Georgia Medicaid EHR Incentive Program
Presented by:
Tracy Sims
Georgia Department of Community Health,
Division of Health Information Technology
Date: August 21, 2012
What’s Next?
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MIP payments through July 2012
Stage 1 Meaningful Use
Core and Menu Objectives
Clinical Quality Measures
Reporting Periods
“Concierge Service”
Successful Attestation
Payments through July 2012
– Eligible Hospitals:
• 94
$ 54,132,126.99
– Eligible Professionals:
• 896 $18,891,258.00
– Total: $ 73,023,384.99
Georgia Paid Eligible Hospitals
ADVENTIST HEALTH SYSTEM GEORGIA, INC ∙ BROOKS COUNTY HOSPITAL ∙CANDLER HOSPITAL, INC ∙CARTERSVILLE MEDICAL CENTER
LLC ∙ CHARLTON MEMORIAL HOSPITAL ∙CHATUGE REGIONAL HOSPITAL INC ∙CLINCH COUNTY HOSPITAL AUTHORITY ∙ COBB HOSPITAL
∙COLISEUM MEDICAL CENTER, LLC ∙COLQUITT REGIONAL MEDICAL CENTER ∙COLUMBIA POLK GENERAL HOSPITAL, INC CRAWFORD
LONG HOSPITAL ∙DOCTORS HOSPITAL OF AUGUSTA LLC ∙DOCTORS HOSPITAL, INC ∙DODGE COUNTY HOSPITAL AUTHORITY ∙DOUGLAS
HOSPITAL, INC ∙EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC ∙EHCA EASTSIDE LLC ∙ELBERT MEMORIAL HOSPITAL
∙EMANUEL COUNTY HOSPITAL AUTHORITY ∙ EMORY-ADVENTIST INC ∙EVANS MEMORIAL HOSPITAL, INC ∙ FAIRVIEW PARK, LIMITED
PARTNERSHIP ∙ FAYETTE COMMUNITY HOSPITAL, INC ∙ FLOYD HEALTHCARE MANAGEMENT INC ∙ GRADY GENERAL HOSPITAL ∙ GRADY
MEMORIAL HOSPITAL CORPORATION ∙ GWINNETT HOSPITAL SYSTEM, INC ∙ HEALTHMONT OF GEORGIA INC ∙ HOSPITAL AUTHORITY OF
BEN HILL ∙ HOSPITAL AUTHORITY OF CALHOUN COUNTY ∙ HOSPITAL AUTHORITY OF CANDLER COUNTY ∙ HOSPITAL AUTHORITY OF JEFF
DAVIS COUNTY GEORGIA ∙ HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE ∙ HOSPITAL AUTHORITY OF
MITCHELL COUNTY ∙ HOSPITAL AUTHORITY OF RANDOLPH COUNTY ∙ HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR
COUNTY GEORGI ∙ HOSPITAL AUTHORITY OF WASHINGTON COUNTY ∙ HOSPITAL AUTHORITY OF WILKES COUNTY ∙ IRWIN COUNTY
HOSPITAL ∙ JOHN D ARCHBOLD MEMORIAL HOSPITAL, INC ∙ KENNESTONE HOSPITAL, INC ∙ LOWER OCONEE COMMUNITY HOSPITAL,
INC ∙ MACON COUNTY MEDICAL CENTER, INC ∙ MACON NORTHSIDE HOSPITAL, LLC ∙ MCG HEALTH INC ∙ MEADOWS REGIONAL MEDICAL
CENTER INC ∙ MEDICAL CENTER, INC ∙ MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY ∙ NORTH FULTON MEDICAL CENTER, INC ∙
NORTHEAST GEORGIA MEDICAL CENTER, INC ∙ OCONEE REGIONAL MEDICAL CENTER, INC ∙ PALMYRA PARK HOSPITAL, INC ∙ PAULDING
MEDICAL CENTER, INC ∙ PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC ∙ PHOEBE WORTH MEDICAL CENTER, INC ∙ PIEDMONT
MOUNTAINSIDE HOSPITAL, INC ∙ PUTNAM GENERAL HOSPITAL ∙ REDMOND PARK HOSPITAL, LLC ∙ RESTORATION HEALTHCARE OF
COMMERCE, LLC ∙ SAINT JOSEPH'S HOSPITAL, INC ∙ SCOTTISH RITE CHILDREN'S MEDICAL CENTER ∙ SOUTHERN HEALTH CORP OF
ELLIJAY ∙ SOUTHERN HEALTH CORPORATION OF DAHLONEGA INC ∙ ST MARY'S HEALTH CARE SYSTEM, INC ∙ STATESBORO HMA INC ∙
STEPHENS COUNTY HOSPITAL AUTHORITY ∙ TANNER MEDICAL CENTER, INC ∙ TENET HEALTH SYSTEM GB, INC ∙ TENET HEALTHSYSTEM
SPALDING, INC ∙ TENET SOUTH FULTON, INC ∙ THE COBB FOUNDATION, INC ∙ THE HOSPITAL AUTHORITY OF MILLER COUNTY ∙ THE
HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA ∙ TMC/VILLA RICA HOSPITAL, INC ∙ TY COBB HEALTHCARE SYSTEM ∙ UNION
COUNTY HOSPITAL AUTHORITY ∙ UPSON COUNTY HOSPITAL INC ∙ WEST GEORGIA MEDICAL CENTER, INC
Stage 1 Meaningful Use
Capture
• Electronically
capturing health
information in a
standardized
format
Track
• Using that
information to
track key clinical
conditions
Communicate
• Communicating
that information
for care
coordination
processes
Report
• Initiating the
reporting of
clinical quality
measures and
