1 / 15

Oklahoma Hospital Association September 1, 2009

Oklahoma Hospital Association September 1, 2009. The American Recovery and Reinvestment Act of 2009 and Health Information Technology: Are we ready?. Robert H. Roswell, M.D. Health Information Technology.

noe
Download Presentation

Oklahoma Hospital Association September 1, 2009

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Oklahoma Hospital Association September 1, 2009 The American Recovery and Reinvestment Act of 2009 and Health Information Technology: Are we ready? Robert H. Roswell, M.D.

  2. Health Information Technology • $17.2 B for Medicare and Medicaid incentives for physician and hospital adoption of electronic health records (EHRs) • $2B for grants from the Secretary of HHS and the Office of the National Coordinator for Health Information Technology (ONCHIT)

  3. Incentive payments for eligible professionals • 2011 $18,000 • 2012 $12,000 • 2013 $8,000 • 2014 $4,000 • 2015 $2,000 • Total $44,000 (plus an additional $4,400 if in a designated health professional shortage area) Penalties begin in 2015 if EHR has not been adopted

  4. Failure to adopt EHRs • Physician Medicare penalties start in 2015 • 2015 -- 1% reduction in Medicare fees • 2016 – 2% reduction in Medicare fees • 2017 – 3% reduction in Medicare fees • HHS may increase penalties after 2017 if EMR adoption level is unsatisfactory

  5. Medicaid Incentives • Up to $21,250 for adoption of certified EHR technology • Up to $8,500 a year for 5 years for operation and maintenance • Total funding cap of $63,750 per eligible physician (Medicaid patients comprise 30% of practice; 20% for pediatricians)

  6. Incentive payments for eligible hospitals • Base amount ($2M) plus a a discharge-related payment, adjusted for Medicare share up to $11M • Year 1 100% • Year 2 75% • Year 3 50% • Year 4 25% • Beginning in FY 2011 (October 1st, 2010) Penalties begin in 2015 for hospitals not adopting EMRs.

  7. “Meaningful Use”: Certified • New HIT Policy Committee must define initial certification criteria by December 31st, 2009 • Second draft matrix released July 16th

  8. Meaningful use of certified EHR technology • Using a certified EHR technology including the use of electronic prescribing • Connected in a manner that provides for electronic exchange of health information • Submits information on clinical quality measures

  9. 2011 Hospital Meaningful Use Matrix • 10% of all orders through CPOE • Implement drug/allergy software • Problem, medication, and allergy lists • Demographics, advance directives, vital signs • Structured lab data, quality measures • Electronic billing • Exchange key clinical information among providers

  10. And we have 13 months to get it done!

  11. HHS Grant Program: $2 Billion • Section 3013 • $300M to States or State-designated entities • Planning and implementation of HIE efforts

  12. State HIE Cooperative Agreement Program • FOA released August 20th • $564 million in funding • Secretary Terri White designated state lead • Public forum held August 14th • OHCA coordinating application with broad stakeholder input

  13. State HIE Grant Program

  14. State HIE Grant Program • Estimated Oklahoma funds $6-10M • Planning phase cannot exceed 6 months

  15. Questions or Comments?

More Related