Impact of the Healthcare IT Stimulus Package. Session 2 of 4. Presented by. Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc.

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1 Welcomes you to Part II of a four part Webinar series on the healthcare IT marketplace, the reasons why EMR/EHR products have failed, how the Healthcare Stimulus package will effect you, and what you need to be thinking about now Presented By Our Featured Speaker Mark R. Anderson, CEO of AC Group Impact of the Healthcare IT Stimulus Package Session 2 of 4 Presented by Mark R. Anderson, FHIMSS, CPHIMS CEO, AC Group, Inc.

2 CEO of AC Group Mark Anderson, FHIMSS, CPHIMSS Healthcare IT Futurist Conducted > 300 Technology Software Searches for Hospital and Physician Organizations National Speaker on EHR > 380 sessions since 2001 Semi annual report on Vendor product functionality and company viability 36+ Years In Healthcare IT CIO Position at Three Multi Facility Regional IDN s Installed over $1B in technologies since 1972 Former CIO of a 2,300+ physician (500+ Practices) IPA Page No: 4 The Genesis EHR adoption needs a financial incentive

3 Why are Practices not using what they Purchased? 50.00% 40.00% 30.00% 20.00% 10.00% 0.00% EMR Purchased EMR Fully Used EMR Light Source: AC Group Annual Survey of buying patterns New England Journal of Medicine Stimulus Act On February 17, 2009, President Barack Obama signed into law the American Recovery & Reinvestment Act to stimulate the lagging U.S. economy. Total funds allocated = $29.6B $2B for HIT infrastructure, especially HIE $17.2B Medicare/Medicaid incentives to doctors and hospitals for meaningful use of certified HIT (net after government projected savings) Will CCHIT Survive? CCHIT has been Federally recognized since 2006 The organization met all contractual goals, on time/on budget Operationally successful and sustainable with high levels of market acceptance large number of EHR products currently certified and adoption ready It is not practical to design, bid, and develop a credible new certification body in 20 months ONC has many other challenging new programs to develop

4 CCHIT Certified EHR Vendors Certification is good for 3 years but!!!!! Renew New Vendors Pass 2008 Pass 2007 Pass 2006 As of March 20, 2009 only 50 products have passed the 2007 CCHIT and 20 have passed the 2008 CCHIT Requirements Page No: 10 Many Vendors Pretend to be part of the Marketplace $17.2 B to Physicians and Hospitals In order to qualify for the incentive payments, both physicians and hospitals have to prove three things: 1. Use of a certified EHR product with eprescribing capability that meets current HHS standards. 2. Connectivity to other providers to improve access to the full view of a patient s health history. 3. Ability to report on their use of the technology to HHS.

5 Connecting Physicians Delivers the Connected Community Hospitals Ancillary Departments Employers Physicians In-patient Clinicals & Physician Portal Homecare Providers Physician Office Solutions Retail Pharmacy Patients Broad Community Connectivity Payers & PBMs Page No: 13 Privacy and Security Yes NO No sharing Quest and Lab Corp Integrated Community EHR (ICE) PM Only Primary Care Provider EHR Vendor 1 Cardiologist EHR Vendor 2 Orthopedics EHR Vendor 1 or 2

6 Meaningful Use of Certified EHR Technology for Physicians That the CCHITfunctionality; certified EHR should have robust The EHR enables the physician to electronically exchange standardized patient summary data with clinical & administrative stakeholders; and, The EHR equips the physician to quantify and report improved patient safety, quality outcomes, and cost reductions. Meaningful Use of Certified EHR Technology for Physicians Must include a clinical data repository and CPOE supported by CDS. eprescribing technology to electronically transmit prescriptions to pharmacies. Exchange health information electronically with external entities. E submission of claims complying with HIPAA Claims Attachment regulations Quality reporting metrics. Meaningful Use of Certified EHR Quality Reporting Metrics Baseline reporting of percentage of medical orders entered electronically into the EHR by physicians Baseline electronic reporting of Joint Commission core measures Baseline reporting of AHRQ quality outcomes Baseline reporting of National Priorities Partnership goals, convened by National Quality Forum Baseline reporting of all adverse (drug) events Baseline reporting of percentage of prescriptions sent to the pharmacy electronically upon a patient s visit

7 When Is The Right Time To Start Your HIT Planning? NOW! It will take you months to prepare appropriately If you don t have a certified EHR, you need to get one. If you have no EHR, conduct your site analysis and start your solution search Review 2008 certified products ~20 and the 2007 Inpatient CCHIT products Will the Stimulus Package Help? Physicians As of August 2008, only 4% of providers are using full EHR An additional 13% are using a partial EHR product. Traditional EHRs require 7X more time to capture information Requires provider to change the way they provide care Allows documentation of 1,000 s of data elements, although less than 30 are used today. Does not reduce duplicate data entry Silos of Info

8 Take Home Message There is NO Stimulus in the Stimulus plan Hospitals and Physicians have not seen the benefits or value in changing Clinical studies have show no outcomes improve by using EHRs EHRs Can Improve Patient Service and Provide Financial Benefits. EHR Products Are Available in 5 Types. Each Type Can Impact What the Product Will Do for Your Organization. EHR Implementation is a Bet the Organization Proposition That Requires Adequate Resources and Investments to Achieve Success. For More Information Mark R. Anderson, FHIMSS, CPHIMS CEO and Healthcare Futurist AC Group, Inc. 118 Lyndsey Drive Montgomery, TX (281) acgroup.org Thank you for joining us. To learn more about HITECH Answers or to signup for our Newsletter to receive information on future webinars, please visit:

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