US Perspectives on Clinical Decision Support

Size: px
Start display at page:

Download "US Perspectives on Clinical Decision Support"

Transcription

1 US Perspectives on Clinical Decision Support Blackford Middleton, MD, MPH, MSc, FACP, FACMI, FHIMSS Corporate Director, Clinical Informatics Research & Development Chairman, Center for Information Technology Leadership Harvard Medical School

2 Overview Clinical Decision Support Themes American stimulus bill (ARRA/HITECH) -- Meaningful Use Clinical Impact Cost Impact Examples from Partners Healthcare/Harvard Medical School Future Research Directions The Clinical Decision Support Consortium

3 US Background and Policy Goals US Healthcare remains largely unwired, fragmented, variable in process and outcomes, with significant disparities, and unabated growth in expense Despite increased efforts at improved quality, patient safety, cost containment, and HIT adoption HITECH Act (Health Information Technology for Economic and Clinical Health Act) $19.2B net ($36B overall) over 6 years for HIT Every American Citizen with EMR by 2014 HIT adoption as a prelude to healthcare reform Healthcare reform as component of economic recovery

4 Bending the Curve Towards Transformed Health Achieving Meaningful Use of Health Data Advanced clinical processes Improved outcomes Data capture and sharing 4

5 Health Care Reform Can IT solve the problems?

6 Meaningful Use Criteria HIT-Enabled Health Reform Achieving Meaningful Use HIT-Enabled Health Reform HITECH Policies 2011 Meaningful Use Criteria (Capture/share data) 2013 Meaningful Use Criteria (Advanced care processes with decision support) 2015 Meaningful Use Criteria (Improved Outcomes) 6

7 Entitlement Funds Medicare Payments Medicaid Payments Appropriated Funds Healthcare Information Exchange EHR Adoption Loans HIT Extension Programs Workforce Training New Technologies R&D Grants

8 Meaningful Use $$$

9

10 The Evidence for CDS CDS yields increased adherence to guideline-based care, enhanced surveillance and monitoring, and decreased medication errors (Chaudhry et al., 2006) CDS, at the time of order entry in a computerized provider order entry system can help eliminate overuse, underuse, and misuse. (Bates et al., 2003; Austin et al., 1994; Linder, Bates and Lee, 2005; Tierney et al., 2003) For expensive radiologic tests and procedures this guidance at the point of ordering can guide physicians toward ordering the most appropriate and cost effective, radiologic tests. (Bates et al., 2003; Khorasani et al., 2003) Showing the cumulative charge display for all tests ordered, reminding about redundant tests ordered, providing counter-detailing during order entry, and reminding about consequent or corollary orders may also impact resource utilization (Bates and Gawande, 2003; Bates, 2004; McDonald et al., 2004).

11 Problems with CDS 22 Categories of Increased Medication Risk Information Errors Assumed dose Med d/c failure Procedure-linked med error Give now, and prn d/c error Antibiotic renewal Diluent option error Allergy display Conflict or duplicate med User Interface/Workflow Errors Patient selection Med selection Unclear log on/off Meds after surgery Post surgery suspended meds Time/data loss when CPOE down Med delivery error Timing errors Delayed nursing documentation Rigid system design Koppel R et al. JAMA 293:10, Mar 2005

12 Barriers to Clinical Decision Support Current adoption of advanced clinical decision support is limited due to a variety of reasons, including: Limited implementation of EMR, CPOE, PHR, etc. Difficulty developing clinical practice guidelines. A lack of standards Absence of a central repository or knowledge resource. Limited CDS functionality in commercial EHRs. Challenges in integrating CDS into the clinical workflow. A limited understanding of organizational, and cultural issues relating to clinical decision support.

13 Converting evidence to care Negative results Negative results Lack of numbers Inconsistent indexing 50% 18% Dickersin, % 46% Submission Publication variable 0.5 year Kumar, Koren, years 1989 Acceptance to apply 14% of Balas, 1995 Poynard, 1985 Original research 0.6 year research knowledge to patient care! 0.3 year Bibliographic databases years Reviews, guidelines, textbook Patient Care 9.3 years Kumar, :14 Poyer, 1982 Antman, 1992 Expert opinion Balas Yearbook Medical Informatics 2000gtre4, courtesy M Overhage

14 The Clinical Decision Support Consortium

15 How Does HIT Save Money? EHR Effects Completeness, correctness, decision support, formulary, brand to generic, duplicate/redundant meds and tests, charge display Workflow support, messaging (pt/provider), referral, A/R, team CPOE Effects Reduction in hospitalization/los due to ADEs, clinical decision support HIEI Effects Reduction in unnecessary and redundant tests and procedures Labor cost savings Telehealth Effects Reduction in patient transport, utilization of hospitals, and physician office visits PHR Effects Administrative time savings Reduction in hospitalizations and physician visit utilization Improved medication safety Reduction in redundant laboratory tests

