Mara Robertson Tennessee Primary Care Association Medical Directors Conference November 4, 2011

Transcription

1 Spotlighting Meaningful Use Connecting Communities Who Care Mara Robertson Tennessee Primary Care Association Medical Directors Conference November 4, 2011

2 Spotlighting Meaningful Use Objectives: 1. Distinguish between the Medicaid EHR Incentive Program s encounter and system attestation reporting requirements. 2. Identify the similarity of Meaningful Use (MU), Patient Centered Medical Home (PCMH) and UDS requirements. 3. Complete a Meaningful Use (MU) self assessment. 2

3 Time Management 3

4 Medicaid EHR Incentive Program Timeline Program Program Year Attestation (Enc. Data) Reporting Period Attestation (System Requirements) Reporting Period Payment Year A/I/U Year 1 30% Encounter threshold (needy individuals) Any consecutive 90 days previous calendar year Certified EHR Year 1 (Provider begins program) Same as Reporting Year MU Year 2 30% Encounter threshold (needy individuals) Same Core/Menu Objectives Clinical Quality Measures Any 90 day period in calendar year Same Reporting Year Year 3 30% Encounter threshold (needy individuals) Same Core/Menu Objectives Clinical Quality Measures Full Year Following Year Year 4 30% Encounter threshold (needy individuals) Same Core/Menu Objectives Clinical Quality Measures Full Year Following Year Year 5 30% Encounter threshold (needy individuals) Same Core/Menu Objectives Clinical Quality Measures Full Year Following Year Year 6 30% Encounter threshold (needy individuals) Same Core/Menu Objectives Clinical Quality Measures Full Year Following Year *60 day extension 4

5 Spotlighting Meaningful Use 100% of MU is incorporated into PCMH but Only 44% of PCMH is met by MU and You only get one must pass element out of 6 CHCANYS PCDC 5

6 Spotlighting Meaningful Use When choosing MU 6 clinical indicators..align them with 3 diagnostic conditions selected for PCMH and UDS clinical measures CHCANYS PCDC 6

7 Align Your Efforts 7

8 Align Your Efforts 8

9 Align Your Efforts 9

10 Align Your Efforts 10

11 Align Your Efforts 11

12 Align Your Efforts 12

13 Align Your Efforts 13

14 Align Your Efforts 14

15 Align Your Efforts 15

16 Align Your Efforts 16

17 Align Your Efforts 17

18 Build the Foundation CHCANYS PCDC 18

19 19

20 Requirements of Meaningful Use Stage 1 Objectives and Measures Reporting Eligible Professionals must complete 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 menu set) 20

21 Clinical Quality Measures UDS UDS 21

22 Clinical Quality Measures UDS UDS 22

23 Clinical Quality Measures 23

24 Clinical Quality Measures 24

25 Clinical Quality Measures UDS 25

26 Clinical Quality Measures 26

27 Clinical Quality Measures 27

28 Clinical Quality Measures 28

29 Clinical Quality Measures UDS * * In 2011, there will be two categories: Greater or equal to 7% and less than 8% Greater or equal to 8% and less than or equal to 9% 29

30 Readiness Assessment CHCANYS PCDC 30

31 Demonstration 31

32 References CHCANYS PCDC (Community Health Centers Association in New York State & Primary Care Development Corporation) NCQA PCMH (National Committee for Quality Assurance Patient Centered Medical Home) ONC (Office of National Coordinator) PCA Learning Team 32

33 The End g{tç~ léâ Mara Robertson Tennessee Primary Care Association Office: x