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REC Reported Practice Level Challenges to Achieving Meaningful Use

REC Reported Practice Level Challenges to Achieving Meaningful Use. Office of Provider Adoption Support Dawn Heisey-Grove, MPH September 10, 2012. 62 RECs Cover 100% of the USA. Initial Program Goal: 100,000 priority primary care providers achieve meaningful use (MU) by 2014. Every REC:

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REC Reported Practice Level Challenges to Achieving Meaningful Use

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  1. REC Reported Practice Level Challenges to Achieving Meaningful Use Office of Provider Adoption Support Dawn Heisey-Grove, MPH September 10, 2012

  2. 62 RECs Cover 100% of the USA Initial Program Goal: 100,000 priority primary care providers achieve meaningful use (MU) by 2014 • Every REC: • Has a defined service area and • specific number of providers • Provides unbiased, practical support throughout process • Serves as two-way pipeline to federal and local resources • Approach differs by REC: • Independent operations • Affiliation with QIOs and universities • Partnership with other ONC grantees (Beacon and HIE) • Variety of hospital and payer partnerships

  3. Who RECs Are Helping • Over 120,000 providers: • ≈ 42% of all PCPs in US • ≈ 70% of all rural providers • ≈ 74% of FQHCs • *Not shown: 10,000+ specialists http://dashboard.healthIT.gov **Data as of 3-12-2012

  4. Who Works with the RECs? **Data as of 3-12-2012

  5. Background • In November, 2011, RECs were asked to enter site-level challenges in the CRM • RECs are using the CRM Challenges feature in varying ways • Some are creating a “Challenges” for every site; for those sites on track, they are creating an “On Track” issue • Others are only creating “Challenges” issues for those practices that are stuck in the process • 3 RECs are sending data files to OPAS external to the CRM. Those data are incorporated into these slides.

  6. Challenges Categories One field captures the stage of adoption for the practice: are they trying to reach AIU, or MU? There are then 5 Challenges Types: Practice Issues, Vendor Issues, Attestation Process problems, problems with MU Measures, and an “On Track” classification Within each of the Challenges Types, there are sub-categories. A definition page is available upon request.

  7. Primary and Secondary Challenges Categories Complete list of Challenges categories, including tertiary categories and descriptions of the categories, is available upon request.

  8. Resolved Challenges: Site Level • Challenges can be resolved with at the site level or provider level • At the site level, a Challenges would be resolved if: • the REC indicates the issue is “Completed” • a new issue is created to indicate the site is now on track • An “on track” issue is resolved if a new Challenges issue is created

  9. Resolved Challenges: Provider Level • At the provider level, all challenges are resolved if the provider receives an MU payment from CMS. • Other ways a provider may have a Challenges resolved: • Attestation Process issues are resolved when a payment is received from CMS • AIU issues are resolved if an AIU payment is received by CMS • Vendor selection issues are resolved if a provider reaches M2 and the issue was created before the M2 date • All issues except Attestation Process are resolved if a provider reaches M3 • All AIU Vendor Issues when the provider reaches M2, provided the issue was created before the M2 date

  10. Top Ten Overall Challenge Categories by Number of Providers Impacted Data as of August 5, 2012, pulled from the ONC CRM. A total of 19,237 challenge Issues have been reported by RECs, impacting 54,101 providers. A total of 1,197 challenge Issues were created between July 1 and August 5, 2012, affecting 3,251 providers. 2,942 providers had challenge issues resolved between July 1 and August 5, 2012.

  11. Challenge Activity For The Month Top Ten New Challenge Issues Top Ten Resolved Challenges 6 Data as of August 5, 2012, pulled from the ONC CRM. A total of 1,197 challenge issues were created between July 1 and August 5, 2012, affecting 3,251 providers. 2,942 providers had challenge issues resolved between July 1 and August 5, 2012. The green circle represents the issue with the most movement this month.

