SURVEY OF VIRGINIA S RURAL HEALTH CLINICS
|
|
- Marjorie Robbins
- 5 years ago
- Views:
Transcription
1 SURVEY OF VIRGINIA S RURAL HEALTH CLINICS Clinic Data and Needs Assessment Report Fall 2015 Survey conducted by Virginia Rural Health Association in partnership with mjs Consulting, Inc. Funding from Health Resources and Services Administration
2 Background In May of 2015, Virginia Rural Health Association (VRHA) received a grant from Health Resources and Services Administration (HRSA) to determine the feasibility of starting a Rural Health Clinic (RHC) coalition or association in Virginia. VRHA partnered with mjs Consulting, Inc. to design and analyze a Clinic Data and Needs Assessment Survey of all of Virginia s RHCs. Method Site visits with the current Rural Health Clinics in Virginia were conducted in the summer and fall of 2015 and this survey was administered verbally by VRHA staff Beth O Connor. Twenty-four Rural Health Clinics participated in this survey which included two parts a Clinic Data component with information on individual clinics and a section asking about what would make a RHC coalition or association successful in Virginia. These results were shared at Regional Meetings with all the RHCs in the Fall of This final report of all the results will be shared with the RHCs at the Capstone Meeting in the Spring of 2016 to develop a strategic plan for the RHC association or coalition. Clinic Data Results Contained in this section are the results of the Clinic Data component of the survey. Clinic Characteristics Of the 20 clinics who responded to the question, the majority of RHCs in Virginia were started in the mid-1990s. The largest single growth year was Sixty percent of RHCs are for profit organizations and the remaining 40% nonprofits. None of the current RHCs have a mobile clinic affiliated with their standing clinic. Outreach efforts do include home visits (n=6), nursing home visits (n=6), and hospital/hospice visits (n=3) Date Received RHC Designation, n= RHC Data Collection and Needs Assessment Report 1 Compiled by mjs Consulting, Inc.
3 prescription medications at a reduced price. This could be another growth opportunity for clinics interested in this program The majority of RHCs have not joined an Accountable Care Organization (ACO) and do not have plans to join one. Only 20% have indicated they have joined one. Few RHCs know of their ranking as a Health Professional Shortage Area (HPSA). Five clinics did know their ranking with one as an 8, one as a 9, and three were 12. This could be an area where additional education could be provided as this ranking can help with recruitment and retention of providers. The majority of RHCs do not participate in the 340B pharmacy program. This program provides an opportunity to purchase Payer Percentages by Clinic Funding RHCs have a blend of third party reimbursement sources. The percentages vary from clinic. Most clinics received the 20 bulk of their reimbursement 10 from Medicaid and Medicare. RHCs do receive an enhanced 0 reimbursement from these two payer sources. Every clinic does see some uninsured, but Uninsured/Private Pay Medicaid Medicare Private Insurance it does not, on average, make up the bulk of their patients. Additionally, most clinics see patients with private insurance but there is greater variance on the percentage of patients with this coverage. 80,000 70,000 60,000 50,000 40,000 30,000 20,000 10,000 0 Number of Patient Visits in Last FY Most RHCs receive the bulk of their funding from third party reimbursements. A few clinics do have other sources of funding outside of these reimbursements which include VIS program for pediatric vaccines, insurance company incentives, bank loans, meaningful use reimbursements, and RHC funds. One RHC receives money from three local jurisdictions, grants, fund raising events, public donations, and patient revenues. RHC Data Collection and Needs Assessment Report 2 Compiled by mjs Consulting, Inc.
4 Patients, Patient Visits, and Services Provided Many clinics were unable to list their unduplicated patient numbers. Of those who could, the responses were 1,500, 4,737, and 20,000. The number of patient visits provided varied drastically. One clinic provided as many 70,000 visits while another 2,300. The average number of patients seen by the RHCs is 17,800. Services provided by the RHCs are contained in a table below. Of those who responded, they all provided general medical visits and most provided lab services. The other services varied across clinic. Types of Services Provided by RHCs Primary care/family/internal Lab testing (13) Temporary splints (10) medicine (17) Physicals (8) Minor procedures (8) Lesion removals (8) Pediatrics (6) Immunizations (6) Minor surgery (4) IVs (5) Workers compensation (4) Injections (4) Women s health (3) Preventative (3) Same day appointments and walk-ins (3) EKG (3) X-ray (3) Allergy shots (3) Diabetes Education (2) Bone density (2) Specialty (2) Dental (2) Point of care testing (2) Injections Mental Health Stress tests Prenatal HIV/AIDS Nursing home care Emergency stabilization Pre-operative clearances Vasectomies Trigger points Occupational medicine CDLs Pain management Information Technology In terms of information technology, 80% of the responding RHCs (n=19) use an electronic medical record (EMR). The systems used are listed below: eclinical (n=4) Allscripts (n=3) Amazing Charts (n=2) Greenway (n=2) e-md Solution Series (n=2) Athena HCS Advanced MD Epic Ninety percent of the 20 responding clinics have access to Broadband internet. Staff Staff within the RHCs vary. All have at least one paid physician and a paid advance practice practitioner. Other types of providers are less frequent within the clinics. The table below lists the type of staff person and, where applicable, the average number of staff within each type. Other providers found in RHCs but not listed in the table are Medical Assistants (10 clinics staff them), Radiology technicians (4 clinics staff them), Lab staff (2 clinics staff them), Janitorial staff, and an LPN/psych coordinator. RHC Data Collection and Needs Assessment Report 3 Compiled by mjs Consulting, Inc.