16 The Value of Ambulatory CDS CITL model projects annual savings of approximately $44 billion from reduced medication, radiology, laboratory, and ADE-related expenses The value of ambulatory CPOE occurs with advanced CDS Advanced CDS systems cost five times as much as basic CDS, but were projected to generate 12 times greater financial return A potential reduction of more than 2 million adverse drug events (ADEs) annually with nationwide implementation of ambulatory CPOE Johnston et al., 2003

17 Boston, MA Partners Geography Newton- Wellesley McLean BWH Faulkner Salem & Shaughnessy Kaplan Union Spaulding MGH Partners Acute Hospitals Partners Specialty Hospitals Towns With PCHI Primary Care Care Physician Practices RHCI Orleans Go Red Sox!

18 Initiative Focus High Performance Medicine Initiatives Infrastructure 1. Investing in quality and utilization infrastructure Information systems Other resources Quality Efficiency 2. Enhancing patient safety by reducing medication errors system-wide 3. Enhancing uniform high quality by measuring performance to benchmark for select inpatient and outpatient conditions 4. Expanding disease management programs by supporting activities for certain patients with chronic illnesses 5. Improving cost effectiveness through managing utilization trends and analysis of variance

19

20 Partners Clinical Systems Goals To ensure comparability of clinical data across the enterprise common data To facilitate enterprise clinical decision support common logic To facilitate enterprise reporting and data mining common reports, business intelligence To facilitate enterprise standard clinical practice for providers and patients common workflow reduced unwarranted variation where appropriate To enhance our development agility by creating re-usable application components and services common infrastructure, 1-4 above

21 Secure Messaging Patient Lists Schedule Clinical Alerts Population Management Knowledge Links Task Management

22 HPM:2 High Performance Medicine: Medication Safety

23 CAD/DM Smart Form Smart View: Data Display Documentation Window Assessment, Orders, and Plan Assessment and recommendations generated from rules engine Lipids Anti-platelet therapy Blood pressure Glucose control Microalbuminuria Immunizations Smoking Weight Eye and foot examinations

24 Preliminary Results: Smart Form On Treatment Analysis Smart Form Used Control 0 % 10 % 20 % 30 % 40 % 50 % 60 % 70 % 80 % Up-to-date BP result <0.001 Change in BP therapy if above goal 0.05 Up-to-date height and weight Change in therapy if A1C above goal Up-to-date foot exam documented < Up-to-date eye exam documented <0.001 # of deficiencies addressed <0.001

25 CAD Quality Dashboard Red, yellow, and green indicators show adherence with targets Targets are 90 th percentile for HEDIS or for Partners providers Zero defect care: Aspirin Beta-blockers Blood pressure Lipids

26

27 Information Systems Patient Gateway A tethered secure patient portal Abstracted chart info: Meds/Allergies/Schedule Coming soon: Lab results pilot Secure web messaging to the primary care practice, with notifications Health reference information (Healthwise) and practice information Portal preferences and personal profile 4

28 Discrepancy Details

29 Provider Activation More medication changes in visits after diabetes journal submission: Grant RW et al. Practice-linked Online Personal Health Records for Type 2 Diabetes: A Randomized Controlled Trial. Arch Int Med 2007, in press.

30 Thank you! I conclude that though the individual physician is not perfectible, the system of care is, and that the computer will play a major part in the perfection of future care systems. Clem McDonald, MD NEJM 1976 Blackford Middleton, MD, MPH, MSc bmiddleton1@partners.org

Toward Data and Knowledge Interoperability: The Clinical Decision Support Consortium

Toward Data and Knowledge Interoperability: The Clinical Decision Support Consortium Toward Data and Knowledge Interoperability: The Clinical Decision Support Consortium Blackford Middleton, MD, MPH, MSc, FACP, FACMI, FHIMSS Director, Clinical Informatics Research & Development Partners

More information

Care with Healthcare Information Technology Promises and Peril

Care with Healthcare Information Technology Promises and Peril 09 Re engineering engineering U.S. Health Care with Healthcare Information Technology Promises and Peril Blackford Middleton, MD, MPH, MSc Corporate Director, Clinical Informatics Research & Development

More information

The Value of Healthcare Information Exchange and Interoperability

The Value of Healthcare Information Exchange and Interoperability The Value of Healthcare Information Exchange and Interoperability Blackford Middleton, MD, MPH, MSc Chairman, Center for IT Leadership Director, Clinical Informatics R&D, Partners Healthcare Assistant

More information

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative

OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD. A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative OPTIMIZING THE USE OF YOUR ELECTRONIC HEALTH RECORD A collaborative training offered by Highmark and the Pittsburgh Regional Health Initiative Introductions Disclosures Successful completion of training

