HOW WE ACHIEVED MEANINGFUL USEJohn 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 I’ve been using our EHR since 2005 and

have become the IT expert/superuser for the practice.

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 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

PATIENT NAME: _____________________________________ DATE: / /2011 AGE: Yrs Months *PREFERRED Pharmacy: Local_________________ Mail Order ____________ OFFICE VISIT: JSP JRR JMM JDC *required* *Weight: Lbs Temp degrees (F) *Height (>2 yrs): Inches SaO2 % *BP (>2 yrs): / Pulse: BPM Head Circumference (WCC) _____ *SMOKING (>13 years old): NON-smoker PAST Smoker: Quit date: _______ ____ packs/day ____ years CURRENT Smoker: ____ packs/day ____ years Primary reason for today’s visit: CV DM WC GYN URG Follow up / Illness:

Problems / Questions: Since the last visit: Lab Tests to Review: Yes No Tests/Procedures to Review: Yes (type):_____________ No Refills Needed: Yes No Drug Name Dosage Sig Refill

1 3 mo 1 3 mo

1 3 mo Refills Sent already: Yes No

Women: DATE Mammo(>40) DEXA (>65) PAP (>21) Gardasil (11-26) Men: Prostate Ex(>50) PSA (>50) All: Colonoscopy (>50) Pneumovax(>65) Zostervax (>50) Tdap (>11)

FAMILY PHYSICIANS OF URBANA, INC.

900 SCIOTO STREET

URBANA, OHIO 43078

937 652 1834

Dear Patient,

The purpose of this form is to help us comply with the requirements of the American Recovery and Reinvestment Act of 2009. This act requires us to record certain demographic information on all our patients as well as other pertinent information. The information obtained from you will be used only for this purpose.

In addition, we will be sending most prescriptions electronically to the pharmacy from now on unless otherwise requested.

Finally, we need know your preferred method of contact for reminders on preventive health services (i.e. annual physicals, well child exams, mammograms, etc). Remember we have a facebook page and website for updated health information:

www.facebook.com/familyphysiciansofurbana

www.familyphysiciansofurbana.com

Please fill out the items below:

Your Name: ___________________________ Date of Birth:______________________

Preferred Language: _______________

Race (circle one): 1. White 2. Black/African American 3. Asian 4. American Indian/Alaska Native 5. Native Hawaiian/Other Pacific Islander 6. Declined Ethnicity (circle one): 1. Hispanic/Latino

2. Not Hispanic/Latino 3. Declined

Preferred Contact Method (Circle one): Home Phone or Cell Phone or Regular Mail

Current phone number and mailing address:

Email address: ________________________________

Thank You, Family Physicians of Urbana, Inc.

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 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 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