1. INHS Physician Services Stage 1 Meaningful Use Training & Strategy Charter

2. Summary of Charter The object of the project is to provide analysis, training, support, consulting and workflow/process re-design to promote attestation for Stage One Meaningful Use (MU) sometime during the year of 2012.

3. Getting Started  Clinic / Administration backing  Determine number of Eligible Professionals  Sign Charter  Establish Clinic MU Team *MU Lead (Clinic Manager or?) * Champion Provider * Nurse or MA * Super User of EHR * Trainer/Educator

4. Time Commitments – 21 week plan  One Hour “Getting Started Meeting”  Monthly Status Meeting (15-30 minutes) X 3  Bi-Monthly Status Meeting X 4  Weekly Web based Training sessions (30 minutes)  Weekly Web based Workflow/Action sessions (30 minutes)  Clinic MU Core Team – training and working with staff

5. WeekSessionMU TopicsTraining/Workflow DesignDurationDescription/Details Week 1Attestation Requirements Core Measure More than 30% of all unique patients with at least one medication in their medication list seen by the EP and medication was entered using CPOE Date 8/1 Training CPOE Medication Order Entry Demonstrate how to enter coded medications. Coded vs Uncoded Acute Medications 30min DENOMINATOR: The number of patients with at least one medication in their medication list seen by the EP during the EHR reporting period NUMERATOR: The number of patients in the denominator that have at least one medication order entered using CPOE EXCLUSION: Any EP who writes fewer than 100 prescriptions during the EHR reporting period Date 8/3 Workflow/Action Plan Who should be entering? How do we clean up our current lists? What reports do we need? Who will run reports? How often will reports need to be run? Current/Re-Design Workflow30min Week 2 Core Measure The EP has enabled this functionality for the entire EHR Record Date 8/8 Training Drug to Drug and Drug to Allergy Interaction Checking What’s new in 9.5? How to run interaction checking. Demonstrate 9.5 Changes 30min Yes/No EP’s must attest YES to having enabled drug-drug and drug-allergy interaction checks for the length of the reporting period to meet measure Date 8/10 Workflow/A ction Plan Who will set/verify the Critical Indicators? Will there be an Enterprise Interaction Preference Setting or Individual? Current/Re-Design Workflow30min Week 3 Core Measure More than 80% of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data Date 8/15 Training Maintain Up to Date Problem List of Current and Active Diagnoses Demonstrate how to enter coded problems. Coded vs Uncoded Acute Problems 30min DENOMINATOR: Number of unique patients seen by the EP during the EHR reporting period. NUMERATOR: Number of patients in the denominator who have at least one entry or an indication that no problems are known for the patient recorded as structured data in their problem list EXCLUSION: No exclusions

6. Meaningful Use Action Log Activity Activity Owner Activity Signoff / DateStatusNotes C1 CPOE Med Orders 30% Staff Training on measureChristal LashC. Lash July 20, 2011 CompleteAll staff training on measure completed. Plan for future new employees to be trained complete Workflow for ordering coded medicationsChristal Lash In progressDesign documented workflow Dictionary clean up for pharmaciesCheryl Hood Not startedRemove duplicates and add all Walmarts within Spokane, Stevens and Grant counties C3 Generate/Transmit permissible eRx 40% Staff training on measureChristal LashC. Lash July 20, 2011 Not startedTraining completed in conjunction with C1. Added to new employee training plan Workflow for ordering coded medicationsChristal Lash In progressDesign documented workflow. Combine with Core Menu 1 Run MQIC report for percentage of medications submitted electronically Johnny Warren Not startedIdentify any providers needing additional education/support C4 Record demographics - 50% Review capture of preferred language, gender, race, ethnicity, and DOB Johnny Warren In progressReview capture of these fields in current PM system Create or update workflow for captureJohnny Warren In progressIf PM doesn't have capability - create workflow for updating the Reg feature in EMR Training and setting up of privilegesJohnny Warren Not startedTo be determined

7. Reports NamePdateSmokingCntVisitProcCntSum of Perc Dr. Test2011/043560.00% 2011/0511100.00% 2011/0655100.00% 2011/0733100.00% Dr.Test Total121485.71% Dr. Cartoon2011/01101190.91% 2011/0266100.00% 2011/0388100.00% 2011/046785.71% 2011/0733100.00% Dr. Cartoon Total333594.29% 454991.84% Dr. Doctor2011/01112937.93% 2011/0243212.50% 2011/03193554.29% 2011/04133240.63% 2011/05152365.22% 2011/0632213.64% 2011/07122254.55% Dr. Doctor Total7719539.49%

8. Milestones  First Milestone – Kick off meeting/ MU Team formed/ Dates Established  Second Milestone – 10 th Core Measure Training/Workflow Completed  Third Milestone – All Core & Menu Measures Completed  Fourth Milestone – Last Report Card delivered (4 – 5 months out)

9. Report Card

10. Summary  Share this information with your administration and review MU Charter  Review program eligibility  Sign Charter  Assign Clinic MU Team  Schedule Kick-Off meeting & training sessions Visit clinics.inhs.org for information on determining eligibility of incentive programs and for other Meaningful Use tools