Middlebury Family Health:

Targeting Meaningful Use

Eileen Fuller, MDStacy Ladd, Practice Administrator

Michelle Clark, MA Medent Specialist

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MFH at a Glance

Four provider private practice

• Started working with VITL in March 2010

• Signed contract with Medent in Sept. 2010

• Staggered EHR modules going live in Jan. 2011

• Interfaced with Porter Hospital Lab in Feb.

2011

• Attested to Meaningful Use on June 8, 2011

• Certified at Level 3 for PCMH on July 1, 2011

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Selecting an EHR

Homework was completed…

• Worked with VITL

• Talked with other practices

• Reviewed demos

• Narrowed down the list

• Reviewed contracts and options

• Signed contract with “best fit” vendor

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Implementation: January, 2011

It was a busy month!• Installed & set-up hardware from the 5th-7th• Went live with Practice Management on 10th• Pre-loaded EHR based on scheduled patients• Rolled out e-Prescribing first

• Followed with other modules as trained

• Trained all staff on system during January• Sporadic follow up in February• Final training on template modification March 17

• Documented visits utilizing all templates • All doctors trained by early February

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For Better or Worse…

• Office was open during training

• No official “go live” date

• Added modules until complete

• Some visits were documented using EHR

• Remainder with paper charts

• Gradually increased number of EHR visits

• By March, all patient visits were in

Medent

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Kept An Eye on the Goal

Incorporated elements needed for:• Patient Centered Medical Home • Meaningful Use

Medent built in:• Dashboard for criteria• Report functionality for disease management• Hub for exchange of clinical info (Criteria #14)

VITL helped:• Security Risk Assessment• Guidance on implementation and criteria

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Meaningful Use Attestation

Medicare EHR incentive

• Examined every criteria

• Dashboard and reports

• Used Clinical Quality Measures from PQRS

• Worked through Security Risk Assessment

• Created a remediation plan for deficiencies

• Reviewed the Medicare Attestation User guide

• Checked the EP Attestation Worksheet

• Received incentive funds in late July

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Lessons Learned

• Document from the start

• Set up your system to collect data

• Keep track of progress for criteria

• Work with EHR vendor for reports

• Include the entire office

• Work in conjunction with PCMH

• DON’T reinvent the wheel

• You can do it all!

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The On Target MFH Physicians

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QUESTIONS?

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Helpful Links• VITL website

http://www.vitl.net/

• Medicare EP Registration User Guidehttp://www.vitl.net/sites/default/files/documents/EHR/EHRMedicareEP_RegistrationUserGui

de.pdf

• Medicare Attestation User GuideGuidehttp://

www.cms.gov/EHRIncentivePrograms/Downloads/EP_Attestation_User_Guide.pdf

• EP Attestation Worksheethttp://www.cms.gov/EHRIncentivePrograms/Downloads/EP_Attestation_Worksheet.pdf