Paul Roemer, Health IT Strategy, Meanigful Use

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Slides fmo February Health 2.0 NYC meetup where Paul Roemer shook up the house with his innovative thinking on meaningful use

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  • EHR and MU are not binary decisions
  • EHR and MU are not binary decisions
  • Vendors and Washington seem to think so
  • Paul Roemer, Health IT Strategy, Meanigful Use

    1. 1. Healthcare IT Strategy<br />paulroemer@healthcareitstrategy.com<br />
    2. 2. Hi, I’m Paul<br />Thank you for coming<br />2<br />
    3. 3. Notes? Up to you<br />3<br />
    4. 4. Tonite:<br /><ul><li>EHR—the movie
    5. 5. Should you meet MU?
    6. 6. What if there was no MU?</li></ul>4<br />
    7. 7. EHR , MU, reform, RHIOs, RECs, & N-HIN,<br />are all<br />complicated<br />
    8. 8. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Why buy a drill?<br />We’re listening…<br />Because you need <br />a hole.<br />6<br />
    9. 9. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />EHR is not<br />7<br />
    10. 10. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Why buy a drill?<br />We’re listening…<br />Why buy a drill?<br />Because you need a hole<br />Because you need <br />a hole.<br />Why buy an EHR?<br />8<br />
    11. 11. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Why buy a drill?<br />We’re listening…<br />What’s the elephant in the room?<br />Because you need <br />a hole.<br />9<br />
    12. 12. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />10<br />
    13. 13. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />MU is not<br />11<br />
    14. 14. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Why buy a drill?<br />We’re listening…<br />Because you need <br />a hole.<br />12<br />
    15. 15. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />2 conflicting models<br />National<br />healthcare<br />yours<br />13<br />
    16. 16. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Meaningful use office<br />14<br />
    17. 17. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Are your businesses all the same?<br />15<br />
    18. 18. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Keep the focus on you…<br />Why buy a drill?<br />We’re listening…<br />Because you need <br />a hole.<br />16<br />
    19. 19. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Color outside the lines…<br />17<br />
    20. 20. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Where are my stone<br />Tablets?<br />Does meeting MU align with your business strategy?<br />ONC<br />18<br />
    21. 21. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />ONC: we’re listening…<br />19<br />
    22. 22. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Heavy lifting <br />just beginning.<br />20<br />
    23. 23. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />ARRA money<br />Good Luck<br />21<br />
    24. 24. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />What if there were no<br />Meaningful Use?<br />22<br />
    25. 25. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />Why buy a drill?<br />We’re listening…<br />Because you need <br />a hole.<br />23<br />
    26. 26. What are the influencers and inputs?<br />Meaningful Use Decision<br />Tie to HIT strategy<br />Your<br />HIS<br />Strategy<br />Text<br />HIT platform<br />How do we plan your HIT strategy?<br />Your Strategic Plan<br />Align to Reform<br />HIT initiatives<br />Strategic GAPS<br />MU options<br />
    27. 27. Yes<br />Do you meet MU <br />No<br />Should you attempt to meet Meaningful Use and why?<br />
    28. 28. Should you attempt to meet Meaningful Use and why?<br />By what date<br />Full MU<br />Yes<br />What Option<br />Partial<br />By When<br />Do you meet MU <br />What’s the plan<br />No<br />
    29. 29. If Full MU, what is the best date for you to meet it?<br />2011<br />2012<br />21013<br />Full MU<br />By what date<br />21014<br />21015<br />
    30. 30. What are the ARRA implications to you of the dates for full MU?<br />2011<br />100% of <br />incentive<br />2012<br />100% of <br />incentive<br />2013<br />100% of <br />incentive<br />What are the implications?<br />60% of <br />incentive<br />2014<br />2015<br />30% of <br />incentive<br />
