What is patient engagement and how does it play a part in Meaningful Use incentives? This slideshow covers the facts you need to know about patient engagement and it's role it in Meaningful Use. To view, print or download a copy of the timeline, visit our blog at http://info.successehs.com/blog/

1. MeaningfulUSE Stage 2 & 3
PATIENT ENGAGEMENT

2. OVERVIEW
 MEANINGFUL USE : A LOOK BACK
 THE GOV & PATIENT ENGAGEMENT
 ACOs AND PATIENT ENGAGEMENT
 VALUE-BASED REIMBURSEMENT & PATIENT ENGAGEMENT

3. Meaningful USE:
A LOOK BACK

4. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date

5. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers

6. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid –
Hospitals/Providers
o $1.8 Billion in Medicaid Incentives Paid –
Hospitals/Providers

7. Meaningful Use: A Look Back
$11.8 Billion in Total Incentives Program to Date
o $2.4 Billion in Medicare Incentives Paid
– Hospitals/Providers
o $1.8 Billion in Medicaid Incentives Paid
– Hospitals/Providers
o $7.3 Billion in Medicare/Medicaid to
Hospitals

8. Meaningful Use: A Look Back
o 372,000 Hospitals / Professionals
registered

9. Meaningful Use: A Look Back
o 372,000 Hospitals / Professionals
registered
o 49 States, D.C. and PR have launched
Medicaid Programs
* Hawaii, Guam, Am. Samoa – Unknown
* Virgin Islands – Unknown

10. Meaningful Use: A Look Back
Active Registrations:

11. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)

12. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
o Medicare Eligible Providers → 253,477 (834,769
U.S. Physicians – 30%)

13. Meaningful Use: A Look Back
Active Registrations:
o Hospitals → 4,257 (5,724 in U.S. – 74%)
o Medicare Eligible Providers → 253,477 (834,769
U.S. Physicians – 30%)
o Medicaid Eligible Providers → 114,866 (U.S.
Physicians – 14%)

14. Meaningful Use: A Look Back
Total Attestation:

15. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090

16. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation →
$2,134,906,925

17. Meaningful Use: A Look Back
Total Attestation:
o Hospital Attestation → $7,861,299,090
o Medicare EP Stage 1 Attestation →
$2,134,906,925
o Medicaid EP Year 1 & 2 Attestation →
$1,595,896,115

18. The government &
PATIENT-CENTERED CARE

19. Gov & PCC
• 23 % of federal budget goes to health care
• 36 times ACA mentions Patient Centeredness
• 15 times ACA references the Medical Home
• 93 times ACA references Quality Measures
• 29 times ACA links Quality to reporting Clinical Data
• 100 times ACA discusses Value-Based and Payment
Modifiers as relates to Hospital/MD Reimbursement and
Measures*

20. Gov & PCC
o Federal Government → Leadership role in Health
Care Reform

21. Gov & PCC
o Federal Government → Leadership role in Health
Care Reform
o Transition is happening: Move from Episodic Care →
Long-Term Healing and Wellness

22. Gov & PCC
How?

23. Gov & PCC
How?
Government is using principles of behavioral
economics to better long-term care & lower
costs.

24. Gov & PCC
What is behavioral economics?

25. Gov & PCC
What is behavioral economics?
"Behavioral economics explains why people are
predictably irrational and provides tools for
redirecting their behavior with carefully deployed
nudges and financial incentives” - New England
Journal of Medicine

26. Gov & PCC
Behavioral economics & Healthcare =

27. Gov & PCC
Behavioral economics & Healthcare =
1. Better ways to motivate patients to improve and
protect their own health using technologies like wireless
devices

28. Gov & PCC
Behavioral economics & Healthcare =
1. Better ways to motivate patients to improve and
protect their own health using technologies like wireless
devices
2. New reimbursement strategies for health care providers
that require them focus more closely on patients' health
outside of office visits and hospitalizations.

