The information presented in this Webinar is current as of date of live airing February 16, 2012

Transcription

1 The information presented in this Webinar is current as of date of live airing February 16, 2012

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3 $8,500 $8,500 $8,500 $8,500 $21,250 Yr 6

4 Medicare 15 core measures 5 of 10 menu measures 90-day reporting period Medicaid Adopt Implement Upgrade Adopt: Acquire and install (e.g. evidence of installation prior to incentive) Implement: Commence utilization of (e.g. staff training, data entry of patient demographic information into EHR) Upgrade: Expand (e.g. upgraded to certified EHR technology or added new functionality to meet the definition of certified EHR technology)

5 Core Measures 1. Use CPOE 2. Record demographics 3. Record vital signs 4. Record smoking status 5. Maintain active problem list 6. Maintain active med list 7. Maintain active allergy list 8. Provide e-copy of health information 9. Provide clinical summary 10. Implement drug-drug interactions 11. Implement clinical decision support 12. Exchange clinical data 13. Implement information security plan 14. Capture clinical quality measures Menu Clinical Measures Quality Measures Core 1. Provide timely access to medical record 1. Hypertension: Blood Pressure Measurement 2. Preventive Care and Screening Measure Pair: Tobacco Assessment and Intervention 3. Adult Weight Screening and Follow Up 2. Provide patient education resources Alternate 1. Weight Assessment and Counseling for Children and Adolescents 2. Preventive Care and Screening: Influenza Immunization for Patients > 50 Years Old 3. Childhood Send Immunization care reminders Status Additional 1. Diabetes: Hemoglobin A1c Poor Control Diabetes: Provide Low Density summary Lipoprotein (LDL) at Management care transitions and Control 3. Diabetes: Blood Pressure Management 4. Diabetes: Hemoglobin A1c Control (<8.0%) 5. Diabetic Perform Retinopathy: medication Documentation Macular reconciliation Edema / Retinopathy 6. Diabetic Retinopathy: Communication with Physician Managing Ongoing Diabetes Care 7. Diabetes: Eye Exam Diabetes: Generate Urine Screening patient lists 9. Diabetes: Foot Exam 10. Heart Failure (HF): ACE or ARB Therapy 11. Heart Failure (HF): Beta Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD) 7. Perform immunization registry test 12. Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 13. Coronary Artery Disease (CAD): Beta Blocker Coronary Support Artery Disease syndromic (CAD): Oral Antiplatelet surveillance Therapy 15. Pneumonia Vaccination Status for Older Adults 16. Breast Cancer Screening Colorectal Perform Cancer Screening drug formulary checking 18. Antidepressant medication management 19. Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation Asthma Receive Pharmacologic structured Therapy lab results 21. Asthma Assessment 22. Use of Appropriate Medications for Asthma 23. Appropriate Testing for Children with Pharyngitis 24. Oncology Breast Cancer: Hormonal Therapy for Breast Cancer 25. Oncology Colon Cancer: Chemotherapy for Colon Cancer 26. Prostate Cancer: Avoidance of Overuse of Bone Scan 27. Smoking & Tobacco Use Cessation 28. Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL Cholesterol 29. Ischemic Vascular Disease (IVD): Blood Pressure Management 30. Ischemic Vascular Disease (IVD): Use of Aspirin or another Antithrombotic 31. Initiation and Engagement of Alcohol and Other Drug Dependence Treatment 32. Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) 33. Prenatal Care: AntiD Immune Globulin 34. Controlling High Blood Pressure 35. Cervical Cancer Screening 36. Chlamydia Screening for Women 37. Low Back Pain: Use of Imaging Studies 38. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control

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7 We ve seen that Stage 1 requirements present a challenge to nonathenahealth providers and organizations across the country: This is hard It eats up resources needed elsewhere There are too many unanswered questions There s a tight time frame Functionality is not the same as usability The cost of implementation may amount to more than the bonus dollars Certification requirements don t always match process requirements Communicating with government agencies can be difficult Even the biggest and best are struggling with MU Dr. Lyle Berkowitz, testimony to Health IT Standards Committee

8 Prepare Perform Payment Learn Activate Attest

9 Prepare Perform Payment Learn Activate Attest Learn about Meaningful Use by: Reviewing eligibility and measure information for Medicare and Medicaid. Understanding athenahealth s Meaningful Use co-sourcing relationship. Prepare for Meaningful Use by: Designating your Meaningful Use point person. Beginning your security risk assessment planning.

10 The MU Resource Center is available to all clients Here, our clients find: Checklists to stay organized Step-by-step training videos for fulfilling each measure Educational materials compiled in a logical and easy-to-understand format Important updates and alerts

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12 Prepare Perform Payment Learn Activate Attest Activate Meaningful Use by: Reviewing athenanet s Meaningful Use functionality, including dashboard tracking capabilities and measure guidance. Perform Meaningful Use by: Demonstrating 15 core set objectives and 5 of 10 menu set objectives over a 90-day continuous period in 2012; or, Adopt, Implement, Upgrade (AIU) based on state Medicaid program requirements.

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17 Test ability to exchange key clinical information athena leveraged an existing external HIE connection to the cloud for the test. A test patient CCD was sent to the HIE from every client tablespace. All MU providers on athenaclinicals have satisfied this measure! Implement drug formulary checks The Surescripts formulary is automatically enabled with athenaclinicals. We monitor to ensure the formulary is available for the entire reporting period. Confirmation is displayed in the attestation summary workflow. Implement drug-drug and drug-allergy interaction checks Interaction checking is automatically enabled via Surescripts. We monitor to ensure checking is enabled for the entire reporting period. Confirmation is displayed in the attestation summary workflow. Implement one clinical decision support rule athenaclinicals Quality Management Engine will be used as the CDS tool. Per CMS, specialty-specific Clinical Quality Measures qualify as a rule Confirmation is displayed in the attestation summary workflow.

