meaningful use & ga-hitrec
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Denise W. Hines, DHA, PMP, FHIMSSDenise W. Hines, DHA, PMP, FHIMSSDirector-Marketing, Education & OutreachDirector-Marketing, Education & OutreachGA-HITRECGA-HITREC877-658-1990877-658-1990HITREC@[email protected]
Meaningful Use & GA-Health Information Technology Regional Extension Center
(GA-HITREC)
1. Re-Establish ONC for HIT to develop rules by 2010 Established 2 Workgroups: Policy & Standards
2. Savings, Quality Care Coordination & Error Reduction 2011-Data Collection and Sharing 2013-Incorporate Data in clinical processes;
measure 2015-Validate improved health outcomes
3. Over $34B allocated to HIT (plus $$billions for CHC, Telecom& Broadband)
State Health Information Exchange (HIE ) 60-70 Regional Extension Centers and HIT
Research Center Medicare and Medicaid Incentive Programs
HITECH ActHITECH Act Health Information Technology for Economic and Clinical Health Act
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1. Improve quality, safety, and efficiency Problem, medication, allergy lists; CPOE; progress notes; e-prescribing; pt
demographics; lab results
2. Engage patients Electronic copy or access for patients to clinical information; educational
sources; clinical summaries
3. Improve care coordination Exchange clinical information among providers; perform medication
reconciliation
4. Reduce health disparities through public/population data sharing Submit electronic data to immunization registries, public health agencies,
syndrome surveillance agencies
5. Ensure privacy and security Compliance with HIPAA, conduct security risk assessments and security updates
Objectives and Examples of 2011 Meaningful Use
Requirements
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Meaningful Use Components:Meaningful Use Components:
1.Use of certified EHR in a meaningful manner (e.g., e-prescribing)
2.Use of certified EHR technology for electronic exchange of health information to improve quality of health care
3.Use of certified EHR technology to submit clinical quality measures(CQM) and other such measures selected by the Secretary
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Eligible Providers (EPs)Eligible HospitalsCriteria Flexibility
15 core measures and 5 of 10 menu of choices
More flexible timeline for implementation and payment
Meaningful Use Stage 1
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Examples of Meaningful Use Criteria
Use CPOEImplement drug-drug, drug-allergy, drug-formulary
checksMaintain an up-to-date problem list of current and
active diagnoses based on ICD-9-CM or SNOMED CT®
Maintain active medication allergy listRecord demographics Record and chart changes in vital signsRecord smoking status for 13 and oldProvide electronic syndromic surveillance dataImplement electronic capability to exchange key
clinical info
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Medicare EPsMedicare EPs
Eligible Professionals (EPs)Eligible Professionals (EPs) Doctor of Medicine or OsteopathyDoctor of Dental Surgery or Dental MedicineDoctor of Podiatric MedicineDoctor of OptometryChiropractor
Eligible HospitalsEligible HospitalsAcute Care Hospitals
Critical Access Hospitals (CAHs)
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MedicaMedicarere
First Calendar Year in which the EP First Calendar Year in which the EP Receives an Incentive PaymentReceives an Incentive Payment
Calendar Year
2011 2012 2013 2014 2015 & Later
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 $2000 $4,000 $4,000 $0
Total $44,000 $44,000 $39,000 $24,000 $0
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Eligible Professionals (EPs)Eligible Professionals (EPs)PhysiciansNurse Practitioners (NPs)Certified Nurse-Midwives (CNMs)DentistsPhysician Assistants
Eligible HospitalsEligible HospitalsAcute Care HospitalsChildren’s Hospitals
Medicaid EPsMedicaid EPs
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MedicaidMedicaid First Calendar Year in which the EP First Calendar Year in which the EP Receives an Incentive PaymentReceives an Incentive Payment
Calendar Year
2011 2012 2013 2014 2015 2016
2011 $21,250
2012 $8,500
$21,250
2013 $8,500
$8,500 $21,250
2014 $8,500
$8,500 $8,500 $21,250
2015 $8,500
$8,500 $8,500 $8,500 $21,250
2016 $8,500
$8,500 $8,500 $8,500 $8,500 $21,250
