1. Protecting and Promoting the Practice of Good Medicine Getting Started with Meaningful Use: The impact on the professional eligible provider MMIC Health IT Bonnie Strong & Michele Roof

2. Protecting and Promoting the Practice of Good Medicine Our Focus  Introduction to Meaningful Use  Defining Eligible Provider  Steps You Can Take Now to Prepare

3. Protecting and Promoting the Practice of Good Medicine Understanding ARRA American Recovery and Reinvestment Act of 2009 HITECH Act Allocation

4. Protecting and Promoting the Practice of Good Medicine Why Meaningful Use? 1.Widespread Adoption of EHR Systems 2.HIE (Health Information Exchange) 3.Overall Advancement of HIT 4.5 Key Goals of Meaningful Use 5.Quality of Care

5. Protecting and Promoting the Practice of Good Medicine Proposed Definition of Meaningful Use Meaningful Use Vision: To enable significant and measureable improvements in population health through a transformed health care delivery system. 1. Improve quality, safety, efficiency and reduce health disparities 2. Engage patients and families 3. Improve care Coordination 4. Ensure Adequate privacy & security protections for PHI 5. Improve population and public health

6. Protecting and Promoting the Practice of Good Medicine Phase 1 2011 Phase 2 2013 Phase 3 2015 3 Stage/Phases of Meaningful Use:

7. Protecting and Promoting the Practice of Good Medicine 2011: Phase 1 Data capture, basic functions, measure reporting 25 criteria for Eligible Providers to meet stage 1 requirements First year reporting will be any “continuous 90-Day period within the payment year”

8. Protecting and Promoting the Practice of Good Medicine Meaningful Use Matrix 2011-2013-2015 Proposed Criteria Matrix.pdf

9. Protecting and Promoting the Practice of Good Medicine 2013: Stage 2 Expands on stage 1 Will incorporate disease management dimensions Rules are to be proposed in late 2011

10. Protecting and Promoting the Practice of Good Medicine 2015: Stage 3 Rules to be Proposed in Late 2013 Population Health and Support for Public Health Enhanced CDS Promotes PI

11. Protecting and Promoting the Practice of Good Medicine Medicare / Medicaid Incentive Programs  Two Different Incentive Programs  Practices Can Select Program Year-to-Year  Voluntary Participation  Incentives only available to Eligible Hospitals and Eligible Providers

12. Protecting and Promoting the Practice of Good Medicine The Eligible Professional  Non-Hospital Based  The term “physician” means the doctor of medicine or osteopathy legally authorized to practice medicine and surgery by the State in which he/she performs such function or action.

13. Protecting and Promoting the Practice of Good Medicine Medicare Incentive: What does it mean for me?  First, you must be a “Meaningful User”  Second, incentive amounts are based on amounts equal to percentage of Part B covered charges  2011 Reporting is Subject to Attestation

14. Protecting and Promoting the Practice of Good Medicine Medicare Incentive Payment Grid YearEligible in 2011Eligible in 2012Eligible in 2013Eligible in 2014Eligible in 2015 2011$18,000$0 2012$12,000$18,000$0 2013$8,000$12,000$15,000$0 2014$4,000$8,000$12,000 $0 2015$2,000$4,000$8,000 $0 2016$0$2,000$4,000 $0 TOTALS$44,000$44,00$39,000$24,000$0

15. Protecting and Promoting the Practice of Good Medicine Medicaid Incentive: What does it mean for me?  Pediatricians with at least 20 percent Medicaid patient volume, could receive up to $42,500  Other physicians (non-hospital based), with at least 30 percent Medicaid patient volume could receive up to $63,750, over a six year period.

16. Protecting and Promoting the Practice of Good Medicine Medicaid Incentive YearEligible in 2011Eligible in 2012Eligible in 2013Eligible in 2014Eligible in 2015 2011$21,000$0 2012$8,500$21,000$0 2013$8,500 $21,000$0 2014$8,500 $21,000$0 2015$8,500 $21,000 2016$8,500 2017$0$8,500 2018$0 $8,500 2019$0 $8,500 2020$0 $8,500 $63,500

17. Protecting and Promoting the Practice of Good Medicine Medicare/Medicaid Incentive Facts:  EP’s Limited to One Program per Year / Practice  Participation tracked by EP NPI  There is No Max Incentive Payment by Practice  Reporting includes all “unique” patients, not just Medicare/Medicaid patient data  Incentive payments end entirely by 2016

18. Protecting and Promoting the Practice of Good Medicine Next Steps / What can your practice do now? Adopt Assess -> Plan-> Select -> Utilize Implement -> Effective Use -> Exchange Readiness -> Interoperate

19. Protecting and Promoting the Practice of Good Medicine Adopt: Assess – Plan – Select Properly implement techniques to support effective use: Adequately plan for, select, and implement a system Correctly populate and use that system

20. Protecting and Promoting the Practice of Good Medicine Utilize: Implement – Effective Use Eprescribing Participate in your state HIE rollout Review your vendor plans for getting and staying certified/qualified

21. Protecting and Promoting the Practice of Good Medicine Exchange: Readiness - Interoperability Don’t Wait: Start Now! Meaningful Use will include having a certified EHR Information exchange will be required Reporting of quality measures will be required

22. Protecting and Promoting the Practice of Good Medicine Top 10 Action Items 1.Review Documentation 2.Communication Plan 3.Assess Financial Impact 4.Assess Technology Infrastructure 5.Identify Potential Gaps 6.Plan Gap Response/Management 7.Determine Reporting Capabilities 8.Develop Meaningful Use Roadmap/Timeline 9.Implement 10.Workflow Optimization

23. Protecting and Promoting the Practice of Good Medicine Final Meaningful Use Notes  The best way to become informed is to read the federal register – or make someone from your practice begin reading this and help to identify what some of the specific measures are going to mean for your practice  Watch for the final rule to be published – tentatively expected for June 2010

24. Protecting and Promoting the Practice of Good Medicine Resources  American Medical Association: http://www.ama- assn.org/ama/pub/physician-resources/solutions-managing-your- practice/health-information-technology/hit-resources-activities.shtmlhttp://www.ama- assn.org/ama/pub/physician-resources/solutions-managing-your- practice/health-information-technology/hit-resources-activities.shtml  AHIMA: http://www.ahima.org/advocacy/arrahitech.aspxhttp://www.ahima.org/advocacy/arrahitech.aspx  MN Dept of Health: http://www.health.state.mn.us/e- health/hitech.htmlhttp://www.health.state.mn.us/e- health/hitech.html  HIMSS: http://www.himss.org/EconomicStimulus/http://www.himss.org/EconomicStimulus/  Health Information Technology: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1325&parent name=CommunityPage&parentid=1&mode=2 http://healthit.hhs.gov/portal/server.pt?open=512&objID=1325&parent name=CommunityPage&parentid=1&mode=2

25. Protecting and Promoting the Practice of Good Medicine Q/A Education@mmicgroup.com www.mmicgroup.com Future Meaningful Use Webinars to be Announced