Leveraging the Provider Incentive Program for Increased Functionality Beyond Meaningful Use
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1 Leveraging the Provider Incentive Program for Increased Functionality Beyond Meaningful Use August 2012
2 Agenda! Goals and Background of Session! Perspectives on Meaningful Use (MU)! State EHR Incentive program implementation statistics! Role of States in MU Reporting! Vision for Use of Meaningful Use Data! Approach to EHR Incentive program Adoption and anticipated future changes! Cost Sharing! Solution Capabilities! Looking Ahead and the Big Picture 1
3 Goal and Background of Session! Provide a quick overview of the roll out of the EHR Incentive Program in the State! Share innovative tools, approach and processes to implement Meaningful Use reporting! Share strategies around extending existing technology investments! Discuss the potential usage of Meaningful Use reporting data in improving the overall health of Medicaid and public health programs in the State 2
4 State of Tennessee: Technology Optimization 3
5 State of Michigan: Early Adopter, Showing the Way 4
6 Program Status! 77 Eligible Hospitals (EH) received 85 M in payments! 1345 Eligible Professionals (EP) received 44M in payments! Total amount expected to pay for the life of program! EH : 170M! EP : 130 M! The adoption of the program has exceeded expectation! Regional Extension Centers have actively participated in the provider outreach! EP s and EH s equipped with certified EHR s are ready for future HIE and HIX federal initiatives. 5
7 The Incentive Program Solution - Features! emipp solution has been implemented since Jan 2010! Web Based solution built on a framework that supports reuse and leverage use of existing solutions! Integrates with MMIS solution using a services based solution without the need for duplication. Leverages! Provider Credentialing! Payment Processing & Payment Notification (HIPAA 835)! EP and EH Meaningful Use data capture! Online or Upload PDF! Integrates with a ecams MMIS or any legacy MMIS.! Summarized reports for enhanced automation in approvals 6
8 The Incentive Program Solution - Features! Survey! Gathering information regarding the adoption and use via survey! Mandatory for all registration to complete survey! Provides insight into the issues faced with adoption! Alter the MDCH outreach accordingly! Cost Sharing! Leveraged the solution by sharing the cost between MI and WA! Faster implementation times! Leveraged on the lessons learnt from a state implementation 7
9 Vision for Use of Meaningful Use Data! A good adoption of EHR by MI providers is setting the pace for future MI initiatives! Providers submitting Immunization and Disease surveillance records using State HIE! Meeting Meaningful use criteria! Providers are aligned to utilize the shared services infrastructure being setup State like! SSA Claim Verification! Data Quality (DQA) Service! Provider Directory! Transition of Care! More 8
10 emipp Alignment to Meaningful Use! A good adoption of EHR by MI providers is setting the pace for future MI initiatives! Providers submitting Immunization and Disease surveillance records using State HIE! Meeting Meaningful use criteria! Providers are aligned to utilize the shared services infrastructure being setup State like! SSA Claim Verification! Data Quality (DQA) Service! Provider Directory! Transition of Care! More 9
11 State of Michigan: Early Adopter, Showing the Way 10
12 State of Washington: Exploring New Dimensions 11
13 Looking Ahead: The Big Picture 12
14 The Meaningful Use Ecosystem What does it mean? Collaboration Collect, Triage, Normalize MU Reporting Data How? Administrative Facilitator Aggregator Data analyzer Policy Planner What does it mean? Access to PHI Awareness and Ownership How? Self Health Decisions Mobile technology What does it mean? Responsible for Outcomes How? Tools Reporting Business Process and Workflow Redesign
15 CNSI! Consumer engagement is fundamental in the future of Meaningful Use! First step towards PGHD by providing mobile access to information! myhealthbutton is the first step towards engagement! Nudge Behavior! Features that involves consumers! Enhance options based on feedback! Creation of a mobile Health Wallet to share information 14
16 Questions 15
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