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Healthcare IT Strategy [email_address]
Hi, I’m Paul Thank you for coming
This final rule implements the provisions of the American Recovery and  Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) th...
Notes?  Up to you
<ul><li>3 points to answer: </li></ul><ul><li>What’s up with EHR? </li></ul><ul><li>Should you meet MU? </li></ul><ul><li>...
EHR , MU, ICD-10 reform, RHIOs, RECs, & N-HIN, are all complicated EHR , MU, ICD-10 reform, RHIOs, RECs, &  N-HIN, are all...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. “ Meeting M...
Does meeting MU align with your business strategy? EHR & MU are not “ Meeting Meaningful Use just for the ARRA money is li...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. Why do you ...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. Why did you...
Write down your answer… Remember it, you will  need it later
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. What’s the ...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. Meaningful ...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. Meaningful ...
Does meeting MU align with your business strategy? MU final rule Wordle “ Meeting Meaningful Use just for the ARRA money i...
Does meeting MU align with your business strategy? 2 conflicting provider models yours National healthcare “ Meeting Meani...
Does meeting MU align with your business strategy? MU office (slaughter house) “ Meeting Meaningful Use just for the ARRA ...
Does meeting MU align with your business strategy? Is there merit in holding out? “ Meeting Meaningful Use just for the AR...
Does meeting MU align with your business strategy? Are all provider businesses all the same? NO! “ Meeting Meaningful Use ...
Does meeting MU align with your business strategy? Pick a number between 1 and 6,000 “ Meeting Meaningful Use just for the...
Does meeting MU align with your business strategy? Now I will pick a number… “ Meeting Meaningful Use just for the ARRA mo...
Does meeting MU align with your business strategy? How far away is your number from mine “ Meeting Meaningful Use just for...
Does meeting MU align with your business strategy? … CMS writes MU final rule “ Meeting Meaningful Use just for the ARRA m...
Does meeting MU align with your business strategy? How far away is your organization from that target? “ Meeting Meaningfu...
Write down your answer… Remember it, you will  need it later
Write down your answer… Remember it, you will  need it later Expand your thinking
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. Keep the fo...
Does meeting MU align with your business strategy? Color  outside the lines… “ Meeting Meaningful Use just for the ARRA mo...
Does meeting MU align with your business strategy? Where are my stone Tablets? ONC “ Meeting Meaningful Use just for the A...
Does meeting MU align with your business strategy? ONC…we’re listening… “ Meeting Meaningful Use just for the ARRA money i...
Does meeting MU align with your business strategy? Healthcare IT The heavy lifting  is just beginning. “ Meeting Meaningfu...
Does meeting MU align with your business strategy? ARRA money Good Luck “ Meeting Meaningful Use just for the ARRA money i...
Does meeting MU align with your business strategy? What if there were no Meaningful Use? “ Meeting Meaningful Use just for...
Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need  a hole. “ Meeting M...
Should you try to meet Meaningful Use? Healthcare IT Strategy [email_address]
Does Meaningful Use work for You?
Does meeting MU align with your business strategy? “ Meeting Meaningful Use just for the ARRA money is like having a baby ...
Does Meaningful Use work for you? <ul><li>The CMS created a decision point.  You must weigh meeting Meaningful Use. </li><...
Meeting Meaningful Use kicks off a  chain reaction <ul><li>What if MU changes after you are committed to as strategy? </li...
What might your options be? <ul><li>Fortunately, there are several options to evaluate. </li></ul>Full MU Delay meeting MU...
What should your MU Strategy be? <ul><li>You must decide how to define how to quantify your  </li></ul><ul><li>strategy fo...
Why is this decision critical? <ul><li>External influencers will squeeze your Business and HIT  </li></ul><ul><li>strategy...
Why is this decision critical? <ul><li>You need to ascertain where to place each option </li></ul>
Why is this decision critical? <ul><li>Once the nose of the camel gets under the tent… </li></ul>The camel wants to get al...
More is unknown than known <ul><li>What is unknown cannot be controlled </li></ul>N-HIN Change requirements Standards No l...
How do we plan your HIT strategy? <ul><li>What are the influencers and inputs? </li></ul>Your Strategic Plan HIT initiativ...
Should you attempt to  meet Meaningful Use and why? Do you meet MU  Yes No
Should you attempt to meet  Meaningful Use and why? Do you meet MU  Yes Full MU Partial By what date What Option By When N...
If Full MU, what is the best date for you to meet it? Full MU By what date 2011 2012 21013 21014 21015
What are the ARRA implications to you of the dates for full MU? What are the implications? 2011 2012 2013 2014 2015 100% o...
What are the risks to you of seeking to meet full MU? What are the risks prior to 2016 Probability of passing MU? External...
What is the probability of passing the MU test for full MU? What is the probability of passing MU? Determine by year of te...
What are the external risks to passing the MU test for full MU? What are the External Risks Determine by year of test Vend...