5 Staff Type Number MD/DO (n=24) Average amount 2.5 (13 highest amount, 0.25 lowest amount) Nurse Practitioners/Physician Assistants (n=24) Average amount 2.2 (8 highest amount, 1 lowest amount) Nurses (n=22) Average amount 4.9 (highest amount 15, lowest amount 0) Pharmacists (n=4) 3 rent space 1 hospital Social Workers (n=2) 1 FT 1 PT Case Managers 0 Health Coaches (n=1) 2 Dieticians (n=3) Dentists (n=1) 2 clinics with 1 FT 1 clinic with 1 PT 3 PT, 14 volunteers Dental Assistants (n=1) 2 Dental Hygienists (n=1) Office/Administrative Staff (n=23) 2 PT Average amount 7.8 (highest amount 50, lowest amount 0.5) RHCs also utilize unique staffing options. One clinic is using residents to supplement staff. Another clinic takes advantage of the J-1 visa program which allows them to bring practitioners from other countries to practice within the clinic. Another clinic, in order to assist with recruitment and retention of providers, is paying staff s student loan debt. Recruiting staff members can be a challenge for RHCs and positions can be open for extended period of time without being filled. The average time open for a position within the clinic is 3.6 months. Some clinics stated positions being unfilled for as long as two years and as short as 2 weeks. For those clinics with open positions for an extended period of time, the average longest time to wait before being able to fill a position is 9.5 months. Four clinics stated that they had little to no turnover in positions. Quality Data Of the responding clinics, 85% stated they collect some form of quality data. When asked what type of quality data they collect, 5 utilize reports from their electronic medical record, 5 use the Physician Quality Reporting System (PQRS), 4 collect data on specific clinical indicators such as lipid profiles and A1C levels, and 3 use meaningful use reports. The remaining use corporate quality surveys, annual quality surveys, financial quality improvement goal data, and requirements of their Accountable Care Organization. RHC Data Collection and Needs Assessment Report 4 Compiled by mjs Consulting, Inc.
6 Needs Assessment Results The Needs Assessment component of the survey really concentrated on needs of the clinics and ways that a RHC coalition or association might meet those needs. Suggestions for success for a coalition or association were also assessed and offered. Clinic Challenges When asked what was most challenging for individual clinics, the highest rated items were ICD10 and the changes that would come with that, working with managed care companies, understanding state regulations, understanding federal regulations, quality measures, capital improvement, and recruiting and retaining providers. The clinics were asked to identify what out of all of the possible categories listed to the left was specifically challenging. The following were their responses: Managed care companies/insurance companies challenging/not processing correctly/not paying correctly/ prior authorization issues (n=7) ICD-10 (n=4) Recruitment of staff (n=4) Regulation language (n=3) EMR Meaningful use Quality measures Cost of purchasing health insurance for employees Workflow Raising money to do rising uninsured patient numbers Below are other areas of RHC operations, governance or administrative that are particularly challenging. Better information/advocacy on RHC issues (n=9) -RHC billing rates need increasing (n=3) -Benefit of remaining an RHC when ACOs take over -Not paying RHC rates -Meaningful use payouts excluded for RHC -Contracting software not RHC friendly -Out of the RHC loop local meetings would help -Where do RHC patient complaints go? RHC Data Collection and Needs Assessment Report 5 Compiled by mjs Consulting, Inc.
