California State Rural Health Association Conference Speranza Avram, M.P.A. Executive Director November, 2010

1. California State Rural Health Association Conference Speranza Avram, M.P.A. Executive Director November, 2010

2. About CalHIPSO • Formed by three key partners representing target “priority primary care providers”: • California Medical Association (CMA) • California Association of Public Hospitals & Health Systems (CAPH) • California Primary Care Association (CPCA) • CalHIPSO is tasked with supporting 6,187 targeted providers throughout CA successfully adopt electronic health records • One of three Regional Extension Centers serving California

3. HITECH: Catalyst for Transformation Paper records HITECH Act EHRs & HIE 2009 2014 Pre 2009 EHR Incentive Program and 60 Regional Extension Centers Widespread adoption and meaningful use of EHRs A system plagued by inefficiencies 3

4. The HITECH Act authorizes incentive payments for eligible Medicare and Medicaid providers to achieve “meaningful use” of certified EHR technology. • By 2015, providers are expected to have adopted and to be actively using EHR systems in compliance with the “meaningful use” definitions recently released by the Centers for Medicare & Medicaid Services. • Medicare-participating providers that do not reach this goal by 2015 will be subject to penalties under the Medicare program. What Are the Medicare and MediCal Incentives?

5. Historical Precedent for Market Transformation Agricultural Industry 1914 Banking Industry 1980’s

6. Comprehensive Support throughout the Entire EHR Implementation Process Plan Transition Implement Operate & Maintain 1 2 3 4 Readiness assessment Practice workflow redesign EHR implementation Achieving meaningful use EHR system selection HIT education & training Partnering with state and local HIEs Prepare for future pay for performance 6

7. Meaningful Use of Pumpkin Pumpkin

8. CalHIPSO’s Target Providers – Priority Primary Care Providers (MD, DO, PA, NP) working in the following care settings: • Small private physician practices of 10 providers or less • Community health centers and other non-profit primary care clinics • Outpatient clinics operated by Critical Access and Rural hospitals • Ambulatory care clinics operated by public hospitals • Supplemental funding for 46 rural/critical access hospitals

9. Education& Training Curriculum Optimization of Quality Reporting Group Purchasing Contracts Provider Registry & Enrollment Standard Deployment of EHRs • Outreach, Enrollment and Education • Readiness Assessments and Capacity Building • Vendor Selection • Workflow Assessment & Redesign • Project Mgmt. • Meaningful Use Reporting • EHR Products (SaaS Offerings) • Product Specific Templates and Configuration • Interfaces • Implementation Project Management • Ongoing Maintenance • Meaningful Use Reporting Service Partners and Outreach Partners Financial Operations – ARRA/ONC Reporting – Quality Assurance

10. CalHIPSO has identified 10 Local Extension Centers (LECs) across the state consisting of:- California’s QIO, serving rural providers statewide-- Lumetra serving the Bay Area- Health Center Controlled Networks-Coalitions led by medical societies-Statewide public hospital network *Over 1,500 providers enrolled to-date

11. Group Purchasing Services GPO Partner LEC, SP

12. EHR Product Selection Process • CalHIPSO has selected eight Stage 1 EHR Vendors • Six of the eight have already been certified through ONC’s Temporary Certification Program • Negotiating standard contracts as part of Stage 2

13. Service Partners • Service Partners work with LECs or CalHIPSO • Gold Service Partners provide hourly services based on a set of standards • Platinum Service Partners provides comprehensive services tied to the achievement of REC milestones and are paid on a per provider, per milestone basis

14. How do providers enroll? • Visit www.calhipso.org • Complete a Provider Registration Form • Submit a Provider Enrollment Agreement • Make payment via PayPal (note: Membership Fees are waived for PPCPs who join in 2010) • Start working with your Local Extension Center • Provider Enrollment is now open!

15. www.calhipso.org 1-888-589-4897 info@calhipso.org