August 29, 2010
TechMed Summit 2010: “Get Ready for Success in Health IT”
November 10th, 2010HIT Session – Day 1
Presented by:Paula J. Magnanti, MT(ASCP)Founder & Managing PrincipalStrategic Healthcare Solutions
AGENDA
• Welcome & Introductions
• Strategic Healthcare Solutions
• The National Healthcare Landscape
• The Healthcare Echo System
• The Final Rules: Overview of Meaningful Use & HITECH Act
• Meaningful Use: The Next Steps
• What are the Regional Extension Centers?
• Next Steps
Healthcare national landscape effecting healthcare IT
August 29, 2010
Welcome Introductions & Networking
DATALINK HEALTHCARE PRACTICE
Go-To-Market: Strategic Project
HDS Healthcare & Life Sciences
The National Healthcare Landscape
Strategy Formulation
September 2nd, 2010
August 29, 2010
Healthcare national landscape effecting healthcare IT
Paula J. Magnanti, MT(ASCP) Founder & Managing PrincipalBiography
Strategic Healthcare Solutions (SHS) is a New England-based healthcare consulting firm providing services for clients in electronic health records, heath information management, healthcare IT, health & wellness services organizations, physician practices, retail pharmacies, long-term care, pharmaceutical, public health, consulting, and market research. We specialize in delivering strategic business solutions servicing clients from small start-ups to large healthcare organizations looking to rapidly increase market development, or to strengthen and enhance the connection and collaboration of health information management through IT.
Ms. Magnanti is the founder and managing Principal of Strategic Healthcare Solutions. As a strategic thinker and healthcare consultant, she has brought more than 20 years of executive leadership experience in managing client project engagements to healthcare organizations, private corporations and nonprofit associations by evaluating and responding to emerging healthcare IT market trends and government policy initiatives.
Locally, In New England she has also been invited to serve on the Healthcare Advisory boards for the New England Chapter of HIMSS, New England Council, the Massachusetts Technology Leadership Council, the Mass Health Data Consortium’s EHR Forum, and the Hartford CIO Forum's Executive Advisory Council.
For her dedication to the HIMSS community over the past ten years, Ms. Magnanti has been bestowed and honored with the following recognition awards; “2009 NEHIMSS 10 Year Board of Excellence Recognition Award”, “May 2007 Spirit of HIMSS Award”, nominated in 2006 for the HIMSS Chapter Leader of the Year Award and was awarded the “2005 NE HIMSS Board Recognition Award”.
DATALINK HEALTHCARE PRACTICE
Go-To-Market: Strategic Project
HDS Healthcare & Life Sciences
The National Healthcare Landscape
Strategy Formulation
September 2nd, 2010
August 29, 2010
Healthcare national landscape effecting healthcare IT
Paula J. Magnanti, MT(ASCP) Founder & Managing PrincipalBiography
Ms. Magnanti earned a Bachelor of Science degree in Medical Laboratory Science with honors from Northeastern University. She is a registered Medical Technologist and board-certified by the American Society of Clinical Pathologists.
(SHS) recent client project engagement involved hiring Ms. Magnanti as an Independent Consultant assuming the role as a dedicated partner and Healthcare Advisor for a medical grade document management, electronic health records (EHR) and personal health records (PHR) company for physician practices, prior to that she was hired in an executive leadership role as the Northeast Regional Director of healthcare delivery for a document management services company specializing in processing health information management. In this role she was responsible for launching their entire products and services in the Northeast--including overseeing market development, strategic development along with all marketing and sales efforts, and client relations. In addition, prior to that, Ms. Magnanti was hired as a consultant assuming the role as a Healthcare Advisor for a start-up enterprise access security software company. Before that, Paula was hired on consulting project acting in the role as the Vice President of Strategic Development for a start-up Internet Healthcare Company that specialized in customized web sites for physician practices.
Prior to founding Strategic Healthcare Solutions, she was Senior Manager of Strategic Partnering at Bizland, an Internet start-up that provides web services for small businesses & Fortune 500 companies. Before that, she was Director of Sales & marketing at Psyche Systems, a developer of Laboratory Information Systems for the hospital market, and prior to that, she worked for Corporate Software & Technology as the Vendor Manager for Sybase.
