Electronic Medical Records - MxSecure

8/9/2019 Electronic Medical Records - MxSecure

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Sponsored by:


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Barbara Brownlee, Electronic Medical RecordsSpecialist, MxSecure

With MxSecure since 2006 30 years in healthcare 17 years Sales and Marketing experience BS in Medical Technology, Medical College

of Georgia


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HITECH Act What is it?

Who qualifies?

What are the incentives?

What do Professionals need to do to qualify?

Introduction to MxSecures solution


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Part of the American Recovery andReinvestment Act

Incentives to encourage Professionals and

hospitals to utilize EHR technology Incentives in the form of payments to

Eligible Professionals and hospitals thatsee Medicare/Medicaid patients

Focus on Eligible Professionals


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Medicare: MD, DO, DDS, DPM, OD, DC

Does not include hospital-based Professionals

Incentives are up to $44,000 per provider

Medicaid: Adds Certified Nurse Midwives, NP, PA working in FQHC or RHC

Incentives up to $63,750

Must see 30% Medicaid patients

Pediatricians qualify at 20%

Pick one program onlyyou may switch one time


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Incentives 2011 2012 2013 2014 2015+

2011 $18,000 - - - -

2012 $12,000 $18,000 - - -

2013 $8,000 $12,000 $15,000 - -

2014 $4,000 $8,000 $12,000 $12,000 -

2015 $2,000 $4,000 $8,000 $8,000 $0

2016 $0 $2,000 $4,000 $4,000 $0

2017 $0 $0 $0 $0 $0

TotalIncentives

$44,000 $44,000 $39,000 $24,000 $0

Adoption Year

Incentiv

eYear

Source: Title IV Subtitle A of the American Recovery

and Reinvestment Act of 2009


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Based on Part B FFS claims

Applies only to services furnished by EP

Professional components only

75% of submitted allowable charges

EPs in Health Provider Shortage Area earn anadditional 10%


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Incentives 2011 2012 Repeated through2017

2011 $21,250 - -

2012 $8,500 $21,250 -

2013 $8,500 $8,500 $21,250

2014 $8,500 $8,500 $8,500 years 2-6

2015 $8,500 $8,500

2016 $8,500 $8,500

2017 - $8,500

TotalIncentives

$63,750 $63,750 $63,750

Adoption Year

Incentiv

eYear

Source: Title IV Subtitle A of the American Recovery

and Reinvestment Act of 2009


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Incentive amount based on what CMS hasidentified as the net allowable cost ofpurchasing, implementing and maintainingan EHR system

Per CMS, the cost alone is $54,000 Maximum payment is $63,750 At least 30% of your patient encounters for

the reporting period must be Medicaid Pediatricians qualify at 20%


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Certified EHRMeaningful Use

Electronic prescribingShare date electronically

Submit clinical reports


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12/30/09: Notice of Proposed Rule Making 556 pages

3/15/10: 60 day comment period expires

5/10/10: Final Ruling expected

Gives us more details defining

meaningful use


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STAGE 1 2011 and 2012 STAGE 2 2013 and 2014 STAGE 3 2015

You only need to meet the Stage 1requirements in your first year, regardlessof when that is. However, in your second

year, you must meet the requirements forthe Stage assigned to that payment year.


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For Medicare Eligible Professionals, the firstpayment year begins 1/1/2011 and is basedon a calendar year (hospitals are being paidusing the federal fiscal year)

For Medicaid Eligible Professionals, the firstpayment year can begin as early as 2010 if

you are in the process of implementing anEHR already


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First year: any continuous 90-day periodwithin the payment year Example: January 1-March 31, 2011

Second year onward: entire payment year Example: January 1 December 31, 2012


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National Provider Identifier

Single data repository to track identification

Medicare CMS

Medicaid - States


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Objective Measurement for EPs

CPOE 80% of all orders

Drug-drug, drug-allergy, drugformulary checking

All capabilities enabled

Generate and transmit e-Rx 75% of permissible prescriptions

Maintain active medication &allergy list

80% of patients seen have at leastone entry or indication of none

Maintain up-to-date problem list 80% of patients seen have at leastone entry of indication of none

Record specific demographic data 80% of patients seen: gender, race,ethnicity, DOB, preferred languageand insurance data

Record and update vital signs 80% of patients 2+ years have BP& BMI; growth chart for ages 2-20


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Record smoking status 80% of patients seen over age 13

Incorporate laboratory test resultsinto EHR

50% of results that can beexpressed numerically or aspositive/negative stored asstructured data

Generate list of patients withspecific conditions

Generate at least one report

Report quality measures to CMSand States

2011: capture required dataelectronically and provideaggregate date by attestation;

2012 and beyond: submitelectronically

Send reminders forpreventative/follow up care

Send reminders per patientpreference to 50% of patientsage 50+


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Implement clinical decision supportrules related to clinical priority;track compliance

Implement five rules and trackcompliance

Check insurance eligibility Check eligibility for 80% of patientsseen

Submit claims electronically File 80% of claims electronically

Provide patients with healthinformation upon request

80% of patients who make therequest receive it within 48 hours:test results, problem and med lists,allergies

Provide patients with dischargesummaries

N/A; applies to hospitals

Provide patients with clinicalsummaries

Clinical summaries provided for80% of office visits


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Provide timely access to newtest results

10% of patients seen receiveaccess to test results within 96hours of providers receipt

Exchange meaningful clinicalinformation with care team

Perform one test of capability toexchange key clinical data

Perform medication reconciliation Provide at 80% of encounters andcare transitions

Provide summary records attransitions in care and referrals

Provide summary care record for80% of transitions and referrals

Information to immunizationregistries submitted electronically

Capability to submit data toimmunization registries;submission where requiredand accepted


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Submit reportable lab results topublic health agencies

Perform at least one test ofsubmission; only one test per EHRwithin a group practice

Electronic reporting of syndromic

surveillance data

Capability to submit data; actual

submission where possible

Protect security and confidentiality Conduct or review a security riskanalysis and implement updatesas necessary


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Overview of HITECH Act Update on Meaningful Use Criteria Stage 1


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For more information contact:

Barbara Brownlee

[email protected]

888.580.1010-Toll Free

480.776.8933-Direct Source:Title XIII of the American Recovery and Investment Act of 2009

www.hhs.org
mailto:[email protected]://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1http://www.hhs.org/http://www.hhs.org/http://thomas.loc.gov/cgi-bin/query/z?c111:H.R.1mailto:[email protected]

Electronic Medical Records - MxSecure

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