NIHB REC Update

USET’s Sub-recipientContract covers 9 IHS Areas

ONC Milestone Achievement

Milestone 1: Sign-up with RECOne form per facility

Milestone 2: Go-live on certified EHROne form per facility

Milestone 3: Demonstrate MU for 90 daysOne form per provider

REC Milestones

Update providerlists

Gap analysis usingRPMS and iCarereports

Provide targetedtraining

Identify providersmeeting MU for 90days

Obtain CQM data

M3 Acceleration Plan

March 7: Notice of Proposed Rulemaking(NPRM) released; 60-day comment periodbegan

May 7: NPRM comment period ended Late summer: Final rule will be released

MU Stage 2

First PaymentYear

Payment Year2011 2012 2013 2014 2015

2011 Stage 1 Stage 1 Stage 1 Stage 2 Stage 22012 Stage 1 Stage 1 Stage 2 Stage 22013 Stage 1 Stage 1 Stage 22014 Stage 1 Stage 1

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Task Name I/T/U PAF Start Finish % Complete Resource Names

Grand Traverse Bay Band Family Clinic T Y Mon 9/19/11 Mon 2/25/13

Agreements - e-Prescribing Tue 12/13/11 Mon 5/28/12

Onsite Training #1 Mon 3/14/11 Wed 3/16/11 100% Teresa Chasteen,Cheryl Namtvedt

EHR for CPOE End User Training Thu 3/24/11 Fri 3/25/11 100% Mary Ann Niesen,Cheryl Namtvedt

Onsite Training #2 Mon 5/16/11 Wed 5/18/11 100% Teresa Chasteen,Cheryl Namtvedt

Optimization - Pharmacy Package

Drug File Optimization Mon 9/19/11 Fri 3/2/12 80% Mary Ann Niesen

Quick Orders and Menus Mon 3/5/12 Thu 3/22/12 80% Site Staff, Mary Ann Niesen

Medication Clinical Indication Tue 2/28/12 Tue 2/28/12 100% Mary Ann Niesen

Auto Finish Setup Tue 2/28/12 Tue 2/28/12 100% Mary Ann Niesen

Demo Patient Setup Tue 2/28/12 Tue 2/28/12 100% Mary Ann Niesen

Optimization - Lab Package

Lab Assessment Fri 4/1/11 Thu 4/7/11 100% Pam Spaeth

Lab POC Button Mon 1/3/11 Fri 1/7/11 100% Pam Spaeth

Lab Optimization/Readiness Thu 9/8/11 Thu 9/8/11 100% Pam Spaeth

Reference Lab Interface (Munson) 100% CMI

Setup Mon 12/31/12 Mon 1/14/13

Local Ensemble Configuration 100% Rick Pullen

Site Manager & CAC RPMS/EHR Config.

Production

Go-Live

Project Management – REC Services

USET REC - e-PrescribingSupportBemidji - Facility USET Pharmacy Consultant

Grand Traverse Bay Band Family Clinic Mary Ann Niesen

Nottawaseppi Huron Band of Potawatomi Health Department (Grand Rapids/Pine Creek)

Shelly Foster, Carla Stearle

Bay Mills Tribal Clinic Shelly Foster

Bois Forte Health and Human Services Shelly Foster

Forrest County Potawatomi Health & Wellness Center

Shelly Foster

Stockbridge-Munsee Health and Wellness Shelly Foster

Cass Lake Hospital Shelly Foster

Keweenaw Bay Indian Community Carla Stearle

Nimkee Memorial Wellness Clinic Shelly Foster

Red Cliff Health Center Shelly Foster

Red Lake Hospital Shelly Foster

Sault Ste. Marie Health Services (Manistique/Munising/Sault Tribal Cntr/Health

Shelly Foster

White Earth Service Unit Shelly Foster

Benidji Area Facility - PAF with REC e-Rx Pharmacy Pkg Lab Pkg IT Support CAC Mentorship EHR Set-Up

American Indian Health & Family - Detroit, MI Pam Spaeth, Janna Morris Kelly Samuelson

