1. Patient-Centered Medical Home & Multi-Payer Demo Training Webinar # 6 David Halpern, MD, MPH August 3rd, 2011

2. Acknowledgements

3. Let’s Review PPC 3B, 3C, 3D, & 3E (Finished Standard 3) PPC 4A, 4B (Finished Standard 4)

4. Today’s Agenda PPC 5A, 5B, 5C (Finish Standard 5) PPC 9A, 9B, 9C (Finish Standard 9) Discuss Electronic Documentation Meaningful Use

5. PPC 5A: Electronic Prescribing

6. PPC 5A: Example EXPLANATION January to March 2009 prescribing method is documented in the table. Certain prescriptions (Schedule II) must be printed on special paper prescription pads in our state. 96% of prescriptions were generated from our electronic medical record.

7. PPC 5A: Example

8. PPC 5B: E-Prescribing/Safety Checks

9. PPC 5B: Example

11. PPC 5C: E-Prescribing/Cost Checks

12. PPC 5C: Example

14. PPC 9A: Interactive Website

15. PPC 9A: Example - Factor 1

16. PPC 9A: Example - Factor 3

17. PPC 9A: Example - Factor 4

18. PPC 9B: Electronic Patient ID/Email

19. PPC 9B: Example of Patient ID

20. PPC 9B: Example of Patient Email

21. PPC 9C: Electronic Care Management Support

22. PPC 9C: Example – Factor A

23. PPC 9C: Example – Factor B

24. Capturing A Screenshot Press the Print Screen key on your keyboard. It may be labeled [PrtScn]. Open a word processing program like Microsoft Word. Go to the Edit tab and choose Paste (or press control V). Optional: Use your image editor's crop tool to crop out unnecessary portions of the screen shot. Annotate the image by typing above or below. Go to the File tab and choose Save As. Navigate to the folder where you want to save the image. Type a file name for the image. Click the Save button.

25. Screenshot Demo

26. Meaningful Use The American Recovery and Reinvestment Act of 2009 specifies three main components of Meaningful Use: 1)The use of a certified EHR in a meaningful manner, such as e-prescribing. 2)The use of certified EHR technology for electronic exchange of health information to improve quality of health care. 3)The use of certified EHR technology to submit clinical quality and other measures. Simply put, "meaningful use" means providers need to show they're using certified EHR technology in ways that can be measured significantly in quality and in quantity.

27. Meaningful Use – Incentives/Penalties Eligible professionals can receive up to $44,000 over five years under the Medicare EHR Incentive Program. There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HSPA). Important! For 2015 and later, Medicare eligible professionals that do not successfully demonstrate meaningful use will have a payment adjustment in their Medicare reimbursement.

28. Meaningful Use – More Info

29. NC AHEC and the REC

30. Get the EMR ball rolling today… –Sign up for AHEC’s REC services (free) by completing an application at www.ncahecrec.net

31. Next Steps (Homework) Review Elements 5A, 5B, 5C and 9A, 9B, and 9C and decide which ones you’d like to tackle Begin work on those Elements Practice capturing electronic information for documentation –DON’T FORGET to de-identify any confidential patient information! Sign up for AHEC Assistance

32. Community Care PCMH Team David Halpern, MD, MPH Community Care of North Carolina (CCNC) R.W. “Chip” Watkins, MD, MPH, FAAFP Community Care of North Carolina (CCNC) Brent Hazelett, MPA North Carolina Academy of Family Physicians (NCAFP) Elizabeth Walker Kasper, MSPH North Carolina Healthcare Quality Alliance (NCHQA)

33. Partners

34. Questions? Feel free to contact me: David Halpern, MD, MPH (215) 498-4648 dhalpern@n3cn.org