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Meaningful Use — How Not Being Certified Is Costing You Money ,[object Object],© Copyright 2011 The Advisory Council, Inc.
Objectives: Clinical and Financial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Medicare Incentives — Eligibility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Reimbursement Schedule © Copyright 2011 The Advisory Council, Inc. Incentive Paid in Meaningful Use of a Certified EHR Failure to Demonstrate by 2011 2012 2013 2014 2015 2016 2017 2018 2011 $18k - - - 2012 $12k $18k - - 2013 $8k $12k $15k - 2014 $4k $8k $12k $12k 2015 $2k $4k $8k $8k 2016 $2k $4k $4k 2017 Total $44k $44k $39k $24k -1% Penalty -2% Penalty -3% Penalty -4% Penalty HPSA $48.4k (+10%) $48.4k (+10%) $42.9k (+10%) $26.4k (+10%)
Medicaid Incentives — Eligibility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Medicaid Incentives — Eligibility ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Reimbursement Schedule © Copyright 2009 The Advisory Council, Inc. Incentive Paid in Meaningful Use of a Certified EHR 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 $8,500 2019 $8,500 $8,500 $8,500 2020 $8,500 $8,500 2021 $8,500 Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750
Action Plan: Tapping Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Action Plan: Tapping Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Example: Provider Incentives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Medicare vs. Medicaid © Copyright 2009 The Advisory Council, Inc. Medicare Medicaid Federal implementation in January of 2011 Voluntary for states to implement Penalties begin in 2015 No Penalties No patient volume threshold 30% Medicaid volume threshold Must demonstrate MU in Year 1 A/I/U option for 1 st  participation year $18k first year max incentive $25k first year max incentive Max of $44k over five years ($48.4k in HPSA) Max of $63,750 over 6 years Start date of 2012 will still receive max incentive Start date of 2016 will still receive max incentive MU definition common States can adopt additional requirements If you skip a year, you return to later payment year If you skip a year, you return to where you left off
Which One to Go for First? ,[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Meaningful Use with Certified EHR ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Functionality Measures Stages © Copyright 2011 The Advisory Council, Inc.
Meet Staged IT Functionality Measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
Meet staged clinical quality measures ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2009 The Advisory Council, Inc.
TAC SmartGrid™ Alignment Aligning IT strategy, organization, architecture, infrastructure and applications with the needs of the business Cost Reduction Strategies and tactics for saving money within the IT organization Organization Organizational, management, change and career issues and implications surrounding IT decisions Technology Selecting the appropriate technologies for the specific situation
Alignment Implications © Copyright 2011 The Advisory Council, Inc.
Cost Implications — Medicare © Copyright 2011 The Advisory Council, Inc. ,[object Object],[object Object]
Organizational Implications © Copyright 2011 The Advisory Council, Inc.
Technology Implications © Copyright 2011 The Advisory Council, Inc.
Sources & Links ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.
For More Information ,[object Object],[object Object],[object Object],[object Object],© Copyright 2011 The Advisory Council, Inc.

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Tac teleconf meaningful use 2011 01-11

  • 1.
  • 2.
  • 3.
  • 4. Reimbursement Schedule © Copyright 2011 The Advisory Council, Inc. Incentive Paid in Meaningful Use of a Certified EHR Failure to Demonstrate by 2011 2012 2013 2014 2015 2016 2017 2018 2011 $18k - - - 2012 $12k $18k - - 2013 $8k $12k $15k - 2014 $4k $8k $12k $12k 2015 $2k $4k $8k $8k 2016 $2k $4k $4k 2017 Total $44k $44k $39k $24k -1% Penalty -2% Penalty -3% Penalty -4% Penalty HPSA $48.4k (+10%) $48.4k (+10%) $42.9k (+10%) $26.4k (+10%)
  • 5.
  • 6.
  • 7. Reimbursement Schedule © Copyright 2009 The Advisory Council, Inc. Incentive Paid in Meaningful Use of a Certified EHR 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $8,500 $8,500 $8,500 $8,500 2019 $8,500 $8,500 $8,500 2020 $8,500 $8,500 2021 $8,500 Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750
  • 8.
  • 9.
  • 10.
  • 11. Medicare vs. Medicaid © Copyright 2009 The Advisory Council, Inc. Medicare Medicaid Federal implementation in January of 2011 Voluntary for states to implement Penalties begin in 2015 No Penalties No patient volume threshold 30% Medicaid volume threshold Must demonstrate MU in Year 1 A/I/U option for 1 st participation year $18k first year max incentive $25k first year max incentive Max of $44k over five years ($48.4k in HPSA) Max of $63,750 over 6 years Start date of 2012 will still receive max incentive Start date of 2016 will still receive max incentive MU definition common States can adopt additional requirements If you skip a year, you return to later payment year If you skip a year, you return to where you left off
  • 12.
  • 13.
  • 14. Functionality Measures Stages © Copyright 2011 The Advisory Council, Inc.
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  • 16.
  • 17. TAC SmartGrid™ Alignment Aligning IT strategy, organization, architecture, infrastructure and applications with the needs of the business Cost Reduction Strategies and tactics for saving money within the IT organization Organization Organizational, management, change and career issues and implications surrounding IT decisions Technology Selecting the appropriate technologies for the specific situation
  • 18. Alignment Implications © Copyright 2011 The Advisory Council, Inc.
  • 19.
  • 20. Organizational Implications © Copyright 2011 The Advisory Council, Inc.
  • 21. Technology Implications © Copyright 2011 The Advisory Council, Inc.
  • 22.
  • 23.