More information

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations

Health Information Technology and the National Quality Agenda. Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Health Information Technology and the National Quality Agenda Daphne Ayn Bascom, MD PhD Chief Clinical Systems Officer Medical Operations Institute of Medicine Definition of Quality "The degree to which

More information

the clinical decision support consortium: overview

the clinical decision support consortium: overview the clinical decision support consortium: overview " Blackford Middleton! MD, MPH, MSc FACP, FACMI, FHIMSS" Principal Investigator! " www.partners.org/cird/cdsc" " AMIA CDS-WG" July 18, 2012" Overview

More information

Marriott Wardman Park Hotel, Washington, D.C. 20008. Tuesday, April 28, 2009

Marriott Wardman Park Hotel, Washington, D.C. 20008. Tuesday, April 28, 2009 The National Committee on Vital and Heath Statistics (NCVHS) Executive Subcommittee special hearing on meaningful use as proposed in the American Reinvestment and Recovery Act 2009 Panel 2: Meaningful

More information

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC

Meaningful Use. Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC Meaningful Use Michael L. Brody, DPM FACFAOM CCHIT Ambulatory Workgroup HITSP Physician Perspective Technical Committee NYeHC What is Meaningful Use? Meaningful use is a term defined by CMS and describes

More information

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895

Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 Contact: Barbara J Stout RN, BSC Implementation Specialist University of Kentucky Regional Extension Center 859-323-4895 $19.2B $17.2B Provider Incentives $2B HIT (HHS/ONC) Medicare & Medicaid Incentives

More information

Practical Issues in Automating Clinical Practice: Perspectives from the Small Office to the IDN

Practical Issues in Automating Clinical Practice: Perspectives from the Small Office to the IDN Practical Issues in Automating Clinical Practice: Perspectives from the Small Office to the IDN Blackford Middleton, MD, MPH, MSc Director, Clinical Informatics Research & Development Chairman, Center

More information

Meaningful Use. Goals and Principles

Meaningful Use. Goals and Principles Meaningful Use Goals and Principles 1 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2 ULTIMATE GOAL Enhance the quality of patient care

More information

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.

More information

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com

Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Medweb Telemedicine 667 Folsom Street, San Francisco, CA 94107 Phone: 415.541.9980 Fax: 415.541.9984 www.medweb.com Meaningful Use On July 16 2009, the ONC Policy Committee unanimously approved a revised

More information

Dr. Peters has declared no conflicts of interest related to the content of his presentation.

Dr. Peters has declared no conflicts of interest related to the content of his presentation. Dr. Peters has declared no conflicts of interest related to the content of his presentation. Steve G. Peters MD NAMDRC 2013 No financial conflicts No off-label usages If specific vendors are named, will

More information

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene

Stage 1 Meaningful Use for Specialists. NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene Stage 1 Meaningful Use for Specialists NYC REACH Primary Care Information Project NYC Department of Health & Mental Hygiene 1 Today s Agenda Meaningful Use Overview Meaningful Use Measures Resources Primary

More information

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage

More information

The Value of EHR and Healthcare Information Exchange

The Value of EHR and Healthcare Information Exchange The Value of EHR and Healthcare Information Exchange Blackford Middleton, MD, MPH, MSc Chairman, Center for IT Leadership Director, Clinical Informatics R&D, Partners Healthcare Assistant Professor of

More information

Meaningful Use Objectives

Meaningful Use Objectives Meaningful Use Objectives The purpose of the electronic health records (EHR) incentive program is not so much the adoption of health information technology (HIT), but rather how HIT can further the goals

More information

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability

More information

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology

Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate

More information

MEANINGFUL USE. Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) CONTENTS:

MEANINGFUL USE. Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) CONTENTS: Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) MEANINGFUL USE HITECH s goal is not adoption alone but meaningful use of EHRs that is, their

More information

Medicare and Medicaid Programs; EHR Incentive Programs

Medicare and Medicaid Programs; EHR Incentive Programs Medicare and Medicaid Programs; EHR Incentive Programs Background The American Recovery and Reinvestment Act of 2009 establishes incentive payments under the Medicare and Medicaid programs for certain

More information

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support

Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Using Health Information Technology to Improve Quality of Care: Clinical Decision Support Vince Fonseca, MD, MPH Director of Medical Informatics Intellica Corporation Objectives Describe the 5 health priorities

More information

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review

Special Topics in Vendor- Specific Systems. Outline. Results Review. Unit 4 EHR Functionality. EHR functionality. Results Review Special Topics in Vendor- Specific Systems Unit 4 EHR Functionality EHR functionality Results Review Outline Computerized Provider Order Entry (CPOE) Documentation Billing Messaging 2 Results Review Laboratory

