1. Meaningful Care of Patients TRIPP BRADD, MD AUGUST 2014 Response from a PPRNet Clinician and Member of the ONC Quality Measures Workgroup

2. CARA and RUTH THEY HAVE GOT … THE IMPORTANT STUFF COVERED!

6. PQRS Meaningful use Stage 2 Or is it Stage 1? ACO (MSSP’S) ACA – and the website ICD-10 (to be or not to be … when is the question) VERSION 11 PPRNET- NEW DATA FORMAT And Extraction OY!

8. THERE’s a TALE TO TELL

9. MU Journey – Began in 2009

10. Meaningful Use? Huh?

11. HITECH Act - The Focus (at least back in 2010) “The HITECH Act program focuses on attaining meaningful use of EHRs as a pathway toward improved health system performance. The attainment of meaningful use depends, in turn, on adoption of EHRs and the development of secure and private pathways for exchanging health information. Adoption and exchange will be supported by a variety of HITECH Act initiatives.” -- Dr. David Blumenthal, MD, National Coordinator

12. Stages of MU USE THE EHR! DATA COLLECTION and HIE DATA MEASUREMENT (“DELTA”) ??

18. cCDA prep

20. Consolidated Clinical Document Architechture

22. A “Snippet” of XML from a cCDA

23. New extraction process (R Jenkins, PhD – Aug 2014)  GO LIVE!! October 2014 extract  September 15, 2014 – begin transitioning practices EHR documentation changes will allow data to be included in Clinical Summary documents Not a proprietary process anymore PPRNet becomes vendor neutral: Expansion opportunity THIS REPRESENTS A REAL OPPORTUNITY

26. THERE IS HOPE ON THE HORIZON

27. Chronic care management GXXX1 2 or more chronic conditions $41.92 / month – PMPM

28. What should be our focus? OUR PATIENT

29. The LOVE BOAT – a.k.a. PPRNET Now entering it’s 20 year

30. LOVE BOAT CAST Captain Merrill Stubing Cruise Director Julie McCoy

31. THANK YOU