On Meaningful Use

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Healthcare IT Strategy Healthcare IT Strategy [email protected]

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Transcript of On Meaningful Use

Page 1: On Meaningful Use

Healthcare IT Strategy

Healthcare IT [email protected]

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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?

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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.

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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 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?

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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 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…

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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

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.

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Healthcare IT Strategy

Should you try to meet Meaningful Use?

Healthcare IT Strategy

[email protected]

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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

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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

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Why is this decision critical?• You need to ascertain where to place

each option

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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?

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More is unknown than known• What is unknown cannot be controlled

N-HINChange requirement

s

Standards

No leaderPlan B?

Reform

HIE

Date Change

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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

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Should you attempt to meet Meaningful Use and

why?

Do you meet MU

Yes

No

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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

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If Full MU, what is the best date for you to meet it?

Full MU By what date

2011

2012

21013

21014

21015

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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