1. Massachusetts DOQ-IT
Where are we today

2. DOQ-IT Services - Consultation
DOQ-IT Physician Office Roadmap
Culture Change
Evaluate/Improve
Focus on Staff
Practice redesign
Patient Access
Measurement
Assess
Plan
Vendor Selection
Implementation
CCHIT
Contracting
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…
Organizational Redesign
Care Management
Workflows
Clinical
Operational
Financial
Chronic Care
Preventive
P-4-Quality

3. DOQ-IT Services - Consultation
DOQ-IT System Roadmap
Clinician level readiness
Culture Change
Workflow Redesign
Evaluate/Improve
Practice systems improvement
Patient Access
Measurement
Technology Selection
Assess
EHR readiness
Current workflow analysis
Plan
Project structure
Vision and Goals
Strategic decision making
Business plan/financial feasibility
Implementation
Full RFP
Contracting
Workflows
Clinical
Operational
Financial
LHIO / remote
ASP
Architecture
Care Management
Chronic Care
Preventive
P-4-Quality
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…
Regional / legal considerations
State laws
Security

4. DOQ-IT Services - Education
So where do you start? I’ve given you a lot of information today…but there are a few key ingredients to getting started:
DOQ-IT is here to help – and we can offer the most help to primary care practices per our directive from CMS, but we can provide guidance to any practice. We have a combined 37 years of experience in this industry and we are available to you at no cost. We can educate you and step you through the process.
You need to start thinking about a high level plan. Developing a project charter is a MUST – you cannot achieve your goals if you do not define them. You also need to establish a budget (both in terms of costs and projected savings), and identify key resources within your practice who will participate as part of the project team. Having a physician champion is a critical success factor for this type of project. And finally, establish a timeline from selection through implementation and communicate this to everyone involved.
Then you are ready to talk to vendors…

5. DOQ-IT Services – Pay for Quality
Pay For Quality Programs – Office System Survey
Bridges to Excellence
Developed alternate qualification for rewards
One of three initial pilots
MCMP – Medicare Care Management Performance
MMA mandated demonstration
Administered by DOQ-IT
646 Demonstration - Gain Sharing
Revenue sharing program with use of HIT and other enhancements
Pay For Quality Programs are also a growing trend in the market. The key to participating and earning $$ for your practice is to be able to measure quality. How will you be able to measure quality?? You need an EHR to measure quality – because you need the data – structured and reportable data.
The two most widely known programs are: P4P (Pay For Performance) and BTE (Bridges To Excellence). DOQ-IT can assist you in getting enrolled in these programs if you qualify, and in fact for BTE, DOQ-IT is the only organization that can enroll you at no cost.
Another program that is brand new is called MCMP or the Medicare Care Management Performance Project. CMS has contracted with DOQ-IT to administer this program where physicians will be selected to receive incentive payments for meeting clinical performance measures. Physicians can earn up to $12,500 per year if they are selected. The highest dollars will be paid to those submitting their data from their EHR.
So now you are probably thinking…I need to have an EHR – so lets talk about EHRs.

6. From the Field Physician offices
Cost still a factor – need some way to organize purchase
Staffing an issue – need to pay overtime and choose the right adoption pathway
Negative reports on EHR adoption slow or stop adoption (Geisinger experience)
Lack of technical knowledge permits bad selection practice
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…

7. From the Field Physician offices
Vendors can create issues – volatile Return on Investment modeling
‘Stuck’ or ‘Failed’ implementations can be addressed through program
How do I participate? (IPA, Hospital, RHIO, stand-alone) ASP vs. in-house
Workflow redesign is key to improvement
Culture change is key to adoption
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…

8. From the Field Interesting issues
RHIO/LHIO permits additional data that may have legal implications on decision-making
Community record creates issues around who updates the record
Support of controlled access still an issue with EHR and RHIO
Too much info creates data blindness
Varying models don’t provide data quick enough – how long do you wait?
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…

9. From the Field Connectivity stratification
Local HIE (LHIO) requires much more data transfer amongst Community of Practice
RHIO requires limited data set
Create stratification of practices between the ‘Haves’ and the ‘Have Nots’
Patient Portals vs. Personal Health Records
Need for other data streams – P4Q, Bio surveillance, community, etc
How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…

10. Thanks Chuck Parker VP, Chief Technology Officer Masspro
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How can DOQ-IT help you? In general, when you sign up with DOQ-IT, we provide education and consulting services to assist you from start to finish in your EHR selection process. Along the way, you can earn CMEs and once your EHR is implemented, you may qualify for P4P programs- with real dollars that can be earned to offset the cost of your EHR system.
We can also provide insight into what other practices in the state are doing related to EHRs. Let’s talk about what is going on in Massachusetts…