Arizona’s Health IT Initiatives: An Update on the REC, HIE & More

Page 1Advancing health and wellness through information technology

Arizona’s Health IT Initiatives: An Update on the REC, HIE

& More

ATIC Public Meeting

September 21, 2011


Agenda

• Introduction

• Meaningful Use & EHR Incentive Programs

• Arizona REC, EHR Adoption & HIE

• Provider Collaboration- Next Steps for Success

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Health IT: A Big Pill to Swallow…

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…But We Can Get There!

LabsAmbulatory

Offices, Rural Health

(A)-Primary Care

Inpatient Care Hospitals, CAH

Pharmacy

Emergency

Extensive Arizona Healthcare Ecosystem Today

Ambulatory Offices, Rural

Health (B)-Specialist

Consumers

Medicaid, Medicare,

Commercial Plans

Connected viaPhone, Fax, Referral Letters,

Couriers -- Paper

Where are Patient Records --- Today?

In a Cabinet at the Physician

Office or Hospital?

At a Storage Facility?

Inside a Courier’s

Van?

Chart-holder Outside an Exam-room

Door?

In a Briefcase

?

At the Pharmacy?

At a Clinical Laboratory or Imaging

Center?Within Billing

and Diagnosis Codes at Insurance

Plans?


Health (Primary Care)

Inpatient Care Hospitals

Electronically Connected Arizona Health Care Ecosystem


Health (Specialists)

Consumers

Business Associates Agreement Pharmacy

Medicaid, Medicare,

Commercial Plans

Labs

State & Local HIEEffectively Transforming the system via Electronic

Technology

Health Information Exchange (HIE)+

Electronic Health Records (EHR)_____________________________Increasing Quality of Care &

Decreasing Health Care Costs


Arizona Health-e Connection (AzHeC)

exists to

Convene, Coordinate and Communicate

for Health Information Infrastructure

improvements that affect every Arizonan


AzHeC Governance Structure and Strategic Direction

Information Clearinghouse

Arizona Health-eConnection Board

Arizona Health-e Connection Staff

Per

man

ent A

dditional

Governor’s OfficeAHCCCSADHSAzHHAArMAAOMA GITA

Health Plans/InsurersEmployers

HospitalsPharmacy

Clinical LabsHigher Education

Medical Trading AreasAt-Large Seats

Policy Development

Support for HII Development


Meaningful Use & the EHR Incentive Programs

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Conceptual Approach to Meaningful Use


Notable Differences Between the Medicare & Medicaid EHR Programs

Medicare MedicaidFederal Government will implement (will be an option nationally)

Voluntary for States to implement (may not be an option in every State)

Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use

No Medicaid payment reductions

Must demonstrate MU in Year 1 Adopt/Implement/ or Upgrade option for 1st participation year

Maximum incentive is $44,000 for EPs (bonus for EPs in Health Provider Shortage Areas)

Maximum incentive is $63,750 for EPs (bonus for EPs in Health Provider Shortage Areas)

MU definition is common for Medicare States can adopt certain additional requirements for MU

Last year a provider may initiate program is 2014; Last year to register is 2016; Payment adjustments begin in 2015.

Last year a provider may initiate program is 2016; Last year to register is 2016

Only physicians, subsection (d) hospitals and CAHs

5 types of EPs, acute care hospitals (including CAHs) and children’s hospitals


Incentive Payments for Medicare Eligible Professionals (EPs)

First Calendar Year (CY) for which the EP receives an Incentive Payment


Incentive Payments for Medicaid Eligible Professionals (EPs)

First Calendar Year (CY) for which the EP receives an Incentive Payment


Medicare & Medicaid Programs: Current Stats

• Over 90,000 providers and hospitals registered for the Medicare and Medicaid

• Over $652 million paid to date

• Estimated that $500 million to Arizona providers and hospitals over program lifespan


AHCCCS EHR Incentive Program

• Registration site open (www.azepip.gov)– Working through common registration issues

• Data mismatches• AHCCCS EFT not set-up• Misc. other items Attestation opens next week

– Attestation to open in October– Payments distributed within approx. 90 days

• More resources coming soon!

• Contact: [email protected]

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Arizona Regional Extension Center, EHR Adoption & HIE

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Arizona’s Trusted, Unbiased Health IT and Meaningful Use Resource

Goal: Assist providers in becoming Meaningful Users of Certified EHR solutions.

1,958 PPCPs to MU by April 2014

What is the REC?

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Collaborative Effort within Arizona


Who Endorses the REC?

Endorsing Organizations – Continues to Grow!

20

Health Information Network of Arizona


Outreach Success to Date

As of Sept. 21, 2011: 1,484 PPCPs Signed Up

Goal = 1,958


New REC Websitewww.arizonarec.org


Key HIT Collaborations


HIE Updates

• Health Information Network of Arizona (HINAz)– Kick-Off September 27, 2011– Operations to begin thereafter

• State HIE Cooperative Agreement Program – Program now resides in ASET office, within ADOA– HIE Consultants selected (Advances in

Management- AIM)– AIM currently interviewing healthcare stakeholders– Updated state HIE operational plan this fall– RFP released Nov/Dec, awards made early 2012

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Provider Collaboration: Next Steps for Success

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Provider Collaboration

• Provider Outreach & Education is Key

• REC Opportunities– Over 1500 provider members– Discussion boards, blogs, wikis– Connecting providers to one another

• Health Information Sharing– Health information exchange– Direct Project– Other opportunities


Key Links & Resources

• Arizona Regional Extension Centerwww.arizonarec.org

• Provider Interest Form www.arizonarec.org/?page=interest_form

• AHCCCS HIT Webpage www.azahcccs.gov/HIT/• AHCCCS ePIP Site www.azepip.gov • CMS EHR Incentive Program

www.cms.gov/EHRIncentivePrograms/


Arizona’s Point of Coordinationwww.azhec.org

www.arizonarec.org

Melissa Rutala, MPH

Chief Executive Officer

602-288-5130 / [email protected]

Arizona’s Health IT Initiatives: An Update on the REC, HIE & More

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