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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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Objective Measurement for EPs
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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Objective Measurement for EPs
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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Objective Measurement for EPs
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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Objective Measurement for EPs
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
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]Top Related