implications of it on health systems and physicians
DESCRIPTION
Implications of IT on Health Systems and Physicians. Amy Walker MS, RN, CPHQ, FACHE, NEA-BC. HITECH Act? hmm, sounds familiar…. Signed into law February 2009 as part of ARRA Goal 90% of U.S. physicians and 70% of hospitals using EHR by 2019 How? - PowerPoint PPT PresentationTRANSCRIPT
Implications of IT on Health Systems and Physicians
Amy Walker MS, RN, CPHQ, FACHE, NEA-BC
HITECH Act? hmm, sounds familiar… Signed into law February
2009 as part of ARRA Goal
90% of U.S. physicians and 70% of hospitals using EHR by 2019
How? Provide $19 Billion to
doctors and hospitals through DHS to implement EHR by 2011
How did we get here? Greater use of EHR is pragmatic
Improve patient care Enhance records management Easier to enforce compliance with standards Improve productivity and performance Cut costs over the long haul
Next: The Path to Public Policy
Creating Public Policy (simplified)
Sent to highest ranking official (President or Governor)
Demonstrating Meaningful Use Matters Summary of Meaningful Use Criteria
http://healthpolicyandreform.nejm.org/?attachment_id=3742
Examples Record patient demographics
>50% structured data Report clinical quality measures to CMS or states
2011: aggregate, 2012: submit electronically Use EHR to identify patient-specific education resources
Provide to >10% of patients Provide patients with e-health data upon request
>50% within 3 days of request
What does it mean to CIS & Providers? Increased reliance on IT
Greater need for informatics professionals
SWOT analysis should come sooner rather than later
Suddenly, certifications matters more than ever
More governance / new regulatory and reimbursement guidelines
Meaningful Use
Where’s the money going to come from?
Grants Loans Penalti
es
Incentive payments based on three criteria: 1. Use of EHR meets HHS standards. 2. Connectivity to other providers to share a
patient’s health history in a secure electronic environment.
3. Capability to provide regular reports on the use of technology to the HHS.
But, money is a two-way street… There will be penalties for those who fail to
adopt HIT by the year 2015. Program depends on some providers not meeting
Meaningful Use in order to pump money back into regulation/enforcement system
Additional civil penalties (enforced by state attorney general) may be imposed for collecting the wrong patient data With 5 levels of severity, penalties start at $100
and top out at $50,000 per violation with a cap of $1.5 million!
Meaningful Use Timeline
Image Credit: managemypractice.com
How do I get there from here? Office of the National Coordinator for Health
Information Technology has approved two entities as able to review and certify EHRs Certification Commission for Health Information
Technology (CCHIT) Drummond Group Inc.
Unless your current system is homegrown, piecemeal or older, your EHR vendor is likely already pursuing certification
(and/or trying to sell you a new or upgraded system – which they promise will be certifiable)
Things you need to know…1. Systems only need to be certified once.2. All required functionality must be present in
order to obtain certification. True even if you have no use for a particular
functionality.3. If the vendor isn’t seeking certification, you
can – but you have to pay.4. However, if others have the same system, you
can share the costs.
Good Source for FAQ and Answers: http://healthit.hhs.gov/portal/server.pt/community/
onc_regulations_faqs/3163
Impact on Care Delivery Easier to share patient information
Therefore, easier to coordinate patient care across multiple providers
E-health records can help improve patient/caregiver relations
Yes, we have an aging population…but a greater percentage of the population is tech savvy, more informed and expects immediacy There’s really no other option than to make
records readily accessible (and secure). Greater efficiency. Enhances ability to document at the point of
care
Questions?
Thank you!