EHR Certification and Meaningful Use Chris Lamer Cathy Whaley

Overview Meaningful Use incentive program EHR Certification Process Meaningful Use team

MEANINGFUL USE OVERVIEW Why is there a MU incentive project? What is the MU project timeline?

Why Meaningful Use Patient Record Reports Insurance Companies Insurance Companies PH Agencies EPI Center PH Agencies EPI Center Other health care systems Personal Health Record Patient Care Use Standards and Interoperability to achieve 1.Complete and accurate information 2.Better access to information 3.Patient empowerment

Timeline: Stages of MU

Incentives and Eligibility MedicareMedicaid

Incentives and Eligibility MEDICARE EHR Incentive Program MEDICAID EHR Incentive Program Implemented by the Federal Government and started January 3, 2011 Voluntary for States to implement - Most are expected to start by late summer 2011 Program ends in 2016; must initiate participation by Must participate by 2012 to receive the maximum incentive payment Program ends in 2021; must initiate participation by 2016 and still receive maximum incentive payment Can register nowCan register once state offers the program (check with your state for expected launch date) Medicare payment reductions begin in 2015 for EPs who cannot demonstrate MU of certified EHR technology No Medicaid payment reductions Must demonstrate MU in Year 1 over a consecutive 90-day report period A/I/U option for Year 1; no report period

Incentives and Eligibility MedicareMedicaid Eligible Provider Eligible Hospital

Key Points MU is to improve help the health care system by implementing standards and interoperability. There are three stages – Stage 1: 2011 – Stage 2: 2012 – Stage 3: 2013 There are 4 types of incentives: – Medicare – Eligible Provider – Medicare – Eligible Hospital – Medicaid – Eligible Provider – Medicaid – Eligible Hospital

EHR CERTIFICATION Why get certified? When did we get certified? When will you get the certified EHR?

Medicare Payment Schedule TOTAL Adopt 2011 $18,000$12,000$8,000$4,000$2,000$0 $44,000 Adopt $18,000$12,000$8,000$4,000$2,000$0$44,000 Adopt $15,000$12,000$8,000$4,000$0$39,000 Adopt $12,000$8,000$4,000$0$24,000 Adopt $0 Maximum payments based upon 75% of Medicare Part B fee schedule payments up to the maximum incentive amount per year. e.g., Minimum of $24,000 per year to be eligible for maximum $18,000 bonus

Medicaid Payment Schedule Payment Component Base Year Maximum of 85% of EHR Acquisition and Implementation Costs Year 2Year 3Year 4Year 5Year 6TOTAL Physician$21,250$ 8,500 $63,750 Certified Nurse Mid-Wife $21,250$ 8,500 $63,750 Dentist$21,250$ 8,500 $63,750 Nurse Practitioner $21,250$ 8,500 $63,750 Physician Assistant $21,250$ 8,500 $63,750

Medicare Penalties In 2015, reduction in Medicare reimbursement begins for physicians who are not meaningful EHR users (1% per year, capped at a 3% reduction). Statue allows for exceptions for “significant hardship” as determined by the Secretary. First Payment Year Reduction in Medicare Fee Schedule for non-adoption of certified EHR 2011$0 2012$0 2013$0 2014$ % % 2017 and thereafter-3%

Certification Process CMS created MU requirements ONC created EHR requirements NIST created the EHR certification test ATCBs administered the test

NIST: 50 Tests Scripts

CMS EHR Certification Number Ambulatory: EJKDEAI Inpatient: ELL6EAI

Status of Certified RPMS EHR Updates necessary to achieve MU are in development and many are already released. Upcoming releases: – EHR patch 8 May 2011 – Reporting toolsMay and June 2011

Key Points EHR Certification is required to participate in meaningful use EHR Certification demonstrates RPMS-EHR is standardized and interoperable RPMS-EHR was certified by InfoGard on April 1, 2011 The CMS certification number can be obtained at: RPMS-EHR will be updated to the certified version by the end of May 2011 – Further enhancements ongoing.

MU TEAM Who is working on MU? Who should you ask if you have questions?

MU Team: One big happy family EHR Deployment MU Core Team MU Field Team Certification Team Fed Lead PM Fed Lead PM PMO CTO Analysts CIO REC NIHB USET REC NIHB USET Area MU Coordinator

Key Points There are many people available to help you achieve MU Know your contacts to meet your needs: Use of RPMS EHR and trainingEHR deployment team and the OIT State Medicaid and preparation questions MU Field Team Status of MU in your areaArea MU Coordinator General questions or those pertaining to MU Reports MU Core Team