Transcript Economic Stimulus Bill

THE AMERICAN RECOVERY AND
REINVESTMENT ACT OF 2009
AND HEALTH INFORMATION
TECHNOLOGY: ARE WE READY?
Oklahoma Hospital Association
September 1, 2009
Robert H. Roswell, M.D.
Health Information Technology
 $17.2 B for Medicare and Medicaid incentives
for physician and hospital adoption of
electronic health records (EHRs)
 $2B for grants from the Secretary of HHS and
the Office of the National Coordinator for
Health Information Technology (ONCHIT)
Incentive payments for eligible
professionals
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2011
2012
2013
2014
2015
$18,000
$12,000
$8,000
$4,000
$2,000
 Total
$44,000
(plus an additional $4,400 if in a designated health
professional shortage area)
Penalties begin in 2015 if EHR has not been adopted
Failure to adopt EHRs
 Physician Medicare penalties start in
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2015
2015 -- 1% reduction in Medicare fees
2016 – 2% reduction in Medicare fees
2017 – 3% reduction in Medicare fees
HHS may increase penalties after 2017 if
EMR adoption level is unsatisfactory
Medicaid Incentives
 Up to $21,250 for adoption of certified EHR
technology
 Up to $8,500 a year for 5 years for operation
and maintenance
 Total funding cap of $63,750 per eligible
physician (Medicaid patients comprise 30%
of practice; 20% for pediatricians)
Incentive payments for eligible
hospitals
 Base amount ($2M) plus a a discharge-related
payment, adjusted for Medicare share up to $11M
 Year 1
 Year 2
 Year 3
 Year 4
100%
75%
50%
25%
Penalties begin in
2015 for hospitals
not adopting EMRs.
 Beginning in FY 2011 (October 1st, 2010)
“Meaningful Use”: Certified
 New HIT Policy Committee must define initial
certification criteria by December 31st, 2009
 Second draft matrix released July 16th
Meaningful use of certified EHR
technology
 Using a certified EHR technology including
the use of electronic prescribing
 Connected in a manner that provides for
electronic exchange of health information
 Submits information on clinical quality
measures
2011 Hospital Meaningful Use Matrix
 10% of all orders through CPOE
 Implement drug/allergy software
 Problem, medication, and allergy lists
 Demographics, advance directives, vital signs
 Structured lab data, quality measures
 Electronic billing
 Exchange key clinical information among
providers
And we have 13 months to
get it done!
HHS Grant Program: $2 Billion
 Section 3013
 $300M to States or State-designated entities
 Planning and implementation of HIE efforts
State HIE Cooperative
Agreement Program
 FOA released August 20th
 $564 million in funding
 Secretary Terri White designated state
lead
 Public forum held August 14th
 OHCA coordinating application with broad
stakeholder input
State HIE Grant Program
Item to Submit
Date
Letter of Intent
September 11, 2009, by 5:00pm EST
Application
October 16, 2009 by 5:00pm EST
Award Announcements
December 15, 2009
Anticipated Project Start Date
Beginning January 15, 2010
State HIE Grant Program
 Estimated Oklahoma funds $6-10M
 Planning phase cannot exceed 6
months
QUESTIONS OR COMMENTS?