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How We achieved meaningful use. John Crankshaw, MD. Background. Primary Care Practice in Urbana, OH 3 Family Physicians and 1 IM/Peds physician and approx 20 employees (mix of part and full time) Practice has had our EHR since 2001

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How we achieved meaningful use

How We achieved meaningful use

John Crankshaw, MD


Background
Background

  • Primary Care Practice in Urbana, OH

    • 3 Family Physicians and 1 IM/Peds physician and approx 20 employees (mix of part and full time)

  • Practice has had our EHR since 2001

  • I’ve been using our EHR since 2005 and have become the IT expert/superuser for the practice.


The run up
The Run Up

  • Last year, kept up to date on Meaningful use criteria through the REC, our EHR vendor, and specialty societies as well as CMS.

  • Received certified version of our EHR in January.

  • Reviewed how our EHR fulfilled the different measures through our EHR’s webinars

  • Chose 6 Menu set measures

  • Decided on workflow changes

  • Discussed with Healthbridge our plan


The run up part 2
The Run Up Part 2

  • Had 3 separate meetings with staff

    • Front office

    • Medical Assistants/Escorts

    • Physicians

  • Gave cheat sheets for each group

  • Outlined for the doctors the CMS criteria and how we would fulfill that criteria

  • Developed Forms for certain criteria – Escort Sheet and Demographic Sheet


In the game
In the Game

  • Went “Live” January 21st.

  • Tracked progress weekly with reports from our EHR

  • Gave advice on how to improve weekly.

  • Partnered with a specialist in the community with the help of Healthbridge to fulfill Core Criteria #14 – exchange of key clinical information electronically


Attestation
Attestation

  • Office Manager registered each Physician on the CMS website - https://ehrincentives.cms.gov/hitech/login.action

  • Website walks you through each measure.

    • Core Requirements

    • Menu Requirements

    • Clinical Quality Measures

  • Need numerator/denominator numbers for each measure that requires it.

  • Allows for exclusions

  • Can log on after attesting to see status (payment, etc).


Final tips
Final Tips

  • Prepare, prepare, prepare

    • Need a practice “superuser”

    • Understand your EHR

    • Understand your Workflow and what to change/tweak

    • Prepare your staff with meetings, cheat sheets

    • Give timely updates on progress

    • Use resources – your EHR vendor, your REC, CMS websites, etc


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