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Meaningful Use Stage 2 & 3: Patient Engagement

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What is patient engagement and how does it play a part in Meaningful Use incentives? This slideshow covers the facts you need to know about patient engagement and it's role it in Meaningful Use. To …

What is patient engagement and how does it play a part in Meaningful Use incentives? This slideshow covers the facts you need to know about patient engagement and it's role it in Meaningful Use. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/

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  • 1. MeaningfulUSE Stage 2 & 3PATIENT ENGAGEMENT
  • 2. OVERVIEW MEANINGFUL USE : A LOOK BACK THE GOV & PATIENT ENGAGEMENT ACOs AND PATIENT ENGAGEMENT VALUE-BASED REIMBURSEMENT & PATIENT ENGAGEMENT
  • 3. Meaningful USE:A LOOK BACK
  • 4. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Date
  • 5. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Dateo $2.4 Billion in Medicare Incentives Paid –Hospitals/Providers
  • 6. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Dateo $2.4 Billion in Medicare Incentives Paid –Hospitals/Providerso $1.8 Billion in Medicaid Incentives Paid –Hospitals/Providers
  • 7. Meaningful Use: A Look Back$11.8 Billion in Total Incentives Program to Dateo $2.4 Billion in Medicare Incentives Paid– Hospitals/Providerso $1.8 Billion in Medicaid Incentives Paid– Hospitals/Providerso $7.3 Billion in Medicare/Medicaid toHospitals
  • 8. Meaningful Use: A Look Backo 372,000 Hospitals / Professionalsregistered
  • 9. Meaningful Use: A Look Backo 372,000 Hospitals / Professionalsregisteredo 49 States, D.C. and PR have launchedMedicaid Programs* Hawaii, Guam, Am. Samoa – Unknown* Virgin Islands – Unknown
  • 10. Meaningful Use: A Look BackActive Registrations:
  • 11. Meaningful Use: A Look BackActive Registrations:o Hospitals → 4,257 (5,724 in U.S. – 74%)
  • 12. Meaningful Use: A Look BackActive Registrations:o Hospitals → 4,257 (5,724 in U.S. – 74%)o Medicare Eligible Providers → 253,477 (834,769U.S. Physicians – 30%)
  • 13. Meaningful Use: A Look BackActive Registrations:o Hospitals → 4,257 (5,724 in U.S. – 74%)o Medicare Eligible Providers → 253,477 (834,769U.S. Physicians – 30%)o Medicaid Eligible Providers → 114,866 (U.S.Physicians – 14%)
  • 14. Meaningful Use: A Look BackTotal Attestation:
  • 15. Meaningful Use: A Look BackTotal Attestation:o Hospital Attestation → $7,861,299,090
  • 16. Meaningful Use: A Look BackTotal Attestation:o Hospital Attestation → $7,861,299,090o Medicare EP Stage 1 Attestation →$2,134,906,925
  • 17. Meaningful Use: A Look BackTotal Attestation:o Hospital Attestation → $7,861,299,090o Medicare EP Stage 1 Attestation →$2,134,906,925o Medicaid EP Year 1 & 2 Attestation →$1,595,896,115
  • 18. The government &PATIENT-CENTERED CARE
  • 19. Gov & PCC• 23 % of federal budget goes to health care• 36 times ACA mentions Patient Centeredness• 15 times ACA references the Medical Home• 93 times ACA references Quality Measures• 29 times ACA links Quality to reporting Clinical Data• 100 times ACA discusses Value-Based and PaymentModifiers as relates to Hospital/MD Reimbursement andMeasures*
  • 20. Gov & PCCo Federal Government → Leadership role in HealthCare Reform
  • 21. Gov & PCCo Federal Government → Leadership role in HealthCare Reformo Transition is happening: Move from Episodic Care →Long-Term Healing and Wellness
  • 22. Gov & PCCHow?
  • 23. Gov & PCCHow?Government is using principles of behavioraleconomics to better long-term care & lowercosts.
  • 24. Gov & PCCWhat is behavioral economics?
  • 25. Gov & PCCWhat is behavioral economics?"Behavioral economics explains why people arepredictably irrational and provides tools forredirecting their behavior with carefully deployednudges and financial incentives” - New EnglandJournal of Medicine
  • 26. Gov & PCCBehavioral economics & Healthcare =
  • 27. Gov & PCCBehavioral economics & Healthcare =1. Better ways to motivate patients to improve andprotect their own health using technologies like wirelessdevices
