meaningful use tech ama tm

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Meaningful use of technology tosupport patient-centered careMeaningful use of technology tosupport patient-centered care

January 14, 20101:00 p.m. EST

January 14, 20101:00 p.m. EST

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Objectives• After this webinar, participants will be able to…

• Understand Federal financial incentives fortechnology adoption

• Describe technology components that supportHealth IT meaningful use within a practice

• (EHRs, Registries, ePrescribing, Patient Portal,Personal Health Record)

• Articulate the effect of the meaningful use of

technologies on improving patient care processes,enhancing clinical outcomes and promoting patientand practice safety

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CMS Notice of Proposed Rule Makingfor EHR Incentive Program

NPRM specifies

• eligibility requirements for professionals andhospitals

• criteria for Stage 1 meaningful use

• reporting methodology and timeframes

• eligibility rules

• payment periods

• payment calculations/procedures for Medicare &Medicaid

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Goals of meaningful use

• improve quality; safety, efficiency

• reduce health care disparities

• engage patients and their families; improvecare coordination

• improve population and public health andensure adequate privacy and securityprotections

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3%2017+

2%2016

1%2015

$24,000$4,000$8,000$12,0002014

$39,000$4,000$8,000$12,000$15,0002013

$44,000$2,000$4,000$8,000$12,000$18,0002012

$44,000$0$2,000$4,000$8,000$12,000$18,0002011

TOTAL201620152014201320122011

PFSpenalty

Maximum paymentAdoptionyear

Medicare incentives

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$5,667$6,667 in Years 2-6 for pediatricians with aminimum 20 percent patient volume, but lessthan 30 percent patient volume, Medicaidpatients

$42,500

$14,167$16,667 in Year 1 for pediatricians with aminimum 20 percent patient volume, but lessthan 30 percent patient volume, Medicaid

patients

$8,500$10,000 in Years 2-6 for most professionals$63,750

$21,250$25,000 in Year 1 for most professionals

MaximumCumulative

Incentive over6-year Period

85 percentAllowed for

EligibleProfessionals

Cap on Net Average Allowable Costs,per the HITECH Act

Medicaid incentives

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Staged/incremental approach

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Staging linked to incentives

Stage 3---------------------2015+*

Stage 3Stage 1---------------2014

Stage 3Stage 2Stage 1----------2013

Stage 3Stage 2Stage 1Stage 1-----2012

Stage 3Stage 2Stage 2Stage 1Stage 12011

2015+**2014201320122011

Payment YearFirstPayment

Year

*Avoids payment adjustments only for EPs in the Medicare EHR Incentive Program.** Stage 3 criteria of meaningful use or a subsequent update to the criteria if one is established

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Stage 1 Criteria for meaningful use

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Meaningful use summary

• EPs

• 25 Objectives and Measures

• 8 Measures require ‘Yes’ or ‘No’ as structured data

• 17 Measures require numerator and denominator

• Reporting Period – 90 days for first year; oneyear subsequently

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12

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©2009 TransforMED13

PCMHImprove:

Safety

Quality outcomes

Practice efficiency

Care management & coordination

Engage patients and family

Improve population health

Increase provider, staff and patientsatisfaction

Decrease healthcare costs

ARRAImprove:

Safety

Quality

Efficiencies

Care coordination

Engage patients & family

Improve population health

Reduce health disparities

Ensure privacy & security

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©2009 TransforMED14

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©2009 TransforMED15

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©2009 TransforMED16

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©2009 TransforMED17

Clinical Data Repository

Clinical Documentation

Clinical Decision Support

Computerized Physician Order Entry (CPOE)

E-Prescribing

Financial Information Systems

Patient Communication

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©2009 TransforMED18

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©2009 TransforMED19

Health Information Technology• Electronic health record

• Electronic orders and reporting• Electronic prescribing

• Evidence-based decision support

• Population management registry

• Practice Web site

• Patient portal

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©2009 TransforMED20

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©2009 TransforMED21

Patient demographics

Record and chart vital signs Updated problem list of current & active diagnoses

Maintains an active medication list – prescribed and overthe counter

Maintains a list of current medication allergies

Records lab results

Documents progress notes for each encounter

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©2009 TransforMED22

Provides error checking for duplicate or incorrect doses or

tests Permits drug-drug, drug-allergy, & drug-formulary checks

Generates & transmits permissible electronic prescriptions

Improves posting of charges

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©2009 TransforMED23

Point of care decision support & information

Generate lists of patients with specific conditions, onspecific medications, in need of specific preventiveservices or who demonstrate specific health risk

behaviors (smoking, etc.) Provide reminders for evidence-based diagnosis and

treatment processes

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©2009 TransforMED24

Provide:

Clinical summaries to patients for each visit Patient specific education resources

Medication reconciliation at relevant encounters andcare transitions

Exchange meaningful information with health providersand team members in the practice & in the healthcarecommunity

Health Information Exchange

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©2009 TransforMED25

Send reminders to patients for follow-up and

preventive care Exchange self-management information from patient to

provider

Provide timely access to personal health information

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©2009 TransforMED26

Check insurance eligibility from private and public payers

Submit claims electronically Reporting of ambulatory care measures to CMS & states

as required as well as data for immunization registries &public health surveillance data

Protect healthcare information (privacy and security)

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©2009 TransforMED27

Provides information about:

◦ Practice policies & procedures◦ Forms & data needed from patients and their family

members

◦ Contacting the practice

◦ Providers and the care team

◦ Outcome and satisfaction data

◦ Recognition status

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©2009 TransforMED28

PCMH and ARRA are highly compatible and support

each other in the goals to improve healthcare deliveryand outcomes

HIT “meaningful use” implementation will be successfulwith “meaningful” practice transformation

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©2009 TransforMED29

Mission: The transformation of health care delivery toachieve optimal patient care, professional satisfaction,and success of primary care practices.

Assist practices and help transform them to patient-

centered high performing practices.

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©2009 TransforMED30

Terry McGeeney, MD, MBATerry McGeeney, MD, MBA

President and CEO, TransforMEDPresident and CEO, TransforMED

913913--906906--63386338

tmcgeeney@transformed.comtmcgeeney@transformed.com

www.transformed.com/mhiqwww.transformed.com/mhiq

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Questions?