surviving a meaningful use audit -...

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“Surviving a Meaningful Use Audit”

A Complimentary Webinar From healthsystemCIO.comSponsored by McKesson

Your Line Will Be Silent Until Our Event Begins at 12:00 ET

Thank You!


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Housekeeping

• Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com

• Ask A Question• We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the

lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”

• Download the Deck • Go to http://healthsystemcio.com/presentation/muaudit-ricks-webinar.pdf• Shortened URL at bottom of all slides

• View the Archive• You will receive an email when our archive recording is ready. • Separate registration is required.

http://healthsystemcio.com/presentation/muaudit-ricks-webinar.pdf


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Agenda — Approximately 45 Minutes

• 25-30 minutes: Ed Ricks, VP of IS/CIO, Beaufort Memorial Hospital

• 5 minutes: A Word From Our Sponsor: Deborah Bulger, VP, Product Marketing, McKesson

• 10-15 minutes: Q&A w/Ed Ricks


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“Surviving a Meaningful Use Audit”


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Meaningful Use Attestation

• Eighteen months of planning and implementation• Gap Analysis

• Master Project Plan

• MU Hospital Committee

• Attested in FY 2011

• 90 Day Reporting Period – July 1 – September 30, 2011

• Received CMS Funding December 2011


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Meaningful Use Attestation


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We Had Prepared For An Audit

• Mitigated all concerns of independent gap analysis

• Worked closely with vendor to utilize best practices for data capture

• Used only certified vendor reports for all data gathering

• Saved everything (we thought)• Vendor contracts

• Detail reports of all MU Measures

• HITECH Security Assessment & recommendations


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MU Audit Request – Yikes!


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Submission Process

• Submission request round one – two weeks to respond• At first glanced seemed fair

• Should have to validate proper use of a certified system

• Submission request round two – one week to respond• Okay, some of these are a little silly

• All reports should have vendor logo on them in addition to hospital information

• Submission request round three – one week to respond• Now we are into the ridiculous territory

• “I know that you had zero as a denominator and that is okay, now prove it” – huh?

• Submission request round three – four days to respond• Just passed into the sublime

• “Yes, I see the thousands of drug-drug interaction warnings detail that your system preserved, now prove that it was always active” – again, huh?


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Submission Process:You Have To Think Like an Auditor


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Lessons Learned

• Failure in Certification Process• Vendors should have been given criteria for customers to validate usage of

system.

• Question all vendor changes• We have instances where the vendor changed their philosophy on some of

the standard reports, resulting in different numbers when the reports are run now vs. what we attested to. Turns out auditors do not like that …

• Keep all documentation• There really is no such thing as “too much” supporting documentation.


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“Surviving a Meaningful Use Audit”Deborah Bulger, VP, Product Marketing, McKesson


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Shifting the Quality Reporting Paradigm Subjective data

Manual chart review

Reactive reporting

3 – 6 month delay

Regulatory-centric

Data collection focusData as an independent business process

Reactive reporting

Primary audience –regulatory agencies

Manual quality reporting


Event #668 206 149

Shifting the Quality Reporting Paradigm Subjective data

Manual chart review

Reactive reporting

3 – 6 month delay

Regulatory-centric

Data collection focus

Standard data

Electronic capture

Ongoing analysis

Near real-time

Patient-centric

Behavior focusData as a byproduct of patient care

Actionable insight

Primary audience –healthcare organization

Secondary audience

Quality eMeasures

Data as an independent business process

Reactive reporting

Secondary audience

Primary audience –regulatory agencies

Manual quality reporting


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Beyond Meaningful Use

• Single measures; multiple quality initiatives• 2015 emeasures can be used for hospital Inpatient Quality Reporting (IQR)

• Analytics; not just data collection• Reduces manual collection efforts and lowers cost

• Shift data collectors to data driven analysts and change agents

• Performance improvement; not just reporting • Near real time reporting to measure variance and root cause

• Integration with financial decision support to correlate cost and outcomes


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McKesson: A Focus on Improving Outcomes

• Vendor-neutral Quality eMeasure solution• ONC certified for McKesson and non-McKesson EMRs

• SaaS-solution enables rapid product and measure updates

• Breadth of comparative data• Benchmarking database of over 400 organizations submitting data

• Selectable cohorts to compare to your facility

• Clinical expertise• Facilitated workgroups to review audit experience

• Business advisor mentoring program


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For more information contact Deb Bulger

[email protected]


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Q&A

Click on the Q&A panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the

send to default as “All Panelists.”


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Thank You!

• Thanks to our featured speaker: Ed Ricks

• Thanks to our sponsor: Deb Bulger & McKesson

• You will receive an email when our archive recording is ready. (Separate registration is required)

• CHIME CHCIO Credits – Attending our Webinars = 1 CEU

• Questions/Comments – Anthony Guerra [email protected]

Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see the last 12 months of archived events.

mailto:[email protected]

http://www.healthsystemcio.com/webinars

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