2017 $8,500 $8,500 $8,500 $8,500 $8,500
2018 $8,500 $8,500 $8,500 $8,500
2019 $8,500 $8,500 $8,500
2020 $8,500 $8,500
2021 $8,500
Total $63,750
$63,750 $63,750 $63,750 $63,750 $63,750
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Hospitals Incentive Facts
HospitalsHospitals- $2million base + discharge - $2million base + discharge incentivesincentives
CAH- payment for reasonable cost of EHRCAH- payment for reasonable cost of EHR
Hospitals- can qualify for payments from Hospitals- can qualify for payments from Medicare and MedicaidMedicare and Medicaid
The Roadmap to Meaningful Use
Georgia Health Information Technology Regional Extension Center
GA-HITREC Funding & 2-Year Objectives$19.5 million to assist providers with
selection, successful implementation, and meaningful use of certified EHR systems$1.5 million – Core Funding$18 million – Direct Assistance
5,200 Priority Primary Care Providers Family Medicine, Internist, OB-GYN, Peds
MD, DO, NP, PA
56 Critical Access Hospitals ($1m)Work Collaboratively with Statewide HIE
($13m)13© Copyright 2010 All Rights Reserved.
GA-HITREC FactsGA-HITREC FactsProvides Support to help providers meet
qualifications for Medicaid and Medicare incentives
NO direct funding to providers
Bulk ($18 mil/5200 ppcp) drawn down per implementation
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GA-HITREC ServicesEducation and Outreach to Providers Meaningful Use Education and TrainingVendor Selection and Group PurchasingEHR Implementation SupportFollow through to Meaningful UseWorkforce Development
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GA-HITREC Goals & ObjectivesGA-HITREC Goals & Objectives
Community-Oriented ApproachCommunity-Oriented ApproachCollaborate with Statewide PartnersCollaborate with Statewide PartnersPatient-Centered Medical Home StandardsPatient-Centered Medical Home Standards Equitable Group Purchasing AgreementsEquitable Group Purchasing AgreementsCompetent Technical TeamsCompetent Technical TeamsWork Collaboratively with State HIE Work Collaboratively with State HIE (GA DCH)(GA DCH)Excellent Quality ServiceExcellent Quality ServiceBuild a National Reputation as a Reliable HIT Build a National Reputation as a Reliable HIT
SourceSource
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Statewide OrganizationStatewide Organization
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Health One Alliance
CHW
CAAP
Tech
Georgia
HYBRiD
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NCPC-MSM
Partnerships
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Partner Organizations
American College of Physicians Georgia Institute of Technology
Coalition of Athens Area Physicians Georgia Medical Care Foundation
Community Health Works Georgia State Medical Association
East Georgia Health Cooperative Georgia Partnership for Telehealth
Georgia Academy of Family Physicians Health One Alliance
Georgia Association of Primary Health Care Hybrid Health IT
Georgia Board of Regents Morehouse Medical Associates
Georgia Department of Community Health MD Tech Pro
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10-Step Roadmap to Meaningful Use10-Step Roadmap to Meaningful Use
1. Provider Sign-Up2. Online Workflow Assessment3. On-site Workflow Verification4. Gap Analysis (“As Is, To Be”)5. EHR Selection, if applicable6. Implementation7. Training and Support8. Go “Live”9. Track Progress Towards Meaningful Use
10. Meaningful Use Certification!
GA-HITREC Current ActivitiesContinuing to build operationsOngoing meetings w/ONC and Extension Centers Participating in public meetings and conferences
with provider groupsGathering Provider AgreementsPlanning for CAH outreach and servicesFinalizing 1st 5 Preferred EHR Vendors for Group
Purchasing Plan
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Top Reasons EHRs are Succeeding 1. Meaningful use (MU) incentives – and future
reimbursement penalties are creating additional reasons to implement EHRs.
2. MU, as defined for the EHR incentive program, eliminates ambiguity about what comprises an inpatient EHR, and provides guidance for implementation.
3. Partly because of the above, vendor products are getting better – finally incorporating all required functionality, with improved ease of use.
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