Meaningful Use and Ohio Medicaid. Mel Borkan June 18, 2010. Meaningful Use A s Opposed To???.
June 18, 2010
ARRA (American Recovery and Reinvestment Act) …Stimulus $$, recall? Provided incentive $ for eligible professionals and hospitals who become meaningful users of certified electronic health record technology.
Medicare’s got a program
Medicaid’s got a program. Cleverly named: the Medicaid Incentive Pmt Pgm: MPIP
Actually the meaningful use of certified EHR technology is one part of a broader Health Information Technology infrastructure needed to improve health care quality, efficiency and patient safety.
Of course it does!
So, Ohio, like every other state, has to come up with a vision and plan to get there for Health Information Technology (HIT) and the meaningful use of Electronic Health Record Technology
Yep, but only if we want the money…and we don’t want to break the law…and there is that improve the quality of health care aspect….
As Is (where we are now)
To Be (vision)
Road Map for getting there
Per ARRA (American Recovery and Reinvestment Act) …You have to be an eligible professional or a hospital who is a meaningful user of certified electronic health record technology.
Eligible professionals (EPs): physicians, dentists, certified nurse-midwives, nurse practitioners, physician assistants who are practicing in FQHC or RHC led by a physician assistant
Meet min M’d patient volume percentages
Waive rights to M’care EHR incentive pmts
Can get up to 85% of net average allowable cost for certified EHR tech, trning
Up to max level, for no more than 6 yrs
Acute Care Hospitals with at least 10% Medicaid patient volume
Children’s Hospitals of any Medicaid patient volume.
A phased approach with reasonable criteria for meaningful use of certified EHR technology based on currently available technology capabilities and provider practice experience, and builds up to a more robust definition of meaningful use, based on anticipated technology and capabilities development according to the proposed rule
The HITECH Act requires that to receive
a Medicaid incentive payment in the
initial year of payment, an EP or eligible
hospital may demonstrate that they have
engaged in efforts to adopt, implement,
or upgrade certified EHR technology
Stage 1 meaningful use criteria focuses on electronically capturing health information in a coded format, using that information to track key clinical conditions and communicating that information for care coordination purposes. It also calls for implementing clinical decision support tools to facilitate disease and medication management and reporting clinical quality measures and public health information.
For MPIP it means Attestations
CMS officials are recommending that Stage 2 criteria be proposed by the end of 2011 and the Stage 3 definition be proposed by the end of 2013.
Yes, requirements to meet Meaningful Use get more rigorous over time
Demonstrate compliance with three criteria:
Plan submitted last Tuesday
Then we have to actually do the work outlined in the plan, including building the MPIP Infrastructure
And we have to hook up our infrastructure with CMS’
Did I mention there is no final CMS rule yet, including no rule on what a certified system is?
Confirmation of Federal Approval
Begin Work on As Is; To Be Vision; Road Map
Creation of SMHP and IAPD
Submit to CMS
State Oks EPs and Hospitals to submit
Mark Vidmar, Project Manager
Mel Borkan, Chief Strategy Officer
Ohio Department of Job and Family Services, Ohio Health Plans, 614-752-3086