1. An Update on MUSC Performance in “Meaningful Use” of Electronic Health Record (EHR) Barton L. Sachs, M.D., MBA Professor of Orthopaedics Chief Medical Officer (Interim)

2. Goal  By 2016: – 90% physicians will be using robust EHR – 70% hospitals will be using a comprehensive EHR Meaningful Use – Govt Incentive Program to Adopt & Use IT in Healthcare

3. Meaningful Use – Gov’t Incentive Program to Adopt & Use IT in Healthcare Stage 1 focused on the adoption and implementation of health IT and the capture of critical, structured data elements Stage 2 to advance clinical processes for continuous quality improvement Stage 3 to advance quality outcomes. 3

4. Predicted -- Incentive Financial Program (life of program) - MU MUSC EnterpriseExpected $$$ over M.U. program life Providers (EP)$ 28, 527,500 Hospital (EH)$ 10,461,325 Total$ 38,988,825

5. Meaningful Use Financial Impact FY’12FY’13FY’14FY’15FY’16FY’17FY’18Total $$ actual expect Program Life EP$ 3,591$ 5,343$ 5,248$ 5,005$ 3,773$ 3,040$ 1,989$ 28,740 EH $ 2,900$ 4,183$ 1,978$ 931$ 466-- $ 10,460 total $ 6,491$ 9,526$ 7,225$ 5,937$4,239$ 3,040$ 1,989$ 39,200 Financial $$$ x 1,000 Total $$$ accrual thru FY’ 2013 = $ 16,017,000

6. Meaningful Use Incentives Available for MUSC Total Expected over life of Program* $ Expected Fiscal Year 2013 Cash $$ Received (03/28/13) Providers$ 28,527,500$ 4,818,750$ 3,591,250 Hospital$ 10,461,325$ 2,615,331$ 2,900,000 Total$ 38,988,825 $ 7,434,081 $ 6,491,250 6 * 2011-21 Providers; 4 years Hospital 87.3% of expected

7. Update on 2013 MU Plan MUHA began 90-day reporting period 4/1 – April 1 – June 30, 2013 – Documents submission August 2013 MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012 – Documents submitted 2/28/13

8. Update on 2013 MU Plan MUHA began 90-day reporting period 4/1 – April 1 – June 30, 2013 – Documents submission August 2013 – $ 4,183,862 (to be accrued for FY’13) MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012 – Documents submitted 2/28/13 – Current cash payment: $ 3,591,250 (65.9%) – 203 physicians valued at $ 5,452,000 (113%)

9. Challenges for 2013 and beyond Epic (inpatient go live July 2014) – Most effective and efficient approach to MU – Training for Epic and MU at same time – Enables an enterprise wide approach to MU – Enable build of comprehensive complex measures portfolio addressing multiple programs But… – Tight timeline FY 2014 reporting (90 day): July 1, 2014 – Sept 30, 2014 FY 2015 reporting (365 day): October 1, 2014 – Sept 30, 2015 – Will require incorporation of MU in Epic training

10. Challenges for 2013 and beyond Federal Government “Sequestration” – Medicare payments will be reduced by 2% as a result of sequestration. – Medicaid payments are exempt from sequestration

11. Thank You