More information

RPMS EHR Remote Support and Configuration

RPMS EHR Remote Support and Configuration RESOURCE AND PATIENT MANAGEMENT SYSTEM RPMS EHR Remote Support and Configuration Agenda April 30 th May 4th, 2012 IHS Office of Information Technology (OIT) Albuquerque, New Mexico & Samuel Simmonds Memorial

More information

Integration of EMR/PHR and Patient Portal with Decision Support

Integration of EMR/PHR and Patient Portal with Decision Support Integration of EMR/PHR and Patient Portal with Decision Support Charles B. Eaton M.D., M.S. Center for Primary Care and Prevention Memorial Hospital of Rhode Island David K. Ahern, Ph.D. Health e-technologies

More information

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey

Custom Report Data Elements: IT Database Fields. Source: American Hospital Association IT Survey Custom Report Data Elements: IT Database Fields Source: American Hospital Association IT Survey TABLE OF CONTENTS COMPUTERIZED SYSTEM IMPLEMENTATION... 4 Bar Coding... 4 Computerized Provider Order Entry...

More information

Meaningful Use Gap Analysis and Planning Engineering a Hit!

Meaningful Use Gap Analysis and Planning Engineering a Hit! Meaningful Use Gap Analysis and Planning Engineering a Hit! Cheyenne Thomas Inland Northwest Health Services/Information Resource Management INHS/IRM Introduction Meet the Band INHS/IRM Collaborative Delivery

More information

Meaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013

Meaningful Use 2014: Stage 2 MU Overview. Scott A. Jens, OD, FAAO October 16, 2013 Meaningful Use 2014: Stage 2 MU Overview Scott A. Jens, OD, FAAO October 16, 2013 Overview General Overview of Stage 2 MU in 2014 Core Objectives for Stage 2 Menu Objectives for Stage 2 Complete summary

More information

Meaningful Use. Medicare and Medicaid EHR Incentive Programs

Meaningful Use. Medicare and Medicaid EHR Incentive Programs Meaningful Use Medicare and Medicaid Table of Contents What is Meaningful Use?... 1 Table 1: Patient Benefits... 2 What is an EP?... 4 How are Registration and Attestation Being Handled?... 5 What are

More information

Meaningful Use Qualification Plan

Meaningful Use Qualification Plan Meaningful Use Qualification Plan Overview Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure intended to reform the health care system

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 CORE OBJECTIVES (16 total) Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 Stage 1 Objective Use CPOE for medication orders directly entered by any licensed

More information

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS

Of EHRs and Meaningful Use. Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS Of EHRs and Meaningful Use Pat Wise, RN, MA, MS FHIMSS COL (USA ret d) VP, Healthcare Information Systems, HIMSS 1 MU: Where We are Today From www.cms.gov As of the end of January 31, 2013: >210,000 EPs

More information

Meaningful Use - The Basics

Meaningful Use - The Basics Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use

More information

AAP Meaningful Use: Certified EHR Technology Criteria

AAP Meaningful Use: Certified EHR Technology Criteria AAP Meaningful Use: Certified EHR Technology Criteria On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which eligible pediatricians,

More information

HL7 & Meaningful Use. Charles Jaffe, MD, PhD CEO Health Level Seven International. HIMSS 11 Orlando February 23, 2011

HL7 & Meaningful Use. Charles Jaffe, MD, PhD CEO Health Level Seven International. HIMSS 11 Orlando February 23, 2011 HL7 & Meaningful Use Charles Jaffe, MD, PhD CEO Health Level Seven International HIMSS 11 Orlando February 23, 2011 Overview Overview of Meaningful Use HIT Standards and Meaningful Use Overview HL7 Standards

More information

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality

Stage 2 Meaningful Use What the Future Holds. Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality Stage 2 Meaningful Use What the Future Holds Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.

More information

Psychiatrists and Reporting on Meaningful Use Stage 1. August 6, 2012

Psychiatrists and Reporting on Meaningful Use Stage 1. August 6, 2012 Psychiatrists and Reporting on Meaningful Use Stage 1 August 6, 2012 Quick Overview Functional Measures Providers (tracked by NPI) must report on 15 core objectives and associated measures and 5 objectives

More information

Toward Meaningful Use of HIT

Toward Meaningful Use of HIT Toward Meaningful Use of HIT Fred D Rachman, MD Health and Medicine Policy Research Group HIE Forum March 24, 2010 Why are we talking about technology? To improve the quality of the care we provide and

More information

Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 18, 2013

Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 18, 2013 Meaningful Use of HIT by RHCs NOSORH Region A Meeting Providence, RI June 8, Learning Objectives Understand the status of adoption of HIT and EHRs by RHCs Discuss how RHCs with EHRs perform on Stage meaningful

More information

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only)

Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Summary of the Proposed Rule for the Medicare and Medicaid Electronic Health Records (EHR) Incentive Program (Eligible Professionals only) Background Enacted on February 17, 2009, the American Recovery