August 29, 2010
Healthcare national landscape effecting healthcare IT
Government Initiatives: The Healthcare Echo System
DATALINK HEALTHCARE PRACTICE
Go-To-Market: Strategic Project HDS Healthcare & Life Sciences
The National Healthcare Landscape
Strategy Formulation
September 2nd, 2010
August 29, 2010
Healthcare national landscape effecting healthcare IT
The National Healthcare Landscape
November 2nd, 2010
Healthcare national landscape effecting healthcare IT
ARRA
HITECH
HEALTHCARE REFORM
ACO~ACCOUNTABLE CARE ORGANIZATIONS
HIE's, HIO's, RHIO's
REC~REGIONAL EXTENSION CENTERS
The National Healthcare Landscape
MEANINGFUL USE
CCHIT, EHR's, PHR's
BEACON COMMUNITIES
PATIENT-CENTERED MEDICAL HOMES
HIPAA 5010, HIPAA HITECH
ICD10
National Healthcare Legislation
• OBAMA Administration President Barack Obama, ARRA & HITECH Acts 2009
• ONC (Office of the National Coordinator for Health Information Technology)
David Blumenthal, MD, national coordinator for health information technology
• DHHS (Department of Health and Human Services)
Kathleen Sebelius, Department of Health and Human Services Secretary
• CMS (Centers for Medicare & Medicaid Services)
• THE FEDERATION OF AMERICAN HOSPITALS
Who‘s Driving?
Healthcare national landscape effecting healthcare IT
National Healthcare Legislation
• NATIONAL STATEWIDE HIE INITIATIVES
• FEDERAL & STATE MANDATES HITECH/HIPAA
• STATE OF MASSACHUSETTS Governor Deval L. Patrick
Mandated Laws
Massachusetts Hospital CPOE Initiative, 2008, www.masstech.org/ehealth/cpoe.html Massachusetts Chapter 305 of the Acts of 2008
www.mass.gov/legis/laws/seslaw08/sl080305.htm Massachusetts Data Security Laws, Massachusetts 201 CMR 17.00
www.mass.gov/Eoca/docs/idtheft/201CMR1700reg.pdf
Healthcare national landscape effecting healthcare IT
What is ARRA? (American Recovery & Reinvestment Act of 2009)The American Recovery and Reinvestment Act of 2009 (ARRA)
is an economic stimulus bill created to help the United States economy recover from an economic downturn that began in late 2007. Congress enacted ARRA February 17, 2009.
ARRA allocates $787 billion to fund tax cuts and supplements to social welfare programs as well as increased spending for education, health care, infrastructure and the energy sector.
According to ARRA's statement of purpose, it was developed to:• To preserve and create jobs and promote economic recovery. • To assist those most impacted by the recession. • To provide investments needed to increase economic efficiency by spurring technological
advances in science and health. • To invest in transportation, environmental protection, and other infrastructure that will provide
long-term economic benefits. • To stabilize State and local government budgets, in order to minimize and avoid reductions in
essential services and counterproductive state and local tax increases.
source: http://www.hhs.gov/recovery/
Healthcare national landscape effecting healthcare IT
August 29, 2010
Healthcare national landscape effecting healthcare IT
Where Your Money Is Going? $787 billion
source: http://www.hhs.gov/recovery/
August 29, 2010
Healthcare national landscape effecting healthcare IT
for Economic and Clinical Health Act?
HITECH Act: What is Health Information Technology
The Health Information Technology for Economic and Clinical Health Act (HITECH Act) legislation created to stimulate the adoption of electronic health records (EHR) and supporting technology in the United States.
President Obama signed HITECH into law on February 17, 2009 as part of the American Recovery and Reinvestment Act of 2009 (ARRA), an economic stimulus bill.
The HITECH act stipulates that, beginning in 2011, healthcare providers will be offered financial incentives for demonstrating meaningful use of electronic health records (EHR).
