Should you try to meet Meaningful Use?

1. Should you try to meet Meaningful Use? Healthcare IT Strategy paulroemer@healthcareitstrategy.com

2. Does Meaningful Use work for You?

3. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy?

4. Meet Meaningful Use Do NOT meet Meaningful Use Does Meaningful Use work for you? • The CMS created a decision point. You must weigh meeting Meaningful Use.

5. Meeting Meaningful Use kicks off a chain reaction • What if MU changes after you are committed to as strategy?

6. Full MU Delay meeting MU Phased MU ??? ?? NO MU What might your options be? • Fortunately, there are several options to evaluate.

7. What should your MU Strategy be? • You must decide how to define how to quantify your strategy for MU.

8. Why is this decision critical? • External influencers will squeeze your Business and HIS strategy. Reform • PROVIDER MU

9. Question Marks Rising Stars Risk of Option Cash Cows Dead Dogs Value of Option Why is this decision critical? • You need to ascertain where to place each option

10. Why is this decision critical? • Once the nose of the camel gets under the tent… The camel wants to get all the way in. The government is moving towards a national healthcare business model. You have your own model. Do they complement one another or conflict?

11. More is unknown than known • What is unknown cannot be controlled Standards HIE Reform Date Change No leader PlanB? N-HIN Change requirements

12. Meaningful Use Decision Tie to HIT strategy Your HIS Strategy Text HIT platform How do we plan your HIT strategy? • What are the influencers and inputs? Your Strategic Plan Align to Reform HIT initiatives Strategic GAPS MU options

13. Yes Do you meet MU No Should you attempt to meet Meaningful Use and why?

14. Should you attempt to meet Meaningful Use and why? By what date Full MU Yes What Option Partial By When Do you meet MU What’s the plan No

15. If Full MU, what is the best date for you to meet it? 2011 2012 21013 Full MU By what date 21014 21015

16. What are the ARRA implications to you of the dates for full MU? 2011 100% of incentive 2012 100% of incentive 2013 100% of incentive What are the implications? 60% of incentive 2014 2015 30% of incentive

17. What are the risks to you of seeking to meet full MU? Probability of passing MU? External risks? Align with your strategy? What are the risks prior to 2016 Meeting your key metrics? PENALTIES After 2016

18. What is the probability of passing the MU test for full MU? Determine by year of test If the requirements change What are Stage 2 requirements Vendor certification Impact of reform What is the probability of passing MU? What are Stage 3 requirements Affect on your strategy If the date change

19. What are the external risks to passing the MU test for full MU? Determine by year of test HIT staff shortages Vendor Support Change in Medicare payments Impact of reform What are the External Risks Regulatory reform Affect on strategy Acquisitions by your firm

20. Does passing the MU test for full MU align with your strategy? Supply Cost Quality and Safety Revenue Cycle Culture and Service Physician Collaboration Growth How does MU align with your strategy Patient Retention Centralize Business Support Primary care growth Labor Productivity

21. Does passing the MU test for full MU align with your metrics? Increase staff satisfaction Increase culture scores Decrease length of stay Increase operational excellence Decrease waiting times How does MU align with your metrics Improve customer service Increase clinical quality

22. What HIT projects do you have to do to meet full MU requirements? Clinical Transformation Eligibility checking Standard orders upgrades Quality performance What’s needed for 2011 EO Rx Other years should be similar in terms of tasks Meaningful Use CPOE

23. What influencers should be considered to meet full MU requirements? Cost When can you complete Staffing What is the ROI Stage 2 & 3 requirements What are the Influencers Other HIS projects Other years should be similar in terms of tasks Meaningful Use CPOE

24. What costs should be understood to meet full MU requirements? Systems Work flow improvement Staffing What is the ROI What is the Cost training Other years should be similar in terms of tasks Change management

25. What staffing should be answered to decide meeting full MU requirements? How many By when? What are staffing needs Skill sets Other years should be similar in terms of tasks Contractors

26. What does meeting full MU requirements do to other projects? What are they Can they be delayed What are Non-MU projects Allocating funds Other years should be similar in terms of tasks Allocating staff

27. What is the impact of doing CPOE? Would you do CPOE without MU CPOE is the bulk of work and risk What is CPOE’s impact What is chance of success Other years should be similar in terms of tasks Allocating staff

28. What is the best year to meet MU requirements? 2011-2013 2014-2015 When can you complete MU What is the ROI by year Other years should be similar in terms of tasks Impact of year on HIT projects

29. What will be the requirements of Stages 2 & 3 with MU? Unknown requirements Unknown cost What are Stages 2 & 3 Unknown risk Other years should be similar in terms of tasks What is chance of success

30. How do you measure the risk of trying to meet MU? Determine individual risks Determine their probability Develop risk matrix Perform Risk Analysis Determine their impact Map options by year to risks