and Involvement in governance
      • Population Management
      • Targeting high-risk patients
      • Technologies to Coordinate Care
      • Performance Measuring and Ongoing Process Improvements
  • 6.
    • PPACA -> § 3007 - CMS apply a MD value-based modifier by 2015
    • CMS Payment Final Rule ( Issued 11.2.2011 , 1,235 pages)
      • 2012 EHR-Based PQRS Reporting – includes all 44 Stage 1 MU CQMs
      • Participation in the PQRS EHR-based Incentive Pilot satisfies MU CQM reporting and provides incentives above MU
  • 7.
    • SuccessEHS is 2011 CMS Qualified for EHR-based PQRS reporting
    • SuccessEHS is testing for 2012
  • 8. Key Stage 2 Recommendations
  • 9.
    • > 60% structured lab results with at least 1 order in CPOE
    • 1 Radiology Test Ordered using CPOE
    • > 10% of patients – record care plan fields (goals and instructions)
    • > 10% of patients - record care team members (including PCP, if applicable)
  • 10.
    • > 25 unique patients with advance directives
    • 25 patients sent secure online messages
    • 20% of patients recorded for preferences in communication
    • Summary of Care Record sent electronically for 25 Transactions
  • 11. Clinical Quality Measures & National Quality Strategy
  • 12.
    • No “alternative core” measures -> just Core
    • Selection from 69 NQF Measures – e Reporting Ready
    • 23 new clinical measures proposed – ↑ provider diversity
  • 13.
    • Menu measures divided into 6 domains to align with the 6 National Quality Strategies
      • Population and Public Health Management
      • Care Coordination
      • Clinical Process
      • Patient and Family Engagement
      • Efficiency
      • Patient Safety
  • 14. Practice Redesign Considerations
  • 15.
    • Clinic Culture Assessment
    • Think about Users and Roles
    • Create a Vision Statement
    • Identify Leadership (Formal / Informal)
    • Communicate Plans
  • 16.
    • Workflow Self-Assessment
    • Identify sources of:
      • Assessment Worksheet
      • Inefficiency / Delay / D uplication
      • Risk / Liability / Non-Compliance (e.g. HIPAA)
      • Quality concerns
      • High costs
  • 17.
    • Leadership in Administration
    • Remember – this is a Provider Program
    • Remember – the Providers are part of a Clinic / Group Practice
    • Plan for Administration Ease
      • Consistency in measures
      • Evaluate Technology and Workflows
  • 18.
    • Provider Assessment
    • Identify potential barriers before reengineering
      • Low comfort level with technology (Provider / Support Staff)
      • Gaps in Hardware
      • Impact on productivity
      • What additional problems can be solved?
    • Workflows MUST BE CONSISTENT for data capture and reporting
  • 19.
    • Practice Redesign
    • Compliant and Certified for MU EHR Software
    • Senior Leadership and Staff – Awareness and Understanding
    • Identified Champions – Formal and Informal
  • 20.
    • Practice Redesign
    • Key Partner Collaboration
      • Lab Interfaces : (ORM/ORU) Results to Patient Chart
      • Immunization Interface : (VXU) Single entry / upload to Registry
      • HIE Interface : (CDA, C32, XDS) Human Readable Format
  • 21.
    • Practice Redesign
    • HIPAA Security Analysis
    • Implementing New Technologies
      • Patient Portal, CDS, Formulary Management, HIE, Structured Knowledge Base, etc.
      • IT Needs such as iPads, Smartphones, Business Continuity Plans
  • 22.
    • Practice Redesign
    • Data Collection Considerations
      • Must be consistent
      • Like CDS - Identifying the “ 5 Rights ” in Workflow
        • Right Information
        • Right Person Collecting
        • Right Format
        • Right Channel (e.g. EHR, Portal, PM)
        • Right Time in Workflow
  • 23.
    • Practice Redesign
    • Consider Data Needs – E.g., Vitals, Smoking Status, Rx Reconciliation, Refills, Health Disparities
  • 24. Technology Partner – Critical Importance
  • 25.
    • SuccessEHS & HIE
    • SuccessEHS can produce a C32 message (CDA/CCD)
    • SuccessEHS has developed an Interoperability engine to automate support of interoperability
  • 26.
    • SuccessEHS & HIE
    • This transport engine can be leveraged to provide data to:
      • State Registries
      • Lab results to public health agencies
      • Quality Reporting to CMS and other collaboratives
  • 27.
    • SuccessEHS & HIE
    • SuccessEHS will leverage this transport/support engine for a variety of CCDs used in transitions of care
  • 28.
    • SuccessEHS & ACOs
    • SuccessEHS is strongly positioned to integrate PCP into the ACO model
    • EHR-based PQRS
  • 29.
    • SuccessEHS & ACOs
    • Health IT Tools SuccessEHS can deliver:
      • Prospective / Retrospective Payment System
      • Utilization Trending and Reporting
      • Evidence-based Clinical Decision Support Tools
      • Patient Survey Tools
      • Tele-health Tools
  • 30.
    • SuccessEHS & ACOs
    • Health IT Tools SuccessEHS can deliver:
      • Population Management Technology
      • Digital Dashboard
      • Health Information Exchange
      • Lab, Radiology and Device Interfacing
      • Enterprise Business Intelligence
  • 31.
    • SuccessEHS & PCMH
    • SuccessEHS is working with the ONC CCBC to recertify 13 of its CHCs for PCMH
    • SuccessEHS has created a PCMH Development Branch that includes:
      • Secured Messaging to the Patient through Patient Portal
      • Patient Questionnaires available through Portal or Kiosk
      • Robust Order Tracking
  • 32.
    • SuccessEHS & PCMH
    • SuccessEHS has created a PCMH Development Branch that includes:
      • Pre-defined, evidence-based clinical decision support rules
      • Leveraging MEDCIN for use in Care Plan workflows
      • Ability for patients to request test results / consults through Portal
      • PCMH-specific reporting
  • 33.
    • SuccessEHS & PCMH
    • SuccessEHS has created a PCMH Development Branch that includes:
      • PCMH data capture and reporting for referral management and transitions of care
  • 34. For more information about MU 2 & industry trends, visit www.successehs.com for white papers, articles, blog posts and more! Click here for our industry blog