Presentation Transcript

1. EMR “Meaningful Use” Why What When
2. The Objectives Stage 1, - 2011-2012 Eligible professionals are required to meet 15 core objectives 5 objectives out of 10 from menu set 6 total Clinical Quality Measures 3 core or alternate core, and 3 out of 38 from additional set Stage 2 - 2013 -2014 The menu set objectives will all become core objectives, Stage 3 - 2015 TBA
3. EMR Implementation Be realistic Use Scribes for slower adopters or in transition Develop or acquire accurate Templates Be patient
4. Implementing EMR Different timelines for different providers Use Extenders to collect and enter data Invest in training – develop an “expert” Get help with Template design
5. Meaningful Use Tracking Board Core – 15 out of 15 required Status Required Record patient demographics in structured format 90% 50% Record vital signs 85% 50% Maintain problem list 100% 80% Maintain active medication list 100% 80% Record smoking status 40% 50% Provide patients with clinical summaries 80% 50% Provide patients with electronic copies of their info 60% 50% Transmit prescriptions electronically 98% 40% CPOE for medication orders 98% 30% Implement drug to drug & drug to allergy checks 100% 100% Electronically exchange clinical info among providers Complete 1 Test Needed Implement 1 clinical decision support rule Not Complete 1 Rule Needed Implement systems to protect privacy & security of PHI 100% 100% Report clinical quality measures to CMS or states PQRI PQRI Menu – 5 out of 10 required Incorporate clinical lab test results as structured data 90% 40% Generate list of patients by specific conditions Not Complete 1 List Needed Identify patient-specific education resources and provide 40% 10% Provide summary of care record for patients referred 80% 50% Send reminders to patients for preventive and follow-up care 60% 20% of 65+ Provide patients with electronic access to their health info 50% 10%
6. CMS Requests for Potentially Over-valued Services 5 year work Review Fastest growing procedures Review CPT codes with a 10% increase each year CPT codes with Harvard data When RVRBS was first created, Harvard data was used. Now these codes will go through RUC process Practice expense Certain codes will be evaluated for supplies and equipment Review of codes often billed together
7. Do you have transition plan for ICD-10? Yes No
8. ICD-10-CM/PCS – Making the Transition
9. Planning for ICD-10 Contact system vendors Will they be able to accommodate the need to move to ICD10? Will they be ready for 5010 on January 1, 2012? When will they have software available for testing? Is the practice going to need new hardware? Server upgrades?
10. ICD-9-CM Examples 788.20 Retention of urine, unspecified 788.21 Incomplete bladder emptying 788.29 Other specified retention of urine
11. ICD-10-CMExamples R33 Retention of urine Excludes 1:psychogenic retention of urine(F45.8) R33.0 Drug induced retention of urine Code first (T36-T50) to identify the drug R33.8 Other retention of urine Code, if applicable, any casual condition first, such as: enlarged prostate (N40.1) R33.9 Retention of urine, unspecified
12. Crosswalk for Emergency Department
13. Crosswalk for Inpatient Consultations
14. GLOBAL Unplanned Return to the O.R. Unrelated Services GLOBAL PERIOD Staged procedure Pre-Op Visit Intraoperative Services Complications Pain Management Post-Op Visits
15. AUA Coding Today Free online coding tool for all AUA members
16. New CPT Modifier 2011 -33 Preventive services Added in response to Healthcare Reform law eliminating Pt. Payment for preventive services Should be used only on codes that are provided as screening that could be a non-screening service. Example 84153-33 Screening PSA non-MC Medicare G0103 no modifier
17. Do you have a business plan for the practice? Yes No
18. Developing a Business Plan A business plan should be a work in progress. That's because your business will evolve over time, and be influenced by outside factors such as the economy and local conditions. Even successful business owners should maintain a current business plan to ensure they remain knowledgeable on the elements that can affect continued success. SBA.gov
19. Developing a Business Plan Essential Components Executive Summary Market Analysis Company Description Organization and Management Marketing and Sales Service Line Financial Projections
20. Surviving the Future Change is neither good or bad. It is simply inevitable. Things you can do Now. Understand and define practice objectives. Data driven strategic planning and decisions. Business plan and operating budget. Leadership, communications, aligned incentives. Situational Awareness - Opportunities exist. Planning(tactical and strategic) .
21. Questions?