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Justin T. Barnes
VP, Greenway Medical Technologies Chairman Emeritus, EHR Association
State of Healthcare
Healthcare Reform/ Transformation
27% Medicare SGR rate cut pending for 2013
2012 doc fix cost $21.1B
MedPAC recommendations to realign fee-schedule to support primary care and ACOs, bundled payments, capitated models & shared savings programs
MedPAC SGR recommendation slides ~ http://tiny.cc/u58gy
EHR Certification
6 ONC-ATCB Certifying Entities CCHIT remains industry gold standard
Now
$18k
1st Year
$12k
2nd Year
$8k
3rd Year
$4k
4th Year
$2k
5th Year
Up to
Medicare Penalties for No EHR
$44k
per provider
2015
2016+
Must start EHR Meaningful Use by Oct 3rd, 2012 to receive the $44,000 max incentive All EPs and EHs allowed a 90-day reporting period in 2014
4th Year
$8.5k
5th Year
$8.5k
6th Year
Up to
No Medicaid Penalties
$63,750
per provider
2015
0%
Penalty Reductions
2016+
Medicaid Incentives up to $63,750 for Providers/Eligible Professionals with a 30% Medicaid patient volume or Pediatricians with at least a 20% Medicaid patient volume. Pediatricians below 30% may be reimbursed at 2/3s ($42,500) of the total allowable incentive.
http://www.cms.gov/EHRIncentivePrograms/40_MedicaidStateInfo.asp#TopOfPage
Elimination of the "exchange of key clinical information core in favor of a "transitions of care & patient summary data Replacing "provide patients with an electronic copy of their health information objective with a "view online, download and transmit
Generate and transmit permissible scripts electronically (eRx) increases from 40% to 50%
Generate at least one report listing patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
Use clinically relevant information to identify >10% of unique patients who should receive reminders for follow-up Provide patient-specific education resources identified by Certified EHR Technology to >10% of patients with an office visit
When an EP receives a patient from another setting of care, they should perform medication reconciliation >50% of transitions care
Record patient family health history for more than 20% of all unique patients seen by the EP during the reporting period
Ongoing submission of cancer cases to a state cancer registry
Real-time and bi-directional communication among care team, patients and family member
Focus on standardization of key data elements Support for bidirectional communications in public health Ability to capture, display, monitor, and report patient data
Example Dashboard
https://ehrincentives.cms.gov/hitech/login.action
Additional Resources
Greenways Government Affairs Updates
EHR Meaningful Use Microsite (www.meaningfuluse-emr.com) EHR MU Navigation (http://tiny.cc/6unicw) Govt Affairs (http://tiny.cc/w5nicw)
QUESTIONS OR COMMENTS?
Justin T. Barnes
justinbarnes@greenwaymedical.com (678) 839-4316 @HITAdvisor
Thank you