1. Understanding How THE HEALTHCARE CONNECT FUND will assist Meaningful Use 3/11/2014 Mark Renfro, HTH Hometown Health

2. Agenda Why Meaningful Use Stages of EHR Maturity and Patient Collaboration How does FCC/USAC Health Care Fund fitFCC/USAC Getting Started with USF Healthcare Consulting March 11, 2014Mark Renfro, HTH

3. Why Meaningful Use Evolution from Fee-for-Service New approach to health care delivery ◦ Aimed at providing better care ◦ Improving population health ◦ Lowering growth in expenditures Accountable Care Organizations ◦ Promoting accountability for the care of Medicare Fee-For-Service beneficiaries ◦ Encouraging investment in infrastructure and redesigned care processes 3/11/2014Mark Renfro, HTH

4. Stages of EHR Maturity and Patient Collaboration The new ‘patient team’ business models, like ACOs, will require that EHRs mature into real-time care coordination and collaboration platforms that can help move organizations Care coordination and collaboration aren’t just about adding patient messaging and simple health records sharing Managing that new data to help hospitals and physicians across patient care teams better comprehend what is happening inside the patient so that they can actually improve health outcomes 3/11/2014Mark Renfro, HTH

5. Stages of EHR Maturity Patient Collaboration Independent care (Stage 1-MU) The first stage is where individuals or separate organizations provide much of the patient care using electronic health care solutions Hometown Health and their affiliated hospital have been deeply involved with this process by installing the clinical information suites in order to meet Stage 1 of CMS “Meaningful Use” 3/11/2014Mark Renfro, HTH

6. Stages of EHR Maturity Patient Collaboration Connected Care (Stage 2-MU) In the second stage providers begin to share enough information to begin basic patient care collaboration Examples between the Hospital and Clinic, then later between other levels of provider care (with regional facilities and specialists using tools like Georgia Healthcare Information Network 3/11/2014Mark Renfro, HTH

7. Stage 2-MU Stage 2 criteria - places an emphasis on health information exchange between providers to improve care coordination for patients Key New Stage 2 objectives: ◦ Interoperability ◦ Patient Portal - Record electronic notes in patient records ◦ Physician, Care Providers and Hospital Medical Record Exchange ◦ Requiring interfaces in order to coordination with other entities and State Sponsored Programs ◦ Use cost savings approach by sharing services with other HIT providers 3/11/2014Mark Renfro, HTH

8. Stages of EHR Maturity Patient Collaboration Coordinated Care The third stage begins when enough patient data is connected, so that it allows multiple organizations to coordinate their care between each other through case tracking and management such as identifying health risks. The Patient-Centered Medical Home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults. 3/11/2014Mark Renfro, HTH

9. How does FCC/USAC Health Care Fund fit with MU FCC/USAC Broadband Infrastructure ◦ The Healthcare Connect Fund (HCF) Program is the newest component of the Rural Health Care Program. ◦ Eligible expenses related to broadband connectivity New eligible services include: ◦ Cloud-based connectivity services and point-to- multipoint ◦ Network equipment necessary to make broadband service functional ◦ Connections to, and equipment located at, data centers and off-site administrative offices 3/11/2014Mark Renfro, HTH

10. Getting Started with USF Healthcare Consulting HTH Business Partner Who Is USF Healthcare Consulting ◦ It’s goal to acquire the maximum discounts available through the universal service Rural Health Care Program ◦ USF Healthcare has been assisting the rural healthcare providers to obtain these discounts. 3/11/2014Mark Renfro, HTH

11. Questions? Mark Renfro marenfro@windstream.net 3/11/2014Mark Renfro, HTH