Incentives will be offered until 2015, after which time penalties may be levied for failing to demonstrate such use. The Act also establishes grants for training centers for the personnel required to support a health IT infrastructure.
source: http://www.hhs.gov/recovery/
August 29, 2010
Healthcare national landscape effecting healthcare IT
The Health Information Technology for Economic and Clinical Health Act (HITECH)
source: http://www.hhs.gov/recovery/
Regional extension centers
Workforce training
Medicare & Medicaid Incentives and penalties
State grants for health Information exchange
Standards & certificationframework
Privacy & Securityframework
Adoption of EHRs
Meaningful Use of EHRs
Exchange of healthinformation
•Improved individual and population health outcomes•Increased transparency and efficiency•Improved ability to study and improve care delivery
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Jan 4. http://healthcarereform.nejm.org/?p=2669
HITECH Act
Innovation and Research to enhance HIT
What is a Beacon Community?The 15 selected communities will use health IT to connect health care providers, community healthprograms, federal programs and patients and develop new ways of improving quality and efficiency. Each community has set measurable goals for three areas of health system improvement: Quality, Cost-efficiency, and Population health
The 15 Beacon Communities and their awards are• Community Services Council of Tulsa, $12.04 million • Delta Health Alliance in Mississippi, $14.67 million • Eastern Maine Healthcare Systems, $12.75 million• Geisinger Clinic in Danville, Penn., $16.07 million• HealthInsight in Salt Lake City, Utah, $15.79 million• Indiana Health Information Exchange in Indianapolis, $16.01 million • Inland Northwest Health Services in Spokane, Wash., $15.7 million • Louisiana Public Health Institute in New Orleans, $13.53 million• Mayo Clinic Rochester in Minnesota, $12.28 million• Rhode Island Quality Institute, $15.91 million • Rocky Mountain Health Maintenance Organization in Grand Junction, Colo., $11.88 million• Southern Piedmont Community Care Plan in Concord, N.C., $15.91 million• The Regents of the University of California-San Diego, $15.28 million• University of Hawaii at Hilo, $16.09 million• Western New York Clinical Information Exchange in Buffalo, $16.09 million
Healthcare national landscape effecting healthcare IT
What are the Regional Extension Centers (RECs)?
The RECs will support and serve health care providers to help them quickly become adept and meaningful users of electronic health records (EHRs). RECs are designed to make surethat primary care clinicians get the help they need to use EHRs. ONC has funded 60 RECsin virtually every geographic region of the United States to ensure plenty of support to healthcare providers in communities across the country.
Massachusetts Regional Extension Center (REC)
• Massachusetts eHealth Institute: http://www.maehi.org/, $25.6 million
Connecticut's Regional Extension Center (REC)
• eHealthConnecticut: www.ehealthconnecticut.org, was awarded a $5.75 million grant by ONC
source: http://www.mass.gov
Healthcare national landscape effecting healthcare IT
August 29, 2010
Healthcare national landscape effecting healthcare IT
Meaningful Use: The Next Steps
Making Meaning of “Meaningful Use”Improving health and transforming health care
through Meaningful Use of HIT
2009 2011 2013 2015
source: HIT Policy Meaningful Use Workgroup, July 16, 2009
The Final Rule: Meaningful Use WASHINGTON – Federal officials released the final rule on meaningful use Tuesday, July 13th, 2010 which will allow physicians and hospitals to qualify for thousands of dollars in stimulus funding incentives for the adoption of electronic health records. The 864-page final rule, several weeks late from its anticipated delivery before June 21, outlines the specific qualifications providers must meet to achieve the meaningful use of electronic health records.
According to David Blumenthal, MD, national coordinator for health information technology, the final rule differs from the proposed rule issued last January: It allows providers more flexibility in choosing which measures to use for qualifications The proposed rule required doctors to comply with 23 measures, and hospitals 25 measures. The government received more than 2,000 comments on the rule, many of them asking for more flexibility in allowing clinicians to qualify. Blumenthal said the final rule took those comments into account. The final rule requires doctors to comply with a set of 15 core objectives during the first year - or Stage 1- of adoption. Hospitals are required to comply with 14 core objectives. In addition to the core objectives, both hospitals and doctors will have to choose five more objectives from a "menu" of 10, he said. The remaining objectives will be deferred to Stage 2 of adoption.
The final rule also reduced the number of electronic prescriptions a doctor is required to make from 75 percent to 40 percent, Blumenthal said.
Kathleen Sebelius, Department of Health and Human Services Secretary, said the Federation of American Hospitals is an "enthusiastic supporter" of the new rule. The federal government hopes other groups will join them, she said.
