5/20/2014. Patient Portals: Implementation and the Impact on Meaningful Use. Objectives. Identify benefits/features of a portal

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1 s: Implementation and the Impact on Meaningful Use May 21, :30 1:00 p.m., EDT Alphonso Conyers, CCME EHR Consultant 2014 The Carolinas Center for Medical Excellence All Rights Reserved Workflow efficiency MU attestation MU audit support EHR efficiency PQRS Let us assist your practice! Project management Documentation Staff training Objectives Identify benefits/features of a portal Describe implementation process Examine the Stage 1 and Stage 2 Meaningful Use (MU) measures which can be met with a patient portal implementation Identify common concerns with implementing a portal 1

2 What Is a? Definition: A secure, online website that gives patients convenient access to their personal health information. Patient Perspective View upcoming appointments Clinical summaries Medications Immunizations Allergies Lab results Secure messaging View and print educational material and health information Practice Perspective Streamline front desk task Registrations Scheduling appointments Patient reminders Can be customized for each organization Online bill pay could be added 2

3 Why Use a Portal? REQUIRED in order to meet MU Electronic communication is a part of SOCEITY Allows patients to COLLABORATE with their health care team in health care decisions Gives patients a sense of CONNECTEDNESS to their health care team Provides VALUE to both patients and their health care team MU Missing Link The Pre-Launch 1. Leadership Benefits Training 2. Define vision 3. Set goals 3

4 Pre-Launch 4. All staff involvement Value Staff awareness of importance Tactics and tools (script, video) Training Address concerns Fun! 5. Workflow Pre-Launch 6. How will you measure success? 7. Policies and Procedures 8. Configuration and Testing 9. Marketing and Promotion Signage Fliers Postcards Telephone Automated Message Common Concerns 10. Address Common Concerns Flooded with secure messages Inappropriate use of messaging EP unable to bill time for online communication Patients may be confused or upset with information in their medical record Patients won t adapt to using a portal 4

5 Launch (Go-Live) 1. Service 2. Tracking Measure of Success 3. Patient Support 4. Education 5. Promote EP MU Stage 1 Core Objective #12: Provide patients the ability to view online, download, and transmit their health information within 4 business days Core Objective #13: Provide clinical summary for patients for each office visit Menu Objective #4: Send reminders to patients per patient preference for preventive/follow-up care Menu Objective #6: Use EHR to identify patientspecific education resources and provide those resources to patients, if appropriate 5

6 EP MU Stage 2 Core Objective #7: Provide patients the ability to view online, download, and transmit their health information within 4 business days Core Objective #8: Provide clinical summaries for patients for each office visit Core Objective #12: Send reminders to patients per patient preference for preventive/follow-up care Core Objective #17: Use secure e-messaging to communicate with patients on relevant health information Objective Stage 1 core set measure (#12) Stage 2 core set measure (#7) Provide patients the ability to view online, download, or transmit their health information within 4 business days of the information being available to the EP. Measure 1 (Stage 1 & 2) More than 50% of all unique patients seen by the EP during the EHR reporting period are provided in a timely, (available to the patient within 4 business days after the information is available to the EP) online access to their health information. Measure 2 (Stage 2 only) More than 5% of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download, or transmit to a third party their health information. Patients are given secure access to the portal and pull up their current health information along with any clinical office visit summary Objective Stage 1 core set measure (#13) Stage 2 core set measure (#8) Provide clinical summaries for patients for each office visit. Measure Clinical summaries must be provided to patients or patientauthorized representatives for more than 50% of office visits. Stage 1 within 3 business days Stage 2 within 1 business day While this requirement can be addressed via paper copies, it is addressed more cost-effectively via Web portal. 6

7 Objective Stage 1 menu set measure (#4) Stage 2 core set measure (#12) Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference. Measure More than 10% of all unique patients who have had 2 or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a reminder, per patient preference when available. Patient portals may have the functionality for patient reminders. Objective Stage 1 menu set measure (#6) Stage 2 core set measure (#13) Use clinically relevant information from Certified EHR Technology to identify patient-specific educational resources and provide those resources to the patient. Measure Patient-specific education resources identified by Certified EHR are provided to patients for more than 10% of all unique patients with office visits seen by the EP during the EHR reporting period. Data pulled from Certified EHR provides ICD-9s for the patient. link to patient with appropriate ICD-9-driven educational material or have link on. Objective Stage 2 core set measure (#17) Use secure electronic messaging to communicate with patients on relevant health information. A secure message was sent using the e-messaging function of CEHRT by more than 5% of unique patients (or their authorized representatives) seen by the EP during the EHR reporting period. The has the functionality for secure messaging to and from the patient. 7

8 Food For Thought He who moves not forward, goes backward Johann Wolfgang von Goethe Workflow efficiency MU attestation MU audit support EHR efficiency PQRS Let us assist your practice! Project management Documentation Staff training Thank you for joining us today! Alphonso Conyers, CCME EHR Consultant

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