7 -Could use a contact person for TA and ask questions Billing/coding issues (n=2) Challenge of having patients from multiple states and Medicaid cost reporting Having to pay both DOs as Medical Director because of credentialing issues The State Survey: need a manual for policies & procedures, need someone to do a mock survey Benefits of Rural Health Clinic Coalition or Association The clinics were asked what member benefits they d like to see as part of an RHC coalition or association. The areas most requested were education, sharing of best practices, timely information on important issues, clinical training and education, and information on state and federal regulations. Below are the responses to what benefits could the clinic see for a RHC association or coalition: Networking (including clinical staff) (n=9) Services (n=7) - Cost reporting (n=2) -Assistance with recruitment (n=2) -Fundraising -Developing an ACO of RHCs -Group insurance agreements Technical assistance (someone to call) (n=6) -Regulations -Billings dos and don ts Education (n=5) -Cost report clarifications -Training Sharing information within and without coalition (n=3) -Information from National RHC meetings -Distribution of fact sheets -Regulation updates -Reimbursement information Benchmarks and standardization (n=3) Assistance managing cash flow issues Advocacy The majority of the clinics support the idea of forming coalition or association of Rural Health Clinics. RHC Data Collection and Needs Assessment Report 6 Compiled by mjs Consulting, Inc.
8 The clinics had a number of thoughts of what it would take for a coalition or association to be successful. Buy-in from all the RHCs to participate and share (n=6) Communication open and face to face (n=5) Provide quality services (n=2) Webinars, virtual conferencing (n=2) Strong leader who can coordinate efforts Limited bureaucracy Problem focused annual meetings Collect data to share Specific information to RHCs to meet immediate needs Best practice depository Site visits frequent exchange of information group clinics according to population type Interest in seeing the formation of a Rural Health Clinic association or coalition (n=18) Yes Unknown Contributions to Coalition or Association Knowing that individual clinics have a wealth of information and best practices to share with other clinics, they were asked what they do well that they d like to share with other clinics. Below are the responses: Billing (n=4) Cross-training for staff (n=2) Team work and cohesiveness (n=2) Retain staff We know a chart consultant Experience in cost reporting Insurance company credentialing education on RHC operations Willing to share anything Find balance between staying financially viable and still treat indigent patients and take all the Medicare & Medicaid patients that have a need. Many docs in the area won't take older patients. State inspection prep, chart reviews ability to adjust and pivot quickly Stratus interpreter service advantage of having one person serving as point for following regulations Virginia vaccine program Final Comments and Thoughts The clinics were asked what keeps them up at night and what was their biggest frustration. Worrying about patients (n=3) Government regulations (n=3) Provider issues (not enough, waiting list, credentialing) (n=3) Managing competing demands (n=2) Revenue, cash flow (n=2) insurance companies (n=2) Disaster recovery (n=2) Billing differences from FQHCs to RHCs Meaningful use Employee issues EHR RHC Data Collection and Needs Assessment Report 7 Compiled by mjs Consulting, Inc.
To Be or Not to Be.. a Rural Health Clinic
To Be or Not to Be.. a Rural Health Clinic Virginia Rural Healthcare Association Annual Conference October 19, 2016 Today s Session 1. Rural Health Clinics (RHC) 2. Federally Qualified Health Centers (FQHC)
More information2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
More informationHEALTH PROFESSIONAL WORKFORCE
HEALTH PROFESSIONAL WORKFORCE (SECTION-BY-SECTION ANALYSIS) (Information compiled from the Democratic Policy Committee (DPC) Report on The Patient Protection and Affordable Care Act and the Health Care
More information9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds
Coding on the River 10/01/2011 Christina Catalano University of Florida Jacksonville Healthcare Inc. Director, EHR Compliance and Meaningful Use Learning Agenda Meaningful Use and why it s here Meaningful
More informationRural Health Clinics
Rural Health Clinics * An Issue Paper of the National Rural Health Association originally issued in February 1997 This paper summarizes the history of the development and current status of Rural Health
More informationOperations Report January, Executive Summary
January, 216 Executive Summary Ending January 31, 216 Executive Summary Cooper Green Mercy Health Services (CGMHS) is pleased to submit this summary of key utilization for the month ending January 31,
More informationPROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On February 23, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated proposed
More informationThe American Recovery and Reinvestment Act HITECH Act