    31. 31. What are the risks to you of seeking to meet full MU?<br />Probability of passing MU?<br />External risks?<br />Align with your strategy?<br />What are the risks prior to 2016<br />Meeting your key metrics?<br />PENALTIES<br />After 2016<br />
    32. 32. What is the probability of passing the MU test for full MU?<br />Determine by year of test<br />If the requirements change<br />What are Stage 2 requirements<br />Vendor certification<br />Impact of reform<br />What is the probability of passing MU?<br />What are Stage 3 requirements<br />Affect on your strategy<br />If the date change<br />
    33. 33. What are the external risks to passing the MU test for full MU?<br />Determine by year of test<br />HIT staff shortages<br />Vendor Support<br />Change in Medicare payments<br />Impact of reform<br />What are the External Risks<br />Regulatory reform<br />Affect on strategy<br />Acquisitions by your firm<br />
    34. 34. Does passing the MU test for full MU align with your strategy?<br />Supply Cost<br />Quality and Safety <br />Revenue Cycle<br />Culture and Service <br />Physician Collaboration<br />Growth<br />How does MU align with your strategy<br />Patient Retention<br />Centralize Business Support<br />Primary care growth<br />Labor Productivity <br />
    35. 35. Does passing the MU test for full MU align with your metrics?<br />Increase staff satisfaction<br />Increase culture scores<br />Decrease length of stay<br />Increase operational excellence<br />Decrease waiting times<br />How does MU align with your metrics<br />Improve customer service<br />Increase clinical quality<br />
    36. 36. What HIT projects do you have to do to meet full MU requirements?<br />Clinical Transformation<br />Eligibility checking<br />Standard orders<br />upgrades<br />Quality performance<br />What’s needed for 2011<br />EO Rx<br />Other years should be similar in terms of tasks<br />Meaningful Use CPOE<br />
    37. 37. What influencers should be considered to meet full MU requirements?<br />Cost<br />When can you complete<br />Staffing<br />What is the ROI<br />Stage 2 & 3 requirements<br />What are the Influencers<br />Other HIS projects<br />Other years should be similar in terms of tasks<br />Meaningful Use CPOE<br />
    38. 38. What costs should be understood to meet full MU requirements?<br />Systems<br />Work flow improvement<br />Staffing<br />What is the ROI<br />What is the Cost<br />training<br />Other years should be similar in terms of tasks<br />Change management<br />
    39. 39. What staffing should be answered to decide meeting full MU requirements?<br />How many<br />By when?<br />What are staffing needs<br />Skill sets<br />Other years should be similar in terms of tasks<br />Contractors<br />
    40. 40. What does meeting full MU requirements do to other projects?<br />What are they<br />Can they be delayed<br />What are Non-MU projects<br />Allocating funds<br />Other years should be similar in terms of tasks<br />Allocating staff<br />
    41. 41. What is the impact of doing CPOE?<br />Would you do CPOE without MU<br />CPOE is the bulk of work and risk<br />What is CPOE’s impact<br />What is chance of success<br />Other years should be similar in terms of tasks<br />Allocating staff<br />
    42. 42. What is the best year to meet MU requirements?<br />2011-2013<br />2014-2015<br />When can you complete MU<br />What is the ROI by year<br />Other years should be similar in terms of tasks<br />Impact of year on HIT projects<br />
    43. 43. What will be the requirements of Stages 2 & 3 with MU?<br />Unknown requirements<br />Unknown cost<br />What are Stages 2 & 3<br />Unknown risk<br />Other years should be similar in terms of tasks<br />What is chance of success<br />
    44. 44. How do you measure the risk of trying to meet MU?<br />Determine individual risks<br />Determine their probability<br />Develop risk matrix<br />Perform Risk Analysis<br />Determine their impact<br />Map options by year to risks<br />
    45. 45. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.”<br />PA CIO<br />Does meeting MU align with your business strategy?<br />2 conflicting models<br />National<br />healthcare<br />yours<br />43<br />

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