Getting Started with Meaningful Use: The impact on the professional eligible provider
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Protecting and Promoting the Practice of Good Medicine Getting Started with Meaningful Use: The impact on the professional eligible provider MMIC Health IT Bonnie Strong & Michele Roof
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Getting Started with Meaningful Use: The impact on the professional eligible provider. MMIC Health IT Bonnie Strong & Michele Roof. Our Focus. Introduction to Meaningful Use Defining Eligible Provider Steps You Can Take Now to Prepare. Understanding ARRA. - PowerPoint PPT Presentation
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Protecting and Promoting the Practice of Good Medicine
Getting Started with Meaningful Use: The impact on the professional eligible provider
MMIC Health ITBonnie Strong & Michele Roof
Protecting and Promoting the Practice of Good Medicine
Our Focus
Introduction to Meaningful Use Defining Eligible Provider Steps You Can Take Now to Prepare
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Understanding ARRA
•American Recovery and Reinvestment Act of 2009
•HITECH Act Allocation
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Why Meaningful Use?
1. Widespread Adoption of EHR Systems2. HIE (Health Information Exchange)3. Overall Advancement of HIT4. 5 Key Goals of Meaningful Use5. Quality of Care
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Proposed Definition of Meaningful Use
Meaningful Use Vision: To enable significant and measureable improvements in population health through a transformed health care delivery system.
1. Improve quality, safety, efficiency and
reduce health disparities
2. Engage patients and families
3. Improve care Coordination
4. Ensure Adequate privacy & security protections for PHI
5. Improve population and public health
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Phase 12011
Phase 22013
Phase 32015
3 Stage/Phases of Meaningful Use:
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2011: Phase 1Data capture, basic functions, measure reporting
25 criteria for Eligible Providers to meet stage 1 requirements
First year reporting will be any “continuous 90-Day period
within the payment year”
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Meaningful Use Matrix
2011-2013-2015 Proposed Criteria Matrix.pdf
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2013: Stage 2
Expands on stage 1
Will incorporate
disease management dimensions
Rules are to be proposed in late 2011
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2015: Stage 3
Rules to be Proposed in Late 2013
Population Health and Support for Public Health
Enhanced CDS
Promotes PI
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Medicare / Medicaid Incentive Programs
Two Different Incentive Programs
Practices Can Select Program Year-to-Year
Voluntary Participation
Incentives only available to Eligible Hospitals and Eligible Providers
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The Eligible Professional
Non-Hospital Based
The term “physician” means the doctor of medicine or osteopathy legally authorized to practice medicine and surgery by the State in which he/she performs such function or action.
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Medicare Incentive: What does it mean for me?
First, you must be a “Meaningful User”
Second, incentive amounts are based on amounts equal to percentage of Part B covered charges
2011 Reporting is Subject to Attestation
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Medicare Incentive Payment GridYear Eligible in 2011 Eligible in 2012 Eligible in 2013 Eligible in 2014 Eligible in 2015
2011 $18,000 $0 $0 $0 $0
2012 $12,000 $18,000 $0 $0 $0
2013 $8,000 $12,000 $15,000 $0 $0
2014 $4,000 $8,000 $12,000 $12,000 $0
2015 $2,000 $4,000 $8,000 $8,000 $0
2016 $0 $2,000 $4,000 $4,000 $0
TOTALS $44,000 $44,00 $39,000 $24,000 $0
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Medicaid Incentive: What does it mean for me?
Pediatricians with at least 20 percent Medicaid patient volume, could receive up to $42,500
Other physicians (non-hospital based), with at least 30 percent Medicaid patient volume could receive up to $63,750, over a six year period.
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Medicaid IncentiveYear Eligible in 2011 Eligible in 2012 Eligible in 2013 Eligible in 2014 Eligible in 2015
2011 $21,000 $0 $0 $0 $0
2012 $8,500 $21,000 $0 $0 $0
2013 $8,500 $8,500 $21,000 $0 $0
2014 $8,500 $8,500 $8,500 $21,000 $0
2015 $8,500 $8,500 $8,500 $8,500 $21,000
2016 $8,500 $8,500 $8,500 $8,500 $8,500
2017 $0 $8,500 $8,500 $8,500 $8,500
2018 $0 $0 $8,500 $8,500 $8,500
2019 $0 $0 $0 $8,500 $8,500
2020 $0 $0 $0 $0 $8,500
$63,500 $63,500 $63,500 $63,500 $63,500
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Medicare/Medicaid Incentive Facts:
EP’s Limited to One Program per Year / Practice
Participation tracked by EP NPI
There is No Max Incentive Payment by Practice
Reporting includes all “unique” patients, not just Medicare/Medicaid patient data
Incentive payments end entirely by 2016
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Next Steps / What can your practice do now?AdoptAssess -> Plan-> Select ->
UtilizeImplement -> Effective Use ->
ExchangeReadiness -> Interoperate
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Adopt: Assess – Plan – Select
Properly implement techniques to support effective use:
Adequately plan for, select, and
implement a system
Correctly populate and use that system
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Utilize: Implement – Effective Use
Eprescribing
Participate in your state HIE rollout
Review your vendor plans for getting and
staying certified/qualified
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Exchange: Readiness - Interoperability
Don’t Wait: Start Now!
Meaningful Use will include having
a certified EHR
Information exchange will be
required
Reporting of quality measures will be required
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Top 10 Action Items
1. Review Documentation2. Communication Plan3. Assess Financial Impact4. Assess Technology Infrastructure5. Identify Potential Gaps6. Plan Gap Response/Management7. Determine Reporting Capabilities8. Develop Meaningful Use Roadmap/Timeline9. Implement10. Workflow Optimization
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Final Meaningful Use Notes
The best way to become informed is to read the federal register – or make someone from your practice begin reading this and help to identify what some of the specific measures are going to mean for your practice
Watch for the final rule to be published – tentatively expected for June 2010
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Resources
American Medical Association: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/health-information-technology/hit-resources-activities.shtml
AHIMA: http://www.ahima.org/advocacy/arrahitech.aspx
MN Dept of Health: http://www.health.state.mn.us/e-health/hitech.html
HIMSS: http://www.himss.org/EconomicStimulus/
Health Information Technology: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1325&parentname=CommunityPage&parentid=1&mode=2
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Q/A
www.mmicgroup.comFuture Meaningful Use Webinars to be Announced