The American Recovery and Reinvestment Act HITECH Act February 2010 Your eclinicalworks Source www.clinicinstall.com 800-319-3190 info@clinicinstall.com eclinicalworks is a leader in ambulatory clinical
More informationAbstract. Are eligible providers participating? AdvancedMD EHR features streamline meaningful use processes: Complete & accurate information
Abstract As part of the American Recovery and Reinvestment Act of 2009, the Federal Government laid the groundwork for the nationwide implementation of electronic health records (EHR) systems as a measure
More informationEligibility. Program Structure and Process for Receiving Incentives
Overview of Medicare Incentives in the Centers for Medicare & Medicaid Services (CMS) Final Rule on Meaningful Use of Certified Electronic Health Records 1 Eligibility Medicare Eligibility: For Medicare
More informationCMS Incentive Programs: Timeline And Reporting Requirements. Webcast Association of Northern California Oncologists May 21, 2013
CMS Incentive Programs: Timeline And Reporting Requirements Webcast Association of Northern California Oncologists May 21, 2013 Objective This webcast will address CMS s Incentive Program reporting requirements
More informationCommunity Analysis Summary Report for Clinical Care
Community Analysis Summary Report for Clinical Care BACKGROUND ABOUT THE HEALTHY COMMUNITY STUDY The Rockford Health Council (RHC) exists to build and improve community health in the region. To address
More informationAgenda 2. EHR Incentive Programs 3/5/2015. Overview EHR incentive programs Meaningful Use Differences between Stage 1 and Stage 2
Meaningful Use and the Electronic Health Record Presented by: Susan Reehill CPC, CEMC, CHONC, CPMA Certified Professional Medical Auditor AHIMA Approved ICD-10 CM/PCS Trainer Overview EHR incentive programs
More informationMEANINGFUL USE STAGE 2
MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,
More informationOverview of the EHR Incentive Program Stage 2 Final Rule published August, 2012
I. Executive Summary and Overview (Pre-Publication Page 12) A. Executive Summary (Page 12) 1. Purpose of Regulatory Action (Page 12) a. Need for the Regulatory Action (Page 12) b. Legal Authority for the
More informationAn Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care
An Introduction to MPCA and Federally Qualified Health Centers~ Partners for Quality Care AIM Partnership Forum June 5, 2014 Lynda C. Meade, MPA Director of Clinical Services Michigan Primary Care Association
More information700 E. Jefferson Street, Suite 100 Phoenix, AZ (602)
700 E. Jefferson Street, Suite 100 Phoenix, AZ 85034 (602) 253-0090 www.aachc.org History of Health Care Quality Models History of Quality Initiatives/Models are all over the Board! Statistical Quality
More informationMedicaid and HIT: EHR s s for Medicaid Providers
Medicaid and HIT: EHR s s for Medicaid Providers National Medicaid Congress Christine H. Nye, Director Agency for Health Care Administration nyec@ahca.myflorida.com Better Health Care for All Floridians
More informationMEANINGFUL USE STAGE FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY
MEANINGFUL USE STAGE 2 2014 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives. EPs must meet 3 of the 6 menu measures.
More informationMACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing
MACRA and MIPS How Medicare Meaningful Use and PQRS are Changing Link to recorded session: https://attendee.gotowebinar.com/recording/1305549490878052097 Presenting Today: Molly Goodhart Joined Quatris
More informationMay 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics
Hot Reimbursement Topics Rural Area Hospitals May 3, 2018 Rick Reid Director, Provider Payment Analytics Michael Felczak Director, Provider Payment Analytics RICHARD S. REID, MPA, FHFMA, CPA, Director,
More informationRoll Out of the HIT Meaningful Use Standards and Certification Criteria
Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today
More informationHITECH* Update Meaningful Use Regulations Eligible Professionals
HITECH* Update Meaningful Use Regulations Eligible Professionals October 2010 * Health Information Technology for Economic and Clinical Health, a component of the ARRA of 2009 McDowell Lecture December
More informationCPC+ Application Process
Practice Eligibility CPC+ Application Process In order to participate, all CPC+ practices must have multi-payer support, adopt certified health IT requirements for reporting, and other infrastructural
More informationA Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012
A Framework for Evaluating Electronic Health Records Overview - Applying to the Davies Ambulatory Awards Program Revised May 2012 Introduction The Computer-Based Record Institute (CPRI) established the
More informationCHCANYS NYS HCCN ecw Webinar
CHCANYS NYS HCCN ecw Webinar Meaningful Use, V10 and UDS January 30, 2013 Stephanie Rose, Project Director Desiree Railine, HIT Implementation Specialist/Trainer Agenda Meaningful Use Stage 1 2014 Review
More informationMinnesota Department of Health (MDH) Health Care Homes (HCH) Initial Certification. Reviewed: 03/15/18
Minnesota Department of Health (MDH) Health Care Homes (HCH) Initial Certification Reviewed: 03/15/18 1 Learning Objectives 1. Describe the HCH legislative rule subpart criteria required for initial certification.