Bay Mills Health Center Shelly Foster Pam Spaeth Rick Pullen Deborah BurkybileBOIS FORTE HEALTH AND HUMAN SERVICES Shelly Foster Shelly Foster Pam Spaeth Rick PullenCass Lake Hospital Shelly FosterFond du Lac Human Services DivisionForest County Potawatomi Health & Wellness Center Shelly Foster Rick PullenGrand Traverse Band Family Health Clinic Mary Ann Niesen Mary Ann Niesen Pam Spaeth Rick PullenHo-Chunk Nation HealthKeweenaw Bay Indian Community DHHS Carla Stearle Carla Stearle Pam Spaeth Rick PullenManistique Tribal Health Center- Sault Tribe of Chippewa Indians Shelly FosterMunising Tribal Health Center- Sault Tribe of Chippewa Indians Shelly Foster

Ne-Ia-Shing Clinic Pam Spaeth,

JCW Deborah Burkybile

NHBP HEALTH DEPARTMENTShelly Foster, Carla Starle Pam Spaeth Deborah Burkybile

Nimkee Memorial Wellness Center Shelly Foster Pam Spaeth Rick PullenOneida Community Health CenterRed Cliff Community Health Center Shelly Foster Pam SpaethRed Lake Hospital Shelly FosterSault Tribal Health & Human Services Shelly FosterSault Tribal Health Center- Sault Tribe of Chippewa Indians Shelly FosterSokaogon Chippewa Health Clinic Rick PullenSt. Croix Tribal Health Clinic Pam Spaeth Rick Pullen Deborah BurkybileStockbridge-Munsee Health Center Shelly Foster Pam Spaeth Rick Pullen Deborah BurkybileWhite Earth Health Center Shelly Foster American Health Services of Chicago - Chicago, IL Pam Spaeth Kelly Samuelson Deborah Burkybile Bad River Tribal Clinic, WI Pam Spaeth Rick Pullen Gerald L. Ignace Indian Health, WI Pam Spaeth Kelly Samuelson Deborah Burkybile Hannahville Tribal Clinic, MI Pam Spaeth Rick Pullen Lac Courte Oreilles Tribal Clinic, WI Pam Spaeth Rick Pullen Lac Vieux Desert Tribal Clinic, MI Pam Spaeth Little River Band of Ottawa Indians, MI Pam Spaeth Rick Pullen Little Traverse Bay Band of Odawa, MI Pam Spaeth

Workflow Considerations: Patient, Data, StaffFlow

Workflow Templates Office Visit Nursing Lab Medicine Reconciliation (IP & Ambulatory) Referral (Office Visit & Chart Review) Consults (with Office Visit & Without Office Visit) BCMA (Bar Code Medication Administration – Hospitals Only)

Workflow

IZ Exchange Syndromic Surveillance

Master Patient Index (MPI), C32 & NwHIN

Health Information Exchange

SiteMonths_Since_Last_Submittal

CASS LAKE HOSPITAL 0REDLAKE HOSPITAL 0WHITE EARTH HEALTH CENTER 16AIHFS DETROIT MI 25CHICAGO AIHS 0MENOMINEE HEALTH CENTER 24BAY MILLS HEALTH CENTER 8RED CLIFF HEALTH STATION 0

Site Specific/Provider Gap Analysis - based on MUreports (PCC Management Reports, CRS andiCare)

National, Regional & Local Provider/Nurse EndUser Training

Look for training related to EHR & MU

MU Gap Analysis – Provider/NurseEnd-User Training

EHR & MU for HIM EHR for Meaningful Use

EHR Provider/Nurse End User Training EHR Essential Skills for CACs

EHR Essential Skills for CACs EHR Immunization Data Exchange &MU

EHR Lab for Small Sites without aLaboratory Professional

EHR for Outpatient Pharmacy

RCIS Training Basic IT Site Manager Training + EHRSystems Maintenance & Configuration

Vicki French - MUvicki.french@ihs.gov615-467-1578

Byron Jasperbyron.jasper@ihs.gov615-467-1549

Michelle Ruslavage – PM for EHRDeploymentmichelle.ruslavage@ihs.gov615-467-1551

USET- REC Contacts