1. NYMedicaid HITECHEHR Incentive Program James J. Figge, M.D., M.B.A. Medical Director, Office of Health Insurance Programs September 2010

2. NY Medicaid HITECHEHR Incentive Program Topics NY Medicaid programs that complement the federal Health Information Technology for Economic and Clinical Health (HITECH) program: – Electronic Prescribing (eRx) Incentive – Patient-Centered Medical Home (PCMH) Incentive NY Medicaid HITECH EHR incentive program 2

3. NY Medicaid HITECHEHR Incentive Program Electronic Prescribing Nationwide: – In 2009, 12% of the 1.63B original prescriptions were transmitted electronically Accelerating trend: – 2007-2008: +130% – 2008-2009: +181% 3 Source: 2009 National Progress Report on E-Prescribing, Surescripts LLC.2009 National Progress Report on E-Prescribing

4. NY Medicaid HITECHEHR Incentive Program NY Medicaid eRx Incentive Provides an incentive payment for dispensed ambulatory Medicaid e-prescriptions 4 Eligible Practitioners Physicians (M.D./D.O.) Dentists Nurse Practitioners Podiatrists Optometrists Licensed Midwives Prescriber Incentive $0.80 per prescription/refill* Pharmacy Incentive $0.20 per prescription/refill* * Max 1 original plus 5 refills per 180-day period.

5. NY Medicaid HITECHEHR Incentive Program eRx Incentive Requirements Prescriber – must have an individual NPI, and – must be enrolled in Medicaid fee-for-service (FFS) 5

6. NY Medicaid HITECHEHR Incentive Program eRx Incentive Requirements Incentive only applies to prescriptions created electronically, and transmitted via computer- to-computer electronic data interchange – faxed prescriptions are not eligible – [faxed prescription] ≠ eRx 6

7. NY Medicaid HITECHEHR Incentive Program eRx Incentive Requirements Electronic transaction must comply with Medicare Part D standards – NCPDP SCRIPT 8.1 or 10.6 – Includes prescriber's individual NPI Incentive only applies to prescription medications – No OTC medications or medical supplies – No controlled substances at this time 7

8. NY Medicaid HITECHEHR Incentive Program Patient-Centered Medical Home PCMH is a care model where each patient has an ongoing relationship with a personal clinician who leads a team that takes collective responsibility for patient care 8

9. NY Medicaid HITECHEHR Incentive Program Patient-Centered Medical Home Care is supported by electronic tools – patient registries, EHRs, e-prescribing, and health information exchange (HIE) – goal is to improve care coordination, quality, and patient safety 9

10. NY Medicaid HITECHEHR Incentive Program NCQA PCMH Recognition Program National Committee for Quality Assurance (NCQA), Patient-Centered Medical Home program – Three levels: Level 1 can be achieved without an EHR Level 2 requires some electronic functions Level 3 requires a fully functional EHR 10

11. NY Medicaid HITECHEHR Incentive Program NY Medicaid PCMH Incentive Eligibility for enhanced payments: – Office-based practices (e.g., physicians and nurse practitioners) – Federally Qualified Health Centers (FQHCs) – Diagnostic & Treatment Centers – Hospital Outpatient Departments (Medicaid managed care program only) 11

12. NY Medicaid HITECHEHR Incentive Program NY Medicaid PCMH Incentive Incentive payments available through Medicaid fee-for-service (FFS) and Medicaid managed care programs Incentive amount varies based on NCQA PCMH level achieved 12

13. NY Medicaid HITECHEHR Incentive Program Medicaid EHR Incentive Program Created by the HITECH Act Administered by the States under guidance and oversight of the Centers for Medicare and Medicaid Services (CMS) Designed to provide financial incentives for adoption and meaningful use of certified EHRs 13

14. NY Medicaid HITECHEHR Incentive Program Medicaid EHR Incentive Program Meaningful use of certified EHR technology includes: – Electronic Prescribing – Electronic exchange of health information to improve the quality of health care – Reporting of clinical quality measures 14

