An Update on MUSC Performance in“Meaningful Use”
ofElectronic Health Record (EHR)
Barton L. Sachs, M.D., MBAProfessor of Orthopaedics
Chief Medical Officer (Interim)
• Goal By 2016: – 90% physicians will be using robust EHR– 70% hospitals will be using a comprehensive EHR
Meaningful Use – Govt Incentive Program to Adopt & Use IT in Healthcare
Meaningful Use – Gov’t Incentive Program to Adopt & Use IT in Healthcare
• Stage 1 focused on the adoption and implementation of health IT and the capture of critical, structured data elements
• Stage 2 to advance clinical processes for continuous quality improvement
• Stage 3 to advance quality outcomes. 3
Predicted -- Incentive Financial Program (life of program) - MU
MUSC Enterprise Expected $$$ over M.U. program life
Providers (EP) $ 28, 527,500
Hospital (EH) $ 10,461,325
Total $ 38,988,825
Meaningful Use Financial Impact
FY’12 FY’13 FY’14 FY’15 FY’16 FY’17 FY’18 Total $$
actual actual expect expect expect expect expect Program Life
EP $ 3,591 $ 5,343 $ 5,248 $ 5,005 $ 3,773 $ 3,040 $ 1,989 $ 28,740
EH $ 2,900 $ 4,183 $ 1,978 $ 931 $ 466 -- -- $ 10,460
total $ 6,491 $ 9,526 $ 7,225 $ 5,937 $4,239 $ 3,040 $ 1,989 $ 39,200
Financial $$$ x 1,000Total $$$ accrual thru FY’ 2013 = $ 16,017,000
Meaningful UseIncentives Available for MUSC
Total Expected over life of Program*
$ Expected Fiscal Year
2013
Cash $$ Received
(03/28/13)Providers $ 28,527,500 $ 4,818,750 $ 3,591,250Hospital $ 10,461,325 $ 2,615,331 $ 2,900,000Total $ 38,988,825 $ 7,434,081 $ 6,491,250
6* 2011-21 Providers; 4 years Hospital
87.3% of expected
Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013
• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13
Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013– $ 4,183,862 (to be accrued for FY’13)
• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13– Current cash payment: $ 3,591,250 (65.9%)– 203 physicians valued at $ 5,452,000 (113%)
Challenges for 2013 and beyond• Epic (inpatient go live July 2014)– Most effective and efficient approach to MU– Training for Epic and MU at same time – Enables an enterprise wide approach to MU– Enable build of comprehensive complex measures
portfolio addressing multiple programs• But… – Tight timeline
• FY 2014 reporting (90 day): July 1, 2014 – Sept 30, 2014• FY 2015 reporting (365 day): October 1, 2014 – Sept 30, 2015
– Will require incorporation of MU in Epic training
Challenges for 2013 and beyond• Federal Government “Sequestration” – Medicare payments will be reduced by 2% as a
result of sequestration. – Medicaid payments are exempt from
sequestration
Thank YouThank You