  • 28. Gov & PCCBehavioral economics & Healthcare =1. Better ways to motivate patients to improve andprotect their own health using technologies like wirelessdevices2. New reimbursement strategies for health care providersthat require them focus more closely on patients healthoutside of office visits and hospitalizations.
  • 29. Gov & PCCBehavioral Economics is about patient engagement& patient-centered care.
  • 30. Gov & PCCBehavioral Economics is about patient engagement& patient-centered care.Patient-centered care:model of care that supports active involvement ofpatients and their families in decision-making.
  • 31. Gov & PCCThe IOM (Institute of Medicine) defines patient-centered care as:"Providing care that is respectful of andresponsive to individual patient preferences,needs, and values, and ensuring that patientvalues guide all clinical decisions."
  • 32. Gov & PCC• Federal Policymaking grounded in Patient CenteredCare:o Regs CMS Meaningful Use Stage 2 - 7 Measureso Regs CMS Accountable Care Organizations (ACOs) – 7Measureso Regs CMS Value-based Purchasing – Differential PaymentBased on Qualityo Regs CMS Public Measure Transparency – PhysicianCompare Websiteo Other Agency Initiatives – CMS PCORI, HRSA PCMH andVA PACT
  • 33. Proposed stage 2 core measures
  • 34. AccountableCare Organizations& PATIENT ENGAGEMENT
  • 35. ACOs and PatientEngagemento 33 Quality Performance Measures
  • 36. ACOs and PatientEngagemento 33 Quality Performance Measureso 7 Patient / Caregiver Experience
  • 37. ACOs and PatientEngagemento 33 Quality Performance Measureso 7 Patient / Caregiver Experience
  • 38. ACOs and PatientEngagementFinal Rule: Requires CMS qualified Survey Vendor by2014
  • 39. ACOs and PatientEngagement• HITPC Preliminary Stage 3 Draft(Aug → Final Recommendations expected in Nov)
  • 40. ACOs and PatientEngagement• HITPC Preliminary Stage 3 Draft(Aug → Final Recommendations expected in Nov)o Patients Option to submit data online → 10%submit Medical Histories
  • 41. ACOs and PatientEngagement• HITPC Preliminary Stage 3 Draft(Aug → Final Recommendations expected in Nov)o Patients Option to submit data online → 10%submit Medical Historieso Patient education in non-English languages
  • 42. ACOs and PatientEngagement• HITPC Preliminary Stage 3 Draft(Aug → Final Recommendations expected in Nov)o Patients Option to submit data online → 10%submit Medical Historieso Patient education in non-English languageso 10% of Patients ability to update and correctinformation online
  • 43. ACOs and PatientEngagement
  • 44. Value-Based Payment &PATIENT ENGAGEMENT
  • 45. VBP& PatientEngagemento Started October 1, 2012
  • 46. VBP& PatientEngagemento Started October 1, 2012o Evaluated / Scored on performanceimprovements over baseline
  • 47. VBP& PatientEngagemento Hospitals → CMS payment adjustments basedon patient experience
  • 48. VBP& PatientEngagemento Hospitals → CMS payment adjustments basedon patient experienceo ACA has Physician VBM program starting in 2015based on 2013 performance
  • 49. VBP& PatientEngagementHCAHPS scores will rate hospitals based onpatient experience* The HCAHPS (Hospital Consumer Assessment ofHealthcare Providers and Systems) survey is the firstnational, standardized, publicly reported survey ofpatients perspectives of hospital care.
  • 50. VBP& PatientEngagementHCAHPS scores will rate hospitals based onpatient experience, e.g.
  • 51. VBP& PatientEngagementHCAHPS scores will rate hospitals based onpatient experience, e.g.– patient satisfaction
  • 52. VBP& PatientEngagementHCAHPS scores will rate hospitals based onpatient experience, e.g.– patient satisfaction– customer service
  • 53. VBP& PatientEngagementHCAHPS scores will rate hospitals based onpatient experience, e.g.– patient satisfaction– customer service– communication training
  • 54. VBP& PatientEngagementResults published on Hospital Compare website
  • 55. VBP& PatientEngagementResults published on Hospital Compare websitePhysician Compare website now in place to showperformance metrics - first publishing (limited) inCY2013
  • 56. DOWNLOADA FREE WHITEPAPER“Moving from Meaningful Use Stage 1To Stage 2”Clickto download your FREE COPY NOWOr go to http://info.successehs.com/mu2-free-whitepaper