Georgia Medicaid EHR Incentive Program Presented by: Tracy Sims Georgia Department of Community Health, Division of Health Information Technology Date: August 21, 2012

What’s Next? MIP payments through July 2012 Stage 1 Meaningful Use Core and Menu Objectives Clinical Quality Measures Reporting Periods “Concierge Service”

Successful Attestation Payments through July 2012 –Eligible Hospitals: 94 $ 54,132, –Eligible Professionals: 896$18,891, – Total: $ 73,023,384.99

Georgia Paid Eligible Hospitals ADVENTIST HEALTH SYSTEM GEORGIA, INC ∙ BROOKS COUNTY HOSPITAL ∙CANDLER HOSPITAL, INC ∙CARTERSVILLE MEDICAL CENTER LLC ∙ CHARLTON MEMORIAL HOSPITAL ∙CHATUGE REGIONAL HOSPITAL INC ∙CLINCH COUNTY HOSPITAL AUTHORITY ∙ COBB HOSPITAL ∙COLISEUM MEDICAL CENTER, LLC ∙COLQUITT REGIONAL MEDICAL CENTER ∙COLUMBIA POLK GENERAL HOSPITAL, INC CRAWFORD LONG HOSPITAL ∙DOCTORS HOSPITAL OF AUGUSTA LLC ∙DOCTORS HOSPITAL, INC ∙DODGE COUNTY HOSPITAL AUTHORITY ∙DOUGLAS HOSPITAL, INC ∙EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC ∙EHCA EASTSIDE LLC ∙ELBERT MEMORIAL HOSPITAL ∙EMANUEL COUNTY HOSPITAL AUTHORITY ∙ EMORY-ADVENTIST INC ∙EVANS MEMORIAL HOSPITAL, INC ∙ FAIRVIEW PARK, LIMITED PARTNERSHIP ∙ FAYETTE COMMUNITY HOSPITAL, INC ∙ FLOYD HEALTHCARE MANAGEMENT INC ∙ GRADY GENERAL HOSPITAL ∙ GRADY MEMORIAL HOSPITAL CORPORATION ∙ GWINNETT HOSPITAL SYSTEM, INC ∙ HEALTHMONT OF GEORGIA INC ∙ HOSPITAL AUTHORITY OF BEN HILL ∙ HOSPITAL AUTHORITY OF CALHOUN COUNTY ∙ HOSPITAL AUTHORITY OF CANDLER COUNTY ∙ HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA ∙ HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE ∙ HOSPITAL AUTHORITY OF MITCHELL COUNTY ∙ HOSPITAL AUTHORITY OF RANDOLPH COUNTY ∙ HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI ∙ HOSPITAL AUTHORITY OF WASHINGTON COUNTY ∙ HOSPITAL AUTHORITY OF WILKES COUNTY ∙ IRWIN COUNTY HOSPITAL ∙ JOHN D ARCHBOLD MEMORIAL HOSPITAL, INC ∙ KENNESTONE HOSPITAL, INC ∙ LOWER OCONEE COMMUNITY HOSPITAL, INC ∙ MACON COUNTY MEDICAL CENTER, INC ∙ MACON NORTHSIDE HOSPITAL, LLC ∙ MCG HEALTH INC ∙ MEADOWS REGIONAL MEDICAL CENTER INC ∙ MEDICAL CENTER, INC ∙ MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY ∙ NORTH FULTON MEDICAL CENTER, INC ∙ NORTHEAST GEORGIA MEDICAL CENTER, INC ∙ OCONEE REGIONAL MEDICAL CENTER, INC ∙ PALMYRA PARK HOSPITAL, INC ∙ PAULDING MEDICAL CENTER, INC ∙ PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC ∙ PHOEBE WORTH MEDICAL CENTER, INC ∙ PIEDMONT MOUNTAINSIDE HOSPITAL, INC ∙ PUTNAM GENERAL HOSPITAL ∙ REDMOND PARK HOSPITAL, LLC ∙ RESTORATION HEALTHCARE OF COMMERCE, LLC ∙ SAINT JOSEPH'S HOSPITAL, INC ∙ SCOTTISH RITE CHILDREN'S MEDICAL CENTER ∙ SOUTHERN HEALTH CORP OF ELLIJAY ∙ SOUTHERN HEALTH CORPORATION OF DAHLONEGA INC ∙ ST MARY'S HEALTH CARE SYSTEM, INC ∙ STATESBORO HMA INC ∙ STEPHENS COUNTY HOSPITAL AUTHORITY ∙ TANNER MEDICAL CENTER, INC ∙ TENET HEALTH SYSTEM GB, INC ∙ TENET HEALTHSYSTEM SPALDING, INC ∙ TENET SOUTH FULTON, INC ∙ THE COBB FOUNDATION, INC ∙ THE HOSPITAL AUTHORITY OF MILLER COUNTY ∙ THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA ∙ TMC/VILLA RICA HOSPITAL, INC ∙ TY COBB HEALTHCARE SYSTEM ∙ UNION COUNTY HOSPITAL AUTHORITY ∙ UPSON COUNTY HOSPITAL INC ∙ WEST GEORGIA MEDICAL CENTER, INC

