Overview: Healthcare Information Technology Initiatives

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Overview:
Healthcare Information Technology Initiatives
Kentucky Regional Extension Center
Your EHR Resource
Contact:
Dr. Martha Riddell and Dr. Carol Ireson
Meaningful Use Advisors, Kentucky REC
[email protected]
[email protected]
859-323-3090
REC 201
• Overview of ARRA HIT Initiatives
• History of Kentucky HIT efforts
• Purpose of Regional Extension Centers
• Service Area of Kentucky REC’s
• Description of REC Services
ARRA…A Massive Stimulus for Health IT Adoption &HIE Expansion
Appropriations for Health IT
$2 billion for loans, grants & technical
assistance for:
New Incentives for Adoption
New Medicare and Medicaid payment
incentives for HIT adoption
• National Resource Center and
Regional Extension Centers
• $20 billion in expected payments through
Medicare to hospitals & physicians
• EHR State Loan Fund
• $14 billion in expected payments through
Medicaid
• Workforce Training
• Research and Demonstrations
• ~$34 billion expected outlays, 2011-2016
Appropriations for HIE
Appropriations for HIE
At least $300 million of the total at
HHS Secretary’s discretion for HIE
development
• Funneled largely through States or
qualified State-designated entities
• For planning and/or
implementation
$1.5 billion in grants through HRSA for
construction, renovation and
equipment, including acquisition of HIT
systems
Broadband and Telehealth
$4.3 billion for broadband & $2.5 billion
for distance learning/ telehealth grants
Bending the Curve Toward Transformed Health-Incentives for HIT Adoption
Achieving Meaningful Use of Health Data
Improved
outcomes
Advanced clinical
processes
Data capture and
sharing
2009
2011
2013
2015
4
Kentucky’s Efforts
• In 2005, Senate Bill 2 created the Kentucky eHealth
Network (KeHN) Board to oversee the development,
implementation and operation of a statewide e-health
network.
• Kentucky also received a Medicaid Transformation Grant to
develop the foundational components for a statewide health
information exchange, the Kentucky Health Information
Exchange (KHIE), to be completed by the second quarter of
2010.
Phase I KHIE
Kentucky Regional Extension Center
Mission
The Kentucky Regional Extension Center based at the University of
Kentucky will assist primary care providers and critical
access/rural hospitals with EHR adoption, HIE participation,
and achievement of meaningful use.
Vision
The long-term vision of the Kentucky Regional Extension Center is to
improve the quality and value of health care for the people of
Kentucky and to serve as a model for other areas that face similar
challenges.
Incentives for Meaningful Use (MU)
The ARRA/HITECH Act authorizes incentive funding for health care providers who
demonstrate “meaningful use of health information technology.”
•
Incentive programs for Medicare and Medicaid
•
Programs for hospitals and eligible professionals
•
Must use certified EHR technology AND demonstrate adoption,
implementation, upgrading or meaningful use
•
Programs differ between Medicare and Medicaid
•
Medicare incentive program is federally run by CMS
•
Medicaid incentive program is run by States and is voluntary
Who is a Medicare Eligible Provider?
Eligible Providers in Medicare FFS
Eligible Professionals (EPs)
• Doctor of Medicine or Osteopathy
• Doctor of Dental Surgery or Dental Medicine
• Doctor of Podiatric Medicine
• Doctor of Optometry
• Chiropractor
Eligible Hospitals
• Acute Care Hospitals*
• Critical Access Hospitals (CAHs)
Who is a Medicaid Eligible Provider?
Eligible Providers in Medicaid
Eligible Professionals (EPs)
• Physicians
• Nurse Practitioners (NPs)
• Certified Nurse-Midwives (CNMs)
• Dentists
• Physician Assistants (PAs) working in a Federally Qualified
Health Center (FQHC) or rural health clinic (RHC) that is so
led by a PA
Eligible Hospitals
• Acute Care Hospitals (now including CAHs)
• Children’s Hospitals
Providers Eligible for Incentives
Eligible Providers- Medicare
Eligible Providers- Medicaid
Eligible Professionals (EPs)*
Doctor of Medicine or Osteopathy
Doctor of Dental Surgery or Dental
Medicine
Doctor of Optometry
Doctor of Podiatric Medicine
Chiropractor
Eligible Professionals (EPs)
Physicians (Pediatricians have special
eligibility and payment rules)
Nurse Practitioners (NPs)
Certified Nurse-Midwives CNMs)
Dentists
Physician Assistant (PAs) who lead a
FQHC)or rural health clinic
Eligible Hospitals*
Acute Care Hospitals
Critical Access Hospitals (CAHs)
Eligible Hospitals
Acute Care Hospitals, Critical Access
Hospitals
Children’s Hospitals
Hospital-based EPs
• Hospital-based EPs do not qualify for Medicare or Medicaid
EHR incentive payments.
