Transcript Slide 1

What Meaningful Use
Means to Your Practice
Speaker: Abdiel Marin
(Ab-Dee- L)
President & Lead Developer for
EyeMD EMR Healthcare Systems, Inc.
Intro to Meaningful Use
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Meaningful use is real, well funded, and is not going away
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As of 5/31/2012
113,497 EPs & EHs have been reimbursed a total of 5.7 Billion
Dollars: 21.2 Billion is left
1181 Ophthalmologists have been reimbursed
2394 Optometrists have been reimbursed
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You will receive payment 6-8 weeks after attesting
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$44,000 in payments per Medicare provider are available
if you start now
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It is easier for an Ophthalmologist to achieve Meaningful
Use than a Primary Care Physician!
Waiting Will Cost You
Waiting will reduce your Incentive Reimbursement
Penalties will start in 3 Years for MU. E-Rx already
started, PQRS penalties start next year.
The Government expects you to procrastinate.
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Unused MU funds will be deposited into the US Treasury
General Fund, penalties will decrease Medicare’s liabilities.
Waiting Will Cost You
E-Rx Penalties
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1.5% Penalty for 2013 if you did not send at least 10
E-Rx’s by June 30, 2012.
2% Penalty for 2014.
PQRS Penalties
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1.5% Penalty for 2015 if you don’t report PQRS for
2013!
2% Penalty every year after.
Total Penalty per Doctor billing 1mil MCR per year
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2013
2014
2015
2016
2017
2018
Total
Total
Total
Total
Total
Total
Penalty
Penalty
Penalty
Penalty
Penalty
Penalty
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3% + $5,000= $35,000
4% + $15,000
= $55,000
3% + $24,000
= $54,000
4%
= $40,000
5%
= $50,000
7%
= $70,000
Total
= $304,000 per Doctor
EMR Selection is Critical to
Your Success
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Achieving Meaningful Use should be easy and automatic
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MU is a great reimbursement program to help you
modernize your practice, but selecting the wrong
EMR/EHR can easily spoil the incentive.
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An EMR should help streamline your practice, if it hurts it
something is wrong.
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The Meaningful Use Incentive will not offset the costs
associated with selecting the wrong EMR.
DO YOUR DUE DILIGENCE!
How to Select an EMR
Make Sure the EMR is
ONC-ATCB Complete EHR Certified
A Modular Certification will require you to purchase solutions from other
vendors in order to achieve Meaningful Use
Types of EMR Software
Template EMR vs. Specialty EMR
A Template EMR is an EMR that offers you a software structure that you customize
entirely
PROS
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You can customize the system in any way that you like
Multispecialty Clinics can use 1 EMR for all their specialties
CONS
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Difficult & costly to customize
Will require at least 1 year of customizations before you can go live
Will require years of customization before it is perfected
You will likely not benefit from improvements suggested by other practices
Future regulations may have a severe impact on your templates, forcing you to
either redesign them, or modify them to adhere to regulations.
Extracting/Trending data from your EMR will be difficult and costly
You may have to redo your templates after a major software version change
The EMR will not have advanced automations that help to streamline data entry
You will likely not have advanced integrations with Diagnostic Equipment
Vendor is not invested in your specialty, and will likely ignore the specialty if they
feel another specialty is more lucrative.
You will likely not have the resources to perfect & maintain the EMR
Types of EMR Software
Template EMR vs. Specialty EMR
A Specialty EMR is an EMR that was designed specifically and only for your Specialty (Ophthalmology)
PROS
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You will not have to customize the structure of the software
The EMR customization process is reduced by 80% as you will only be customizing settings
specific to your practice
You can go live in 2-3 months, tech savvy practices much sooner
You will benefit from cumulative suggestions from other users
Data can be easily mined for clinical studies & marketing
Data entry can be automated & streamlined for efficiency & functionality
Ophthalmic relevant data is emphasized
Clinicians will feel that the software was designed just for them
Vendor is invested in the specialty, and will pay more attention to your needs.
Vendor will make significant efforts to interface with all Ophthalmic Diagnostic equipment,
some at no cost to you
CONS
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Major structural changes cannot be made by the user
Clinics with Non-Ophthalmology related specialties will likely require a separate EMR
BEWARE OF TEMPLATE EMRs DISGUISED AS A SPECIALTY EMR!
Only a handful of Ophthalmology Specialty EMRs exist
How to Select an EMR
What Really Makes an EMR/EHR Good or Bad
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Is the EMR specifically designed for Ophthalmology?
Does the EMR present relevant clinical visit data in a way
that allows the Ophthalmologist to “eyeball” it quickly &
easily?
Can you customize the system “on the fly”?
Does the EMR include an Imaging System?
If so, can you easily compare multiple images?
Is the quality of the Image Degraded when in the EMR?
Can you create & apply predefined treatment plans?
Does the EMR require minimal clicks/typing?
Does the EMR have a good track record for customer
service?
How to Select an EMR
Do Your Due Diligence
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Find out how many users are live and still using the EMR system, not
their practice management system.
Ask for 2-3 EMR References and call them
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Ask them “Does anyone in your practice have any vested interest with the
Company?”
Ask them “Are you 100% live on the system?”
Ask them “Are you happy with their Customer Service?”
Ask them “Do your support requests get resolved in a timely manner?”
Ask them “If you had to purchase another EMR, would you purchase this EMR
again?”
Get the Doctors and Technicians involved in the Final Selection Process
Be wary of Misleading Sales Demo Techniques
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Require the demonstrator enter all new data for an entire New Patient Visit
Pay attention to how much customization will be required before the EMR can
be useful to your practice
When things appear to happen quickly, ask the demonstrator exactly what
they are doing on the keyboard/mouse
Some EMR demonstrators will prepare windows and minimize them, then pop
them up quickly in an effort to mask the steps necessary to navigate to that
area. Require them to close it and open the same screen again if you are
suspicious of this.
How to Select an EMR
Meaningful Use Features to Look For
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Does the Meaningful Use Measure Calculation Report help
you understand and correct measure specific issues?
How to Select an EMR
Meaningful Use Features to Look For
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Does the EMR have the capability to submit Clinical
Summaries to a cost effective Patient Web Portal?
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If so, how much does it cost and do you need a secure web
server?
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Does the Interface to the Practice Management System
transfer Race, Ethnicity, and Preferred Language to the
EMR?
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Can prescribed medications that originate in the patients
EMR record transfer seamlessly TO the E-Rx solution?
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Does the EMR system gather information from the patient’s
record and only asks relevant questions, or does it require
you to fill out a Long Meaningful Use Questionnaire for each
visit?
Meaningful Use Resources
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Visit www.EyeMDEMR.com and click the link for
the Incentive Resource Center
Here you will find simplified resources specific to
Ophthalmology to help you understand, register, attest,
and achieve Meaningful Use
Here you will also find a copy of this presentation
Thank you for
watching! Please
visit us at our booth
in the Exhibit Hall!
EyeMD EMR is a Certified Complete EMR
designed specifically and only for
Ophthalmology