Getting Started with Meaningful Use: The impact on the professional eligible provider

1. Getting Started with Meaningful Use: The impact on the professional eligible provider MMIC Health IT Bonnie Strong & Michele Roof

2. Our Focus • Introduction to Meaningful Use • Defining Eligible Provider • Steps You Can Take Now to Prepare

3. Understanding ARRA American Recovery and Reinvestment Act of 2009 HITECH Act Allocation

4. Why Meaningful Use? • Widespread Adoption of EHR Systems • HIE (Health Information Exchange) • Overall Advancement of HIT • 5 Key Goals of Meaningful Use • Quality of Care

5. Proposed Definition of Meaningful Use Meaningful Use Vision: To enable significant and measureable improvements in population health through a transformed health care delivery system.

6. 3 Stage/Phases of Meaningful Use:

7. 2011: Phase 1Data capture, basic functions, measure reporting

8. Meaningful Use Matrix 2011-2013-2015 Proposed Criteria Matrix.pdf

9. 2013: Stage 2

10. 2015: Stage 3

11. Medicare / Medicaid Incentive Programs • Two Different Incentive Programs • Practices Can Select Program Year-to-Year • Voluntary Participation • Incentives only available to Eligible Hospitals and Eligible Providers

12. The Eligible Professional • Non-Hospital Based • The term “physician” means the doctor of medicine or osteopathy legally authorized to practice medicine and surgery by the State in which he/she performs such function or action.

13. Medicare Incentive: What does it mean for me? • First, you must be a “Meaningful User” • Second, incentive amounts are based on amounts equal to percentage of Part B covered charges • 2011 Reporting is Subject to Attestation

14. Medicare Incentive Payment Grid

15. Medicaid Incentive: What does it mean for me? • Pediatricians with at least 20 percent Medicaid patient volume, could receive up to $42,500 • Other physicians (non-hospital based), with at least 30 percent Medicaid patient volume could receive up to $63,750, over a six year period.

16. Medicaid Incentive

17. Medicare/Medicaid Incentive Facts: • EP’s Limited to One Program per Year / Practice • Participation tracked by EP NPI • There is No Max Incentive Payment by Practice • Reporting includes all “unique” patients, not just Medicare/Medicaid patient data • Incentive payments end entirely by 2016

18. Next Steps / What can your practice do now?

19. Adopt: Assess – Plan – Select

20. Utilize: Implement – Effective Use

21. Exchange: Readiness - Interoperability

22. Top 10 Action Items • Review Documentation • Communication Plan • Assess Financial Impact • Assess Technology Infrastructure • Identify Potential Gaps • Plan Gap Response/Management • Determine Reporting Capabilities • Develop Meaningful Use Roadmap/Timeline • Implement • Workflow Optimization

23. Final Meaningful Use Notes • The best way to become informed is to read the federal register – or make someone from your practice begin reading this and help to identify what some of the specific measures are going to mean for your practice • Watch for the final rule to be published – tentatively expected for June 2010

24. Resources • American Medical Association: http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/health-information-technology/hit-resources-activities.shtml • AHIMA: http://www.ahima.org/advocacy/arrahitech.aspx • MN Dept of Health: http://www.health.state.mn.us/e-health/hitech.html • HIMSS: http://www.himss.org/EconomicStimulus/ • Health Information Technology: http://healthit.hhs.gov/portal/server.pt?open=512&objID=1325&parentname=CommunityPage&parentid=1&mode=2

25. Q/A Education@mmicgroup.com www.mmicgroup.com Future Meaningful Use Webinars to be Announced