Hambidge paper power point


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Hambidge paper power point

  1. 1. Dissemination of ElectronicHealth Records and theMeaningful Use StandardsHIMA 5060Bertha Hambidge
  2. 2. The Beginning• The Federal “Stimulus” of 2009 formally know as TheAmerican Recovery and Reinvestment Actincluded the creation of The Health InformationTechnology for Economic and Clinical Health(HITECH)Act which in turn created the Medicareand Medicaid Incentive Payment Programs toimplement Electronic Health Records (EHR)• This agency was to work with the secretary of healthand human services to develop “Meaningful Use”objectives 1
  3. 3. Meaningful Use• EHRs are to be certified by the Office of NationalCoordinator for Health Information Technology(ONC)• Certification is meant to ensure systems are able toperform specific functions such as computerizedphysician order entry• It is also necessary for systems to communicate 2
  4. 4. Main Components1. Use of certified HER in a Meaningful Manner2. Use of certified HER technology forElectronic Exchange of health information toimprove quality of health care3. Use of certified HER technology to submitclinical quality measures (CQM)3
  5. 5. Who can Participate?• This incentive program is for health providers andhospitals• It is either Medicare or Medicaid , incentivepayments can come through only one• Medicare is administered by the federalgovernment. Beginning in 2016 there is a penalty inthe form of reduced payments for those that do notparticipate. Payments are made over a five yearperiod.• Medicaid is administered by participating states, atleast 43 states are participating. It is a one-timepayment2
  6. 6. Why is this Being Done?• To have complete and accurateinformation, better access toinformation and patientempowerment• Meaningful Use standards includeobjectives and clinical qualitymeasures
  7. 7. Progress thus far• Implementing Meaningful Usestandards will occur in three stagesover the next five years• Stage one rules have been adoptedand final proposed rules for stage 2have recently been released
  8. 8. Stage 1 2011-2012• Involves data capture and sharing• Electronically capturing health information in astandardized format.• Using that information to track key clinicalconditions• Communicating that information for carecoordination processes• Initiating the reporting of clinical quality measuresand public health information• Using information to engage patients and theirfamilies in their care2
  9. 9. Stage 2 2014• Advanced clinical processes• More rigorous health information exchange (HIE)• Increased requirements for e-prescribing andincorporating lab results• Electronic transmission of patient care summariesacross multiple settings• More patient-controlled data 2
  10. 10. Stage 3 2016• Improved outcomes• Improving quality, safety, and efficiency, leading toimproved health outcomes• Decision support for national high-priority conditions• Patient access to self-management tools• Access to comprehensive patient data throughpatient-centered HIE• Improving population health 2
  11. 11. Clinical Decision Support (CDS)• CDS has the possibility to bring benefits ofincreasing the value of care and superiorhealth outcomes• Prevention of errors and adverse events• Improved effectiveness, cost-benefit, andpatient support and participation in theirhealth care 4
  12. 12. References1. Blumenthal D, Tavenner M. The "meaningful use" regulation forelectronic health records. N Engl J Med. 2010;363(6):501-504.2. http://www.healthit.gov/policy-researchers-implementers/meaningful-use3.http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/MU_Stage1_ReqOverview.pdf4. http://www.healthit.gov/policy-researchers-implementers/clinical-decision-support-cds