More information

1/16/2015 HOW CLINICAL EDUCATORS CAN DISCLOSURE LEARNING OBJECTIVES MAKE MEANINGFUL USE MEANINGFUL. We have no financial disclosures

1/16/2015 HOW CLINICAL EDUCATORS CAN DISCLOSURE LEARNING OBJECTIVES MAKE MEANINGFUL USE MEANINGFUL. We have no financial disclosures HOW CLINICAL EDUCATORS CAN MAKE MEANINGFUL USE MEANINGFUL Daryl Wieland, MD Tammy Gruenberg, MD Michelle Giannone, MD Albert Einstein College of Medicine, Bronx, NY DISCLOSURE We have no financial disclosures

More information

Mark Anderson, FHIMSS, CPHIMSS Healthcare IT Futurist

Mark Anderson, FHIMSS, CPHIMSS Healthcare IT Futurist Mark R. Anderson, FHIMSS, CPHIMS CEO of AC Group, Inc. Mark Anderson, FHIMSS, CPHIMSS Healthcare IT Futurist CEO of AC Group National Speaker on EHR > 800 sessions since 2001 Semi annual report on Vendor

More information

DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014

DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014 DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014 The chart below lists the measures (and specialty exclusions) that eligible providers must

More information

Understanding Meaningful Use. Review of Part 1 and Part 2

Understanding Meaningful Use. Review of Part 1 and Part 2 Understanding Meaningful Use Review of Part 1 and Part 2 Understanding Meaningful Use Pat Wise RN, MA, MS, FHIMSS COL (USA ret'd) Vice President, Healthcare Information Systems Meaningful Use Financial

More information

Meaningful Use Criteria for Eligible Hospitals and Eligible Professionals (EPs)

Meaningful Use Criteria for Eligible Hospitals and Eligible Professionals (EPs) Meaningful Use Criteria for Eligible and Eligible Professionals (EPs) Under the Electronic Health Record (EHR) meaningful use final rules established by the Centers for Medicare and Medicaid Services (CMS),

More information

Practice Readiness Assessment

Practice Readiness Assessment Practice Demographics Practice Name: Tax ID Number: Practice Address: REC Implementation Agent: Practice Telephone Number: Practice Fax Number: Lead Physician: Project Primary Contact: Lead Physician Email

More information

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward

Meaningful Use. A Success Story, The Rest of the Story and Our Way Forward Meaningful Use A Success Story, The Rest of the Story and Our Way Forward Michael H. Zaroukian, MD, PhD, FACP, FHIMSS CMIO and Professor of Medicine - Michigan State University Medical Director, Clinical

More information

Texas Medicaid EHR Incentive Program

Texas Medicaid EHR Incentive Program Texas Medicaid EHR Incentive Program Medicaid HIT Team July 23, 2012 Why Health IT? Benefits of Health IT A 2011 study* found that 92% of articles published from July 2007 to February 2010 reached conclusions

More information

SURVEY QUESTIONNAIRE 2013 AHA ANNUAL SURVEY INFORMATION TECHNOLOGY SUPPLEMENT

SURVEY QUESTIONNAIRE 2013 AHA ANNUAL SURVEY INFORMATION TECHNOLOGY SUPPLEMENT 2013 AHA ANNUAL SURVEY INFORMATION TECHNOLOGY SUPPLEMENT SURVEY QUESTIONNAIRE This survey instrument can be used to facilitate sales, planning and marketing activities. For example, consider current and

More information

Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System

Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System Nursing Informatics Working Group Informatics Strategies & Tools to Link Nursing Care with Patient Outcomes in the Learning Health Care System Patricia C. Dykes PhD, RN, FAAN, FACMI Judy Murphy RN, FHIMSS,

More information

Clinical Decision Support: Marrying Technology and Policy

Clinical Decision Support: Marrying Technology and Policy Clinical Decision Support: Marrying Technology and Policy Douglas S. Bell, MD, PhD Associate Professor In Residence, UCLA Department of Medicine Research Scientist, RAND Corporation AXIS Research Seminar

More information

MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist

MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist 1 Proposed Rule On April 15, 2015 CMS Issued a new proposal rule for the Medicare and Medicaid EHR Incentive

More information

Adopting an EHR & Meaningful Use

Adopting an EHR & Meaningful Use Adopting an EHR & Meaningful Use Learn how to qualify for the EHR Incentive Program The materials in this presentation, or prepared as part of this presentation, are provided for informational purposes

More information

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method

Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by

More information

Meaningful Use and Lab Related Requirements

Meaningful Use and Lab Related Requirements Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient

More information

Radiology Business Management Association Technology Task Force. Sample Request for Proposal

Radiology Business Management Association Technology Task Force. Sample Request for Proposal Technology Task Force Sample Request for Proposal This document has been created by the RBMA s Technology Task Force as a guideline for use by RBMA members working with potential suppliers of Electronic

