The document outlines the Health Information Technology for Economic and Clinical Health (HITECH) Act, detailing qualifications and incentives for healthcare providers adopting electronic health records (EHR). Eligible professionals can receive substantial financial incentives, such as up to $44,000 for Medicare and up to $63,750 for Medicaid, based on the percentage of Medicaid patients seen. It also discusses the stages of 'Meaningful Use' requirements and necessary measures to qualify for these incentives.

1. Sponsored by:

2. Barbara Brownlee, Electronic Medical Records Specialist, MxSecure With MxSecure since 2006 30 years in healthcare 17 years Sales and Marketing experience BS in Medical Technology, Medical College of Georgia

3. HITECH Act What is it? Who qualifies? What are the incentives? What do Professionals need to do to qualify? Introduction to MxSecure’s solution

4. Part of the American Recovery and Reinvestment Act Incentives to encourage Professionals and hospitals to utilize EHR technology Incentives in the form of payments to “Eligible Professionals” and hospitals that see Medicare/Medicaid patients Focus on Eligible Professionals

5. Medicare: MD, DO, DDS, DPM, OD, DC Does not include hospital-based Professionals Incentives are up to $44,000 per provider Medicaid: Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC Incentives up to $63,750 Must see 30% Medicaid patients Pediatricians qualify at 20% Pick one program only—you may switch one time

6. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 2013 2014 2015+ 2011 $18,000 - - - - 2012 $12,000 $18,000 - - - 2013 $8,000 $12,000 $15,000 - - 2014 $4,000 $8,000 $12,000 $12,000 - 2015 $2,000 $4,000 $8,000 $8,000 $0 2016 $0 $2,000 $4,000 $4,000 $0 2017 $0 $0 $0 $0 $0 Total Incentives $44,000 $44,000 $39,000 $24,000 $0

7. Based on Part B FFS claims Applies only to services furnished by EP Professional components only 75% of submitted allowable charges EPs in Health Provider Shortage Area earn an additional 10%

8. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 Repeated through 2017 2011 $21,250 - - 2012 $8,500 $21,250 - 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 years 2-6 2015 $8,500 $8,500 2016 $8,500 $8,500 2017 - $8,500 Total Incentives $63,750 $63,750 $63,750

9. Incentive amount based on what CMS has identified as the “net allowable cost” of purchasing, implementing and maintaining an EHR system Per CMS, the cost alone is $54,000 Maximum payment is $63,750 At least 30% of your patient encounters for the reporting period must be Medicaid Pediatricians qualify at 20%

10. Certified EHR Meaningful Use Electronic prescribing Share date electronically Submit clinical reports

11. 12/30/09: Notice of Proposed Rule Making 556 pages 3/15/10: 60 day comment period expires 5/10/10: Final Ruling expected Gives us more details defining “ meaningful use”

12. STAGE 1 2011 and 2012 STAGE 2 2013 and 2014 STAGE 3 2015 You only need to meet the Stage 1 requirements in your first year, regardless of when that is. However, in your second year, you must meet the requirements for the Stage assigned to that payment year.

13. For Medicare Eligible Professionals, the first payment year begins 1/1/2011 and is based on a calendar year (hospitals are being paid using the federal fiscal year) For Medicaid Eligible Professionals, the first payment year can begin as early as 2010 if you are in the process of implementing an EHR already

14. First year: any continuous 90-day period within the payment year Example: January 1-March 31, 2011 Second year onward: entire payment year Example: January 1 – December 31, 2012

15. National Provider Identifier Single data repository to track identification Medicare – CMS Medicaid - States

16. Objective Measurement for EPs CPOE 80% of all orders Drug-drug, drug-allergy, drug formulary checking All capabilities enabled Generate and transmit e-Rx 75% of permissible prescriptions Maintain active medication & allergy list 80% of patients seen have at least one entry or indication of “none” Maintain up-to-date problem list 80% of patients seen have at least one entry of indication of “none” Record specific demographic data 80% of patients seen: gender, race, ethnicity, DOB, preferred language and insurance data Record and update vital signs 80% of patients 2+ years have BP & BMI; growth chart for ages 2-20

17. Objective Measurement for EPs Record smoking status 80% of patients seen over age 13 Incorporate laboratory test results into EHR 50% of results that can be expressed numerically or as positive/negative stored as structured data Generate list of patients with specific conditions Generate at least one report Report quality measures to CMS and States 2011: capture required data electronically and provide aggregate date by attestation; 2012 and beyond: submit electronically Send reminders for preventative/follow up care Send reminders per patient preference to 50% of patients age 50+

18. Objective Measurement for EPs Implement clinical decision support rules related to clinical priority; track compliance Implement five rules and track compliance Check insurance eligibility Check eligibility for 80% of patients seen Submit claims electronically File 80% of claims electronically Provide patients with health information upon request 80% of patients who make the request receive it within 48 hours: test results, problem and med lists, allergies Provide patients with discharge summaries N/A; applies to hospitals Provide patients with clinical summaries Clinical summaries provided for 80% of office visits

19. Objective Measurement for EPs Provide timely access to new test results 10% of patients seen receive access to test results within 96 hours of provider’s receipt Exchange meaningful clinical information with care team Perform one test of capability to exchange key clinical data Perform medication reconciliation Provide at 80% of encounters and care transitions Provide summary records at transitions in care and referrals Provide summary care record for 80% of transitions and referrals Information to immunization registries submitted electronically Capability to submit data to immunization registries; submission where required and accepted

20. Objective Measurement for EPs Submit reportable lab results to public health agencies Perform at least one test of submission; only one test per EHR within a group practice Electronic reporting of syndromic surveillance data Capability to submit data; actual submission where possible Protect security and confidentiality Conduct or review a security risk analysis and implement updates as necessary

21. Overview of HITECH Act Update on Meaningful Use Criteria Stage 1

22. For more information contact: Barbara Brownlee [email_address] 888.580.1010-Toll Free 480.776.8933-Direct Source: Title XIII of the American Recovery and Investment Act of 2009 www.hhs.org