15. NY Medicaid HITECHEHR Incentive Program Who Is Eligible? Physicians (M.D. and D.O.) Nurse Practitioners Certified Nurse-Midwives Dentists Physician Assistants, only if practicing in a FQHC or Rural Health Clinic (RHC) led by a Physician Assistant 15

16. NY Medicaid HITECHEHR Incentive Program Patient Volume Requirements Eligible professionals (EPs) must demonstrate that 30% of patient encounters are Medicaid Exceptions: Pediatricians may receive 2/3 incentive amount with 20% Medicaid patient volume EPs in FQHCs and RHCs may qualify by demonstrating 30% of encounters are “needy individuals” 16

17. NY Medicaid HITECHEHR Incentive Program Calculating Patient Volume Standard formula uses number of Medicaid patient encounters relative to total encounters in any 90-day period in the preceding calendar year Alternate formula takes into account a practitioner's entire managed care or medical home patient panel 17

18. NY Medicaid HITECHEHR Incentive Program Calculating Patient Volume Clinics and group practices may use overall clinic/practice patient volume as a proxy for each EP – Some limitations apply: 42 CFR 495.306(h) All methods include alternate 20% threshold for pediatricians and use of “needy individuals” criteria for FQHCs/RHCs 18

19. NY Medicaid HITECHEHR Incentive Program How Much is Available? 19 All Practitioners (at least 30% Medicaid/needy) Pediatricians (at least 20% but less than 30% Medicaid) Year 1$21,250$14,167 Year 2$8,500$5,667 Year 3$8,500$5,667 Year 4$8,500$5,667 Year 5$8,500$5,667 Year 6$8,500$5,667 Total$63,750$42,500 Note: program participation years do not need to be contiguous.

20. NY Medicaid HITECHEHR Incentive Program Restrictions on EP Eligibility EPs may not be "hospital-based" – defined as 90% or more of services rendered in inpatient hospital or emergency room settings Must select either the Medicare or Medicaid program (one- time option to switch) May only participate in one state Must demonstrate 15 percent financial contribution toward the "net average allowable costs" (NAAC) of certified EHR technology 20

21. NY Medicaid HITECHEHR Incentive Program 21 EP Financial Contribution EPs must contribute 15% of the NAAC – $3,750 first year for most EPs – $1,500 each subsequent year Many contributions count towards EP share: – Costs incurred by employer for implementing certified EHR system (e.g., FQHC, RHC, or group practice) – Costs of training and workflow redesign – In-kind contributions (technology, support, etc.)

22. NY Medicaid HITECHEHR Incentive Program Calculating the NAAC The first year "average allowable costs" were set by CMS at $54,000 Cash received by the EP from most other sources (certain exceptions apply) must be deducted from the average allowable costs to yield the NAAC NAAC cannot exceed $25,000 (statutory limit) 22

23. NY Medicaid HITECHEHR Incentive Program Average allowable costs (first year): $54,000 Cash received from other sources: $29,000 Net average allowable costs: $25,000 15% EP contribution: $3,750 85% Incentive payment amount: $21,250 Incentive Calculation Example #1 23 $54,000 $25,000 $21,250 $29,000

24. NY Medicaid HITECHEHR Incentive Program Average allowable costs (first year): $54,000 Cash received from other sources: $10,000 Net average allowable costs: $25,000 (maximum = $25,000) 15% EP contribution: $3,750 85% Incentive payment amount: $21,250 Incentive Calculation Example #2 24 $54,000 $25,000 $21,250 $10,000

25. NY Medicaid HITECHEHR Incentive Program Average allowable costs (first year): $54,000 Cash received from other sources: $32,000 Net average allowable costs: $22,000 15% EP contribution: $3,300 85% Incentive payment amount: $18,700 Incentive Calculation Example #3 25 $54,000 $22,000 $18,700 $32,000