More information

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations

Agenda. What is Meaningful Use? Stage 2 - Meaningful Use Core Set. Stage 2 - Menu Set. Clinical Quality Measures (CQM) Clinical Considerations AQAF Health Information Technology Forum Meaningful Use Stage 2 Clinical Considerations Marla Clinkscales & Mike Bice Alabama Regional Extension Center (ALREC) August 13, 2013 0 Agenda What is Meaningful

More information

CDS Starter Kit: Diabetes f ollow-up care

CDS Starter Kit: Diabetes f ollow-up care CDS Starter Kit: Diabetes f ollow-up care Introduction The delivery of high-quality diabetes care is a complex process that requires a provider to consider many pieces of patient information and treatment

More information

EHR Selection. Fall 2009 IDN Summit

EHR Selection. Fall 2009 IDN Summit Fall 2009 IDN Summit Peer-to-Peer Learning Exchange Research Reports EHR Selection Final Report October 2009.Information compiled by Healthcare Business Media, Inc in cooperation with the Exchange facilitators.

More information

Incentives to Accelerate EHR Adoption

Incentives to Accelerate EHR Adoption Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records

More information

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com

Medicaid EHR Incentive Program. Focus on Stage 2. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Understanding Participation Program Year Program Year January 1 st - December 31st. Year

More information

A Guide to Understanding and Qualifying for Meaningful Use Incentives

A Guide to Understanding and Qualifying for Meaningful Use Incentives A Guide to Understanding and Qualifying for Meaningful Use Incentives A White Paper by DrFirst Copyright 2000-2012 DrFirst All Rights Reserved. 1 Table of Contents Understanding and Qualifying for Meaningful

More information

Meaningful Use Rules Proposed for Electronic Health Record Incentives Under HITECH Act By: Cherilyn G. Murer, JD, CRA

Meaningful Use Rules Proposed for Electronic Health Record Incentives Under HITECH Act By: Cherilyn G. Murer, JD, CRA Meaningful Use Rules Proposed for Electronic Health Record Incentives Under HITECH Act By: Cherilyn G. Murer, JD, CRA Introduction On December 30, 2009, The Centers for Medicare & Medicaid Services (CMS)

More information

Achieving Meaningful Use with Centricity EMR

Achieving Meaningful Use with Centricity EMR GE Healthcare Achieving Meaningful Use with Centricity EMR Are you Ready to Report? GE Healthcare EMR Consulting CHUG Fall Conference October 2010 Achieving Meaningful Use with Centricity EMR The EMR Consulting

More information

Presented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society

Presented by. Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage

More information

Understanding Meaningful Use Stage 2

Understanding Meaningful Use Stage 2 Understanding Meaningful Use Stage 2 Miranda Ladue, Manager, Product Management Adam Plotts, Manager, Product Management Copyright 2011 Allscripts Healthcare Solutions, Inc. Agenda Review MU Timeline MU

More information

MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know

MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know Presented by: Kristen Heffernan Director Product Management & Marketing, Henry Schein MicroMD Agenda

More information

DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM

DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM DEMONSTRATING CLOUD-BASED CLINICAL DECISION SUPPORT AT SCALE: THE CLINICAL DECISION SUPPORT CONSORTIUM Brian E. Dixon, MPA, PhD, FHIMSS Marilyn D. Paterno, MBI Outline Part 1 Introductions Overview of

More information

Overview of MU Stage 2 Joel White, Health IT Now

Overview of MU Stage 2 Joel White, Health IT Now Overview of MU Stage 2 Joel White, Health IT Now 1 Agenda 1. Introduction 2. Context 3. Adoption Rates of HIT 4. Overview of Stage 2 Rules 5. Overview of Issues 6. Trend in Standards: Recommendations v.

More information

EMR Name/ Model. meridianemr 4.2 CCHIT 2011 certified

EMR Name/ Model. meridianemr 4.2 CCHIT 2011 certified EMR Name/ Model EMR Vendor meridianemr 4.2 CCHIT 2011 certified meridianemr, Inc Core Set of Measures Objective Stage 1 Objectives Stage 1 Measures EMR Module/ Feature 1 Use CPOE for medication orders

More information

Agenda. Topic Industry Today - Quality Measure Reporting Stage 1 Meaningful Use - Overview - Tenet Experience

Agenda. Topic Industry Today - Quality Measure Reporting Stage 1 Meaningful Use - Overview - Tenet Experience Achieving Meaningful Use Symposium Eligible Hospital Perspective Stage 1 Learnings, Stage 2 Preparation Liz Johnson, MS, FHIMSS, CPHIMS, RN-BC, VP, Applied Clinical Informatics, Tenet Health DISCLAIMER:

More information

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.