More informationLoan Repayment Program Available to Medical Providers Practicing in Rural North Carolina
COMMITTEE ON ACCESS TO HEALTHCARE IN RURAL NORTH CAROLINA Loan Repayment Program Available to Medical Providers Practicing in Rural North Carolina Maggie Sauer, MS, MHA Department of Health and Human Services
More informationMeaningful Use CHCANYS Webinar #1
Meaningful Use 2016 CHCANYS Webinar #1 Ekem Merchant -Bleiberg, Director of Implementation Services Alliance of Chicago Wednesday February 24, 2016 Agenda 2016 Meaningful Use Guidelines Timelines & Deadlines
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationAmbulatory Care Practice Trends and Opportunities in Pharmacy
Ambulatory Care Practice Trends and Opportunities in Pharmacy David Chen, R.Ph., M.B.A. Senior Director Section of Pharmacy Practice Managers ASHP Objectives Describe trends in health system pharmacy reported
More informationThe State of Health in Rural C olorado
Snapshot of Rural Health 2016 Edition The State of Health in Rural C olorado COLORADO ADDRESSING RURAL THE HEALTH ISSUES CENTER COLORADO S RURAL POPULATION RURAL WORKFORCE ACCESS TO CARE ADDRESSING THE
More informationOptimizing the Opportunity
Optimizing the Opportunity Achieving EHR Meaningful Use and Securing Incentive Payments Justin T. Barnes Chairman, EHR Association VP, Greenway Medical Technologies State of Healthcare Healthcare Reform/
More informationLoan Repayment Program Available to Medical Providers Practicing in Rural North Carolina
JOINT LEGISLATIVE OVERSIGHT COMMITTEE ON HEALTH AND HUMAN SERVICES - GRADUATE MEDICAL EDUCATION SUBCOMMITTEE Loan Repayment Program Available to Medical Providers Practicing in Rural North Carolina Maggie
More informationMoving HIT and Meaningful Use
Moving HIT and Meaningful Use Tim Gutshall, MD March 30, 2011 EHR Adoption in Iowa Less than 50 percent of Iowa physicians have adopted EHRs As late as 2009, 89 percent of Iowa s hospitals still used some
More informationEXHIBIT AAA (3) Northeast Zone PROVIDER NETWORK COMPOSITION/SERVICE ACCESS
EXHIBIT AAA (3) Northeast Zone PROVIDER NETWORK COMPOSITION/SERVICE ACCESS 1. Network Composition The PH-MCO must consider the following in establishing and maintaining its Provider Network: The anticipated
More informationColorado s Health Care Safety Net
PRIMER Colorado s Health Care Safety Net The same is true for Colorado s health care safety net, the network of clinics and providers that care for the most vulnerable residents. The state s safety net
More informationUpdated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP)
Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP) 1 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois
More informationLeveraging HIE to Bolster Accountable Care Organizations. Healthcare Unbound / July 12, 2013
Leveraging HIE to Bolster Accountable Care Organizations Healthcare Unbound / July 12, 2013 Types of Health Info. Exchange Direct (Point-to-Point) Query-Based 2013 Colorado Regional Health Information
More informationEHR for the PCMH A Doctor s Perspective. Medical Home Summit
EHR for the PCMH A Doctor s Perspective Medical Home Summit Salvatore Volpe MD FAAP FACP CHCQM www.svolpemd.com March 15, 2011 Learning Objectives Why I adopted an EHR My experience: what I needed to do
More informationUse of Information Technology in Physician Practices
Use of Information Technology in Physician Practices 1. Do you have access to a computer at your current office practice? YES NO -- PLEASE SKIP TO QUESTION #2 If YES, please answer the following. a. Do
More informationMeaningful Use: Is Your Practice Ready? E L I Z A B E T H W O O D C O C K
Meaningful Use: Is Your Practice Ready? E L I Z A B E T H W O O D C O C K Is Your Practice Ready? Elizabeth W. Woodcock, MBA, FACMPE, CPC Elizabeth W. Woodcock, MBA, FACMPE, CPC Speaker, Author, Trainer
More informationIssue Brief. Maine s Health Care Workforce. January Maine s Unique Challenge. Current State of Maine s Health Care Workforce
January 2009 Issue Brief Maine s Health Care Workforce Affordable, quality health care is critical to Maine s continued economic development and quality of life. Yet substantial shortages exist at almost
More informationCalifornia Community Health Centers
California Community Health Centers Financial & Operational Performance Analysis, 2011-2014 Prepared by Sponsored by Blue Shield of California Foundation Introduction This report, prepared by Capital Link
More informationMeaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health
Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal Lori Hack & Val Tuerk, Object Health 2 3 Agenda Who Qualifies for the EHR Incentive Funds? EHR Incentive Registration Process
More informationOne Program, Multiple Funding Streams: How to Manage Funding, Resources, and Eligibility
One Program, Multiple Funding Streams: How to Manage Funding, Resources, and Eligibility AMY DOWNS, MSW RYAN WHITE PART B PROGRAM COORDINATOR JANA COLLINS, MS RYAN WHITE PART C/D PROGRAM COORDINATOR BLUEGRASS
More informationHealth Centers Overview. Health Centers Overview. Health Care Safety-Net Toolkit for Legislators
Health Centers Overview Health Centers Overview Health Care Safety-Net Toolkit for Legislators Health Centers Overview Introduction Federally Qualified Health Centers (FQHCs), also known as health centers,
