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This is a brief presentation that I recently gave to a local IPA in Middle TN eplaining the REC function and goals.

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  • Im not the federal government.. Nor am I the one making up the rules.. Im a tech guy trying to do some good and bring help to an underserved rural market….If I wanted abuse I could have staid home and had dinner with my wife…jk.. She is an angel.Little bit about me.. I worked in corporate healthcare for 10 years…Been a HIT consultant for 10 more..Over the course of that time I have installed converted over 500 practice systems and networks and roughly 100 hospitals.. Only in the past 60 days have I jumped onboard here at Qsource…
  • As you can see for the technology advanced nation that we have become, according to these statistics in healthcare we have a way to go.. Further as you can see, Tennstands below the national average on adoption.. With the efforts of REC and the providers that we are working with we intend to change this. I would expect these numbers to be dramatically better in the future by the time the next survey is done.
  • Im going to give a quick run down of the REC and our MissionHIE- Specifically HIPTN where I sit on the Tech council for functional requirementsI am going to ever so briefly touch on MU.. This isnt a deep dive.. Otherwise we could be here all finally incentive payments and how the REC can help you get them..
  • This has been all over the news for the past few years. So in order to not know anything about it, you would almost always have to turn off the TV and never pick up a periodical live in cave under a rock whatever..I’m not here to talk about Politics right wrong or otherwise.. Lol.. But as you can see $36B dollars over 6 years to assist in EMR/HIE adoption nationwide. Out of this funding comes the creation of the REC.
  • The REC became operational as of May 10,2010. This statewide initiative was given to 1 organization (QSOURCE) QIO…. however we are working with several other level 1 contractors in reaching out to the clinical communities all across the state. Cumberland Pediatrics and over in East TN Carespark..My team and I here in Mid TN have counterparts in the East and West side of the state. They both have teams of HIT specialists that will come onsite in your practice or facility and assist you with EMR adoption, workflow and meeting the MU criteria. This organized approach will allow us to service the roughly 1500 providers in getting their EMR implementations and achieve meaningful use and we have 2 years to do it in..
  • We are announcing our services via, direct mail, vendor meetings such as this..and thru trade Assns such as HIMSS, TMA, MGMA, TAHIMA, and groups like this.. As well as software user groups.. We are Vendor Neutral….We provide EMR selection assistance.. We start with a PRA without EMR and PRA for MU.. From there we build a roadmap to ensure successful implementation (assessment, planning, selection implementation, Evaluation)..Our process can consist of workflow design, forms analysis, patient education, whatever the need may be for your specific practice…MU we have a similar structured process where we come in ask roughly 150+ questions from your Practice/Office Mgr from this we create a roadmap to ensure that you meet the various MU milestones AND HIPPA HITECH security compliance. So this could be a 6 month or 2 year engagement for a very small consulting fee. I’ll go more into that in just a sec..
  • HIE plays an integral part of MU.. Ill draw that connection in a minute.. But by linking and reporting data via an HIE you can check off the immunization registries or condition reporting into disease registries…
  • So everyone in the Healthcare world knows that the final rule for EHR standards and certification was released on July 13th. That same day the final rule for incentive programs was also released. They kinda go hand in hand right.. I mean they are going to give out incentives to install or upgrade the software then the rules to get it are going to be there as well.. There are 2 sections for MU Objectives. Core Set and Menu Set…The biggest difference between the 2 are Core is mandatory and Menu is your choice. So what ever is easiest for you to get to.. Except for the 1 Public health…As you can see here on the Core set there are numerous mandatory objectives..interpretation has yet to be defined for all of these. Some are clear cut others are not.
  • The 2 bottom bullets are the Public health choices..but there may be 3.. Generate list by condition may be allowed by Medicaid.. TBDThe way to get thru this with as little as pain as possible is clearly thru your EMR. But you have to be tracking this data in order to report on it.
  • The quick answer is Because the government said so….
  • The HHS Secretary will ensure coordination of Medicare and Medicaid incentive payments to providers to assure no duplication of funding.This also applies to the ePrescribing incentive. A practice must decide if they want to participate in ePrescribing incentives, EHR Medicare or Medicaid incentives.
