An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR)

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An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR) Barton L. Sachs, M.D., MBA Professor of Orthopaedics Chief Medical Officer (Interim)

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An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR). Barton L. Sachs, M.D., MBA Professor of Orthopaedics Chief Medical Officer (Interim). Meaningful Use – Govt Incentive Program to Adopt & Use IT in Healthcare. Goal  By 2016: - PowerPoint PPT Presentation

Transcript of An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR)

Page 1: An Update on MUSC Performance in “Meaningful  Use”  of Electronic Health Record (EHR)

An Update on MUSC Performance in“Meaningful Use”

ofElectronic Health Record (EHR)

Barton L. Sachs, M.D., MBAProfessor of Orthopaedics

Chief Medical Officer (Interim)

Page 2: An Update on MUSC Performance in “Meaningful  Use”  of Electronic Health Record (EHR)

• Goal By 2016: – 90% physicians will be using robust EHR– 70% hospitals will be using a comprehensive EHR

Meaningful Use – Govt Incentive Program to Adopt & Use IT in Healthcare

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Meaningful Use – Gov’t Incentive Program to Adopt & Use IT in Healthcare

• Stage 1 focused on the adoption and implementation of health IT and the capture of critical, structured data elements

• Stage 2 to advance clinical processes for continuous quality improvement

• Stage 3 to advance quality outcomes. 3

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Predicted -- Incentive Financial Program (life of program) - MU

MUSC Enterprise Expected $$$ over M.U. program life

Providers (EP) $ 28, 527,500

Hospital (EH) $ 10,461,325

Total $ 38,988,825

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Meaningful Use Financial Impact

FY’12 FY’13 FY’14 FY’15 FY’16 FY’17 FY’18 Total $$

actual actual expect expect expect expect expect Program Life

EP $ 3,591 $ 5,343 $ 5,248 $ 5,005 $ 3,773 $ 3,040 $ 1,989 $ 28,740

EH $ 2,900 $ 4,183 $ 1,978 $ 931 $ 466 -- -- $ 10,460

total $ 6,491 $ 9,526 $ 7,225 $ 5,937 $4,239 $ 3,040 $ 1,989 $ 39,200

Financial $$$ x 1,000Total $$$ accrual thru FY’ 2013 = $ 16,017,000

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Meaningful UseIncentives Available for MUSC

Total Expected over life of Program*

$ Expected Fiscal Year

2013

Cash $$ Received

(03/28/13)Providers $ 28,527,500 $ 4,818,750 $ 3,591,250Hospital $ 10,461,325 $ 2,615,331 $ 2,900,000Total $ 38,988,825 $ 7,434,081 $ 6,491,250

6* 2011-21 Providers; 4 years Hospital

87.3% of expected

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Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013

• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13

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Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013– $ 4,183,862 (to be accrued for FY’13)

• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13– Current cash payment: $ 3,591,250 (65.9%)– 203 physicians valued at $ 5,452,000 (113%)

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Challenges for 2013 and beyond• Epic (inpatient go live July 2014)– Most effective and efficient approach to MU– Training for Epic and MU at same time – Enables an enterprise wide approach to MU– Enable build of comprehensive complex measures

portfolio addressing multiple programs• But… – Tight timeline

• FY 2014 reporting (90 day): July 1, 2014 – Sept 30, 2014• FY 2015 reporting (365 day): October 1, 2014 – Sept 30, 2015

– Will require incorporation of MU in Epic training

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Challenges for 2013 and beyond• Federal Government “Sequestration” – Medicare payments will be reduced by 2% as a

result of sequestration. – Medicaid payments are exempt from

sequestration

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