Protecting Your Peace of Mind Meaningful Evaluation: Assessments for Meaningful Use Success September 21, 2010 Presented by: Beth Schultz, RN, Implementation.

Protecting Your Peace of MindProtecting Your Peace of Mind

Meaningful Evaluation: Assessments for Meaningful Use Success

September 21, 2010

Presented by:Beth Schultz, RN, Implementation ManagerBonnie Strong, Project Manager & Consultant


Objectives

EHR Readiness

Purchase Implement

Select Program Assess Criteria

Implement Monitor / Control

Meaningful Use


EHR Readiness

Management Considerations– Change Management– Planning Timelines– IT Infrastructure– Budgeting

• Encompassing systems, maintenance, training, productivity


EHR Technology

Certified EHR

Purchase? Consult Vendor Upgrade(s)?


ImplementingDefine Goals

Workflow

Communication

Training

Testing

Reporting


Selecting a Program

Select Program for Reporting

Calculate Incentive Estimate

Identify

Eligibility


Selecting a Program

Medicar

e

Medicaid


Selecting a Program

Approved to receive Medicaid Program federal matching funds (as of September 21st 2010)

– 49 states– US Virgin Islands– Puerto Rico– District of Columbia

(http://www.cms.gov/apps/media/press_releases.asp)

http://www.cms.gov/apps/media/press_releases.asp

Protecting Your Peace of Mind

Selecting a Program

Eligible Professional: Doctors of Medicine or

Osteopathy Doctors of Dental Surgery or

Dental Medicine Doctors of Podiatric Medicine Doctors of Optometry Chiropractors

Eligible Hospital: “Subsection (d) hospitals” in

the 50 states or DC that are paid under the hospital inpatient prospective payment plan;

Critical Access Hospitals (CAHs); and

Medicare Advantage (MA) Hospitals

Note: EPs may not be hospital-based (90% + services performed in inpatient or ER setting)

MEDICARE PROGRAM ELIGIBILITY


Selecting a Program

Eligible Professional: Physicians (Pediatricians have

special eligibility and payment rules)

Nurse Practitioners (NPs) Certified Nurse-Midwives (CNMs) Dentists Physician Assistants (PAs) who

provide services in a FQHC or RHC that is led by a PA

Eligible Hospital: Acute care hospitals

(including CAHs) with at least 10% Medicaid patient volume

Children’s hospitals (no Medicaid volume requirements)

Note: EPs may not be hospital-based. EPs must also meet patient volume criteria, providing services to those attributable to Medicaid or, in some cases, needy individuals.

MEDICAID PROGRAM ELIGIBILITY


Selecting a Program

Additional Eligibility Requirements

Certified EHR Technology

PECOS EnrollmentNPI


Selecting a ProgramMEDICARE INCENTIVE PAYMENT CHART

First Calendar Year in which the EP Receives an Incentive Payment

Calendar Year

2011 2012 2013 2014 2015

2011 $18,000 - - - -

2012 $12,000 $18,000 - - -

2013 $8,000 $12,000 $15,000 - -

2014 $4,000 $8,000 $12,000 $12,000

2015 $2,000 $4,000 $8,000 $8,000 $0

2016 $0 $2,000 $4,000 $4,000 $0

Total $44,000.00 $44,000 $39,000 $24,000 $0


Selecting a ProgramMEDICAID INCENTIVE PAYMENT CHART

First Calendar Year in which the EP Qualifies to Receive PaymentCalendar Year

2011 2012 2013 2014 2015 2016

2011 $21,250 - - - - -2012 $8,500 $21,250 - - - -2013 $8,500 $8,500 $21,250 - - -2014 $8,500 $8,500 $8,500 $21,250 - -2015 $8,500 $8,500 $8,500 $8,500 $21,250 -2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,2502017 - $8,500 $8,500 $8,500 $8,500 $8,5002018 - - $8,500 $8,500 $8,500 $8,5002019 - - - $8,500 $8,500 $8,5002020 - - - - $8,500 $8,5002021 - - - - - $8,500Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750


Selecting a Program: Toolkit

Provider Type

Administrative Requirements

Patient Volume/Allowed Amts

Recommended Program


Program Selection Toolkit


Program Selection Report


Assessments

• EHR• Change

Management

Current State

• Gap Analysis• Implementation

Plan

Core Criteria • Gap Analysis• Select 5• Implementation

Plan

Menu Criteria


Patient Demographics

Record patient demographics

(sex, race, ethnicity, date of birth, preferred language, and in

the case of hospitals, date

and preliminary cause of death in the event of

mortality)

•Measure: •More than 50% of patient’s

demographic data recorded as structured data

•Denominator:•The number of unique patients seen

by the EP or admitted as IP or through ER during the EHR reporting period

•Numerator: •The number of patients in the

denominator who have all the elements of demographics (or a specific exclusion if the patient declines to provide one or more elements) recorded as structured data

Begins on pg 44340 of Federal RegisterHelpful Link: http://www.whitehouse.gov/omb/inforeg_statpolicy/#dr

http://www.whitehouse.gov/omb/inforeg_statpolicy/#dr


Vital Signs

Record vital signs and

chart changes (height,

weight, blood pressure,

body-mass-index, growth

charts for children)

•Measure: •More than 50% of patients 2 years of

age or older have height, weight, and blood pressure recorded as structured data

•Denominator:•The number of unique patients age 2

or older seen by the EP or admitted as IP or through ER during the EHR reporting period

•Numerator: •The number of patients in the

denominator who have at least one entry of their height, weight and blood pressure recorded as structured data

Begins on pg 44342 of Federal Register


MMIC Gap Analysis


Gap Analysis Report


Assess Results

Validate Criteria Management Considerations– Change Management– Planning Timelines– IT Infrastructure– Budgeting

• Encompassing systems, maintenance, training, productivity


Monitoring & Reporting

2011?

2012?

Program Enrollment

Monitor /Track

Internal Auditing

Validation Audits

Program Reporting


MMIC Meaningful Use Resources

Visit us at: www.mmicgroup.com

Join us for future MU webinars

Future HIPAA Security webinar late fall

Review MU reference material– MU Program Overview and FAQs– MU Core Criteria FAQs– MU Menu Criteria FAQs

http://www.mmicgroup.com/


MMIC Meaningful Use Services

Contact MMIC Health IT for:– EHR Incentive Program Eligibility Assessment– EHR Gap Analysis and Summary Report

Services– Meaningful Use Roadmap and Project Planning

Contact Information:– Beth Schultz, Implementation Manager – [email protected]– 952-838-6854

mailto:[email protected]


Helpful Websites

http://www.cms.gov/EHRIncentivePrograms/

http://healthit.hhs.gov

Additional Questions/Support? Contact: [email protected]

http://www.cms.gov/EHRIncentivePrograms/

http://healthit.hhs.gov/portal/server.pt?CommunityID=2998&spaceID=42&parentname=&control=SetCommunity&parentid=&in_hi_userid=12059&PageID=0&space=CommunityPage

mailto:[email protected]

Protecting Your Peace of Mind Meaningful Evaluation: Assessments for Meaningful Use Success September 21, 2010 Presented by: Beth Schultz, RN, Implementation.

Documents

program medicaremedicaid

productivity slide

program eligible professional

medicaid volume requirements

doctors of medicine

pa eligible hospital

special eligibility

incentive estimate