Rural Health Summit June 11, 2010

Meaningful Use 25 proposed objectives & measures for eligible providers 8 ‘yes’ or ‘no’ measures 17 measures require numerator and denominator 23 proposed objectives & measures for hospitals 10 ‘yes’ or ‘no’ measures 13 measures require numerator and denominator Final rule due out in July 2010-nothing final till then

Stages of Meaningful Use

Escalating Requirements of Meaningful Use Stages Criteria 1 • Capture health information in a coded format • Track key clinical conditions • Communicate key clinical condition information for care coordination purposes (structured format whenever feasible) • Implement clinical decisions support tools to facilitate disease and medication management • Report clinical quality measures and public health information 2 Previous stage plus: • Use of health IT for continuous quality improvement at the point of care • Exchange information in the most structured format possible, electronically, including: orders entered using CPOE and Diagnostic test results. 3 Previous two stages plus: • Promote improvements in quality, safety and efficiency • Focus on decisions support for national high priority conditions • Provide patient access to self management tools • Provide access to comprehensive patient data • Improve population health

First Calendar Year in which the EP Receives and Incentive Payment Maximum Total Amount of EHR Incentive Payments for a Medicare Eligible Provider (EP): Calendar Year First Calendar Year in which the EP Receives and Incentive Payment   2015 and subsequent years 2011 2012 2013 2014 $18,000 $12,000 $8,000 $15,000 $4,000 2015 $2,000 2016 $0 TOTAL $44,000 $39,000 $24,000

Health Information Exchange Meaningful Use requires health information exchange... 1 Our team worked with you to understand your needs and... 3 O-HITEC studied the requirement and developed a plan to meet the business needs of our members… Provided you with: Collaborative venue to discuss issues Legal representation to assist with concerns Demonstrations of the tools Communication Materials Sample Policies and Procedures 4 Requirements were converted to goals… 2 Staff participated in National & Regional discussion to define the requirements and create funding opportunities. ...and O-HITEC as a collaboration was able to meet another “meaningful use” requirement. 5 6 6

Health Information Exchange Health Bank or PHR Support Organization State and Local Gov OCHIN, Inc CDC VA FDA DoD SSA Labs Integrated Delivery Systems Regional HIO’s Pharmacies The Internet Standards, Specifications and Agreements for Secure Connections 7

Practice Transformation Space & Office Design Access Design Care Process Design Technology Design Visit Types Financial Modules Identity Shift Web Portal Teams Planned Care Paradigm Shift Population-based Care Evidence-based Culture of Safety Patient Centered Care Adapted from Keynote Address at STFM, Vancouver, BC on April 27, 2010

Practice Transformation Practice Redesign Identity Shift Paradigm Shift