how we achieved meaningful use
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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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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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