public health
information
Engage
• Using information
to engage
patients and their
families in their
care
Meaningful Use Requirements: Hospitals
• Stage 1 - Objectives and Associated Measures
– § 495.6(f) - Eligible hospitals must complete 14 core
objectives, including:
• Report hospital clinical quality measures to CMS or, in the
case of Medicaid eligible hospitals, the states
– 15 Clinical Quality Measures
• § 495.6(g) - Five objectives out of 10 from menu set
Clinical Quality Measures
CQMs are a mechanism for assessing observations, treatment,
processes, experience, and/or outcomes of patient care
• Two measures target emergency department throughput processes
• Seven address the care of patients with stroke
• Six address the care of patients with venous thrombo-embolism
– https://www.cms.gov/Regulations-andGuidance/Legislation/EHRIncentivePrograms/downloads/CQM
Hospitals_2012_02_02.pdf
MU: Clinical Quality Measures
1.
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15.
Emergency Department Throughput –admitted patients Median time from ED arrival to ED departure for admitted
patients
Emergency Department Throughput –admitted patients –Admission decision time to ED departure time for admitted
patients
Ischemic stroke –Discharge on anti-thrombotics
Ischemic stroke –Anticoagulation for A-fib/flutter
Ischemic stroke –Thrombolytic therapy for patients arriving within 2 hours of symptom onset
Ischemic or hemorrhagic stroke –Antithrombotic therapy by day 2
Ischemic stroke –Discharge on statins
Ischemic or hemorrhagic stroke –Stroke education
Ischemic or hemorrhagic stroke –Rehabilitation assessment
VTE prophylaxis within 24 hours of arrival
Intensive Care Unit VTE prophylaxis
Anticoagulation overlap therapy
Platelet monitoring on unfractionatedheparin
VTE discharge instructions
Incidence of potentially preventable VTE
Hospitals–10 Menu Objectives
1.
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5.
10.
Drug-formulary checks
Record advanced directives for patients 65 years or older
Incorporate clinical lab test results as structured data
Generate lists of patients by specific conditions
Use certified EHR technology to identify patient-specific education resources and provide to
patient, if appropriate
Medication reconciliation
Summary of care record for each transition of care/referrals
Capability to submit electronic data to immunization registries/systems*
Capability to provide electronic submission of reportable lab results to public health
agencies*
Capability to provide electronic syndromic surveillance data to public health agencies*
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* At least 1 public health objective must be selected
6.
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9.
Dually Eligible Hospitals
(Medicare and Medicaid)
If you attested to MU during Federal level registration:
• You are NOT required to re-attest to MU during
state MAPIR registration
• You will be deemed meaningful users for Medicaid
(even if the State has CMS approval for the MU
flexibility around public health objectives)
• All Georgia hospitals will receive the MIP “concierge
service”
– This means your Patient Volume Calculator will be
customized
– HP will work with you individually regarding your MAPIR
application attestation for year 2
– On site assistance is available, if necessary
Resources
HPHospitalcalc@hp.com
1-800-766-4456 Option 1
http://www.ga-hitrec.org/gahitrec/
Phone: 404-752-1015
Toll Free: 877-658-1990
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Thank You
Tracy A. Sims
Health IT Manager
Department of Community
Health