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Arizona’s Health IT Initiatives: An Update on the REC, HIE & More. ATIC Public Meeting September 21, 2011. Agenda. Introduction Meaningful Use & EHR Incentive Programs Arizona REC, EHR Adoption & HIE Provider Collaboration- Next Steps for Success. Health IT: A Big Pill to Swallow…. - PowerPoint PPT Presentation
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Page 1Advancing health and wellness through information technology
Arizona’s Health IT Initiatives: An Update on the REC, HIE
& More
ATIC Public Meeting
September 21, 2011
Page 2Advancing health and wellness through information technology
Agenda
• Introduction
• Meaningful Use & EHR Incentive Programs
• Arizona REC, EHR Adoption & HIE
• Provider Collaboration- Next Steps for Success
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Health IT: A Big Pill to Swallow…
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…But We Can Get There!
LabsAmbulatory
Offices, Rural Health
(A)-Primary Care
Inpatient Care Hospitals, CAH
Pharmacy
Emergency
Extensive Arizona Healthcare Ecosystem Today
Ambulatory Offices, Rural
Health (B)-Specialist
Consumers
Medicaid, Medicare,
Commercial Plans
Connected viaPhone, Fax, Referral Letters,
Couriers -- Paper
Where are Patient Records --- Today?
In a Cabinet at the Physician
Office or Hospital?
At a Storage Facility?
Inside a Courier’s
Van?
Chart-holder Outside an Exam-room
Door?
In a Briefcase
?
At the Pharmacy?
At a Clinical Laboratory or Imaging
Center?Within Billing
and Diagnosis Codes at Insurance
Plans?
Ambulatory Offices, Rural
Health (Primary Care)
Inpatient Care Hospitals
Electronically Connected Arizona Health Care Ecosystem
Ambulatory Offices, Rural
Health (Specialists)
Consumers
Business Associates Agreement Pharmacy
Medicaid, Medicare,
Commercial Plans
Labs
State & Local HIEEffectively Transforming the system via Electronic
Technology
Health Information Exchange (HIE)+
Electronic Health Records (EHR)_____________________________Increasing Quality of Care &
Decreasing Health Care Costs
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Arizona Health-e Connection (AzHeC)
exists to
Convene, Coordinate and Communicate
for Health Information Infrastructure
improvements that affect every Arizonan
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AzHeC Governance Structure and Strategic Direction
Information Clearinghouse
Arizona Health-eConnection Board
Arizona Health-e Connection Staff
Per
man
ent A
dditional
Governor’s OfficeAHCCCSADHSAzHHAArMAAOMA GITA
Health Plans/InsurersEmployers
HospitalsPharmacy
Clinical LabsHigher Education
Medical Trading AreasAt-Large Seats
Policy Development
Support for HII Development
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Meaningful Use & the EHR Incentive Programs
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Conceptual Approach to Meaningful Use
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Notable Differences Between the Medicare & Medicaid EHR Programs
Medicare MedicaidFederal Government will implement (will be an option nationally)
Voluntary for States to implement (may not be an option in every State)
Payment reductions begin in 2015 for providers that do not demonstrate Meaningful Use
No Medicaid payment reductions
Must demonstrate MU in Year 1 Adopt/Implement/ or Upgrade option for 1st participation year
Maximum incentive is $44,000 for EPs (bonus for EPs in Health Provider Shortage Areas)
Maximum incentive is $63,750 for EPs (bonus for EPs in Health Provider Shortage Areas)
MU definition is common for Medicare States can adopt certain additional requirements for MU
Last year a provider may initiate program is 2014; Last year to register is 2016; Payment adjustments begin in 2015.
Last year a provider may initiate program is 2016; Last year to register is 2016
Only physicians, subsection (d) hospitals and CAHs
5 types of EPs, acute care hospitals (including CAHs) and children’s hospitals
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Incentive Payments for Medicare Eligible Professionals (EPs)
First Calendar Year (CY) for which the EP receives an Incentive Payment
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Incentive Payments for Medicaid Eligible Professionals (EPs)
First Calendar Year (CY) for which the EP receives an Incentive Payment
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Medicare & Medicaid Programs: Current Stats
• Over 90,000 providers and hospitals registered for the Medicare and Medicaid
• Over $652 million paid to date
• Estimated that $500 million to Arizona providers and hospitals over program lifespan
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AHCCCS EHR Incentive Program
• Registration site open (www.azepip.gov)– Working through common registration issues
• Data mismatches• AHCCCS EFT not set-up• Misc. other items Attestation opens next week
– Attestation to open in October– Payments distributed within approx. 90 days
• More resources coming soon!
• Contact: [email protected]
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Arizona Regional Extension Center, EHR Adoption & HIE
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Arizona’s Trusted, Unbiased Health IT and Meaningful Use Resource
Goal: Assist providers in becoming Meaningful Users of Certified EHR solutions.
1,958 PPCPs to MU by April 2014
What is the REC?
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Collaborative Effort within Arizona
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Who Endorses the REC?
Endorsing Organizations – Continues to Grow!
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Health Information Network of Arizona
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Outreach Success to Date
As of Sept. 21, 2011: 1,484 PPCPs Signed Up
Goal = 1,958
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New REC Websitewww.arizonarec.org
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Key HIT Collaborations
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HIE Updates
• Health Information Network of Arizona (HINAz)– Kick-Off September 27, 2011– Operations to begin thereafter
• State HIE Cooperative Agreement Program – Program now resides in ASET office, within ADOA– HIE Consultants selected (Advances in
Management- AIM)– AIM currently interviewing healthcare stakeholders– Updated state HIE operational plan this fall– RFP released Nov/Dec, awards made early 2012
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Provider Collaboration: Next Steps for Success
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Provider Collaboration
• Provider Outreach & Education is Key
• REC Opportunities– Over 1500 provider members– Discussion boards, blogs, wikis– Connecting providers to one another
• Health Information Sharing– Health information exchange– Direct Project– Other opportunities
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Key Links & Resources
• Arizona Regional Extension Centerwww.arizonarec.org
• Provider Interest Form www.arizonarec.org/?page=interest_form
• AHCCCS HIT Webpage www.azahcccs.gov/HIT/• AHCCCS ePIP Site www.azepip.gov • CMS EHR Incentive Program
www.cms.gov/EHRIncentivePrograms/
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Arizona’s Point of Coordinationwww.azhec.org
www.arizonarec.org
Melissa Rutala, MPH
Chief Executive Officer
602-288-5130 / [email protected]