Transcript Choctaw Health Center

Meaningful Use and the
EHR Incentive Program
Tribal Self-Governance Conference
Why Is MU Important?
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Do you have full-time medical providers (physicians,
dentists, etc.)?
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Do you currently have an EHR or do you plan to
implement an EHR?
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Do you bill Medicare and/or Medicaid?
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Are you interested in improving the quality of patient
care, increasing efficiency, and limiting risk?
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Are you interested in financial incentives?
EHR Incentive Program
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The Medicare and Medicaid EHR Incentive
Programs will provide incentive payments to
eligible professionals, eligible hospitals and critical
access hospitals (CAHs) as they adopt, implement,
upgrade or demonstrate meaningful use of
certified EHR technology.
Meaningful Use
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Eligibility
Certified EHR
Meaningful Use Measures
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Implement drug-drug and drug-allergy checks
Generate at least one report listing patients with a specific condition
Record smoking status for more than 50% of patients
Provide patient-specific education resources for more than 10% of
patients
Clinical Quality Measures
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Hypertension: Blood Pressure Management
Tobacco Use Assessment and Cessation Intervention
Influenza Immunization for Adults
Provider Eligibility
Regional Extension Center
The RECs will support and serve health care providers to
help them quickly become adept and meaningful users of
EHRs. RECs are designed to make sure that primary care
clinicians get the help they need to use EHRs.
 Provide training and support services to assist providers
in adopting EHRs
 Offer information and guidance to help with EHR
implementation
 Provide technical assistance
REC vs Incentive Program
Regional Extension Center
EHR Incentive Program
Program administered by the Office of
the National Coordinator for Health
Information Technology (ONC)
Program administered by the Centers
for Medicare and Medicaid Services
(CMS)
EHR certification rule
Meaningful use rule
Support providers
and hospitals in
achieving MU
Reward providers
and hospitals for
achieving MU
Eligible Providers
Regional Extension Center
• Physicians (MDs and DOs)
• Family Practice
• General Practice
• Internal Medicine
• Obstetrics and Gynecology
• Pediatrics
• Adolescent Medicine
• Geriatrics
• Physician Assistants
• Nurse Practitioners
• Certified Nurse Midwives
• Alaska CHA/Ps
EHR Incentive Program
• Medicare EPs
• Physicians (MDs and DOs)
• Dentists
• Podiatrists
• Optometrists
• Chiropractors
• Physician Assistants
• Medicaid EPs
• Physicians (MDs and DOs)
• Dentists
• Certified Nurse Midwives
• Nurse Practitioners
• Physician Assistants*
Provider Responsibilities
Regional Extension Center
EHR Incentive Program
• Sign up with REC
• Register with CMS/State
• Go live with certified EHR
• Achieve MU
• Achieve MU
• Attest/submit each year
Funding for the REC is
dependent upon each provider
achieving each milestone
Incentive payments to EPs/EHs
are dependent upon the EP/EH
demonstrating MU
Regional Extension Center
EHR Incentive Program
ONC
$
NIHB AI/AN REC
CMS
$
IHS
EPs/EHs
1. Provider signs up with NIHB AI/AN REC
2. Provider “goes live” with certified EHR
3. Provider achieves meaningful use
Preparing for MU
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Maximize Medicare and Medicaid billing
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30% Medicaid patient volume for Medicaid eligibility.
Medicare incentives based on Medicare billing.
Capture required data in the EHR
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Record smoking status for more than 50% of all unique patients
13 years old or older.
Record demographics for more than 50% of all unique patients
(demographics: preferred language, gender, race, ethnicity, and
date of birth).
Record vital signs for more than 50% of all unique patients
(vital signs: height, weight, and blood pressure).
Preparing for MU
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Avoid paper charts and forms
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Document patient encounters in the EHR
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Problem list, medication list, medication allergy list measures:
More than 80% of all unique patients seen by the EP
have at least one entry or an indication that no
[problems/medications/medication allergies] are
known/prescribed.
At least 80% of patient records must be in the EHR.
Track actions that take place outside the EHR
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ePrescribing measure:
More than 40% of all permissible medication orders are
transmitted electronically using the EHR.
To determine percentage, must know # of orders not transmitted
electronically using the EHR.
Sign Up with NIHB REC
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http://nihb.org/rec/rec.php
EHR Incentive Program Registration
EHR Incentive Program Registration
EHR Incentive Program Registration
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Medicare EPs:
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Medicaid EPs:
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Register with CMS
Register with CMS
Register with state Medicaid program
Hospitals:
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Register as dual-eligible
 With CMS for Medicare
 With state Medicaid program for Medicaid
Certified EHR is not required for registration!
Timeline
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Now – Sign up with the NIHB REC!
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Now – Designate a Meaningful Use Coordinator
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Anytime – Register for EHR Incentive Program (pending
launch of State Medicaid program for Medicaid EPs)
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May/June – Install RPMS EHR patches to bring your local EHR
up to the certified version.
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July 1 – September 30, 2011 – Last 90-day period within FY
2011 for hospitals to demonstrate MU for FY 2011.
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October 1 – December 31, 2011 – Last 90-day period within
CY 2011 for providers to demonstrate MU for CY 2011.
Contact
Vicki French
United South and Eastern Tribes
615-467-1578
[email protected]
[email protected]