Robert H. Roswell, M.D. Oklahoma Hospital Association September 1, 2009.
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Transcript of Robert H. Roswell, M.D. Oklahoma Hospital Association September 1, 2009.
Health Information Technology
$17.2 B for Medicare and Medicaid incentives for physician and hospital adoption of electronic health records (EHRs)
$2B for grants from the Secretary of HHS and the Office of the National Coordinator for Health Information Technology (ONCHIT)
Incentive payments for eligible professionals
2011 $18,000 2012 $12,000 2013 $8,000 2014 $4,000 2015 $2,000
Total $44,000
(plus an additional $4,400 if in a designated health professional shortage area)
Penalties begin in 2015 if EHR has not been adopted
Failure to adopt EHRs
Physician Medicare penalties start in 2015
2015 -- 1% reduction in Medicare fees 2016 – 2% reduction in Medicare fees 2017 – 3% reduction in Medicare fees HHS may increase penalties after
2017 if EMR adoption level is unsatisfactory
Medicaid Incentives
Up to $21,250 for adoption of certified EHR technology
Up to $8,500 a year for 5 years for operation and maintenance
Total funding cap of $63,750 per eligible physician (Medicaid patients comprise 30% of practice; 20% for pediatricians)
Incentive payments for eligible hospitals Base amount ($2M) plus a a discharge-
related payment, adjusted for Medicare share up to $11M
Year 1 100% Year 2 75% Year 3 50% Year 4 25%
Beginning in FY 2011 (October 1st, 2010)
Penalties begin in 2015 for hospitals not adopting EMRs.
“Meaningful Use”: Certified
New HIT Policy Committee must define initial certification criteria by December 31st, 2009
Second draft matrix released July 16th
Meaningful use of certified EHR technology
Using a certified EHR technology including the use of electronic prescribing
Connected in a manner that provides for electronic exchange of health information
Submits information on clinical quality measures
2011 Hospital Meaningful Use Matrix
10% of all orders through CPOE Implement drug/allergy software Problem, medication, and allergy lists Demographics, advance directives,
vital signs Structured lab data, quality measures Electronic billing Exchange key clinical information
among providers
HHS Grant Program: $2 Billion
Section 3013
$300M to States or State-designated entities
Planning and implementation of HIE efforts
State HIE Cooperative Agreement Program
FOA released August 20th
$564 million in funding Secretary Terri White designated
state lead Public forum held August 14th
OHCA coordinating application with broad stakeholder input
State HIE Grant Program
Item to Submit Date
Letter of Intent September 11, 2009, by 5:00pm EST
Application October 16, 2009 by 5:00pm EST
Award Announcements December 15, 2009
Anticipated Project Start Date Beginning January 15, 2010