More informationOklahoma Surgicare NOTICE OF PRIVACY PRACTICES. Effective Date: 02/17/2010
Oklahoma Surgicare NOTICE OF PRIVACY PRACTICES Effective Date: 02/17/2010 THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
More information2018 MGMA COST AND REVENUE SURVEY
(*Asterisks denote required questions) *Note: The Practice Profile must be completed before beginning any of the MGMA Surveys* Time is a valuable thing! We ve created a tiered participation benefit structure
More informationTransforming Health Care with Health IT
Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better
More informationNOW, THEREFORE, be it resolved that DHS and HEALTH agree to perform the following in connection with this agreement: Purpose
COOPERATIVE AGREEMENT between NORTH DAKOTA DEPARTMENT OF HUMAN SERVICES and NORTH DAKOTA DEPARTMENT OF HEALTH and PRIMARY CARE OFFICE/PRIMARY CARE ASSOCIATION This agreement has been made and entered into
More informationMissouri Rural Health Clinics and Electronic Health Records
March 2016 Missouri Rural Health Clinics and Electronic Health Records Survey Results Missouri Health Information Technology Assistance Center DEPARTMENT OF HEALTH MANAGEMENT AND INFORMATICS SCHOOL OF
More informationAMN Healthcare Investor Presentation
AMN Healthcare Investor Presentation May 2017 The Innovator in Healthcare Workforce Solutions and Staffing Services Forward-Looking Statements This investor presentation contains forwardlooking statements
More informationRecruitment & Financial Benefits of Health Professional Shortage Areas
Recruitment & Financial Benefits of Health Professional Shortage Areas Bobbi Buckner Bentz, MHA, MPH Primary Care Office Director Iowa Department of Public Health Presentation Goals What is a Health Professional
More informationCalifornia Community Clinics
California Community Clinics A Financial and Operational Profile, 2008 2011 Prepared by Sponsored by Blue Shield of California Foundation and The California HealthCare Foundation TABLE OF CONTENTS Introduction
More informationcalifornia C A LIFORNIA HEALTHCARE FOUNDATION Health Care Almanac Financial Health of Community Clinics
california Health Care Almanac C A LIFORNIA HEALTHCARE FOUNDATION Financial Health of Community Clinics March 2009 Introduction Community clinics are a vital part of California s health care safety net
More informationAppendix 5. PCSP PCMH 2014 Crosswalk
Appendix 5 Crosswalk NCQA Patient-Centered Medical Home 2014 July 28, 2014 Appendix 5 Crosswalk 5-1 APPENDIX 5 Crosswalk The table compares NCQA s Patient-Centered Specialty Practice () standards with
More informationDeveloping and Implementing Alternative Payment Models. Presented by AllCare Health APM Team
Developing and Implementing Alternative Payment Models Presented by AllCare Health APM Team AllCare Service Area and Membership County Members Jackson 28,449 Josephine 19,016 Curry/Douglas 2,871 Total
More informationMedicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA
Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Travis Broome AMIA 9-20-2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures
More informationMedicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters. Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014
Medicare Cost Reporting and PPS FFY 2015 Proposed Rule Why it Still Matters Glenn Grigsby, CPA OACHC 2014 Annual Spring Conference March 11, 2014 Agenda Medicare cost report myths Common cost reporting
More informationAmerican Recovery and Reinvestment Act (ARRA) of 2009
American Recovery and Reinvestment Act (ARRA) of 2009 An In-Depth Look into the Revolution of Health IT Colin Konschak, MBA, FHIMSS Managing Partner Scott Kizer, Esq., MIS Senior Legal Consultant Ernie
More informationHealth Center Strong:
Health Center Strong: Developing and Expressing Health Center Value Jonathan Chapman Director, CHC Advisory Services, Capital Link NHCHC National Conference and Policy Symposium May 18, 2018 1 Capital
More informationMedicaid 101: The Basics for Homeless Advocates
Medicaid 101: The Basics for Homeless Advocates July 29, 2014 The Source for Housing Solutions Peggy Bailey CSH Senior Policy Advisor Getting Started Things to Remember: Medicaid Agency 1. Medicaid is
More informationHR Telehealth Enhancement Act of 2015
HR 2066 - Telehealth Enhancement Act of 2015 Rep. Harper (R-MS), Rep. Thompson (D-CA), Rep. Black (R-TN) & Rep. Welch (D-VT) Author Intent: To promote and expand telehealth application under Medicare and
More informationThe Health Center Program Quality Improvement
The Health Center Program Quality Improvement National Network for Oral Health Access Annual Conference November 8, 2016 Vy Nguyen, DDS, MPH Dental Officer, Office of Quality Improvement Bureau of Primary
More informationMedicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals. August 11, 2010
Medicare & Medicaid EHR Incentive Program Specifics of the Program for Hospitals August 11, 2010 Today s Session This training will cover the following topics: EHR Incentive Programs a Background Who Is
More informationMeaningful Use Stage 2
Meaningful Use Stage 2 Presented by: Deb Anderson, HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 HTS Who We Are Stage 2 MU Overview Learning Objectives 2014 CEHRT Certification
More informationMedicaid EHR Incentive Program Survey of Registrants 2015 Summary of Findings
