An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR) Barton L....
-
Upload
shana-potter -
Category
Documents
-
view
213 -
download
0
Transcript of An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR) Barton L....
An Update on MUSC Performance in“Meaningful Use”
ofElectronic Health Record (EHR)
Barton L. Sachs, M.D., MBAProfessor of Orthopaedics
Chief Medical Officer (Interim)
• 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
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
Predicted -- Incentive Financial Program (life of program) - MU
MUSC Enterprise Expected $$$ over M.U. program life
Providers (EP) $ 28, 527,500
Hospital (EH) $ 10,461,325
Total $ 38,988,825
Meaningful Use Financial Impact
FY’12 FY’13 FY’14 FY’15 FY’16 FY’17 FY’18 Total $$
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
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
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
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%)
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
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