1 / 21

Indiana Primary Health Care Association

Indiana Primary Health Care Association. June 6 th , 2011. Medicaid Incentive Program. Eligible Providers per Federal Regulation Physicians Nurse Practitioners Certified Nurse Midwives Dentists Physician Assistants practicing at a PA-lead FQHC Patient Volume Thresholds

judith
Download Presentation

Indiana Primary Health Care Association

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Indiana Primary Health Care Association June 6th, 2011

  2. Medicaid Incentive Program • Eligible Providers per Federal Regulation • Physicians • Nurse Practitioners • Certified Nurse Midwives • Dentists • Physician Assistants practicing at a PA-lead FQHC • Patient Volume Thresholds • 30% Medicaid visit volume • 30% needy individual volume at a FQHC or RHC • 20% for Pediatricians

  3. Eligibility: Practices Predominantly & Needy Individuals • EP is also eligible when practicing predominantly in FQHC/RHC providing care to needy individuals • Practicing predominantly is when FQHC/RHC is the clinical location for over 50% of total encounters over a period of 6 months in the most recent calendar year • Needy individuals (specified in statute) include: –Medicaid or CHIP enrollees; –Patients furnished uncompensated care by the provider; or –furnished services at either no cost or on a sliding scale.

  4. Payments: EP Adoption Timeline 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 $8,500 2019 $8,500 $8,500 $8,500 2020 $8,500 $8,500 2021 $8,500 TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63,750

  5. Provider Preparedness • Verify eligibility with CMS • Make sure you have a certified EMR system • Update your NPPES Information • Update or verify your PECOS Information • Sign up for Indiana’s Web interChange Provider Portal: • (317) 488-5160 or 1-877-877-5182 • INXIXElectronicSolution@hp.com

  6. Medicaid Guidance • Program details and FAQs at: http://provider.indianamedicaid.com/general-provider-services/ehr-incentive-program.aspx

  7. HIT Puzzle Pieces Regional Extension Centers Workforce Training ADOPTION Improved Individual & Population Health Outcomes Increased Transparency & Efficiency Improved Ability to Study & Improve Care Delivery Medicare and Medicaid Incentives and Penalties MEANINGFUL USE State Grants forHealth Information Exchange Standards & Certification Framework Privacy & Security Framework EXCHANGE Health IT Practice Research

  8. Indiana HIE Participants • Health Information Organizations • Michiana Health Information Network (MHIN) • HealthBridge • HealthLINC • Med-Web • Indiana Health Information Exchange (IHIE) • Regional Extension Centers • I-HITECH (Purdue) • Tri-State REC (HealthBridge) • Indiana Medicaid • Beacon - Indiana Health Information Exchange & Healthbridge • SHIE-CAP – IHIT, Inc.

  9. What is IHIT? • Indiana Health Information Technology, Inc. • State Designated Entity (SDE) • Received $10.3 million in April 2010 • Responsible to further HIE activities within the state

  10. IHIT Governance • IHIT Board of Directors • IHIT CEO/State HIT Director • Advisory Councils • Policy/Technical • Data Provision and Use • Patient Advocacy • Research and Education

  11. Role of the State HIT Director • Develop and advocate for HIT Policy • Coordinate efforts with Medicaid, public health, and other federally funded programs • Serve as a liaison between the private and public sectors • Serve as a resource for all HIT stakeholders

  12. IHIT Environmental Scan • 66% of Acute Care Hospitals have connections to a HIO • Only 29% of CAH are connect to a HIO • 89% of hospital beds are connected • <10% of FQHC and RHC have interface connections with HIO’s • Approximately 40% of hospitals are using the HIO connection in a “meaningful” manner

  13. IHIT Environmental Scan Findings • Low Penetration of HIE Services in Rural Areas • Limited bi-directional Interfaces between Providers and HIO’s • High Level HIE Activities being Provided by HIO’s • Limited Information Flow between HIO’s • Limited Data Standards

  14. IHIT Strategic Pillars As proposed in Indiana’s Strategic/Operational Plan Submission

  15. Strategic Pillars Description • Connecting Data Sources • Development of interfaces or access infrastructure to allow providers to link to existing HIO’s. • Interoperability • Development of standards and/or infrastructure to allow health information to flow freely between providers. • Improved Outcomes • Timely use of health information exchange to improve clinical decisions from the provider, payer, and patient perspective. • Federal State Initiatives • The use of HIE to meet other federal/state initiatives.

  16. IHIT Funded Projects • Connectivity Matching Grant Program ($2.65 M) • 30 additional Rural/Critical Access Hospitals • 100 FQHC and Rural Health Clinics • 50 stand-alone lab and radiology entities • Data Mapping and Normalization ($750K) • Preferred Standards for Data Elements • Patient ID • Radiology Results • Lab Results • Clinical Documents • Privacy and Security Policy Development ($200K) • Indiana Policy Environmental Scan • External State/Federal Scan • Gap Analysis • Roadmap for addressing gaps

  17. IHIT Funded Projects, cont. • HIO Connectivity ($5 M) • HIO to HIO message routing • CCD/CCR routing • Message Extraction to Data Repository • Consolidated Care Summaries by push and query methodologies • Web Communication Tool ($100K) • Blogging • Discussion Forums • Statewide HIT Calendar • Immunization Registry Integration ($1 M) • HIO and EMR bi-direction interfacing with CHIRP • Increased access to immunization data

  18. State Challenge Projects • Approximately $3 million in Supplemental Funds awarded by ONC • Consumer Mediated Exchange • ~$1.268 million • Data Liquidity • Patient identification and authentication • Secure Messaging • NoMoreClipboards partnership • Enabling Advanced Query for Patient Care • ~$1.718 million • Capture additional discrete data with tags • Patient Preference Controls • Browser based search and filtering capabilities • Ethics framework for fair information practices • Regenstrief Institute partnership

  19. HIE Connectivity Project • Up to $10K incentive per certified location to connect to an Indiana HIO • Defined Interface Specifications • Inbound Lab Results and Outbound Immunizations or • Bi-directional CCD documents

  20. HIE Connectivity Project Steps • Required to sign a letter of intent to complete project in 2011 or 2012 • Live Interfaces with Indiana HIO • Documentation of Expenses • Interface Verification • IHIT Payment to Provider

  21. Contact Information Andrew VanZee Statewide Health IT Director andrew.vanzee@fssa.in.gov 317-232-1165 www.indianahealthit.com Jared Linder Medicaid HIT Coordinator jared.linder@fssa.in.gov 317-234-4856

More Related