26. NY Medicaid HITECHEHR Incentive Program Adoption, Implementation and/or Upgrading EHR Technology First year: – EPs must demonstrate adoption, implementation, and/or upgrade Adopt: Acquire and install system Implement: Training, data migration, commence utilization Upgrade: Expand and improve existing system to meet definition of certified EHR technology 26

27. NY Medicaid HITECHEHR Incentive Program Meaningful Use of EHR Technology Subsequent years: – Meet meaningful use and clinical quality metric reporting requirements For Stage 1 meaningful use (2011-2012), same core and menu set as Medicare* 27 * States may request permission from CMS to mandate certain public health reporting options

28. NY Medicaid HITECHEHR Incentive Program 28 Defining Meaningful Use HITECH Act specifies three components: – Electronic prescribing – Electronic exchange of health information – Submission of clinical quality measures

29. NY Medicaid HITECHEHR Incentive Program Stage 1 EP Meaningful Use Criteria 29 Core SetMenu Set Meaningful Use Objectives 15 core objectives 5 of 10 menu set objectives Clinical Quality Measures 3 core measures, or 3 alternate core measures 3 of 38 menu set measures Stage 1 meaningful use objectives and clinical quality measures include required core set and menu set choices

30. NY Medicaid HITECHEHR Incentive Program EP Clinical Quality Measures EPs must submit six measures for Stage 1 MU: – 3 core or 3 alternate core – 3 of 38 from menu set Aligned with Physicians Quality Reporting Initiative (PQRI) and CHIPRA initial core set Submit by attestation for 2011 – in 2012, EPs must submit electronically 30

31. NY Medicaid HITECHEHR Incentive Program EP Clinical Quality Measures 31 NQF Measure Number/ PQRI Implementation Number EP Clinical Quality Measure (Core Set) NQF 0013Hypertension: Blood pressure measurement NQF 0028 Preventive Care and Screening Measure Pair: a)Tobacco Use Assessment b)Tobacco Cessation Intervention NQF 0421 PQRI 128 Adult Weight Screening and Follow-up

32. NY Medicaid HITECHEHR Incentive Program EP Clinical Quality Measures 32 NQF Measure Number/ PQRI Implementation Number EP Clinical Quality Measure (Alternate Core Set) NQF 0024 Weight Assessment and Counseling for Children and Adolescents NQF0041 PQRI 110 Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older NQF 0038Childhood Immunization Status

33. NY Medicaid HITECHEHR Incentive Program Hospital Eligibility Acute Care Hospitals - at least 10% Medicaid Average Length of Stay ≤ 25 days CCN in 0001–0879 or 1300–1399 Includes general short-term hospitals, cancer care hospitals and critical access hospitals (CAHs) Children’s Hospitals – no Medicaid minimum CCN in 3300–3399 (77 hospitals total) Not children’s wings of larger hospitals 33

34. NY Medicaid HITECHEHR Incentive Program Hospital Payment Overview Overall incentive payment amount is based on four-year calculation Each year’s payment is a base amount ($2M) plus a discharge volume adjustment (accounting for change over time), scaled by a yearly factor Overall incentive payment is then scaled based on Medicaid share Actual payment spread over 3–6 years 34

35. NY Medicaid HITECHEHR Incentive Program Medicaid Share Based on proportion of inpatient bed days attributable to Medicaid (fee-for-service or managed care) to overall inpatient bed days “Extra credit” given for charity care (in the form of a reduction in overall bed days) 35

36. NY Medicaid HITECHEHR Incentive Program Hospital Payment Schedule State has flexibility to determine schedule No more than six years No fewer than three years Fastest disbursement allowable by law: 1 st year - 50% of total incentive 2 nd year - 40% of total incentive 3 rd year - 10% of total incentive 36

37. NY Medicaid HITECHEHR Incentive Program Stage 1 EH Meaningful Use Criteria 37 Core SetMenu Set Meaningful Use Objectives 14 core objectives 5 of 10 menu set objectives Clinical Quality Measures 15 core measuresN/A Stage 1 objectives include required core set and menu set choices; clinical quality metrics are all required

