1. Meaningful Use: A Physician Practice View Jason M. Mitchell, MD Assistant Director Center for Health-IT at the AAFP

2. The AAFP The American Academy of Family Physicians is one of the largest national medical organizations, representing more than 94,700 family physicians, family medicine residents and medical students nationwide. Founded in 1947, its mission has been to preserve and promote the science and art of Family Medicine and to ensure high-quality, cost-effective health care for patients of all ages.

3. The Center for Health-IT at the AAFP Established: October 2003 Mission: To assist family physicians in acquiring and using EHR systems and other HIT that are affordable and standards-based, for the purposes of improving quality, enhancing safety and increasing efficiency in clinical practice Steven E. Waldren, MD Director Jason M. Mitchell, MD Assistant Director David C. Kibbe, MD Senior Advisor www.centerforhit.org

4. Meaningful Use 25 Ambulatory Elements CPOE Drug interaction checks Problem list eRx Medication list Medication allergy list Demographics Vital signs Smoking status Lab-test results Lists of patients by specific conditions Ambulatory quality measures Reminders to patients Five clinical decision support rules Insurance eligibility Electronic claims Electronic copy of health information (for patients) Timely electronic access to health information (for patients) Clinical summaries (for patients) Health information exchange (connection) Medication reconciliation Summary care record (for transitions) Immunization registry (connection) Public health agency (connection) Privacy and security

5. Meaningful Use

6. $44,000

7. Patient

8. Provider

9. PatientProvider

10. PatientProvider Therapeutic Relationship

11. Patient Therapeutic Relationship Provider Care Team

12. Therapeutic Relationship Provider Care Team Patient Family

13. PatientProvider Therapeutic Relationship

14. PatientProvider

15. PatientProvider EHREHR

16. PatientProvider EHREHR

17. PatientProvider EHR PHR

18. PatientProvider Modular HIT Modular HIT/Services

19. To Achieve Meaningful Use

20. Health IT for Two Worlds

22. Relationship between MU & PCMH

23. To Achieve Meaningful Use The Skeptic’s Concern

25. $44,000

26. PatientProvider

27. Jason M. Mitchell, MD Assistant Director Center for Health-IT at the AAFP T: 913 906 6000 x 4102 E: jmitchell @ aafp.org W: www.centerforhit.org