• The Continuing Extension Act of 2010 modified the
definition of a hospital-based EP as performing substantially
all of their services in an inpatient hospital setting or
emergency room. The rule has been updated to reflect this
change.
• A hospital-based EP furnishes 90% or more of their services
in either the inpatient or emergency department of a
hospital.
Medicare Incentives
Medicaid Incentives
Medicaid Only: Adopt/Implement/ Upgrade (A/I/U)
•
•
•
First participation year only for Medicaid providers
– Adopted –Acquired and Installed Ex: Evidence of installation
prior to incentive
– Implemented –Commenced Utilization of Ex: Staff training,
data entry of patient demographic information into EHR
– Upgraded –Expanded Upgraded to certified EHR technology or
added new functionality to meet the definition of certified EHR
technology
Must use certified EHR technology
No EHR reporting period
Kentucky Regional Extension Center
Kentucky REC Strategic Partners
Targeted Providers
Primary Care Physicians
• FPs, OB/Gyn, Peds, Int. Med
• Small practices (<10 prescribers; physicians, PAs,
ARNPs)
• Community health centers
• Rural clinicians and those with critical access hospitals
• Practices and clinics that serve the underserved
Other Services the REC Provides
•
Assistance with the Physician
Quality Reporting Initiative
•
Continuing Medical Education
•
Assistance with Medicare’s eprescribing initiative (eRx)
Education & Outreach
• Awareness Campaign with Professional Associations
• On-line CME for baseline EHR knowledge available 24/7
• Creation of Learning Communities for interactive learning
• Live & video CME/CE regional workshops
• Annual conferences in conjunction with statewide primary care
associations
• Meaningful use work groups for targeted providers
Vendor Selection/ Purchasing
KY REC Provides unbiased support
regarding purchase of EHR systems
KY REC is partnering with the Tri-State REC to
provide vendor selection assistance. This will
include:
• Master Requirements Template
• Group Purchasing activities
Practice &Workflow Redesign
• Workflow analysis and process redesign
tools provided
• Process Improvement training available
• Sharing of best practices
Implementation/ Project Management
• Comprehensive on-site readiness assessment
• Administrative/Clinical lead designated in each
practice
• Implementation planning guidance
• System selection information and support
• Post-implementation evaluation
KY REC Services
Achieving
Meaningful Use
Monitoring Phase
Planning
• Complete
Practice
Readiness
Assessment
• Identify Target
Improvement
Opportunities
• Address Practice
Readiness
Barriers
Initiation Phase
• Conduct a
Practice
Workflow
Assessment
• Perform MU Gap
Analysis
• Create a MU
Work Plan
• Facilitate Change
Management on EHR
Resources
• Assist with Selection
and Purchase of HER
• EHR Implementation or
Modification for MU
• Facilitate HIE
Connectivity
Implementation
Phase
• Provide Supplemental
UK REC Services
• Continuing Education
• Onsite Coaching and
Mentoring
• Demonstrate
MU to CMS
Interoperability &HIE
• Work with KHIE to achieve HIE
• Work with strategic partners to achieve health
information exchange
Privacy & Security
• Provide Privacy & Security CME
• Share best practices
• Provide individualized consultation
Progress Towards Meaningful Use
• Establish Primary Care Physician and Practice
Manager meaningful use workgroups
• Co-sponsor & participate in KAN annual meetings
• Fund PBRN study of ten practices for identification of
lessons learned, best practices
Medicare Incentive Payment Schedule
Fall 2010
Certification of
EHR vendors will
start
April 2011
Attestation of
meaningful use
begins
2010
2011-2012
Clinicians can begin using a
certified EHR in a meaningful
Manner (must use for 90 days)
2011
Jan. 2011
Registration with
CMS can begin.
This will be done
through PECOS
May 2011
CMS payments
Will begin
*Medicaid EHR incentives will be managed by states
“We are not building new
relationships with priority
primary care providers — we are
building on respected existing
relationships with the practice
community. “
Questions?
Contact Information
Dr. Martha Riddell
Meaningful Use Advisor
Kentucky REC
[email protected]
859-323-3090
Dr. Carol Ireson
Meaningful Use Advisor
Kentucky REC
[email protected]
859-323-3090
General REC Information Contact:
Kentucky Regional Extension Center
2333 Alumni Park Plaza, Suite 200
Lexington, KY 40517
Toll Free: 866-KY-RECEHR
859-323-3090
[email protected]
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