Meaningful Use: A Physician Practice View

1. Meaningful Use: A Physician Practice View Jason M. Mitchell, MD Assistant Director Center for Health-IT at the AAFP

2. The AAFP • The American Academy of Family Physicians is one of the largest national medical organizations, representing more than 94,700 family physicians, family medicine residents and medical students nationwide. Founded in 1947, its mission has been to preserve and promote the science and art of Family Medicine and to ensure high-quality, cost-effective health care for patients of all ages.

3. The Center for Health-IT at the AAFP • Established: October 2003 • Mission: To assist family physicians in acquiring and using EHR systems and other HIT that are affordable and standards-based, for the purposes of improving quality, enhancing safety and increasing efficiency in clinical practice • Steven E. Waldren, MD • Director • Jason M. Mitchell, MD • Assistant Director • David C. Kibbe, MD • Senior Advisor www.centerforhit.org

4. Meaningful Use 25 Ambulatory Elements CPOE Drug interaction checks Problem list eRx Medication list Medication allergy list Demographics Vital signs Smoking status Lab-test results Lists of patients by specific conditions Ambulatory quality measures Reminders to patients Five clinical decision support rules Insurance eligibility Electronic claims Electronic copy of health information (for patients) Timely electronic access to health information (for patients) Clinical summaries (for patients) Health information exchange (connection) Medication reconciliation Summary care record (for transitions) Immunization registry (connection) Public health agency (connection) Privacy and security

5. Meaningful Use

6. Meaningful Use $44,000

7. Patient

8. Patient Provider

9. Patient Provider

10. Patient Provider Therapeutic Relationship

11. Care Team Provider Provider Patient Provider Provider Therapeutic Relationship

12. Family Care Team Patient Patient Provider Provider Patient Patient Provider Provider Therapeutic Relationship

13. Patient Provider Therapeutic Relationship

14. Patient Provider

15. E H R Patient Provider

16. E H R Patient Provider

17. PHR EHR Patient Provider

18. Modular HIT/Services Modular HIT Patient Provider

19. To Achieve Meaningful Use

20. Health IT for Two Worlds

22. Relationship between MU & PCMH

23. To Achieve Meaningful Use The Skeptic’s Concern

25. $44,000

26. Patient Provider

27. Jason M. Mitchell, MD Assistant Director Center for Health-IT at the AAFP T: 913 906 6000 x 4102 E: jmitchell @ aafp.org W: www.centerforhit.org