  12. Overall Top Ten MU Measures-Specific Challenges 5 7 5 Data as of August 5, 2012, pulled from the ONC CRM. Users may select multiple measure-specific issues as challenges within one report, therefore, these numbers may overestimate the total number of challenge reports for Measure-specific issues. The blue ribbon indicates the top reported issue for the month. The green circle represents the issue with the most movement this month. Measures to watch: Core 4 (eRx) is #13 overall this month (down from #8) with 21 (5%) new reports.

  13. Top Ten Newly Reported MU Measures-Specific Challenges: July 1-August 5, 2012 Data as of August 5, 2012, pulled from the ONC CRM. Users may select multiple measure-specific issues as challenges within one report, therefore, these numbers may overestimate the total number of challenge reports for Measure-specific issues.

  14. Top Ten Top Ten Challenge Categories for Providers Trying to Reach MU 5 Data as of August 5, 2012, pulled from the ONC CRM. MU refers to the implementation phase the site is at for their EHR. A total of 11,991 providers have MU challenge Issues. The green circle represents the issue with the most movement this month; the blue ribbon indicates the top reported challenge for the month.

  15. Top Ten Newly Reported Challenge Categories for Providers Trying to Reach MU: July 1-August 5, 2012 5 12 Data as of August 5, 2012, pulled from the ONC CRM. MU refers to the implementation phase the site is at for their EHR. A total of 2,773 providers have newly reported MU challenge Issues between July 1-August 5, 2012. The green circle represents the issue with the most movement this month.

  16. Challenge and On Track Reports by Site Number of Reports Per Site Data as of August 5, 2012, pulled from the ONC CRM. 15,983 sites are represented in 19,237 challenge reports. Each site in the CRM may have multiple challenge issues created for it. *84% of sites have only 1 challenge/on track issue reported.

  17. Overall Monthly Challenge Activity *Data as of August 5, 2012, pulled from the ONC CRM. A total of 19,237 challenge Issues have been reported by RECs.

  18. Proportion of Providers Impacted by Challenge Types as Reported in CRM Unresolved Challenge Issues Resolved Challenge Issues Data as of August 5, 2012, pulled from the ONC CRM. 43,906 providers have open challenge issues; 33% (14,420) of those are on track. 10,195 providers have resolved issues.

  19. Practice Issue Challenges Unresolved Practice Issue Challenges Resolved Practice Issue Challenges by Number of Providers Number of Providers Data as of August 5, 2012, pulled from the ONC CRM. A total of 17,015 providers have a practice issue challenges report; 1,425 (8%) do not have a sub-category. 2,337 (14%) providers have practice issues that have been resolved.

  20. Vendor Issue Challenges Unresolved Vendor Issue Challenges Resolved Vendor Issue Challenges Number of Providers Data as of August 5, 2012, pulled from the ONC CRM. A total of 8,737 providers have a vendor issue challenge report ; 825 (9%) do not have a sub-category. 1,385 (16%) providers have resolved vendor issue challenges.

  21. Attestation Process Challenges Unresolved Attestation Process Issues Resolved Attestation Process Issues Number of Providers Data as of August 5, 2012, pulled from the ONC CRM. A total of 4,878 providers have an attestation process challenge report; 1,230 (25%) do not have a sub-category. 1,419 (29%) providers have a resolved attestation process issue.

  22. Top Five Challenges by Practice Type MU Measures Attestation Process Practice Issue VendorIssue Data as of August 5 2012, pulled from the ONC CRM. Non-priority hospitals did not report any challenges.

  23. Top Five MU Measures-Specific Challenges by Practice Type 6 5 8 9 11 Data as of August 5, 2012,pulled from ONC CRM, Private Practices >10 and non-priority hospitals did not report any MU Measures challenges. Users may select multiple measure-specific issues as challenges within one report, therefore, these numbers may overestimate the total number of challenge reports for Measure-specific issues. Green arrows indicate measures with significant upward movement in the rankings.

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