meaningful use tech ama tm

8/6/2019 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



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



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



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



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



$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



Staged/incremental approach



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



Stage 1 Criteria for meaningful use



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



12



©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




Clinical Data Repository

Clinical Documentation

Clinical Decision Support

Computerized Physician Order Entry (CPOE)

E-Prescribing

Financial Information Systems

Patient Communication




Health Information Technology• Electronic health record

• Electronic orders and reporting• Electronic prescribing

• Evidence-based decision support

• Population management registry

• Practice Web site

• Patient portal




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




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




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




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




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




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)




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




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




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.




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



Questions?