Overview of Regional Extension Center Services
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- Virgil McKenzie
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1 Overview of Regional Extension Center Services
2 HIT Regional Extension Centers $642 million allocated to establish 62 HIT regional extension centers nationally to assist Priority Primary Care Providers (PPCP s) with electronic medical record (EMR) adoption and Meaningful Use A Priority Primary Care Provider (PPCP) is defined as a physician (Internal Medicine, Family Practice, OB/GYN, Pediatrics) and other healthcare professionals (PA, NP, Nurse Midwife, or dentist) with prescribing privileges in the following settings: Small group practices (10 or less providers) Providers affiliated with community health centers and rural health clinics Providers who serve mainly underinsured and medically underserved populations Public or critical access hospitals Four awarded in Texas EHR consulting available for primary care providers & priority settings
3 bup1 Texas Regional Extension Centers West Texas Regional Extension Center Texas Tech University HSC $7.1 Million 1,133 providers North Texas Regional Extension Center DFW Hospital Council $8.4 Million 1,498 providers CentrEast Regional Extension Center Texas A&M HSC $5.2 Million 1,000 providers $35.4 Million Gulf Coast Regional Extension Center UT HSC Houston $15.2 Million 2,928 providers
4 Slide 3 bup1 TOO busy - I think we can use the slide from my last presentation to TORCH and simply tell about the others. bphilips, 11/1/2010
5 Core Services Required by ONC Grant Funding
6 REC Milestones Milestone 1 Recruit & enroll into the REC Implement EHR erx and Quality Reporting Milestone 2 Milestone 3 Meaningful Use
7 Meaningful Use Requirements Using certified EHR technology, demonstrate: E prescribing (ambulatory) Interoperability Reports on clinical quality measures Certification of meaningful use now available: Three stages of increasingly more meaningful use requirements in 2011, 2013, and 2015 Texas Medical Association
8 Incentives Summary MEDICARE MEDICAID Eligible Providers Hospitals Eligible Providers Hospitals Incentives Start CY 2011 FY Incentives End CY 2016 (max. 5 years) FY 2015 (max. 4 years) 2021 (max. 6 years, must start by 2016) 2021 (max. 6 years, must start by 2016) Incentive Amount Up to $44,000 total per provider; based on % Medicare claims Varies, depending on % Medicare inpatient bed days. CAHs paid based on EHR costs and % Medicare inpatient bed days Up to $63,750 total per provider; based on 85% of EHR costs Varies, depending on % Medicaid inpatient bed days Reimbursement Reduced CY 2015 FY 2015 No penalties No penalties
9 Technical Assistance Service Offerings Initial Practice Assessment Outcomes and deliverables: The written project assessment will assimilate findings and detail practice demographics, clinic volume, staffing, practice goals, expectations, cost limitations and will include a project timeline and project plan. Vendor Evaluation and Selection Outcomes and deliverables: RFP, vendor selection matrix, vendor demonstrations, vendor contract. Workflow Analysis and Process Redesign Outcomes and deliverables: Process flow diagrams with narrative of observations and discussion of opportunities for improving processes. Implementation Project Review Outcomes and deliverables: Project timeline. Practice check sheet to confirm training on necessary components for meaningful use. Post-implementation Review Outcomes and deliverables: Post go-live report detailing practice satisfaction results, gap analysis of necessary training, future direction and needs to meet meaningful use. Estimation of meeting, e-prescribing, quality reporting and meaningful use requirements. Meaningful Use Gap Analysis / Certification Outcomes and deliverables: Completion of meaningful use checklist. Identification of tasks not implemented and need for additional training or process changes.
10 FQHC & Rural Clinic Service Delivery Models Differ by REC REC FQHC Rural Clinic REC REC Subcontractor Subcontractor FQHC Rural Clinic FQHC Rural Clinic FQHC Rural Clinic RECs are prepared to be flexible to meet your needs
11 Texas Regional Extension Centers Provider centric. Governance is provider led. bup2 Outreach partnership with TMA. Vendor neutral. RECs can facilitate the physician decision with information and insight. Advocate. RECs will promote the interests of providers and the priority practice settings in pursuit of EHR meaningful use with ONC, State agencies, EHR vendors, payers, labs, and HIEs
12 Slide 10 bup2 Use another graphic here or just a word slide bphilips, 3/9/2011
13 HIT Regional Extension Centers Your Road Map to Meaningful Use 1. Get in Touch with your REC 2. We are your advocate poised to support you on your journey to meaningful use of EHRs, and 3. We are prepared to be flexible to meet your needs with business models that work for your particular regional organization and your partners.
14 Amazing Resources Through Shared Webportal with all 62 RECs & Subcontractors
15 Meaningful Use CoP
16 Workflow Redesign Sample Templates
17 Rural/Small Community Clinic Board Member John Delaney RN BSN CPHIMS Director, West Texas Health Information Technology Regional Extension Center (WTxHITREC) Tamara Bavousett DNP, RN, C-PNP REC Pediatric Nurse Practitioner Advisory Board Member representing NPs 15
18 North Texas REC DFW Hospital Council-ERF Wendy Wacasey Mike Alverson CentrEast REC Texas A&M HSC Teneka Duke 469- Kathy Mechler Gulf Coast REC UT HSC Houston Kim Dunn Pamela Salyer 713- West Texas REC Texas Tech University HSC John Delaney Billy Philips Contact your local Regional Extension Center
19 Our commitment is to keep you on track to meet meaningful use and access the financial incentives.
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