Post on 02-Dec-2014
description
Healthcare IT Strategy
Healthcare IT Strategypaulroemer@healthcareitstrategy.com
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Hi, I’m Paul
Thank you for coming
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This final rule implements the provisions of the American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating in Medicare and Medicaid programs that adopt and successfully demonstrate meaningful use of certified electronic health record (EHR) technology. This final rule specifies—the initial criteria EPs, eligible hospitals, and CAHs must meet in order to qualify for an incentive payment; calculation of the incentive payment amounts; payment adjustments under Medicare for covered professional services and inpatient hospital services provided by EPs, eligible hospitals and CAHs failing to demonstrate meaningful use of certified EHR technology; and other program participation requirements. Also, the Office of the National Coordinator for Health Information Technology (ONC) will be issuing a closely related final rule that specifies the Secretary’s adoption of an initial set of standards, implementation, specifications, and certification criteria for electronic health records. ONC has also issued a separate final rule on the establishment of certification programs for health information technology.
MU Final Rule: 1 of 800
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Notes? Up to you
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3 points to answer:
• What’s up with EHR?
•Should you meet MU?
•What if there was no MU?
Healthcare IT Strategy
EHR , MU, ICD-10 reform, RHIOs, RECs, & N-HIN,
are allcomplicated
EHR , MU, ICD-10 reform, RHIOs, RECs, &
N-HIN, are all complicated
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
8
Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIOEHR & MU are not
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Why do you buy a drill?
Because you can’t buy holes
Why buy an EHR?
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Why did you buy your EHR?
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Write down your answer…
Remember it, you will need it later
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
What’s the elephant in the room?
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Meaningful
Yoose
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Meaningful
YooseWhat is the answer?
15
Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
MU final rule Wordle
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
2 conflicting provider models
yours
Nationalhealthcare
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
MU office (slaughter h
ouse)
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Is there merit in holding out?
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Are all provider businesses all the same?
NO!
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Pick a number between 1 and 6,000
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Now I will pick a number…
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
How far away is your number from mine
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
…CMS writes MU final rule
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
How far away is your organization from that target?
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Write down your answer…
Remember it, you will need it later
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Write down your answer…
Remember it, you will need it later
Expand your thinking
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Keep the focus on you…
28
Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Color outside the lines…
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”PA CIO
Where are my stoneTablets?
ONC
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
ONC…we’re listening…
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Healthcare IT
The heavy lifting is just beginning.
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
ARRA moneyGood Luck
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
What if there were noMeaningful Use?
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
We’re listening… Why buy a drill?
Because you need a hole.
Healthcare IT Strategy
Should you try to meet Meaningful Use?
Healthcare IT Strategy
paulroemer@healthcareitstrategy.com
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Does Meaningful Use work for You?
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Does meeting MU align with your business strategy?
“Meeting Meaningful Use just for the ARRA
money is like having a baby just for the tax
refund.”
PA CIO
Does Meaningful Use work for you?
• The CMS created a decision point. You must weigh meeting Meaningful Use.
Meet Meaningful Use
Do NOT meet Meaningful Use
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Meeting Meaningful Use kicks off a chain reaction
• What if MU changes after you are committed to as strategy?
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What might your options be?
• Fortunately, there are several options to evaluate.
Full MU
Delay meeting MU
Phased MU
???
??
NO MU
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What should your MU Strategy be?
• You must decide how to define how to quantify your
strategy for MU.
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Why is this decision critical?
• External influencers will squeeze your Business and HIT
strategy.
MU
PROVIDER
Reform
Why is this decision critical?• You need to ascertain where to place
each option
Why is this decision critical?• Once the nose of the camel gets under the tent…
The camel wants to get all the way in. The government is moving towards a national healthcare business model.
You have your own model.
Do they complement one another or conflict?
More is unknown than known• What is unknown cannot be controlled
N-HINChange requirement
s
Standards
No leaderPlan B?
Reform
HIE
Date Change
How do we plan your HIT strategy?
• What are the influencers and inputs?
YourHIS
Strategy
Meaningful Use Decision
Text
HIT platform
Tie to HIT strategy
Your Strategic Plan
HIT initiatives
Align to Reform
Strategic GAPS
MU options
Should you attempt to meet Meaningful Use and
why?
Do you meet MU
Yes
No
Should you attempt to meet Meaningful Use and why?
Do you meet MU
Yes
Full MU
Partial
By what date
What Option
By When
No What’s the plan
If Full MU, what is the best date for you to meet it?
Full MU By what date
2011
2012
21013
21014
21015
What are the ARRA implications to you of the dates for full MU?
What are the implications?
2011
2012
2013
2014
2015
100% of incentive
100% of incentive
100% of incentive
60% of incentive
30% of incentive
What are the risks to you of seeking to meet full MU?
What are the risks prior to 2016
Probability of passing MU?
External risks?
Align with your strategy?
Meeting your key metrics?
PENALTIESAfter 2016
What is the probability of passing the MU test for full
MU?
What is the probability of passing MU?
Determine by year of test
What are Stage 2
requirements
What are Stage 3
requirements
If the date change
If the requirements
change
Vendor certification
Impact of reform
Affect on your strategy
What are the external risks to passing the MU test for full
MU?
What are the External Risks
Determine by year of test
Vendor Support
Regulatory reform
Acquisitions by your firm
HIT staff shortages
Change in Medicare payments
Impact of reform
Affect on strategy
Does passing the MU test for full MU align with your strategy?
How does MU align with your strategy
Quality and Safety
Culture and Service
Centralize Business Support
Labor Productivity
Supply Cost
Revenue Cycle
Patient Retention
Primary care growth
Physician Collaboration
Growth
Does passing the MU test for full MU align with your metrics?
How does MU align with your metrics
Increase culture scores
Increase operational excellence
Improve customer service
Increase clinical quality
Increase staff
satisfaction
Decrease length of
stay
Decrease waiting times
What HIT projects do you have to do to meet full MU requirements?
What’s needed for 2011
Clinical Transformatio
n
Standard orders
EO Rx
Meaningful Use CPOE
Eligibility checking
upgrades
Quality performance
Other years should be similar in terms of tasks
What influencers should be considered
to meet full MU requirements?
What are the Influencers
Cost
Staffing
Other HIS projects
Meaningful Use CPOE
When can you complete
What is the ROI
Stage 2 & 3 requirements
Other years should be similar in terms of tasks
What costs should be understood to meet full MU
requirements?
What is the Cost
Systems
Staffing
training
Change management
Work flow improvement
What is the ROI
Other years should be similar in terms of tasks
What staffing should be answered to decide meeting full MU requirements?
What are staffing needs
How many
By when?
Skill sets
Contractors
Other years should be similar in terms of tasks
What does meeting full MU requirements do to other projects?
What are Non-MU projects
What are they
Can they be delayed
Allocating funds
Allocating staff
Other years should be similar in terms of tasks
What is the impact of doing CPOE?
What is CPOE’s impact
Would you do CPOE without
MU
CPOE is the bulk of work
and risk
What is chance of success
Allocating staff
Other years should be similar in terms of tasks
What is the best year to meet MU requirements?
When can you complete MU
2011-2013
2014-2015
What is the ROI by year
Impact of year on HIT projects
Other years should be similar in terms of tasks
What will be the requirements of Stages 2 & 3 with MU?
What are Stages 2 & 3
Unknown requirements
Unknown cost
Unknown risk
What is chance of success
Other years should be similar in terms of tasks
How do you measure the risk of trying to meet MU?
Perform Risk Analysis
Determine individual
risks
Determine their
probability
Determine their impact
Map options by year to
risks
Develop risk matrix