38. NY Medicaid HITECHEHR Incentive Program Enrollment Process (1) Login to National Level Repository (NLR) website: – Supply demographic/financial information – Select program (Medicare/Medicaid) – Select state 38

39. NY Medicaid HITECHEHR Incentive Program Enrollment Process (2) Login to NY Medicaid website: – Verify eligibility – Attest to adopt, implement, upgrade or meaningful use of certified EHR technology, and – Attest to 15% contribution towards NAAC 39

40. NY Medicaid HITECHEHR Incentive Program Medicaid EHR Incentive Timeline Registration for EHR Incentive Programs begins January 2011 NY Medicaid attestation functions expected to begin mid-2011, dependent upon CMS and state approvals 40

41. NY Medicaid HITECHEHR Incentive Program Medicaid EHR Incentive Timeline Last year to initiate participation is 2016 Participants may skip a year, but no payments will be issued after 2021 41

42. NY Medicaid HITECHEHR Incentive Program Appendices Contact Information Meaningful Use Core Set of Objectives – EP Meaningful Use Menu Set of Objectives – EP Meaningful Use Core Set of Objectives – EH Meaningful Use Menu Set of Objectives – EH Clinical Quality Measures - EH 42

43. NY Medicaid HITECHEHR Incentive Program Contact Information James J. Figge, MD, MBA Medical Director NYS Department of Health Office of Health Insurance Programs One Commerce Plaza, Suite 826 Albany, NY 12260 (518) 474-8045 jjf06@health.state.ny.us 43

44. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EP Core Set (1) 44 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Improving quality, safety, and efficiency, and reducing health disparities Use Computerized Provider Order Entry (CPOE) for medication orders Implement drug-drug and drug-allergy interaction checks Generate and transmit permissible prescriptions electronically (eRx) Record patient demographics (preferred language, gender, race, ethnicity, DOB) Maintain an up-to-date problem list of current and active diagnoses

45. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EP Core Set (2) 45 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Improving quality, safety, and efficiency, and reducing health disparities Maintain active medication list Maintain active medication allergy list Record and chart changes in vital signs (height, weight, blood pressure, BMI, growth charts) Record smoking status (patients 13 and older) Implement one clinical decision support rule Report ambulatory clinical quality measures to CMS or the State

46. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EP Core Set (3) 46 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Improve care coordination Capability to exchange key clinical information electronically among providers of care and patient- authorized entities Ensure adequate privacy and security for personal health information Implement systems to protect privacy and security of patient data in the EHR Engage patients and families in their health care On request, provide patients with an electronic copy of their health records Provide patients with clinical summaries for each office visit

47. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EP Menu Set (1) 47 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Improving quality, safety, and efficiency, and reducing health disparities Implement drug-formulary checks Incorporate clinical lab test results into certified EHRs as structured data Generate lists of patients by specific conditions Send reminders to patients (per patient preference) for preventive and follow-up care Improve care coordination Perform medication reconciliation between care settings Provide summary of care record for patients referred or transitioned to another provider or setting

48. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EP Menu Set (2) 48 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Engage patients and families in their health care Provide patients with timely electronic access to their health information Use certified EHR technology to identify patient- specific education resources and provide to patient as appropriate Improve population and public health Capability to submit electronic syndromic surveillance data to public health agencies (one test) Capability to submit immunization data electronically to State immunization registry (one test)

49. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EH Core Set (1) 49 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EHs) Improving quality, safety, and efficiency, and reducing health disparities Use Computerized Provider Order Entry (CPOE) for medication orders Implement drug-drug and drug-allergy interaction checks Record patient demographics (preferred language, gender, race, ethnicity, DOB, date/preliminary cause of death in the case of mortality in the hospital) Maintain an up-to-date problem list of current and active diagnoses

50. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EH Core Set (2) 50 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EHs) Improving quality, safety, and efficiency, and reducing health disparities Maintain active medication list Maintain active medication allergy list Record and chart changes in vital signs (height, weight, blood pressure, BMI, growth charts) Record smoking status (patients 13 and older) Implement one clinical decision support rule Report hospital clinical quality measures to CMS or the State

51. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EH Core Set (3) 51 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EHs) Improve care coordination Capability to exchange key clinical information electronically among providers of care and patient-authorized entities Ensure adequate privacy and security for personal health information Implement systems to protect privacy and security of patient data in the EHR Engage patients and families in their health care On request, provide patients with an electronic copy of their health records On request, provide patients with an electronic copy of their discharge instructions

52. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EH Menu Set (1) 52 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EHs) Improving quality, safety, and efficiency, and reducing health disparities Implement drug-formulary checks Record advance directives for patients 65 years old or older Incorporate clinical lab test results into certified EHRs as structured data Generate lists of patients by specific conditions Improve care coordination Perform medication reconciliation between care settings Provide summary of care record for patients referred or transitioned to another provider or setting

53. NY Medicaid HITECHEHR Incentive Program Stage 1 MU Criteria – EH Menu Set (2) 53 Health Outcomes Policy Priority Stage 1 Meaningful Use Objective (EPs) Engage patients and families in their health care Use certified EHR technology to identify patient- specific education resources and provide to patient as appropriate Improve population and public health Capability to submit electronic syndromic surveillance data to public health agencies (one test) Capability to submit immunization data electronically to State immunization registry (one test) Capability to submit electronic data on reportable (as required by state or local law) lab results to public health agencies (one test)

54. NY Medicaid HITECHEHR Incentive Program EH Clinical Quality Measures 54 Measure Number Identifier EH Clinical Quality Measure: Emergency Department (ED) ED-1 NQF 0495 Median time from ED arrival to time of departure from the emergency room for patients admitted to the facility ED-2 NQF 0497 Median time from admit decision time to time of departure from the emergency department of patients admitted to inpatient status

55. NY Medicaid HITECHEHR Incentive Program EH Clinical Quality Measures 55 Measure Number Identifier EH Clinical Quality Measure: Stroke Stroke-2 NQF 0435 Ischemic stroke patients prescribed antithrombotic therapy at discharge Stroke-3 NQF 0436 Ischemic stroke patients with atrial fibrillation/flutter who are prescribed anticoagulation therapy at hospital discharge Stroke-4 NQF 0437 Acute ischemic stroke patients who arrive within 2 hours and for whom IV t-PA was initiated within 3 hours of time last known well Stroke-5 NQF 0438 Ischemic stroke patients administered antithrombotic therapy by the end of hospital day 2 Stroke-6 NQF 0439 Ischemic stroke patients with high or unmeasured LDL, or who were on a lipid lowering medication, who are discharged with statin prescription Stroke-8 NQF 0440 Ischemic or hemorrhagic stroke patients or their caregivers who were given appropriate educational materials during the hospital stay Stroke-10 NQF 0441 Ischemic or hemorrhagic stroke patients who were assessed for rehabilitation services

56. NY Medicaid HITECHEHR Incentive Program EH Clinical Quality Measures 56 Measure Number Identifier EH Clinical Quality Measure: Venous Thromboembolism (VTE) VTE-1 NQF 0371 Patients receiving VTE prophylaxis within 24 hours of admission or surgery, or have documentation why no prophylaxis was given VTE-2 NQF 0372 Patients who received timely VTE prophylaxis on admission or transfer to ICU, or have documentation why no prophylaxis was given VTE-3 NQF 0373 Patients diagnosed with confirmed VTE who received an overlap of parenteral anticoagulation and warfarin therapy VTE-4 NQF 0374 Patients diagnosed with confirmed VTE who received IV Unfractionated Heparin therapy dosages and had their platelet counts monitored VTE-5 NQF 0375 Patients diagnosed with confirmed VTE discharged on warfarin that are given appropriate written discharge instructions VTE-6 NQF 0376 Patients diagnosed with confirmed VTE during hospitalization (not present on arrival) who did not receive VTE prophylaxis