Does passing the MU test for full  MU align with your strategy? How does MU align with your strategy Quality and Safety  C...
Does passing the MU test for full  MU align with your metrics? How does MU align with your metrics Increase culture scores...
What HIT projects do you have to do to meet full MU requirements? What’s needed for 2011 Clinical Transformation Standard ...
What influencers should be considered  to meet full MU requirements? What are the Influencers Cost Staffing Other HIS proj...
What costs should be understood to meet full MU requirements? What is the Cost Systems Staffing training Change management...
What staffing should be answered to  decide meeting full MU requirements? What are staffing needs How many By when? Skill ...
What does meeting full MU  requirements do to other projects? What are Non-MU projects What are they Can they be delayed A...
What is the impact of doing CPOE? What is CPOE’s impact Would you do CPOE without MU CPOE is the bulk of work and risk Wha...
What is the best year to meet MU requirements? When can you complete MU 2011-2013 2014-2015 What is the ROI by year Impact...
What will be the requirements of  Stages 2 & 3 with MU? What are Stages 2 & 3 Unknown requirements Unknown cost Unknown ri...
How do you measure the risk of trying to meet MU? Perform Risk Analysis Determine individual risks Determine their probabi...
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On Meaningful Use

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On Meaningful Use

  1. 1. Healthcare IT Strategy [email_address]
  2. 2. Hi, I’m Paul Thank you for coming
  3. 3. This final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic health record (EHR) technology. This final rule specifies—the initial criteria EPs, eligible hospitals, and CAHs must meet in order to qualify for an incentive payment; calculation of the incentive payment amounts; payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs failing to demonstrate meaningful use of certified EHR technology; and other program participation requirements. Also, the Office of the National Coordinator for Health Information Technology (ONC) will be issuing a closely related final rule that specifies the Secretary’s adoption of an initial set of standards, implementation, specifications, and certification criteria for electronic health records. ONC has also issued a separate final rule on the establishment of certification programs for health information technology. MU Final Rule: 1 of 800
  4. 4. Notes? Up to you
  5. 5. <ul><li>3 points to answer: </li></ul><ul><li>What’s up with EHR? </li></ul><ul><li>Should you meet MU? </li></ul><ul><li>What if there was no MU? </li></ul>
  6. 6. EHR , MU, ICD-10 reform, RHIOs, RECs, & N-HIN, are all complicated EHR , MU, ICD-10 reform, RHIOs, RECs, & N-HIN, are all complicated
  7. 7. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  8. 8. Does meeting MU align with your business strategy? EHR & MU are not “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  9. 9. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. Why do you buy a drill? Because you can’t buy holes Why buy an EHR? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  10. 10. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. Why did you buy your EHR? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  11. 11. Write down your answer… Remember it, you will need it later
  12. 12. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. What’s the elephant in the room? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  13. 13. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. Meaningful Yoose “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  14. 14. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. Meaningful Yoose What is the answer? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  15. 15. Does meeting MU align with your business strategy? MU final rule Wordle “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  16. 16. Does meeting MU align with your business strategy? 2 conflicting provider models yours National healthcare “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  17. 17. Does meeting MU align with your business strategy? MU office (slaughter house) “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  18. 18. Does meeting MU align with your business strategy? Is there merit in holding out? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  19. 19. Does meeting MU align with your business strategy? Are all provider businesses all the same? NO! “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  20. 20. Does meeting MU align with your business strategy? Pick a number between 1 and 6,000 “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  21. 21. Does meeting MU align with your business strategy? Now I will pick a number… “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  22. 22. Does meeting MU align with your business strategy? How far away is your number from mine “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  23. 23. Does meeting MU align with your business strategy? … CMS writes MU final rule “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  24. 24. Does meeting MU align with your business strategy? How far away is your organization from that target? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  25. 25. Write down your answer… Remember it, you will need it later
  26. 26. Write down your answer… Remember it, you will need it later Expand your thinking
  27. 27. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. Keep the focus on you… “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  28. 28. Does meeting MU align with your business strategy? Color outside the lines… “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  29. 29. Does meeting MU align with your business strategy? Where are my stone Tablets? ONC “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  30. 30. Does meeting MU align with your business strategy? ONC…we’re listening… “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  31. 31. Does meeting MU align with your business strategy? Healthcare IT The heavy lifting is just beginning. “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  32. 32. Does meeting MU align with your business strategy? ARRA money Good Luck “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  33. 33. Does meeting MU align with your business strategy? What if there were no Meaningful Use? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  34. 34. Does meeting MU align with your business strategy? We’re listening… Why buy a drill? Because you need a hole. “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  35. 35. Should you try to meet Meaningful Use? Healthcare IT Strategy [email_address]
  36. 36. Does Meaningful Use work for You?