Medicaid EHR Incentive Program Dentists as Eligible Professionals. Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida. Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.davis@ahca.myflorida.com Considerations Must begin participation by Program Year 2016 Not required

More information

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist

Meaningful Use 2015 and beyond. Presented by: Anna Mrvelj EMR Training Specialist Meaningful Use 2015 and beyond Presented by: Anna Mrvelj EMR Training Specialist 1 Agenda A look at the CMS Website Finding your EMR version Certification Number Proposed Rule by the Centers for Medicare

More information

2014 AHA Annual Survey Information Technology Supplement Health Forum, L.L.C.

2014 AHA Annual Survey Information Technology Supplement Health Forum, L.L.C. 2014 AHA Annual Survey Information Technology Supplement Health Forum, L.L.C. Please return to: AHA Annual Survey Information Technology Supplement 155 N. Wacker Chicago, IL 60606 Please Note: This year

More information

Guide To Meaningful Use

Guide To Meaningful Use Guide To Meaningful Use Volume 1 Collecting the Data Contents INTRODUCTION... 3 CORE SET... 4 1. DEMOGRAPHICS... 5 2. VITAL SIGNS... 6 3. PROBLEM LIST... 8 4. MAINTAIN ACTIVE MEDICATIONS LIST... 9 5. MEDICATION

More information

An Overview of Meaningful Use: FAQs

An Overview of Meaningful Use: FAQs An Overview of Meaningful Use: FAQs On Feb. 17, 2009, President Obama signed the American Recovery and Reinvestment Act of 2009 (ARRA) into law. This new law includes provisions (known as the HITECH Act)

More information

DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015

DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015 DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015 The chart below lists the measures (and specialty exclusions) that eligible providers must

More information

to the Medicare and Medicaid

to the Medicare and Medicaid With the changes made in the final rule, earning the EHR incentive is still not easy, but at least it s easier. A Physician s Guide to the Medicare and Medicaid EHR Incentive Programs: The Basics David

More information

Health Information Technology

Health Information Technology Health Information Technology chartbook volume II Maine Hospitals Survey 2010 UNIVERSITY OF SOUTHERN MAINE Health Information Technology Maine Hospitals Survey Volume II Authors Martha Elbaum Williamson,

More information

Meaningful Use. NextGen Ambulatory EHR Path to. At NextGen Healthcare, we are ready to help. you demonstrate Meaningful Use.

Meaningful Use. NextGen Ambulatory EHR Path to. At NextGen Healthcare, we are ready to help. you demonstrate Meaningful Use. NextGen Ambulatory EHR Path to Meaningful Use At NextGen Healthcare, we are ready to help you demonstrate Meaningful Use. With our award-winning, certified EHR, our commitment to client partnerships, and

More information

Meaningful Use Stage 2: Summary of Proposed Rule for Eligible Professionals (EPs) Wyatt Packer HIT Regional Extension Center (REC) HealthInsight

Meaningful Use Stage 2: Summary of Proposed Rule for Eligible Professionals (EPs) Wyatt Packer HIT Regional Extension Center (REC) HealthInsight Meaningful Use Stage 2: Summary of Proposed Rule for Eligible Professionals (EPs) Wyatt Packer HIT Regional Extension Center (REC) HealthInsight Notice of Proposed Rule Making (NPRM) Stage 2 proposed rule

More information

Martin C. Were, MD, MS. Regenstrief Institute, Inc. Indiana University School of Medicine BHI Lecture Series May 13, 2008

Martin C. Were, MD, MS. Regenstrief Institute, Inc. Indiana University School of Medicine BHI Lecture Series May 13, 2008 Using an Informatics Tool to Improve Implementation of Recommendations by Consultants Martin C. Were, MD, MS. Regenstrief Institute, Inc. Indiana University School of Medicine BHI Lecture Series May 13,

More information

Norton Healthcare. Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices

Norton Healthcare. Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices Norton Healthcare Faith-Based Integrated Delivery Network of Five Not-for-Profit Hospitals 15 Out-patient Centers 130+ Physician Practices 2.2 Million yearly patient encounters $1.6 Billion yearly revenue

More information

Attachment 1 Stage 1 Meaningful Use Criteria

Attachment 1 Stage 1 Meaningful Use Criteria Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by

More information

Electronic Health Records: What it Means for Today s Radiologist By: Anne Reynolds

Electronic Health Records: What it Means for Today s Radiologist By: Anne Reynolds Electronic Health Records: What it Means for Today s Radiologist By: Anne Reynolds Introduction Program Overview In February of 2009, President Obama signed the American Recovery and Reinvestment Act of

More information

Lunch and Learn IFAF 09/24/11. Michael L. Brody, DPM

Lunch and Learn IFAF 09/24/11. Michael L. Brody, DPM Lunch and Learn IFAF 09/24/11 Michael L. Brody, DPM Disclaimers Sammy Sponsor of this presentation PICA Biomedix All Pro Imaging The Brave New World of HIT Today s Topics: PQRS E-Rx EMR Health Information

