An Update on MUSC Performance in“Meaningful Use”

ofElectronic Health Record (EHR)

Barton L. Sachs, M.D., MBAProfessor of Orthopaedics

Chief Medical Officer (Interim)

• Goal By 2016: – 90% physicians will be using robust EHR– 70% hospitals will be using a comprehensive EHR

Meaningful Use – Govt Incentive Program to Adopt & Use IT in Healthcare

Meaningful Use – Gov’t Incentive Program to Adopt & Use IT in Healthcare

• Stage 1 focused on the adoption and implementation of health IT and the capture of critical, structured data elements

• Stage 2 to advance clinical processes for continuous quality improvement

• Stage 3 to advance quality outcomes. 3

Predicted -- Incentive Financial Program (life of program) - MU

MUSC Enterprise Expected $$$ over M.U. program life

Providers (EP) $ 28, 527,500

Hospital (EH) $ 10,461,325

Total $ 38,988,825

Meaningful Use Financial Impact

FY’12 FY’13 FY’14 FY’15 FY’16 FY’17 FY’18 Total $$

actual actual expect expect expect expect expect Program Life

EP $ 3,591 $ 5,343 $ 5,248 $ 5,005 $ 3,773 $ 3,040 $ 1,989 $ 28,740

EH $ 2,900 $ 4,183 $ 1,978 $ 931 $ 466 -- -- $ 10,460

total $ 6,491 $ 9,526 $ 7,225 $ 5,937 $4,239 $ 3,040 $ 1,989 $ 39,200

Financial $$$ x 1,000Total $$$ accrual thru FY’ 2013 = $ 16,017,000

Meaningful UseIncentives Available for MUSC

Total Expected over life of Program*

$ Expected Fiscal Year

2013

Cash $$ Received

(03/28/13)Providers $ 28,527,500 $ 4,818,750 $ 3,591,250Hospital $ 10,461,325 $ 2,615,331 $ 2,900,000Total $ 38,988,825 $ 7,434,081 $ 6,491,250

6* 2011-21 Providers; 4 years Hospital

87.3% of expected

Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013

• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13

Update on 2013 MU Plan• MUHA began 90-day reporting period 4/1– April 1 – June 30, 2013– Documents submission August 2013– $ 4,183,862 (to be accrued for FY’13)

• MUSC-P completed 90-day report period 12/31/12 – Oct 1 – December 31, 2012– Documents submitted 2/28/13– Current cash payment: $ 3,591,250 (65.9%)– 203 physicians valued at $ 5,452,000 (113%)

Challenges for 2013 and beyond• Epic (inpatient go live July 2014)– Most effective and efficient approach to MU– Training for Epic and MU at same time – Enables an enterprise wide approach to MU– Enable build of comprehensive complex measures

portfolio addressing multiple programs• But… – Tight timeline

• FY 2014 reporting (90 day): July 1, 2014 – Sept 30, 2014• FY 2015 reporting (365 day): October 1, 2014 – Sept 30, 2015

– Will require incorporation of MU in Epic training

Challenges for 2013 and beyond• Federal Government “Sequestration” – Medicare payments will be reduced by 2% as a

result of sequestration. – Medicaid payments are exempt from

sequestration

Thank YouThank You