Blumenthal, a physician, said he is confident the use of electronic health records will become a core professional competency among physicians, who will eventually lead the way in adoption. Until then, the government will encourage healthcare IT adoption through financial incentives, such as these set up under the meaningful use rule. The government will also supply "shoulder-to-shoulder" support for providers through the regional extension centers.
source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use
Healthcare national landscape effecting healthcare IT
The Final Rule: Meaningful Use Key changes in the final CMS rule include:
Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating meaningful use. The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012. This gives providers latitude to pick their own path toward full EHR implementation and meaningful use.
An objective of providing condition-specific patient education resources for both EPs (eligible providers) and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee.
A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which conforms to the Continuing Extension Act of 2010
CAHs (critical access hospitals) within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid.
source: Healthcaritnews, http://www.healthcareitnews.com/news/flexibility-built-final-rule-meaningful-use
Healthcare national landscape effecting healthcare IT
The Final Rule: Who is Impacted by Meaningful Use?
• ACUTE CARE HOSPITALS
• CAH’s (Critical Access Hospitals)
• PHYSICIANS
• AMBULATORY CARE CENTERS
• COMMUNITY HEALTH CENTERS
• STATE & FEDERAL GOVERNMENT KEY STAKEHOLDERS
• HEALTHCARE INFORMATION TECHNOLOGY EXECUTIVES
Healthcare national landscape effecting healthcare IT
Meaningful Use and Why it matters?
• It’s the standard that doctors and hospitals must achieve to qualify for Medicare and Medicaid incentive payments.
• It’s the federal government’s new roadmap for linking HIT and HIE to healthcare delivery system improvements.
• It will be the central organizing principle for the ongoing work of the Office of National Coordinator, the HIT Policy Committee, and the HIT Standards
Committee
• It will become a dominant consideration for EHR Vendors as they upgrade their products.
Healthcare national landscape effecting healthcare IT
The Final Rule: Meaningful Use Criteria
• Electronic Prescribing (eRX)• Computerized physician order entry (CPOE)• Reporting quality measures• Maintaining lists of a patient’s medical problems, allergies, and
medications• Recording Patient Demographics• Recording and Changes in vital signs• Generating lists of patients with specific conditions for quality
improvements efforts and outreach• Sending reminders to patients for preventative or follow-up care• Following clinical decision support rules
Healthcare national landscape effecting healthcare IT
The Final Rule: Medicare & Medicaid Incentive Schedule
• 2011 - 2016• Maximum Medicare Incentive Per Eligible Professional, $44,000 - Doctors of Medicine and osteopathy - Doctors of dental surgery or medicine - Doctors of podiatric medicine - Doctors of optometry - Chiropractors• Maximum Medicaid Incentive Per Eligible Professional, $63,750 - Physicians - Dentists - Certified Nurse Midwives - Nurse Practitioners, Physician Assistants• Providers may not receive incentives from both Medicare and Medicaid
Healthcare national landscape effecting healthcare IT
The Final Rule: Meaningful Use Timeline for Practices
• January 2011- Medicare/Medicaid registration begins
• April 2011 – Attestation for Medicare begins
• May 2011 – Earliest date for EHR Medicare Incentive payments to begin
• February 2012 – last day for all eligible professionals to register and attest to receive an Incentive payment for CY 2011.
Healthcare national landscape effecting healthcare IT
Meaningful Use Incentives by Adoption Year
Meaningful User 2009 2010 2011 2012 2013 2014 2015 2016
Total Incentive
2011 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000
2012 $ 18,000 $ 12,000 $ 8,000 $ 4,000 $ 2,000 $ 44,000
2013 $ 15,000 $ 12,000 $ 8,000 $ 4,000 $39,000
2014 $ 12,000 $ 8,000 $ 4,000 $ 24,000
2015 + $ Penalties
source: HIT Policy Meaningful Use Workgroup, July 16, 2009
August 29, 2010
Healthcare national landscape effecting healthcare IT
HITECH: An Interoperetta in Three Acts
http://www.youtube.com/watch?v=Gv1s8fM3mMk
August 29, 2010
Healthcare national landscape effecting healthcare IT
Thank You!
Contact Us:
Paula J. Magnanti, MT(ASCP)Founder & Managing Principal
STRATEGIC HEALTHCARE SOLUTIONS
617.852.5564 [email protected]://www.linkedin.com/in/paulajmagnanti
"Your Healthcare Advisor Executive"
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