EHR Technical Assistance to Medicaid Practices - PowerPoint Presentation

Slide1

EHR Technical Assistance to Medicaid Practices OverviewOregon’s Medicaid Meaningful Use Technical Assistance Program (OMMUTAP)

Lisa Parker, Office of Health IT

1

Topics to CoverWhy Technical Assistance?What’s in it for the providers and DCOs?Menu of ServicesNext steps

2

Why?Oregon is transforming health care delivery to improve health outcomes and quality of care while reducing costs for all Oregonians.

Health information technology

is essential to these efforts.

5

Technical Assistance to Medicaid ProvidersTransformation Funds: The Legislature awarded $30 million

to CCOs to support their health system transformation efforts

4

With support of CCOs, OHA retained $3 million of the Transformation Funds to leverage federal funds for investing in statewide HIT infrastructure

CCO HIT Advisory Group

A statewide Provider Directory

Statewide Direct Secure Messaging and CareAccord

Notifications of hospital events via PreManage

A Clinical Quality Metrics Registry

To capture clinical quality metric from EHRs for CCO quality incentives and Medicaid EHR Incentive Program

TA to support Oregon Medicaid providers/clinics to “meaningfully use” their EHR

(

TA provided through contract with

OCHIN; program available

January 2016 – May

2018

)

That would allow CCOs and their providers to access hospital event data as real-time notifications when their member has a hospital event

Offer a standards-based, HIPAA-compliant, common method of health information exchange, leveraging new requirements for certified EHRs and for hospital and providers seeking to meet Meaningful

U

se

Critical to supporting health information exchange, analytics and operational efficiencies

OHA

CMS

6

Oregon’s Medicaid Meaningful Use Technical Assistance Program

TA Outcomes - Medicaid providers are:

Supporting use of aggregated data for population

management

Sharing information for care coordination

Connected

to an HIE and exchanging clinical information across systems and

organizations

Using HIE/Direct secure messaging to send Transition of care summaries to meet MU Stage 2

Submitting CQM electronically for

CCO EHR-based Incentive Measures

and MU

Developing workflows to ensure quality of data in metrics submitted

Providing patients with their records (view, download, transmit) and electronically message with patients (MU Stage 2)

… and working toward Stage 3

Supporting patient / family engagement

Meaningful users of 2014

Certified EHRs

meet Stage 2

measures

11

Value of TA Services to Providers and DCOsFully functional and interoperable EHRs can improve efficiency and quality in

participating clinics, which means lower costs, better outcomes and healthier communities.Maximize the value of their investment in EHRImprove access to information at point of patient care

Meet

federal Meaningful Use requirements and receive Medicaid or Medicare EHR incentive

funding

6

Value of TA Services to Providers (cont.) No-cost TA services can save providers and clinics time and money on EHR assessment and implementation so they can focus on delivering the best care to their patients.

TA can help providers qualify for financial incentives through the Medicaid EHR Incentive Program. There is money on the table for eligible professionals (EP) —up to $63,750* per EP over six years

.

* The total incentive payment for a pediatrician with a Medicaid patient

volume

of at least 20%, but less than 30%, is $42,500.

7

Medicaid Meaningful Use Incentives for Eligible Professionals

Payment Year

(

Can be non-consecutive; 2016 last year to initiate participation)

Incentive Payments to EP

Year 1

$21,250

Year

2

$8,500

Year

3

$8,500

Year

4

$8,500

Year

5

$8,500

Year

6

$8,500

Total incentive paid over six years

$63,750*

Provider EligibilityMedicaid Eligible Professional Type – enrolled Medicaid provider who is a physician,dentist,

nurse practitioner, including certified nurse midwife, or physician assistant in certain circumstancesProvider restrictions:

Providers may not receive TA services they already received through the REC program (O-HITEC)

Does

not need to participate in either the Medicare or Medicaid EHR Incentive Program; can be a Medicare EHR Incentive Program participant

Inclusive of any area of medicine, specialists, primary care

Does not restrict practice setting

No Medicaid patient volume

requirements

8

OMMUTAP Services9

Interoperability

Consulting and Technical Assistance

Certified

EHR Assessment, Implementation and Upgrade Assistance

Risk

& Security Training and Assessment

Meaningful

Use Education & Attestation Assistance

Menu of Services10

Certified EHR Assessment, Implementation

and

Upgrade Assistance

EHR

assessment, including input from providers and clinical staff, to:  

Determine each practice’s risk and success factors

Generate an individualized written EHR assessment summary

Recommend the best

Certified EHR options Support the decision whether to adopt, implement or upgrade to a Certified EHR Assist in developing a project plan to implement or upgrade to a Certified EHR

Menu of Services – cont.11

Interoperability

Consulting and

Technical

Assistance  

Interoperable EHR systems make a patient’s information available when and where it is

needed.

Participants

who select this service will receive:

A personalized EHR interoperability assessmentA written analysis and improvement project plan focusing on Meaningful Use measures Workflow assistance and support, including review of recommended technical changes and coordination with third party vendors

Menu of Services – cont.Risk and Security Training and Assessment  

EHR security experts will provide participants with a complete risk assessment including:  Interviews and an on-site walkthrough to identify potential security risks and to inform personalized recommendations for improved security

Provider and staff training to support recommended improvements 

23

Menu of Services – cont.Meaningful

Use Education and Attestation Assistance  

Meaningful Use standards ensure that your EHR system is fully operational and that workflows promote quality care, efficiency, security and patient safety.

Eligible

professionals (EP) who meet and attest to Meaningful Use qualify for incentive payments.

OMMUTAP

helps EPs achieve Meaningful Use through

:

Ongoing education and support regarding program participation, reporting, and measure workflows appropriate to your current stage of Meaningful Use participation (AIU, Stage 1, Stage 2 or Stage 3)

Tools you can use in your own clinic Assistance attesting to Medicaid or Medicare EHR Incentive Program in 2015, 2016 and 2017 24

Not Included in TA Program ScopeAny services outside of the Menu of ServicesInformation Technology (licenses, systems, software, interfaces, etc.)

Any activities outside of the Provider Agreement for TA Services Project implementation/project managementServices previously supplied to a provider by the Regional Extension Center (REC)

14

Next StepsDetermine level of engagement/coordination with DCOs and CCOs for dental practicesCommunication

and outreach to practicesClinic/provider agree to participate; outline of TA activities and timelinePeriodic meetings to discuss progress and

priorities

Program

available

through May

2018

15

Questions or Comments?

Kristin Bork

kristin.m.bork@state.or.us

Lisa Parker

lisa.a.parker@state.or.us

32