NEO HealthConnect Regional Extension Center Program

1. NEO HealthConnectRegional Extension Center Program Part of OHIP (the Ohio Health Information Partnership), and a 4 county collaboration between Akron Children's Hospital, Humility of Mary Health Partners, Community Health Systems (formerly Forum Health), Salem Community Hospital, East Liverpool City Hospital and Trinity Health System (Steubenville)

2. The Industrial Revolution of HealthCare

3. The rise of healthcare costs, something has got to change

4. HIT Policy Committee’s Recommended Five Priorities • Improve quality, safety, efficiency and reduce health disparities • Engage patients & families in their health care • Improve care coordination • Improve population and public health • Ensure adequate privacy & security protections for personal health information

6. The Carrot and Stick

7. The Good and the Bad News The Bad News - No one likes change, but it is coming, whether we want it or not. The only constant sometimes seems to be change. Declining reimbursements for non-compliance, begin in 2015. Will private payors follow suit? Someone once said, you can either be at the table, and actively involved in the coming changes, or you can be on the menu, the choice is yours. The Good News is you have free help available

10. The new national HIT model isLeveraging the power of the WEBfor interconnected healthcare The world has changed

11. What are Regional Extension Center’s? RECs will offer technical assistance, guidance and information on best practices to support and Accelerate PPCP’s efforts to become meaningful users. RECs will support at least 100,000 primary care providers, through participating non-profit organizations. ONC funded 62 RECs in virtually every geographic region of the United States

12. 62 Regional Extension Centers

13. Ohio’s is one REC divided into 8 Regions Northeast Central Ohio Regional Extension Center (NECO REC) Case Western Reserve University (CWRU) Central Ohio Health Information Exchange (COHIE) Dayton-West Central Ohio Regional Extension Center (DWCO REC) Northwest Ohio Regional Extension Center (NW Ohio REC) Ohio University Appalachian Health Information Exchange (OU) Northeast Ohio Health Connect (NEOHC) HealthBridge REC (non-OHIP)

14. NEO HealthConnect Serving Trumbull, Mahoning, Columbiana and Jefferson Counties • Executive Director: Mark Norris • Board Members • Mike Seiser, HMHP - Board Chair • Mike Seelman, Forum – Vice Chair • Howard Rohleder, Salem – Treasurer • Tom Kiger, Trinity Health – Secretary • Sponsoring Organizations • HMHP, Forum, Akron Children’s, Salem Community, East Liverpool, Trinity Health, Community Action Agency, NeoHealthForce

15. Welcome to Switzerland, where we are product neutral… The mission of the NEOHC REC is to furnish assistance, defined as education, outreach, and technical assistance, to help PPCP’s (Pediatricians', OB/GYN’s, Family and Internal Practices ) in our geographic service area – to select, successfully implement, and meaningfully use certified EMR technology to improve the quality and value of health care. This will be accomplished by providing a turnkey process for PPCP’s in the region utilizing specific tools, products, services and proven methodologies.

16. Objectives for NEO HealthConnect REC Education and Outreach to all Providers • Educational Sessions • Monthly Newsletter's • Educational Materials, Tools, Assessments and Whitepapers • Welch Allyn tool, Workflow assessments • Review Privacy, Security and Best Practices in the process • Help get to Meaningful Use – Defined Metrics and Milestones qualifying for reimbursement for EHR adoption • Helping you understand Federal, State and Regional initiatives

17. OHIP and NEO HealthConnect EMR’s • Tier I - 5 preferred Vendors • Next Gen, e Clinical, e MD’s, Sage, Allscripts • Lower costs because of group purchasing • Guaranteed implementation times • Local workforce • Leasing and Finance option • Certified Vendors , Region Specific – • Epic, Medent, HSMS? • To Be Announced

18. Objectives for NEO HealthConnect REC Engage our Services – Sign up – call the office • Welch Allen Assessment tool • Develop a roadmap based on your practice • Help with product demos, contract negotiations, help you select a “certified” product, of your choice • Implementation and Project Management Oversight Assistance • Practice and Workflow Redesign Assistance • Stimulus Trigger - Get to Meaningful Use – $44,000 + Physician Incentive

19. Funding Triggers ONC  OHIP  NEOHC • $$ sits there in an unfunded grant • Grant Funding is based on you achieving milestones • For me to help, you need to help me • 3 milestones • Sign contract to engage services • Pick an EMR vendor and go ‘Live” • Achieve MU – and get 44,000 back • First come, first serve, • Unused $$ Disappears

20. The Future of NEO HealthConnect • Health Information Exchange and Functional Interoperability • Sustainability – by 2/2012 • Product and service offerings • 323 + PPCP to MU by 2/2012 • Help specialists get to MU • Health Information Exchange connecting the hospitals and all practices who are ready as early as next summer/fall

21. It is an expensive, scary, and difficult process WHAT WE DO is minimize your risk

22. Project rollouts tied to metrics and milestones Helping you navigate the sea of change by staying with you throughout the entire process

23. Meaningful Use Compliance Reporting Strategies and Services

24. Waiting makes it harderAchieving Meaningful Use 2009 2011 2013 2015 HIT-Enabled Health Reform Meaningful Use Criteria HITECH Policies Stage 1 2011 Meaningful Use Criteria (Capture/share data) Stage 2 2013 Meaningful Use Criteria (Advanced care processes with decision support) Stage 3 2015 Meaningful Use Criteria (Improved Outcomes) 24

25. Is EHR adoption mandatory? • Adoption is voluntary – no government mandate, but remember the carrot and stick. • Beginning in 2015 – Medicare payment reduction for physicians who have not reached EHR “Meaningful Use” (1% per year up to 5%) • Private sector payors will follow Medicare lead? • The value of a practice may be impacted • If you intend to practice Medicine beyond the next 5 years, it is no longer if but WHEN…….

26. The 80 / 20 Rule Applies • You probably will not find an EHR that meet 100% of your needs • If a product meets 80 + % of needs • The remaining 20% is made up of • A change in office workflow • Modifications to the software • Live with it

27. The Software Learning Curve 27

28. Already an EMR User?We want your input… Early adopters have many lessons to share… Join the NEOHC Vendor Review Committee Positive feedback? Negative Feedback? We need to know….your peers want to know… Make sure your vendor is certified and ready to plug into the HIE…get started on the process now. Vendor development cycles can take months to years to get ready…find out where you stand. Please visit us on the web and register for more info

29. Where do I find ONC Certified EMR’s? • http://onc-chpl.force.com/ehrcert/productperformanceoverview

30. then, the patient is waiting, and the time is NOW If your practice is all about improving clinical outcomes and quality of care,

31. Thanks for coming, keep in touch. NEO HealthConnect, Inc. Mark Norris, Executive Director 241 West Federal Plaza, Suite 306 Youngstown, OH 44505 Ph 330-599-4595 Fax 330-746-6863 mnorris@neohc.org www.neohc.org.