  37. 37. Does meeting MU align with your business strategy? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO
  38. 38. Does Meaningful Use work for you? <ul><li>The CMS created a decision point. You must weigh meeting Meaningful Use. </li></ul>Meet Meaningful Use Do NOT meet Meaningful Use
  39. 39. Meeting Meaningful Use kicks off a chain reaction <ul><li>What if MU changes after you are committed to as strategy? </li></ul>
  40. 40. What might your options be? <ul><li>Fortunately, there are several options to evaluate. </li></ul>Full MU Delay meeting MU Phased MU ??? ?? NO MU
  41. 41. What should your MU Strategy be? <ul><li>You must decide how to define how to quantify your </li></ul><ul><li>strategy for MU. </li></ul>
  42. 42. Why is this decision critical? <ul><li>External influencers will squeeze your Business and HIT </li></ul><ul><li>strategy. </li></ul>MU PROVIDER Reform
  43. 43. Why is this decision critical? <ul><li>You need to ascertain where to place each option </li></ul>
  44. 44. Why is this decision critical? <ul><li>Once the nose of the camel gets under the tent… </li></ul>The camel wants to get all the way in. The government is moving towards a national healthcare business model. You have your own model. Do they complement one another or conflict?
  45. 45. More is unknown than known <ul><li>What is unknown cannot be controlled </li></ul>N-HIN Change requirements Standards No leader Plan B? Reform HIE Date Change
  46. 46. How do we plan your HIT strategy? <ul><li>What are the influencers and inputs? </li></ul>Your Strategic Plan HIT initiatives Align to Reform Strategic GAPS MU options Your HIS Strategy Meaningful Use Decision Text HIT platform Tie to HIT strategy
  47. 47. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes No
  48. 48. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes Full MU Partial By what date What Option By When No What’s the plan
  49. 49. If Full MU, what is the best date for you to meet it? Full MU By what date 2011 2012 21013 21014 21015
  50. 50. What are the ARRA implications to you of the dates for full MU? What are the implications? 2011 2012 2013 2014 2015 100% of incentive 100% of incentive 100% of incentive 60% of incentive 30% of incentive
  51. 51. What are the risks to you of seeking to meet full MU? What are the risks prior to 2016 Probability of passing MU? External risks? Align with your strategy? Meeting your key metrics? PENALTIES After 2016
  52. 52. What is the probability of passing the MU test for full MU? What is the probability of passing MU? Determine by year of test What are Stage 2 requirements What are Stage 3 requirements If the date change If the requirements change Vendor certification Impact of reform Affect on your strategy
  53. 53. What are the external risks to passing the MU test for full MU? What are the External Risks Determine by year of test Vendor Support Regulatory reform Acquisitions by your firm HIT staff shortages Change in Medicare payments Impact of reform Affect on strategy
  54. 54. Does passing the MU test for full MU align with your strategy? How does MU align with your strategy Quality and Safety Culture and Service Centralize Business Support Labor Productivity Supply Cost Revenue Cycle Patient Retention Primary care growth Physician Collaboration Growth
  55. 55. Does passing the MU test for full MU align with your metrics? How does MU align with your metrics Increase culture scores Increase operational excellence Improve customer service Increase clinical quality Increase staff satisfaction Decrease length of stay Decrease waiting times
  56. 56. What HIT projects do you have to do to meet full MU requirements? What’s needed for 2011 Clinical Transformation Standard orders EO Rx Meaningful Use CPOE Eligibility checking upgrades Quality performance Other years should be similar in terms of tasks
  57. 57. What influencers should be considered to meet full MU requirements? What are the Influencers Cost Staffing Other HIS projects Meaningful Use CPOE When can you complete What is the ROI Stage 2 & 3 requirements Other years should be similar in terms of tasks
  58. 58. What costs should be understood to meet full MU requirements? What is the Cost Systems Staffing training Change management Work flow improvement What is the ROI Other years should be similar in terms of tasks
  59. 59. What staffing should be answered to decide meeting full MU requirements? What are staffing needs How many By when? Skill sets Contractors Other years should be similar in terms of tasks
  60. 60. What does meeting full MU requirements do to other projects? What are Non-MU projects What are they Can they be delayed Allocating funds Allocating staff Other years should be similar in terms of tasks
  61. 61. What is the impact of doing CPOE? What is CPOE’s impact Would you do CPOE without MU CPOE is the bulk of work and risk What is chance of success Allocating staff Other years should be similar in terms of tasks
  62. 62. What is the best year to meet MU requirements? When can you complete MU 2011-2013 2014-2015 What is the ROI by year Impact of year on HIT projects Other years should be similar in terms of tasks
  63. 63. What will be the requirements of Stages 2 & 3 with MU? What are Stages 2 & 3 Unknown requirements Unknown cost Unknown risk What is chance of success Other years should be similar in terms of tasks
  64. 64. How do you measure the risk of trying to meet MU? Perform Risk Analysis Determine individual risks Determine their probability Determine their impact Map options by year to risks Develop risk matrix

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