29. Gov & PCC
Behavioral Economics is about patient engagement
& patient-centered care.

30. Gov & PCC
Behavioral Economics is about patient engagement
& patient-centered care.
Patient-centered care:
model of care that supports active involvement of
patients and their families in decision-making.

31. Gov & PCC
The IOM (Institute of Medicine) defines patient-
centered care as:
"Providing care that is respectful of and
responsive to individual patient preferences,
needs, and values, and ensuring that patient
values guide all clinical decisions."

32. Gov & PCC
• Federal Policymaking grounded in Patient Centered
Care:
o Regs CMS Meaningful Use Stage 2 - 7 Measures
o Regs CMS Accountable Care Organizations (ACOs) – 7
Measures
o Regs CMS Value-based Purchasing – Differential Payment
Based on Quality
o Regs CMS Public Measure Transparency – Physician
Compare Website
o Other Agency Initiatives – CMS PCORI, HRSA PCMH and
VA PACT

33. Proposed stage 2 core measures

34. AccountableCare Organizations
& PATIENT ENGAGEMENT

35. ACOs and PatientEngagement
o 33 Quality Performance Measures

36. ACOs and PatientEngagement
o 33 Quality Performance Measures
o 7 Patient / Caregiver Experience

37. ACOs and PatientEngagement
o 33 Quality Performance Measures
o 7 Patient / Caregiver Experience

38. ACOs and PatientEngagement
Final Rule: Requires CMS qualified Survey Vendor by
2014

39. ACOs and PatientEngagement
• HITPC Preliminary Stage 3 Draft
(Aug → Final Recommendations expected in Nov)

40. ACOs and PatientEngagement
• HITPC Preliminary Stage 3 Draft
(Aug → Final Recommendations expected in Nov)
o Patients Option to submit data online → 10%
submit Medical Histories

41. ACOs and PatientEngagement
• HITPC Preliminary Stage 3 Draft
(Aug → Final Recommendations expected in Nov)
o Patients Option to submit data online → 10%
submit Medical Histories
o Patient education in non-English languages

42. ACOs and PatientEngagement
• HITPC Preliminary Stage 3 Draft
(Aug → Final Recommendations expected in Nov)
o Patients Option to submit data online → 10%
submit Medical Histories
o Patient education in non-English languages
o 10% of Patients ability to update and correct
information online

43. ACOs and PatientEngagement

44. Value-Based Payment &
PATIENT ENGAGEMENT

45. VBP& PatientEngagement
o Started October 1, 2012

46. VBP& PatientEngagement
o Started October 1, 2012
o Evaluated / Scored on performance
improvements over baseline

47. VBP& PatientEngagement
o Hospitals → CMS payment adjustments based
on patient experience

48. VBP& PatientEngagement
o Hospitals → CMS payment adjustments based
on patient experience
o ACA has Physician VBM program starting in 2015
based on 2013 performance

49. VBP& PatientEngagement
HCAHPS scores will rate hospitals based on
patient experience
* The HCAHPS (Hospital Consumer Assessment of
Healthcare Providers and Systems) survey is the first
national, standardized, publicly reported survey of
patients' perspectives of hospital care.

50. VBP& PatientEngagement
HCAHPS scores will rate hospitals based on
patient experience, e.g.

51. VBP& PatientEngagement
HCAHPS scores will rate hospitals based on
patient experience, e.g.
– patient satisfaction

52. VBP& PatientEngagement
HCAHPS scores will rate hospitals based on
patient experience, e.g.
– patient satisfaction
– customer service

53. VBP& PatientEngagement
HCAHPS scores will rate hospitals based on
patient experience, e.g.
– patient satisfaction
– customer service
– communication training

54. VBP& PatientEngagement
Results published on Hospital Compare website

55. VBP& PatientEngagement
Results published on Hospital Compare website
Physician Compare website now in place to show
performance metrics - first publishing (limited) in
CY2013

56. DOWNLOADA FREE WHITEPAPER
“Moving from Meaningful Use Stage 1To Stage 2”
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