18 athenahealth helps providers satisfy the public health requirement by: Building and maintaining MU testing interfaces to all applicable immunization and syndromic surveillance registries. Enrolling providers with the appropriate immunization or syndromic surveillance registry. Submitting a test of electronic data to the immunization registry. Submitting a test of syndromic surveillance data to the public health agency. If applicable, alerting providers that the exclusion of both measures is appropriate. athenanet will alert providers to claim the appropriate exclusion if they do not perform immunizations or capture relevant syndromic surveillance data during the 90-day reporting period.

19 Displays which measures a particular provider has satisfied and which measures need additional attention.

20 Computerized Physician Order Entry The numbers here (18 & 29) show the number of satisfied and not satisfied patients for the CPOE measure. This column displays the provider s Meaningful Use measure. For the patients that were not satisfied, the QMR report will identify the missing data. This allows providers to track trends and find areas for improvement.

21 MAY Implement one clinical decision support tool 2. Report ambulatory clinical quality measures 3. Use CPOE for medication orders 4. Maintain active medication list 5. Maintain active medication allergy list 6. Record vital signs 7. Record demographics 8. Provide clinical summaries 100% 100% 93.0% 88.2% 82.1% 68.2% 28.3% 6.4%

22 December 31, Implement one clinical decision support tool 2. Report ambulatory clinical quality measures 3. Use CPOE for medication orders 93.0% 4. Maintain active medication list 88.2% 5. Maintain active medication allergy list 82.1% 6. Record vital signs 68.2% 7. Record demographics 28.3% 8. Provide clinical summaries 6.4% 100% 100% 99.6% 99.2% 98.7% 97.7% 99.9% 96.1%

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24 123,921 33,595 27% As of December 31, 2011

25 There was poor performance on this measure by athenahealth clients due to inconsistent data-entry by staff as well as their discomfort with collecting race and ethnicity information from patients. athenahealth Client Performance: 5/27/2011: 28% 7/11/2011: athenahealth made Record demographics a required field 7/24/2011: 61% 8/13/2011: 89% 9/24/2011: 99%

26 ISSUE: Posed a major workflow challenge for providers. Many providers didn t feel that it was helpful, appropriate and they worried about leaking PHI. 2-PART SOLUTION: First, we improved the ability of the provider to review the information. Second, we gave providers the option to eliminate the use of paper by providing a secure electronic delivery option. 100% 90% 80% 70% 60% 50% 40% 30% 20% 10% 0% 4/11/2011 4/18/2011 4/25/2011 5/2/2011 5/9/2011 5/16/2011 5/23/2011 5/30/2011 6/6/2011 6/13/2011 6/20/2011 6/27/2011 7/4/2011 7/11/2011 7/18/2011 7/25/2011 8/1/2011 8/8/2011 8/15/2011 8/22/2011 8/29/2011 9/5/2011 9/12/2011 9/19/2011 9/26/2011 percent week

27 Clinical Performance Monitors performance across all providers for all measures Works with other service teams to improve MU performance Ensures providers are optimally configured to meet MU requirements Account Management Provides proactive advice and support based on practiceand provider-level performance Client Support Center Answers questions related to MU measure satisfaction workflows and performance tools in athenanet

28 Prepare Perform Payment Learn Activate Attest Attest to Meaningful Use by: Using athenanet functionality to submit your Medicare measure performance information to CMS; or, Registering and submitting the appropriate Medicaid AIU information to your state s Medicaid office.

29 athenahealth notifies you when you have met all of your measures and are ready to attest athenahealth staff spends 1-2 hours registering and submitting attestation information to CMS on your behalf

30 Without athenahealth: With athenahealth: Our EHR vendor is charging an additional $1,500 for its meaningful use package set up fee in addition to $200/provider/year for MU reports, which although advertised as optional hardly seems as such. - Dr. Hammer From the ONC Testimony on Jan 11 th, 2011 At athenahealth, we provide Meaningful Use training, support and reports as part of our standard service offering. No additional purchase or fees are required. * From the 2011 athenahealth & Sermo Physician Sentiment Index SM

31 1. Does the vendor guarantee Meaningful Use incentive payments? Other vendor athenahealth P 2. Does the vendor provide real-time reporting that allows you to assess staff and provider performance against MU measures? P 3. Will the vendor provide support and advice if you re doing poorly? P 4. Does the vendor provide MU support and training as part of the regular pricing without additional fees? P

32 5. Are they certified on all 44 Meaningful Use clinical quality measures? Other vendor athenahealth P 6. Do they include free attestation support and guidance when it comes time to attest to CMS? P 7. Do they provide the required interfaces for free and without interruption? P

33 Hardware technologies can assist in achieving Meaningful Use Technology partners can assist improving practice efficiency and achieving Meaningful Use Identification & Insurance Card Scanners Help streamline patient intake Thermal Desktop Barcode Printers Integrated printers help streamline patient record management Barcode Labeling Integrated barcode printers reduce test errors Learn how DYMO solutions seamlessly integrate with athenanet at HIMSS 2012

34 athenacollector Practice Management & Billing Service athenaclinicals Electronic Health Record Service athenacommunicator Patient Portal & Communications Service athenacoordinatorsm Order Facilitation & Care Coordination Service

35 Want to learn more about athenahealth? Schedule a now by making a request in the Q&A box. Or you can schedule a demonstration by: Calling athenahealth at Visiting 35

36 Attending the 2012 HIMSS Annual Conference & Exhibition? To learn more visit us at: Booths #1029, Booth #1374