Medicaid EHR Incentive Program Survey of Registrants 2015 Summary of Findings INTRODUCTION Beginning in April 2012, providers that registered for the Michigan Department of Health and Human Services (MDHHS)
More informationLegal Issues in Medicare/Medicaid Incentive Programss
Meaningful Use Legal Issues in Medicare/Medicaid Incentive Programss Jane Eckels, Esq. Partner, Health Information Technology Group Deputy Chair, Technology, ebusiness and Digital Media Group Overview
More informationHospitals. Internal Revenue Service Information about Schedule H (Form 990) and its instructions is at
SCHEDULE H Hospitals OMB No. 1545-0047 (Form 990) Complete if the organization answered "Yes" to Form 990, Part IV, question 20. Attach to Form 990. Open to Public Department of the Treasury Internal Revenue
More informationAppendix B: Formulae Used for Calculation of Hospital Performance Measures
Appendix B: Formulae Used for Calculation of Hospital Performance Measures ADJUSTMENTS Adjustment Factor Case Mix Adjustment Wage Index Adjustment Gross Patient Revenue / Gross Inpatient Acute Care Revenue
More informationDisclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws.
Disclaimer This webinar may be recorded. This webinar presents a sampling of best practices and overviews, generalities, and some laws. This should not be used as legal advice. Itentive recognizes that
More informationGoals & Challenges for Outpatient Quality Directors. Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE
Goals & Challenges for Outpatient Quality Directors Quality HealthCare Consulting, LLC CEO: Jennifer O'Donnell, MHA, PCMH-CCE Objectives Learn a practical way for Quality Directors to align Quality Measures
More informationAll ACO materials are available at What are my network and plan design options?
ACO Toolkit: A Roadmap for Employers What is an ACO? Is an ACO strategy right for my company? Which ACOs are ready? All ACO materials are available at www.businessgrouphealth.org What are my network and
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Southwest Regional Health Care Compliance Association Conference February 18, 2011 Travis Broome, Special Assistant for Quality Improvement and Survey & Certification
More informationTexas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs)
Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Julia Alejandre, Medicaid / CHIP Health IT Jason Phipps, Medicaid / CHIP Health IT July 20, 2012
More informationMeaningful Use: Introduction to Meaningful Use Eligible Providers
Meaningful Use: Introduction to Meaningful Use Eligible Providers Introduction to Meaningful Use: Webinar Overview Define Meaningful Use Review Meaningful Use Key Dates & Program Incentives Discuss the
More informationHOUSE BILL 44 PRIMARY CARE RATE INCREASE AND ADDITIONAL PROVISIONS:
HOUSE BILL 44 PRIMARY CARE RATE INCREASE AND ADDITIONAL PROVISIONS: Dear Providers: Beginning July 1, 2015, the Department implemented a series of rate increases for physicians with a primary specialty
More informationCore Services Provided in Federally Clinical Coverage Policy No: 1D-4 Qualified Health Centers and Amended Date: October 1, 2015 Rural Health Clinics
Qualified Health Centers and Amended Date: October 1, 2015 Rural Health Clinics Table of Contents 1.0 Description of the Procedure, Product, or Service... 1 1.1 Federally Qualified Health Centers... 1
More information3. In which of the following settings does your organization operate? (choose one)
Thank you for participating. Results from this survey will be used internally at the National Health Care for the Homeless (HCH) Council to assess the research and quality improvement interests and capabilities
More informationMedical Management. G.2 At a Glance. G.3 Procedures Requiring Prior Authorization. G.5 How to Contact or Notify Medical Management
G.2 At a Glance G.3 Procedures Requiring Prior Authorization G.5 How to Contact or Notify Medical Management G.6 When to Notify Medical Management G.11 Case Management Services G.14 Special Needs Services
More informationKern County s Health Care Coverage Initiative Network Structure: Interim Findings
Kern County s Health Care Coverage Initiative Network Structure: Interim Findings Introduction The Health Care Coverage Initiative (HCCI) program in Kern County is known as the Kern Medical Center Health
More informationMeaningful Use and Care Transitions: Managing Change and Improving Quality of Care
Small Rural Hospital Transition (SRHT) Project HELP Webinar Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care Paul Kleeberg, MD, FAAFP, FHIMSS Aledade Medical Director
More informationSNC BRIEF. Safety Net Clinics of Greater Kansas City EXECUTIVE SUMMARY CHALLENGES FACING SAFETY NET PROVIDERS TOP ISSUES:
EXECUTIVE SUMMARY The Safety Net is a collection of health care providers and institutes that serve the uninsured and underinsured. Safety Net providers come in a variety of forms, including free health
More informationNew Strategies in Value Based Care
New Strategies in Value Based Care D. Keith Fernandez, M.D. Chief Clinical Officer, Privia Health CEO, Privia Medical Group Gulf Coast 713-545-1366 kfernandez@priviahealth.com none Disclosures Learning
More informationBON SECOURS RICHMOND NOTICE OF PRIVACY PRACTICES
BON SECOURS RICHMOND NOTICE OF PRIVACY PRACTICES THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFEULLY.
