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John lynn<br />http://www.emrandhipaa.com<br />EMR, EHR and HIPAA Wiki<br />http://www.emrandhipaa.com/w<br />EHR Stimulus...
How much EHR Stimulus Money?<br />ARRA – HITECH Act – EHR Stimulus<br />Estimated $19.5 Billion Spent on Stimulus<br />$2 ...
Medicare EHR Stimulus Incentives<br />$44,000 per Provider<br />
Actual EHR Stimulus Amount - Medicare<br />75% of Medicare Allowable Charges<br />$24k Medicare Charges = $18k in EHR Stim...
Medicaid EHR Stimulus Incentives<br />$63,750 per Provider<br />
Medicaid Details<br />More Complicated Process<br />Reimbursement is Percentage of EHR expenditures<br />Extended Time Hor...
Lies EHR Vendors Use<br />
EHR Sales Lines<br />Move quickly…EHR deployment back-log!<br />You won’t be ready to show “meaningful use!”<br />The gove...
2 Main Requirements<br />“Meaningful Use”<br />“Certified EHR”<br />Challenge<br />Still Only Partially Defined<br />
Meaningful Use Matrix<br />Measures<br />Improve quality, safety, efficiency and reduce health disparities<br />Engage pat...
EHR Certification<br />CCHIT<br />Only Current EHR Certification<br />Other EHR Certifications?<br />“	Many certified EHRs...
Proposed CCHIT Certification Paths<br />EHR-C<br />EMR Company Certification<br />EHR-M<br />“Module” Certification<br />E...
Cost of Certified EHR<br />EHR Matrix of Prices<br />Average for Certified EHR - $30,690.80<br />Average for Non-Certified...
Problems with CCHIT Certification<br />More Successful Installs – Where’s the proof?<br />De-install Rate is Large<br />St...
Timelines<br />6/16/09 – Meaningful Use Matrix<br />7/16/09 – HIT Policy Committee Presents Next Revision of Meaningful Us...
Lessons Learned from Past Incentives<br />PQRI, P4P and ePrescribing<br />Only 52% of participants got paid<br />Only $600...
Guaranteed EHR Benefits<br />Legibility of Notes<br />Accessibility of Charts<br />No More Lost Charts<br />Multiple Users...
EHR Pricing Models<br />One Time Cost Plus Annual Maintenance<br />Monthly Cost Per Provider<br />Cost Per Visit<br />Free...
Online Resources<br />EMR Forum<br />http://www.emrupdate.com<br />Selecting an EMR<br />http://www.emrconsultant.com<br /...
Counsel and Advice<br />Implement EHR That Fits Your Clinic<br />
John lynn<br />http://www.emrandhipaa.com<br />EMR, EHR and HIPAA Wiki<br />http://www.emrandhipaa.com/w<br />john@emrandh...
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ARRA EHR Presentation Austin - GCS Technologies

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Presentation on the EHR Stimulus package (ARRA) in Austin, TX covering the important topics of "meaningful use" and "certified EHR" and how the EHR stimulus will be paid to doctors.

Learn more at http://www.healthcarescene.com

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ARRA EHR Presentation Austin - GCS Technologies