More information

Meaningful Use for Physician Offices

Meaningful Use for Physician Offices Meaningful Use for Physician Offices Eligibility, Registration and Meeting the Criteria Elizabeth M. Neuwirth 203 772 7742 eneuwirth@murthalaw.com H. Kennedy Hudner 860 240 6029 khudner@murthalaw.comemail

More information

American Recovery & Reinvestment Act of 2009 Increasing Access to HIT

American Recovery & Reinvestment Act of 2009 Increasing Access to HIT American Recovery & Reinvestment Act of 2009 Increasing Access to HIT Robert Hunter, DO, FACOEP, FACOFP Health Policy Fellowship Class of 2010 Acknowledgments AOA Bureau of Federal Health Programs Ohio

More information

hospital s or CAH s inpatient or professional guidelines

hospital s or CAH s inpatient or professional guidelines EMR Name/ Model EMR Vendor XLEMR/XLEMR-2011-MU XLEMR Objective 1 Core Set of Measures Use CPOE for medication orders Use CPOE for medication orders More than 30% of unique patients directly entered by

More information

Only in growth, reform, and change, paradoxically enough, is true security to be found.

Only in growth, reform, and change, paradoxically enough, is true security to be found. The Impact of ARRA/HITECH Stimulus, EMR/EHR Initiatives, and Meaningful Use on Laboratories Presented By: Curt Johnson Chief Operating Officer cjohnson@orchardsoft.com Orchard Symposium 2009 - Keynote

More information

Stage Two Meaningful Use Measures for Eligible Professionals

Stage Two Meaningful Use Measures for Eligible Professionals Stage Two Meaningful Use Measures for Eligible Professionals GENERAL REQUIREMENT FOR ELIGIBLE PROFESSIONALS Objective Measure Numerator, Denominator, & Exclusion Application Tips Required by the Final

More information

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals.

Eligible Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Eligible Professionals. s Preparing for Meaningful Use in 2014 MEDITECH (Updated December 2013) Professionals please see the document: MEDITECH Prepares You for Stage 2 of Meaningful Use: Professionals. Congratulations to our

More information

Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012

Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012 Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals Last Updated: August, 2012 CORE OBJECTIVES (17 total) Stage 1 Objective Stage 1 Measure Stage 2 Objective Stage 2 Measure Use CPOE for medication

More information

Enabling Patients Decision Making Power: A Meaningful Use Outcome. Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality

Enabling Patients Decision Making Power: A Meaningful Use Outcome. Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Enabling Patients Decision Making Power: A Meaningful Use Outcome Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Today 1. Meaningful Use (MU) 2. 2/3rds of MU relates

More information

Achieving Meaningful Use Training Manual

Achieving Meaningful Use Training Manual Achieving Meaningful Use Training Manual Terms EP Eligible Professional Medicare Eligible Professional o Doctor of Medicine or Osteopathy o Doctor of Dental Surgery or Dental Medicine o Doctor of Podiatric

More information

Interconnectivity Respiratory Therapy and the Electronic Health Record

Interconnectivity Respiratory Therapy and the Electronic Health Record Interconnectivity Respiratory Therapy and the Electronic Health Record A non-geeks understanding Prepared for the ISRC state conference June 2011 Speaker: Patti Baltisberger RRT (turquoise rhinestone alien)

More information

ELECTRONIC MEDICAL RECORDS (EMR)

ELECTRONIC MEDICAL RECORDS (EMR) ELECTRONIC MEDICAL RECORDS (EMR) SAUDI BOARD FOR COMMUNITY MEDICINE FIRST PART - FIRST SEMESTER (FALL 2010) COURSE SBCM 002: MEDICAL INFORMATICS Osama Alswailem MD MA Medical Record function 1. It s a

More information

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist

Meaningful Use Stage 2. Presenter: Linda Wise, EMR Training Specialist Meaningful Use Stage 2 Presenter: Linda Wise, EMR Training Specialist 1 AGENDA 2 Agenda Meaningful Use in Review Moving Into Stage 2 Meaningful Use Learning the Requirements Understanding the Measures

More information

SNMHI Summit 2011. Meaningful EHR Use: Technology Designed to Support the PCMH. Jeff Hummel, MD, MPH

SNMHI Summit 2011. Meaningful EHR Use: Technology Designed to Support the PCMH. Jeff Hummel, MD, MPH Summit 2011 LEARN SHARE TRANSFORM Meaningful EHR Use: Technology Designed to Support the PCMH Jeff Hummel, MD, MPH Medical Director for Clinical Informatics, Qualis Health Session 3C March 8, 10:30AM-12:00PM

More information