Stage 1 Meaningful Use Capture Electronically capturing health information in a standardized format Track Using that information to track key clinical conditions Communicate Communicating that information for care coordination processes Report Initiating the reporting of clinical quality measures and public health information Engage Using information to engage patients and their families in their care

Meaningful Use Requirements: Hospitals Stage 1 - Objectives and Associated Measures – § 495.6(f) - Eligible hospitals must complete 14 core objectives, including: Report hospital clinical quality measures to CMS or, in the case of Medicaid eligible hospitals, the states – 15 Clinical Quality Measures § 495.6(g) - Five objectives out of 10 from menu set

Clinical Quality Measures CQMs are a mechanism for assessing observations, treatment, processes, experience, and/or outcomes of patient care Two measures target emergency department throughput processes Seven address the care of patients with stroke Six address the care of patients with venous thrombo-embolism – Guidance/Legislation/EHRIncentivePrograms/downloads/CQM Hospitals_2012_02_02.pdfhttps:// Guidance/Legislation/EHRIncentivePrograms/downloads/CQM Hospitals_2012_02_02.pdf

MU: Clinical Quality Measures 1.Emergency Department Throughput –admitted patients Median time from ED arrival to ED departure for admitted patients 2.Emergency Department Throughput –admitted patients –Admission decision time to ED departure time for admitted patients 3.Ischemic stroke –Discharge on anti-thrombotics 4.Ischemic stroke –Anticoagulation for A-fib/flutter 5.Ischemic stroke –Thrombolytic therapy for patients arriving within 2 hours of symptom onset 6.Ischemic or hemorrhagic stroke –Antithrombotic therapy by day 2 7.Ischemic stroke –Discharge on statins 8.Ischemic or hemorrhagic stroke –Stroke education 9.Ischemic or hemorrhagic stroke –Rehabilitation assessment 10.VTE prophylaxis within 24 hours of arrival 11.Intensive Care Unit VTE prophylaxis 12.Anticoagulation overlap therapy 13.Platelet monitoring on unfractionatedheparin 14.VTE discharge instructions 15.Incidence of potentially preventable VTE

Hospitals–10 Menu Objectives 1.Drug-formulary checks 2.Record advanced directives for patients 65 years or older 3.Incorporate clinical lab test results as structured data 4.Generate lists of patients by specific conditions 5.Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate 6.Medication reconciliation 7.Summary of care record for each transition of care/referrals 8.Capability to submit electronic data to immunization registries/systems* 9.Capability to provide electronic submission of reportable lab results to public health agencies* 10.Capability to provide electronic syndromic surveillance data to public health agencies* * At least 1 public health objective must be selected

Dually Eligible Hospitals (Medicare and Medicaid) If you attested to MU during Federal level registration: You are NOT required to re-attest to MU during state MAPIR registration You will be deemed meaningful users for Medicaid (even if the State has CMS approval for the MU flexibility around public health objectives)

All Georgia hospitals will receive the MIP “concierge service” –This means your Patient Volume Calculator will be customized –HP will work with you individually regarding your MAPIR application attestation for year 2 –On site assistance is available, if necessary

12 Phone: Toll Free: Option 1 Resources 12

Thank You Tracy A. Sims Health IT Manager Department of Community Health