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How We achieved meaningful use

How We achieved meaningful use. John Crankshaw, MD. Background. Primary Care Practice in Urbana, OH 3 Family Physicians and 1 IM/Peds physician and approx 20 employees (mix of part and full time) Practice has had our EHR since 2001

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How We achieved meaningful use

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  1. How We achieved meaningful use John Crankshaw, MD

  2. Background • Primary Care Practice in Urbana, OH • 3 Family Physicians and 1 IM/Peds physician and approx 20 employees (mix of part and full time) • Practice has had our EHR since 2001 • I’ve been using our EHR since 2005 and have become the IT expert/superuser for the practice.

  3. The Run Up • Last year, kept up to date on Meaningful use criteria through the REC, our EHR vendor, and specialty societies as well as CMS. • Received certified version of our EHR in January. • Reviewed how our EHR fulfilled the different measures through our EHR’s webinars • Chose 6 Menu set measures • Decided on workflow changes • Discussed with Healthbridge our plan

  4. The Run Up Part 2 • Had 3 separate meetings with staff • Front office • Medical Assistants/Escorts • Physicians • Gave cheat sheets for each group • Outlined for the doctors the CMS criteria and how we would fulfill that criteria • Developed Forms for certain criteria – Escort Sheet and Demographic Sheet

  5. In the Game • Went “Live” January 21st. • Tracked progress weekly with reports from our EHR • Gave advice on how to improve weekly. • Partnered with a specialist in the community with the help of Healthbridge to fulfill Core Criteria #14 – exchange of key clinical information electronically

  6. Attestation • Office Manager registered each Physician on the CMS website - https://ehrincentives.cms.gov/hitech/login.action • Website walks you through each measure. • Core Requirements • Menu Requirements • Clinical Quality Measures • Need numerator/denominator numbers for each measure that requires it. • Allows for exclusions • Can log on after attesting to see status (payment, etc).

  7. Final Tips • Prepare, prepare, prepare • Need a practice “superuser” • Understand your EHR • Understand your Workflow and what to change/tweak • Prepare your staff with meetings, cheat sheets • Give timely updates on progress • Use resources – your EHR vendor, your REC, CMS websites, etc

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