1. Rural Health Summit
June 11, 2010

2. 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

3. Stages of Meaningful Use

4. 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

5. 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

6. 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

7. 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

8. 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

9. Practice Transformation
Practice Redesign
Identity Shift
Paradigm Shift