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Transcript of Protecting Your Peace of Mind Meaningful Evaluation: Assessments for Meaningful Use Success...
Protecting Your Peace of MindProtecting Your Peace of Mind
Meaningful Evaluation: Assessments for Meaningful Use Success
September 21, 2010
Presented by:Beth Schultz, RN, Implementation ManagerBonnie Strong, Project Manager & Consultant
Protecting Your Peace of MindProtecting Your Peace of Mind
Objectives
EHR Readiness
Purchase Implement
Select Program Assess Criteria
Implement Monitor / Control
Meaningful Use
Protecting Your Peace of MindProtecting Your Peace of Mind
EHR Readiness
Management Considerations– Change Management– Planning Timelines– IT Infrastructure– Budgeting
• Encompassing systems, maintenance, training, productivity
Protecting Your Peace of MindProtecting Your Peace of Mind
EHR Technology
Certified EHR
Purchase? Consult Vendor Upgrade(s)?
Protecting Your Peace of MindProtecting Your Peace of Mind
ImplementingDefine Goals
Workflow
Communication
Training
Testing
Reporting
Protecting Your Peace of MindProtecting Your Peace of Mind
Selecting a Program
Select Program for Reporting
Calculate Incentive Estimate
Identify
Eligibility
Protecting Your Peace of MindProtecting Your Peace of Mind
Selecting a Program
Approved to receive Medicaid Program federal matching funds (as of September 21st 2010)
– 49 states– US Virgin Islands– Puerto Rico– District of Columbia
(http://www.cms.gov/apps/media/press_releases.asp)
Protecting Your Peace of Mind
Selecting a Program
Eligible Professional: Doctors of Medicine or
Osteopathy Doctors of Dental Surgery or
Dental Medicine Doctors of Podiatric Medicine Doctors of Optometry Chiropractors
Eligible Hospital: “Subsection (d) hospitals” in
the 50 states or DC that are paid under the hospital inpatient prospective payment plan;
Critical Access Hospitals (CAHs); and
Medicare Advantage (MA) Hospitals
Note: EPs may not be hospital-based (90% + services performed in inpatient or ER setting)
MEDICARE PROGRAM ELIGIBILITY
Protecting Your Peace of Mind
Selecting a Program
Eligible Professional: Physicians (Pediatricians have
special eligibility and payment rules)
Nurse Practitioners (NPs) Certified Nurse-Midwives (CNMs) Dentists Physician Assistants (PAs) who
provide services in a FQHC or RHC that is led by a PA
Eligible Hospital: Acute care hospitals
(including CAHs) with at least 10% Medicaid patient volume
Children’s hospitals (no Medicaid volume requirements)
Note: EPs may not be hospital-based. EPs must also meet patient volume criteria, providing services to those attributable to Medicaid or, in some cases, needy individuals.
MEDICAID PROGRAM ELIGIBILITY
Protecting Your Peace of MindProtecting Your Peace of Mind
Selecting a Program
Additional Eligibility Requirements
Certified EHR Technology
PECOS EnrollmentNPI
Protecting Your Peace of Mind
Selecting a ProgramMEDICARE INCENTIVE PAYMENT CHART
First Calendar Year in which the EP Receives an Incentive Payment
Calendar Year
2011 2012 2013 2014 2015
2011 $18,000 - - - -
2012 $12,000 $18,000 - - -
2013 $8,000 $12,000 $15,000 - -
2014 $4,000 $8,000 $12,000 $12,000
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 $0 $2,000 $4,000 $4,000 $0
Total $44,000.00 $44,000 $39,000 $24,000 $0
Protecting Your Peace of Mind
Selecting a ProgramMEDICAID INCENTIVE PAYMENT CHART
First Calendar Year in which the EP Qualifies to Receive PaymentCalendar Year
2011 2012 2013 2014 2015 2016
2011 $21,250 - - - - -2012 $8,500 $21,250 - - - -2013 $8,500 $8,500 $21,250 - - -2014 $8,500 $8,500 $8,500 $21,250 - -2015 $8,500 $8,500 $8,500 $8,500 $21,250 -2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,2502017 - $8,500 $8,500 $8,500 $8,500 $8,5002018 - - $8,500 $8,500 $8,500 $8,5002019 - - - $8,500 $8,500 $8,5002020 - - - - $8,500 $8,5002021 - - - - - $8,500Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750
Protecting Your Peace of MindProtecting Your Peace of Mind
Selecting a Program: Toolkit
Provider Type
Administrative Requirements
Patient Volume/Allowed Amts
Recommended Program
Protecting Your Peace of MindProtecting Your Peace of Mind
Assessments
• EHR• Change
Management
Current State
• Gap Analysis• Implementation
Plan
Core Criteria • Gap Analysis• Select 5• Implementation
Plan
Menu Criteria
Protecting Your Peace of MindProtecting Your Peace of Mind
Patient Demographics
Record patient demographics
(sex, race, ethnicity, date of birth, preferred language, and in
the case of hospitals, date
and preliminary cause of death in the event of
mortality)
•Measure: •More than 50% of patient’s
demographic data recorded as structured data
•Denominator:•The number of unique patients seen
by the EP or admitted as IP or through ER during the EHR reporting period
•Numerator: •The number of patients in the
denominator who have all the elements of demographics (or a specific exclusion if the patient declines to provide one or more elements) recorded as structured data
Begins on pg 44340 of Federal RegisterHelpful Link: http://www.whitehouse.gov/omb/inforeg_statpolicy/#dr
Protecting Your Peace of MindProtecting Your Peace of Mind
Vital Signs
Record vital signs and
chart changes (height,
weight, blood pressure,
body-mass-index, growth
charts for children)
•Measure: •More than 50% of patients 2 years of
age or older have height, weight, and blood pressure recorded as structured data
•Denominator:•The number of unique patients age 2
or older seen by the EP or admitted as IP or through ER during the EHR reporting period
•Numerator: •The number of patients in the
denominator who have at least one entry of their height, weight and blood pressure recorded as structured data
Begins on pg 44342 of Federal Register
Protecting Your Peace of MindProtecting Your Peace of Mind
Assess Results
Validate Criteria Management Considerations– Change Management– Planning Timelines– IT Infrastructure– Budgeting
• Encompassing systems, maintenance, training, productivity
Protecting Your Peace of MindProtecting Your Peace of Mind
Monitoring & Reporting
2011?
2012?
Program Enrollment
Monitor /Track
Internal Auditing
Validation Audits
Program Reporting
Protecting Your Peace of MindProtecting Your Peace of Mind
MMIC Meaningful Use Resources
Visit us at: www.mmicgroup.com
Join us for future MU webinars
Future HIPAA Security webinar late fall
Review MU reference material– MU Program Overview and FAQs– MU Core Criteria FAQs– MU Menu Criteria FAQs
Protecting Your Peace of MindProtecting Your Peace of Mind
MMIC Meaningful Use Services
Contact MMIC Health IT for:– EHR Incentive Program Eligibility Assessment– EHR Gap Analysis and Summary Report
Services– Meaningful Use Roadmap and Project Planning
Contact Information:– Beth Schultz, Implementation Manager – [email protected]– 952-838-6854
Protecting Your Peace of MindProtecting Your Peace of Mind
Helpful Websites
http://www.cms.gov/EHRIncentivePrograms/
http://healthit.hhs.gov
Additional Questions/Support? Contact: [email protected]