Medicaid EHR Incentive Program Meaningful Use: Patient Engagement. Kim Davis-Allen, Outreach Coordinator

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1 Medicaid EHR Incentive Program Meaningful Use: Patient Engagement Kim Davis-Allen, Outreach Coordinator

2 Program Updates Program Year 2014 Grace Period - June 30, 2015 Certification Flexibility Option - Spring 2015 CMS Proposed Rule Making Shorten reporting period to 90 days for 2015 Align hospital reporting period to calendar year Agency cannot make policy or program changes until final February 12,

3 What is Patient Engagement? Actions taken to support our health and to benefit from health care Knowledge, skills, ability and willingness of patients to manage their health and healthcare Active collaboration between a patient and a healthcare team Dialogue between patient and practitioner that can be driven by technology February 12,

4 More than a Patient Portal Components Health care-related online applications Allows patients to interact and communicate with their healthcare providers 24/7 availability Integrated with EHR or a stand alone system EHR functionality Considerations Security concerns Consent concern Staff training Patient exposure and training Portal choices Practice representation February 12,

5 Patient Engagement Requirements Measure/ Stage View, Download, Transmit Stage 1 Stage 2 Measure One- More than 50% of unique patients seen by the eligible professional (EP) during the EHR reporting period are provided timely access (within four business days after the information is available to the EP) online access to their health information subject to the EP s discretion to withhold certain information Measure One- More than 50% of unique patients seen by the eligible professional (EP) during the EHR reporting period are provided timely access (within four business days after the information is available to the EP) online access to their health information subject to the EP s discretion to withhold certain information Measure Two- More than 5% of unique patients seen during the EHR reporting period view, download, or transmit their health information to a third party Secure Messaging N/A More than 5% of unique patients seen during reporting period or their authorized representatives send a secure message using the electronic messaging function of the CEHRT February 12,

6 View, Download, and Transmit - Stage 2 Objective Provide patients the ability to view online, download and transmit their health information within four business days of the information being available to the EP. Specific information required. Measure One: More than 50% of unique patients seen by the eligible professional (EP) during the EHR reporting period are provided timely access (within four business days after the information is available to the EP) online access to their health information subject to the EP s discretion to withhold certain information Two: More than 5% of unique patients seen during the EHR reporting period view, download, or transmit their health information to a third party Exclusion Neither orders or creates health information may exclude both measures Conducts 50% or more of patient encounters in a county that does not have 50% or more of its housing units with 3Mbps broadband availability Tips Access: when a patient possesses all the necessary information to view, download, and transmit their information Know how your system calculates patient use/access February 12,

7 View, Download, and Transmit Information The following information must be made available online as health information requirements: Patient name Provider's name and office contact information Current and past problem list Procedures Laboratory test results Current medication list and medication history Current medication allergy list and medication allergy history Vital signs (height, weight, blood pressure, BMI, growth charts) Smoking status Demographic information (preferred language, sex, race, ethnicity, date of birth) Care plan field(s), including goals and instructions Any known care team members including the primary care provider (PCP) of record Not required if: The information is not available in CEHRT; or Is restricted from disclosure due to any federal, state or local law regarding the privacy of a person s health information, including variations due to the age of the patient; or The provider believes that substantial harm may arise from disclosing particular health information in this manner. February 12,

8 Secure Messaging - Stage 2 Objective Use secure electronic messaging to communicate with patients on relevant health information Measure More than 5% of unique patients seen during reporting period or their authorized representatives send a secure message using the electronic messaging function of the CEHRT Exclusion No office visits during the EHR reporting period Conducts 50% or more of patient encounters in a county that does not have 50% or more of its housing units with 3Mbps broadband availability Tips Not an expectation that the EP personally respond to messages A phone call or office visit may be more appropriate to address the concerns raised in the message Requires patient action which may need to be encouraged by the EP February 12,

9 Do Patients Want to be Engaged? A Harris poll conducted in 2012 found that 75% of patients want access to their medical records Only about 20% of U.S. adults currently have access to their medical records online 80% of Americans who have access to the information in the electronic health records use it 41% of U.S. consumers would be willing to switch doctors to gain online access to their own electronic medical records Source: athenahealth. (2014). 5 Elements of a Successful Patient Engagement. February 12,

10 Use of Technology Recent Surveys from the Pew Research Center indicate a majority of US adults use technology to engage in their health care: 63% of adult cell owners use their phones to go online 69% of U.S. adults track a health indicator like weight, diet, exercise routine or symptom 35% of U.S. adults have gone online to figure out a medical condition 39% of U.S. adults care for a loved one Source: athenahealth. (2014). 5 Elements of a Successful Patient Engagement. February 12,

11 Organizational Commitment Establish vision Be ready to evolve Create a culture of engagement Empower patients Employ the right technology February 12,

12 Considerations Timeframes and Reporting Patient engagement takes time Patient Population AMA study showed that patients over 65 adopted portals at a greater rate than patients aged 18-35* Patients Access 60% of lower income patients reported using regularly* Workload Volume Studies have found that telephone volume decreases when secure messaging is introduced* Source: *athenahealth. (2014). 5 Elements of a Successful Patient Engagement. February 12,

13 Online Portal Tips Promote the Portal: Post signs Use telephone on-hold messages Distribute flyers and letters to patients Gimmicks to promote patient portal adoption Make it everyone s job to encourage using the portal Develop talking points for staff Engage patients with the Portal: Explain the benefits Provide incentives Survey patients to determine additional needs Add additional features Have the doctor promote portal usage as part of the visit experience Rely on the patient portal patient communication Demonstrate portal use as part of discharge February 12,

14 Resources for Patient Engagement Healthit.gov HIMSS %20Health%20IT%20(HIMSS).pdf NCQA veragehealthinformationtechnology.aspx Other Vendor User Groups Professional Associations February 12,

15 Additional Contacts and Resources EHR Incentive Program Call Center: (855) Florida HIE Help Desk: February 12,

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