More informationProvide an understanding of what comprises "meaningful use" of EHR technology
1 Provide background on federal electronic health record (EHR) incentives Overview of Health IT Incentives Medicare/Medicaid EHR incentives Provide an understanding of what comprises "meaningful use" of
More informationJohn W. Gahan Jr. Department of Health
John W. Gahan Jr. Department of Health Indigent Care Pool Electronic Health Record Medicaid Reimbursement FQHC s Other Clinics Appeals Meaningful Use Primary Medical Home General Billing 2010 AHCF-1 Questions
More informationThe American Recovery and Reinvestment Act: Incentivizing Investments in Healthcare
The American Recovery and Reinvestment Act: Incentivizing Investments in Healthcare AT&T, Healthcare, and You Overview The American Recovery and Reinvestment Act of 2009 (ARRA) allocated more than $180
More informationInternship Program Information
Internship Program Information Mission Statement: is dedicated to improving the health of the community through treatment, prevention, and enabling services Frances Nelson is a primary care medical and
More informationCHRONIC CARE MANAGEMENT. A Guide to Medicare s New Move Toward Patient-Centric Care
CHRONIC CARE MANAGEMENT A Guide to Medicare s New Move Toward Patient-Centric Care The future of healthcare is here; Medicare has begun to shift away from fee-forservice care and move toward value based
More informationARRA HITECH Act and Nevada
ARRA HITECH Act and Nevada Senate Committee on Health & Human Services Nevada Legislature February 17, 2011 Lynn O Mara, MBA State HIT Coordinator Department of Health and Human Services 775.684.7593 lgomara@dhhs.nv.gov
More informationCruising Through Key Legal Compliance Issues in Telemedicine
April 12, 2018 Cruising Through Key Legal Compliance Issues in Telemedicine Presented by Cal Marshall 2018 Chambliss, Bahner & Stophel, P.C. All Rights Reserved. Chambliss, Bahner & Stophel, P.C. Liberty
More informationPrime Clinical Systems, Inc
2.29.16 1 2015 Year Meaningful Use Checklist The attestation period for Meaningful Use Year 2015 is January 4 to March 11, 2016. Here are some helpful tips to assist you: 1. The PCM MU report card updates
More informationAMN Healthcare Investor Presentation
AMN Healthcare Investor Presentation September 2017 The Innovator in Healthcare Workforce Solutions and Staffing Services Forward-Looking Statements This investor presentation contains forwardlooking statements
More informationAlaska Medicaid Program
Alaska Medicaid Program ALASKA ELECTRONIC HEALTH RECORDS Incentive Program Updated January 2018 Provider Manual 1 Background... 4 2 How Do I use this manual?... 6 3 How do I get help?... 7 4 Eligible provider
More informationCommonwealth Health Corporation Notice of Privacy Practices CHC COMMONWEALTH HEALTH CORPORATION
CHC COMMONWEALTH HEALTH CORPORATION NOTICE OF PRIVACY PRACTICES Effective Date: April 14, 2003 THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS
More information1. What are some of the changes that have affected hospitals during the twentieth and. The emergence of health maintenance organizations
1. What are some of the changes that have affected hospitals during the twentieth and twenty-first centuries? Increases in hospital costs Medicare, Medicaid, and CHIP The emergence of health maintenance
More informationAnalysis of 340B Disproportionate Share Hospital Services to Low- Income Patients
Analysis of 340B Disproportionate Share Hospital Services to Low- Income Patients March 12, 2018 Prepared for: 340B Health Prepared by: L&M Policy Research, LLC 1743 Connecticut Ave NW, Suite 200 Washington,
More information2. What is the main similarity between quality assurance and quality improvement?
Chapter 6 Review Questions 1. Quality improvement focuses on: a. Individual clinicians or system users b. Routine measurement of performance c. Information technology issues d. Constant training 2. What
More information