Maryland Hospital Association Health IT Executive Forum Medicare and Medicaid EHR Incentives

1. Maryland Hospital AssociationHealth IT Executive ForumMedicare and Medicaid EHR Incentives September 24, 2010 10:00am – 12:00pm

2. Introductions Guest Speakers • David Sharp, Ph.D. • Director of the Center for Health IT, MHCC • Katherine Ball, MD • CMIO, Holy Cross Hospital Facilitator Scott Afzal Principal, Health Information Systems, Audacious Inquiry Hosts Carmela Coyle President & CEO, MHA Traci La Valle Assistant VP Financial Policy, MHA

3. Today’s Agenda • Introduction • Overview of Meaningful Use Final Rule • Update on Progress with State Programs • A Clinician’s Perspective on Meaningful Use • Incentive Calculation / Payment Discussion • Discussion • Closing

4. Final Rule - July 2010 Proposed Rule - December 2010 Major Changes to Final Rule

5. Qualifying Process 1 2 3 4 5 6

6. 1. Verify Eligibility

7. 1 Verify Eligibility: Hospitals

8. 2. Register for the EHR Incentive Program

9. 2 Register for EHR Incentive Program

10. 3. Ensure EHR Technology is Certified

11. 3 Securing EHR Certification

12. 4. Become a Meaningful User of EHR Systems

13. 4

14. 4 Meaningful Use: EHR Functionality Criteria Providers may claim certain objective(s)/measure(s) is inapplicable to them if they meet CMS criteria of such an exception.

15. 4 Meaningful Use: EHR Functionality Criteria Public health objectives Providers may claim certain objective(s)/measure(s) is inapplicable to them if they meet CMS criteria of such an exception.

16. 4 Meaningful Use: Measuring Functionality Objectives

17. 4 Meaningful Use: Quality Reporting

18. 4 Meaningful Use: Quality Reporting

19. 5. Attest Meaningful Use Status to CMS

20. 5 Attesting to Meaningful Use

21. 5 Attesting to Meaningful Use

22. 5 Attestation: Medicaid First Year Requirements

23. 6. Receive EHR Incentive Payments

24. 6 Medicare Hospital Incentive Payment Process

25. 6 Medicare EHR Incentives for Hospitals

26. 6 Medicare EHR Incentives for Hospitals Excludes: Exempt Psych and Rehab Units, Newborn, Swing bed Revised Worksheet S-10 (effective cost report periods beginning 02/01/10. If charity care charges are not available, charity care ratio equals 1.

27. Medicare Payment Penalties Begin in 2015 for Eligible Providers that Fail to Achieve Meaningful Use Status

28. Failure to Achieve MU Beginning in 2015 = Medicare Payment Penalties

29. Source Slides adapted DataGen, a subsidiary of the Hospital Association of New York