On Meaningful Use

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<ul><li> 1. Healthcare IT Strategy [email_address]</li></ul> <p> 2. Hi, Im Paul Thank you for coming 3. This final rule implements the provisions of the American Recovery andReinvestment Act of 2009 (ARRA) (Pub. L. 111-5) that provide incentive payments to eligibleprofessionals (EPs), eligible hospitals and critical access hospitals (CAHs) participating inMedicare and Medicaid programs that adopt and successfully demonstrate meaningful use ofcertified electronic health record (EHR) technology.This final rule specifiesthe initial criteriaEPs, eligible hospitals, and CAHs must meet in order to qualify for an incentive payment;calculation of the incentive payment amounts; payment adjustments under Medicare for coveredprofessional services and inpatient hospital services provided by EPs, eligible hospitals andCAHs failing to demonstrate meaningful use of certified EHR technology; and other programparticipation requirements.Also, the Office of the National Coordinator for Health InformationTechnology (ONC) will be issuing a closely related final rule that specifies the Secretarysadoption of an initial set of standards, implementation, specifications, and certification criteriafor electronic health records.ONC has also issued a separate final rule on the establishment ofcertification programs for health information technology. MU Final Rule: 1 of 800 4. Notes?Up to you 5. </p> <ul><li>3 points to answer: </li></ul> <ul><li>Whats up with EHR? </li></ul> <ul><li>Should you meet MU? </li></ul> <ul><li>What if there was no MU? </li></ul> <p> 6. EHR , MU, ICD-10 reform, RHIOs, RECs, &amp; N-HIN, are all complicated EHR , MU, ICD-10 reform, RHIOs, RECs, &amp;N-HIN, are all complicated 7. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 8. Does meeting MU align with your business strategy? EHR &amp; MU are not Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 9. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Why do you buy a drill? Because you cant buy holes Why buy an EHR? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 10. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Why did you buy your EHR? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 11. Write down your answer Remember it, you willneed it later 12. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Whats the elephant in the room? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 13. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Meaningful Yoose Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 14. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Meaningful Yoose What is the answer? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 15. Does meeting MU align with your business strategy? MU final rule Wordle Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 16. Does meeting MU align with your business strategy? 2 conflicting provider models yours National healthcare Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 17. Does meeting MU align with your business strategy? MU office (slaughter house) Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 18. Does meeting MU align with your business strategy? Is there merit in holding out? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 19. Does meeting MU align with your business strategy? Are all provider businesses all the same? NO! Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 20. Does meeting MU align with your business strategy? Pick a number between 1 and 6,000 Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 21. Does meeting MU align with your business strategy? Now I will pick a number Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 22. Does meeting MU align with your business strategy? How far away is your number from mine Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 23. Does meeting MU align with your business strategy? CMS writes MU final rule Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 24. Does meeting MU align with your business strategy? How far away is your organization from that target? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 25. Write down your answer Remember it, you willneed it later 26. Write down your answer Remember it, you willneed it later Expand your thinking 27. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Keep the focus on you Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 28. Does meeting MU align with your business strategy? Coloroutside the lines Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 29. Does meeting MU align with your business strategy? Where are my stone Tablets? ONC Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 30. Does meeting MU align with your business strategy? ONCwere listening Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 31. Does meeting MU align with your business strategy? Healthcare IT The heavy liftingis just beginning. Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 32. Does meeting MU align with your business strategy? ARRA money Good Luck Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 33. Does meeting MU align with your business strategy? What if there were no Meaningful Use? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 34. Does meeting MU align with your business strategy? Were listening Why buy a drill? Because you needa hole. Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 35. Should you try to meet Meaningful Use? Healthcare IT Strategy [email_address] 36. Does Meaningful Use work for You? 37. Does meeting MU align with your business strategy? Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund. PA CIO 38. Does Meaningful Use work for you? </p> <ul><li>The CMS created a decision point.You must weigh meeting Meaningful Use. </li></ul> <p>Meet Meaningful Use Do NOT meet Meaningful Use 39. Meeting Meaningful Use kicks off achain reaction </p> <ul><li>What if MU changes after you are committed to as strategy? </li></ul> <p> 40. What might your options be? </p> <ul><li>Fortunately, there are several options to evaluate. </li></ul> <p>Full MU Delay meeting MU Phased MU ??? ?? NO MU 41. What should your MU Strategy be? </p> <ul><li>You must decide how to define how to quantify your</li></ul> <ul><li>strategy for MU. </li></ul> <p> 42. Why is this decision critical? </p> <ul><li>External influencers will squeeze your Business and HIT</li></ul> <ul><li>strategy. </li></ul> <p>MU PROVIDERReform 43. Why is this decision critical? </p> <ul><li>You need to ascertain where to place each option </li></ul> <p> 44. Why is this decision critical? </p> <ul><li>Once the nose of the camel gets under the tent </li></ul> <p>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? 45. More is unknown than known </p> <ul><li>What is unknown cannot be controlled </li></ul> <p>N-HIN Change requirements Standards No leader Plan B? Reform HIE Date Change 46. How do we plan your HIT strategy? </p> <ul><li>What are the influencers and inputs? </li></ul> <p>Your Strategic Plan HIT initiatives Align to Reform Strategic GAPS MU options Your HIS Strategy Meaningful Use Decision Text HIT platform Tieto HIT strategy 47. Should you attempt tomeet Meaningful Use and why? Do you meet MUYes No 48. Should you attempt to meetMeaningful Use and why? Do you meet MUYes Full MU Partial By what date What Option By When No Whats the plan 49. If Full MU, what is the best date for you to meet it? Full MU By what date 2011 2012 21013 21014 21015 50. What are the ARRA implications to you of the dates for full MU? What are the implications? 2011 2012 2013 2014 2015 100% ofincentive 100% ofincentive 100% ofincentive 60% ofincentive 30% ofincentive 51. What are the risks to you of seeking to meet full MU? What are the risks prior to 2016 Probability of passing MU? External risks? Align with your strategy? Meeting your key metrics? PENALTIES After 2016 52. What is the probability of passing the MU test for full MU? What is the probability of passing MU? Determine by year of test What are Stage 2 requirements What are Stage 3 requirements If the date change If the requirements change Vendor certification Impact of reform Affect on your strategy 53. What are the external risks to passing the MU test for full MU? What are the External Risks Determine by year of test Vendor Support Regulatory reform Acquisitions by your firm HIT staff shortages Change in Medicare payments Impact of reform Affect on strategy 54. Does passing the MU test for fullMU align with your strategy? How does MU align with your strategy Quality and SafetyCulture and ServiceCentralize Business Support Labor ProductivitySupply Cost Revenue Cycle Patient Retention Primary care growth Physician Collaboration Growth 55. Does passing the MU test for fullMU align with your metrics? How does MU align with your metrics Increase culture scores Increase operational excellence Improve customer service Increase clinical quality Increase staff satisfaction Decrease length of stay Decrease waiting times 56. What HIT projects do you have to do to meet full MU requirements? Whats needed for 2011 Clinical Transformation Standard orders EO Rx Meaningful Use CPOE Eligibility checking upgrades Quality performance Other years should be similar in terms of tasks 57. What influencers should be consideredto meet full MU requirements? What are the Influencers Cost Staffing Other HIS projects Meaningful Use CPOE When can you complete What is the ROI Stage 2 &amp; 3 requirements Other years should be similar in terms of tasks 58. What costs should be understood to meet full MU requirements? What is the Cost Systems Staffing training Change management Work flow improvement What is the ROI Other years should be similar in terms of tasks 59. What staffing should be answered todecide meeting full MU requirements? What are staffing needs How many By when? Skill sets Contractors Other years should be similar in terms of tasks 60. What does meeting full MUrequirements do to other projects? What are Non-MU projects What are they Can they be delayed Allocating funds Allocating staff Other years should be similar in terms of tasks 61. What is the impact of doing CPOE? What is CPOEs impact Would you do CPOE without MU CPOE is the bulk of work and risk What is chance of success Allocating staff Other years should be similar in terms of tasks 62. What is the best year to meet MU requirements? When can you complete MU 2011-2013 2014-2015 What is the ROI by year Impact of year on HIT projects Other years should be similar in terms of tasks 63. What will be the requirements ofStages 2 &amp; 3 with MU? What are Stages 2 &amp; 3 Unknown requirements Unknown cost Unknown risk What is chance of success Other years should be similar in terms of tasks 64. How do you measure the risk of trying to meet MU? Perform Risk Analysis Determine individual risks Determine their probability Determine their impact Map options by year to risks Develop risk matrix </p>