  1. 1. John lynn<br />http://www.emrandhipaa.com<br />EMR, EHR and HIPAA Wiki<br />http://www.emrandhipaa.com/w<br />EHR Stimulus Money (ARRA)<br />
  2. 2. How much EHR Stimulus Money?<br />ARRA – HITECH Act – EHR Stimulus<br />Estimated $19.5 Billion Spent on Stimulus<br />$2 Billion for Office of National Coordinator (ONC)<br />$36.3 Billion for Medicare and Medicaid Incentives<br />Savings of $18.8 Billion<br />Improved Efficiencies<br />Tax Revenue<br />Reduce Fee Schedule Payments from Penalties<br />Medicare or Medicaid Bonuses<br />
  3. 3. Medicare EHR Stimulus Incentives<br />$44,000 per Provider<br />
  4. 4. Actual EHR Stimulus Amount - Medicare<br />75% of Medicare Allowable Charges<br />$24k Medicare Charges = $18k in EHR Stimulus<br />$13.3k Medicare Charges = $10k in EHR Stimulus<br />Medicare Penalties<br />2015 - 1%<br />2016 - 2%<br />2017 - 3%<br />2018 - 4% (HHS Secretary Option)<br />2019 - 5% (HHS Secretary Option)<br />
  5. 5. Medicaid EHR Stimulus Incentives<br />$63,750 per Provider<br />
  6. 6. Medicaid Details<br />More Complicated Process<br />Reimbursement is Percentage of EHR expenditures<br />Extended Time Horizon (through 2021)<br />Must Demonstrate 20-30% of Patients are Covered by Medicaid<br />Must Show “Meaningful Use”<br />GW Study<br />15% of Physicians Qualify<br />99% of Federally Qualified Health Centers (FQHC)<br />45,000 Office Based Physicians<br />
  7. 7. Lies EHR Vendors Use<br />
  8. 8. EHR Sales Lines<br />Move quickly…EHR deployment back-log!<br />You won’t be ready to show “meaningful use!”<br />The government requires you buy an EMR<br />Simply buy a CCHIT-certified product<br />
  9. 9. 2 Main Requirements<br />“Meaningful Use”<br />“Certified EHR”<br />Challenge<br />Still Only Partially Defined<br />
  10. 10. Meaningful Use Matrix<br />Measures<br />Improve quality, safety, efficiency and reduce health disparities<br />Engage patients and families<br />Improve care coordination<br />Improve population and public health<br />Ensure adequate privacy and security protections for personal health information<br />Requirements Increase Over Time<br />Provide Patients e-copy of Data (2011)<br />Real Time PHR Access (2015)<br />
  11. 11. EHR Certification<br />CCHIT<br />Only Current EHR Certification<br />Other EHR Certifications?<br />“ Many certified EHRs are neither user-friendly nor designed to meet HITECH&apos;s ambitious goal of improving quality and efficiency in the health care system.“<br /> - Dr. David Blumenthal, NEJM April 2009<br />
  12. 12. Proposed CCHIT Certification Paths<br />EHR-C<br />EMR Company Certification<br />EHR-M<br />“Module” Certification<br />EHR-S<br />Site Certification<br />
  13. 13. Cost of Certified EHR<br />EHR Matrix of Prices<br />Average for Certified EHR - $30,690.80<br />Average for Non-Certified EHR - $17,066.00<br />Cost of EHR Certification<br />$20-30k<br />Cost of Extra Development<br />One EMR Vendor Estimated $200,000 in Development Costs<br />Many Unnecessary Requirements<br />
  14. 14. Problems with CCHIT Certification<br />More Successful Installs – Where’s the proof?<br />De-install Rate is Large<br />Stability of Certified EHR Vendors<br />Jabba the Hut EMR Companies<br />
  15. 15. Timelines<br />6/16/09 – Meaningful Use Matrix<br />7/16/09 – HIT Policy Committee Presents Next Revision of Meaningful Use<br />“Meaningful Use” Implementation Guide in July<br />7/21/09 – HIT Standards Committee Presents Standards and Certification Criteria<br />Interim Final Rule by December 31st<br />
  16. 16. Lessons Learned from Past Incentives<br />PQRI, P4P and ePrescribing<br />Only 52% of participants got paid<br />Only $600 per individual participating<br />Only 2 of the 10 made a profit<br />Not notified of problems for years<br />Scenarios<br />
  17. 17. Guaranteed EHR Benefits<br />Legibility of Notes<br />Accessibility of Charts<br />No More Lost Charts<br />Multiple Users Accessing Chart<br />Disaster Recovery<br />Drug to Drug and Allergy Interactions<br />
  18. 18. EHR Pricing Models<br />One Time Cost Plus Annual Maintenance<br />Monthly Cost Per Provider<br />Cost Per Visit<br />Free EMR<br />
  19. 19. Online Resources<br />EMR Forum<br />http://www.emrupdate.com<br />Selecting an EMR<br />http://www.emrconsultant.com<br />My Website<br />http://www.emrandhipaa.com<br />Regional EHR Training Centers?<br />
  20. 20. Counsel and Advice<br />Implement EHR That Fits Your Clinic<br />
  21. 21. John lynn<br />http://www.emrandhipaa.com<br />EMR, EHR and HIPAA Wiki<br />http://www.emrandhipaa.com/w<br />john@emrandhipaa.com<br />Questions?<br />

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