Meaningful Use and the EHR Incentive Program Tribal Self-Governance Conference.

Meaningful Use and the EHR Incentive Program

Tribal Self-Governance Conference

Why Is MU Important? Do you have full-time medical providers

(physicians, dentists, etc.)?

Do you currently have an EHR or do you plan to implement an EHR?

Do you bill Medicare and/or Medicaid?

Are you interested in improving the quality of patient care, increasing efficiency, and limiting risk?

Are you interested in financial incentives?

EHR Incentive Program The Medicare and Medicaid EHR

Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

Meaningful Use Eligibility Certified EHR Meaningful Use Measures

Implement drug-drug and drug-allergy checks Generate at least one report listing patients with a

specific condition Record smoking status for more than 50% of patients Provide patient-specific education resources for more

than 10% of patients Clinical Quality Measures

Hypertension: Blood Pressure Management Tobacco Use Assessment and Cessation Intervention Influenza Immunization for Adults

Provider Eligibility

Regional Extension CenterThe RECs will support and serve health care providers to help them quickly become adept and meaningful users of EHRs. RECs are designed to make sure that primary care clinicians get the help they need to use EHRs. Provide training and support services to assist

providers in adopting EHRs Offer information and guidance to help with

EHR implementation Provide technical assistance

REC vs Incentive Program

Support providers and hospitals in

achieving MU

Reward providers and hospitals for

achieving MU

Regional Extension Center EHR Incentive Program

Program administered by the Office of the National Coordinator for Health Information Technology (ONC)

Program administered by the Centers for Medicare and Medicaid Services (CMS)

EHR certification rule Meaningful use rule

Eligible Providers

• Physicians (MDs and DOs)• Family Practice• General Practice• Internal Medicine• Obstetrics and Gynecology• Pediatrics• Adolescent Medicine• Geriatrics

• Physician Assistants

• Nurse Practitioners

• Certified Nurse Midwives

• Alaska CHA/Ps


• Medicare EPs• Physicians (MDs and DOs)• Dentists• Podiatrists• Optometrists• Chiropractors• Physician Assistants

• Medicaid EPs• Physicians (MDs and DOs)• Dentists• Certified Nurse Midwives• Nurse Practitioners• Physician Assistants*

Provider Responsibilities

Funding for the REC is dependent upon each

provider achieving each milestone

Incentive payments to EPs/EHs

are dependent upon the EP/EH demonstrating MU

• Register with CMS/State

• Achieve MU

• Attest/submit each year

• Sign up with REC

• Go live with certified EHR

• Achieve MU



ONC CMS

NIHB AI/AN REC EPs/EHs

1. Provider signs up with NIHB AI/AN REC

2. Provider “goes live” with certified EHR

3. Provider achieves meaningful use

IHS

$$$ $$$$$

Maximize Medicare and Medicaid billing 30% Medicaid patient volume for Medicaid

eligibility. Medicare incentives based on Medicare billing.

Capture required data in the EHR Record smoking status for more than 50% of all

unique patients 13 years old or older. Record demographics for more than 50% of all

unique patients (demographics: preferred language, gender, race, ethnicity, and date of birth).

Record vital signs for more than 50% of all unique patients (vital signs: height, weight, and blood pressure).

Preparing for MU

Avoid paper charts and forms Document patient encounters in the EHR

Problem list, medication list, medication allergy list measures:More than 80% of all unique patients seen by the EP have at least one entry or an indication that no [problems/medications/medication allergies] are known/prescribed.

At least 80% of patient records must be in the EHR. Track actions that take place outside the EHR

ePrescribing measure:More than 40% of all permissible medication orders are transmitted electronically using the EHR.

To determine percentage, must know # of orders not transmitted electronically using the EHR.

Preparing for MU

Sign Up with NIHB REC http://nihb.org/rec/rec.php

EHR Incentive Program Registration

EHR Incentive Program Registration Medicare EPs:

Register with CMS

Medicaid EPs: Register with CMS Register with state Medicaid program

Hospitals: Register as dual-eligible

With CMS for Medicare With state Medicaid program for Medicaid

Certified EHR is not required for registration!

Timeline Now – Sign up with the NIHB REC!

Now – Designate a Meaningful Use Coordinator

Anytime – Register for EHR Incentive Program (pending launch of State Medicaid program for Medicaid EPs)

May/June – Install RPMS EHR patches to bring your local EHR up to the certified version.

July 1 – September 30, 2011 – Last 90-day period within FY 2011 for hospitals to demonstrate MU for FY 2011.

October 1 – December 31, 2011 – Last 90-day period within CY 2011 for providers to demonstrate MU for CY 2011.

ContactVicki FrenchUnited South and Eastern [email protected]@ihs.gov

Meaningful Use and the EHR Incentive Program Tribal Self-Governance Conference.

Documents

Transcript of Meaningful Use and the EHR Incentive Program Tribal Self-Governance Conference.