  • Incentive Payment timelines are Medicare can pay incentives to eligible professionals no sooner than Jan 2011… Medicaid Ep’s can potentially start receiving payments as early as 2010 for adopting, implementing or upgrading..
  • I like this slide….
  • We brought hand outs that have additional information on the incentive amounts and timeframes..
  • tnREC FAQ

    1. 1. Regional Extension Centers <br />Support for EMR Adoption and Meaningful Use Achievement<br />Robert MorrisMiddle Tennessee Regional ManagertnREC<br />
    2. 2. Do not kill the messenger…<br />
    3. 3. Primary Care Physicians Using Electronic Health Records <br />Norway<br />97%<br />United<br />Kingdom<br />96%<br />Australia<br />95%<br />Sweden<br />94%<br />Italy<br />94%<br />Germany<br />72%<br />France<br />68%<br />U.S.<br />46%<br />Canada<br />TN 30%<br />37%<br />Source: The Commonwealth Fund<br />
    4. 4. My Focus Today<br />What is the REC?<br />What is HIE?<br />Very Brief Touch on Meaningful Use requirements for EP’s only!<br />Incentive opportunities for provider HIT adoption<br />
    5. 5. American Recovery and Reinvestment Act of 2009<br />$36 B in funds over six years for HIT adoption<br />Policies and approaches for protecting the privacy and security of health information<br />Enhancing health information exchange (HIE)<br />Grants and loans to providers<br />HIT adoption assistance through a Regional Extension Center<br />Improved training and education of health professionals in the area of HIT<br />
    6. 6. Why a Statewide REC?<br /><ul><li>To bridge a gap in information and technology
    7. 7. Minimum reach 1,343 PCPs in geographic coverage area within first two years
    8. 8. Lack of coordination of activity across multiple contractors could lead to variable quality of service and conflicting messages.
    9. 9. The level of effort for direct, individualized assistance across all providers using patchwork contracting could lead to gaps in coverage assistance to many within the state</li></li></ul><li>Tennessee REC<br />HIT Adoption Assistance<br /><ul><li>Community Sponsored Vendor Fairs
    10. 10. EMR Vendor comparisons: usability scores, implementation barriers and service/contract comparison
    11. 11. Hospital centric HIE support in rural areas
    12. 12. Best practices in EHR Implementation, confidentiality, and security
    13. 13. “Meaningful Use” certification and Medicaid incentive application support</li></li></ul><li>HIE? (Taken from HIPTN Ops)<br />The State of Tennessee and HIP TN are aligning resources with tnREC to<br />promote the adoption of EHRs for providers.<br />tnREC will focus on individualized support to two groups of providers, <br />enabling both groups to qualify for entitlement funds under either<br />Medicare or Medicaid incentive programs.<br />Assistance for the two groups of providers will focus on the following: <br />helping providers without an EHR, or those whose current systems fail to meet meaningful use criteria, to select and successfully implement certified EHRs;<br />among providers who already have a system, providing technical assistance in achieving “meaningful use” status.<br />
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    16. 16. What we do at the REC & Services we provide<br />HIT adoption assistance:<br />Selection Assistance w purchasing of EHRs<br />+ technical consulting<br />+ Workflow redesign<br />+ HIE interoperability (HIPTN)<br />+ Privacy and Security assistance<br />= Meaningful Use Achievement<br />
    17. 17. Qsource has always been free why the charges?<br />
    18. 18. Medicare & Medicaid & eRX 2% bonus<br />Double<br />Dipping<br />
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    24. 24. Eligible for Medicaid Incentives <br />30% Medicaid Patient Volume – Adult<br />20% Medicaid Patient Volume- Pediatrics<br />*PA’s only in FQHC or RHC led by PA.<br />
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    27. 27. Why all of this??<br />
    28. 28. Questions?<br />
    29. 29. Robert Morris, Mid TN Regional Manager<br /><br />866-514-8595<br />This presentation and related material was prepared by QSource, the HIT Regional Extension Center for Tennessee, under a contract with the Office of the National Coordinator for Health Information Technology (ONC), a federal agency of the Department of Health and Human Services (HHS). Contents do not necessarily reflect ONC policy. 90RC0026/01<br />QSource-TN-470-2010-02<br />