Georgia Rural HIT Forum January 26, 2012 W. Ed Brown Sr. VP and CIO Gwinnett Medical Center

1. Georgia Rural HIT ForumJanuary 26, 2012W. Ed BrownSr. VP and CIOGwinnett Medical Center

2. Meaningful Use Stages • Stage 1 Basic EMR System • Stage 2 HIE and Electronic Orders • Stage 3 Outcomes, Patient Self Management

4. Proposed Stage 2 & 3 Measures • Raised the bar on Stage 1 criteria • Increased thresholds and difficulty • Menu items no longer optional • Added numerous additional criteria • New Clinical Quality Measures have not been published yet • Timeline for final rule • Formal recommendations went to HHS last summer • Interim Final Rule not available until Q1 2012 • Final Rule not available until mid-to-late 2012 • Vendors to complete releases • Providers to upgrade by Oct. 1, 2013

5. Stage 2 & 3: Major CHANGES from Stage 1

6. Stage 2 & 3: Major NEW Criteria

7. Considerations for Stage 2/3 • HIE Connection • Patient Portal • Automated MAR • Automated Medication Reconciliation • Nurse Care Plans • Physician Notes • ED Module • Evidenced Based Knowledge Source • Additional Clinical Measures Data Collection

8. Connecting Gwinnett Healthcare Community Powered by RelayHealth Employed Providers MDS Rx Hub Pharmacies (Prescriptions) Health Systems GHS IT Road Map GHS Lab & Radiology Centers (Orders) Affiliated Providers (Referrals) Clinically Integrated Gwinnett Health Connect Powered by Relay Health Home Health Services (Future) Patient Portal Community Labs (Results) Consumer PHRs (Microsoft) Regionally Connected Nationally Connected Other Market Health Systems Regional Health Systems State HIE NHIN

9. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

10. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

11. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

12. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

13. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

14. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

15. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

16. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

17. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

18. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

19. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

20. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

21. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

22. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

23. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

24. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

25. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)

26. Proposed MU Objectives and Measures for Stages 2 and 3(Please note all proposed objectives include EPs and EHs unless otherwise specified)