Meaningful Use

Presentation for

Fall Faculty Meeting

October 24, 2014

History

Established the

Office of the

National Coordinato

r for Health

Information

Technology (ONC)

History

• 2009 American Recovery and Reinvestment Act (ARRA) was passed which included the Health Information Technology for Economic and Clinical Health Act (HITECH Act)

• Provides for incentive payments for “meaningful use” of certified technology by eligible hospitals and providers

• For GHS that includes the Greenville, Patewood, Greer, and Hillcrest hospitals

Meaningful Use Defined

Meaningful use is using certified electronic health record (EHR) technology to:• Improve quality, safety, efficiency, and reduce

health disparities• Engage patients and family• Improve care coordination, and population and

public health• Maintain privacy and security of patient health

information

Goals

• Better clinical outcomes• Improved population health outcomes• Increased transparency and efficiency• Empowered individuals• More robust research data on health systems

Stages

• Stage 1 – Data capture and sharing• Implemented at GHS in 2011 and continued in 2012• Goal was implementation of an electronic health

record for data capture and sharing• 14 Core and 5 Menu Objectives had to be met. Ex.

– Using CPOE for medication orders– Lab results available online– Ability to gather demographic and clinical data– Send immunization data to state

2014

• Stage 2 – Advance Clinical Processes• 16 Menu and 3 of 6 Core Objectives• Higher thresholds from stage 1 for measures

such as CPOE• New measures that include medication

reconciliation, patient portal, electronic communication between providers

Stage 3

• Goal is now to improve outcomes using the data we have collected and shared

• Continue to engage patients more fully in their care

• CMS will let us know within a couple of years what the measures will be

Why are we doing this?

• Number 1 reason is to improve patient care and outcomes with more reliable and usable data

• Under the HITECH Act we are also offered monetary incentives to help offset the cost of implementation

• Non-participation will result in penalties beginning in 2015 and growing with each year taken from our Medicare payments

What do you and your students need to know?

• Education modules were developed this year and published to the Soarian News website.

• These describes the processes needed for the nurse, unit secretary, and physician to follow to help us achieve Meaningful Use.

• There are 3 modules for clinical staff as well as PowerPoint presentations from pharmacy on the medication reconciliation project

• Throughout the year, managers will be given feedback on how well they are meeting goals in their facilities