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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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Clinical Data Repository
Clinical Documentation
Clinical Decision Support
Computerized Physician Order Entry (CPOE)
E-Prescribing
Financial Information Systems
Patient Communication
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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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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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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
[email protected]@transformed.com
www.transformed.com/mhiqwww.transformed.com/mhiq
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Questions?