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Rural Kentucky Medical Scholarship Fund Funding Proposal for EHR Survey 1 2 Incentive Qualifications Not be hospital-based Demonstrate “meaningful use” of a certified EHR Medicaid Incentive Qualifications Treat a patient population, of which at least 30% receive Medicaid – 20% for pediatricians Medicare Incentive Qualifications Claim either 75% of Medicare Part B billings or the maximum allowable incentive ($44,000 based on Part B billings) * Note: The LEAST amount will be reimbursed 3 EMR vs. EHR Electronic Medical Records Electronic Health Records The legal record of the Care Delivery Organization (CDO) A record of clinical services for patient encounters in a CDO Systems are sold by vendors and installed by hospitals, etc. Owned by the CDO May not contain other encounter information Closer to traditional Medical Record Subset of information from various CDOs Example: Continuity of Care Record, shared labs, pharmacy, radiology, medical Community, state, or regional (RHIOs) – nationwide goals Owned by patient or stakeholder Patient-centered, provides interactive patient access. 4 INTEROPERABLE Meaningful Use Requirements for 2011 Physician practices implement CCHIT-certified EMR Participation in an Information Exchange Electronically prescribe prescriptions Use Computerized Physician Order Entry (CPOE) for all orders, even if electronic interfaces with receiving entities are not available. Must be able to check insurance eligibility electronically from public and private payers, and submit claims electronically. 6 Meaningful Use Requirements for 2011 Patients must receive timely electronic access to their health information, including lab results, medications Must generate patient lists by specific conditions for quality improvement, reduction of disparities Quality reporting participation Physicians must implement one clinical decision rule relevant to specialty or high clinical priority Must record patient smoking status and advance directives Must maintain an up-to-date list of current and active diagnoses based on ICD-9 or SNOMED 7 Meaningful Use Quality Measures Required for 2011 % Diabetics with A1c under control % Hypertensive patients with BP under control % patients with LDL under control % of smokers offered smoking cessation counseling % of patients with recording BMI % of surgical patients who received VTE prophylaxis % of order entered directly by physicians through CPOE Use of high-risk medications in the elderly % of females over 50 receiving annual mammogram % of patients at high-risk for cardiac events on aspirin prophylaxis % eligible patients who received flu vaccine % lab results incorporated into EHR in coded format % of patients over 50 with annual colorectal cancer screenings Stratify reports by gender, insurance, type, primary language, race, and ethnicity. 8 Thank You Questions?