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2 Disclosure VeinExperts.org Principal
3 Documentation and EMR Usage Peggy Bush, APN, CNS, MSN Palm City, Florida
4 Business of Medicine is Changing Government influences to improve public health Insurance Companies (EMR) Electronic medical record (EHR) Electronic health record Focus is on quality & Outcomes
5 EMR vs. EHR EMR systems replicate all aspects of paper charting visit notes, lab results, diagnostic tests, etc EHR s are essentially EMR s with the capacity for greater electronic exchange.can follow patient from practice to practice & allow for data exchange and messaging between physicians
6 Benefits of an EMR? Streamline the management of your clinical information Reduce staff More time for patient care Online access to patients information Reimbursement incentive by government Peace of mind
7 Department of Health and Human Services Developed a national strategy for quality improvement in healthcare Goals Better care Healthy people/healthy Communities Affordable care
8 US Economic Stimulus Plan Implementation of EMR In 2009, the American Recovery & Reinvestment Act (ARRA) was signed into law by President Obama Aim was to stimulate the economy through investments in infrastructure, unemployment benefits, transportation, education & healthcare
9 Federal Law Regarding Implementing an EMR System Includes $20 billion to aid in the development of a robust information technology (IT) infrastructure for healthcare & to assist providers & other entities into adopting & using health IT
10 Reimbursement Incentives ARRA authorizes Centers for Medicare & Medicaid services (CMS) to provide reimbursement incentives for eligible professionals & hospitals that meet meaningful use criteria
11 What Does Meaningful Use Mean to Doctors? Physicians must use technology in a Meaningful Manner Providers need to demonstrate they re using certified EHR technology in ways that can be measured
12 For Meaningingful Use: 15 Core Measures Must Be Met Medication orders Drug/Drug & Drug/Allergy Interaction Checks Maintain Problem List Electronic Prescribing Maintain Active Meds List Maintain Alergy List Record Patient Demographics
13 Meaningingful Use 15 Core Measures Record Vital Signs and Chart Changes Record Smoking Status Report Clinical Quality Measures Implement a Clinical Decision Electronic Patient Copies of Health Information Clinical Summaries Exchange Key Clinical Information Protect Health Information
14 EHR Meaningful Use Measures Drug Formulary Checks Add Labs or Create Integration List of Patients by Condition Patient Reminders Access to Patient Portal Education Resources Medication Reconciliation
15 Government) Incen,ves)for) EMR/EHR!
16 $44, Eligible for $44, over 5 consecutive years.
17 2013 -$39,000 Eligible for $39,000.00
18 Your payments drop to $24, $24,000
19 $0
20 Payment Reductions If you do not demonstrate Meaningful Use, in your practice in 2015, you will be subject to payment reductions Payment reductions start at 1% and increases each year that you do not meet Meaningful Use, to a maximum of 5%
21 Ideal EMR System that Makes documentation easier Captures pertinent disease specific data Eases communication Accurate billing HIPPA compliant & sharing of data Secure off-site storage of EMR
22 How EMR s Have Been Simplified in the Last Five Years Tailored to specialties Choosing a specific EMR cuts down on training and customization and reduces the learning curve Specific venous templates Storage of US images & photos Drawing tool to document duplex mapping & sclero injections, etc..
23 Costs: 1 Doctor & 1 Location EMR only Approximately $10, $ to set up EMR & Practice Management (Billing Software) $16,000 plus $8,000 set up fee Outsourced Billing Services Based on a % of what they collect for you Financing available, with no $ down
24 Other Information Doctors can dictate using software such as Dragon Naturally Speaking Over 400 EMR s on the market, with just a few that specialize in venous disease ACP survey % of MD s did not have an EMR system in place
25 Finally Find)an) EMR)that) works)for) you!!
26 Peggy)Bush,)APN,)CNS,)MSN))
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