2011 Virginia Telehealth Summit presentation

1. Virginia HIT Regional Extension Center

2. 2 Transforming Healthcare More than 50 years combined service to Virginia Qualified healthcare information management professionals with real-world experience We understand how primary care is delivered. 2

3. 3 Who is VHIT? Team of experienced local health IT professionals with clinical background, in-depth knowledge of Virginia’s PCPs Part of a national network of select organizations designated to help providers modernize their practices with certified EHRs Direct, rapid and reliable access to a pipeline of key information on health IT and EHR meaningful use We help health care providers meet the criteria for incentive payments from Medicare or Medicaid for EHR meaningful use

5. Outpatient clinics associated with Critical Access Hospitals

6. Community Health Centers and Rural Health Clinics

7. Health system employed physicians

9. 6 What is VHIT’s Added Value? Access to training, tools and information designed specifically for REC participants, plus best practices from other RECs Opportunity to participate in an EHR learning network with other Virginia PCPs Option to purchase discounted EHR systems from one of four carefully selected solution partners

11. Using that information to track key clinical conditions

12. Communicating that information for care coordination processes

13. Initiating the reporting of clinical quality measures and public health information

15. e-prescribing

16. Drug-drug & drug allergy checks

17. Medication list

18. Allergy list

19. Problem list

20. Decision support

21. Record demographics

22. Smoking status

23. Vital signs

24. Clinical summaries to patient

25. Electronic exchange

26. Health info to patients

27. Clinical quality measures

28. Protect health information

29. Incorporate clinical labs

30. Medication reconciliation

31. Implement drug-formulary checks

32. Generate patient list

33. Patient electronic access

34. Send reminder

35. Patient-specific education

36. Clinical summaries to provider

37. Submit electronic data to immunization registry*

38. Submit electronic syndromic surveillance data**At least 1 public health objective must be selected.

39. Guiding to Meaningful Change 9 “Meaningful use leads to meaningful change.” EHR Incentive Programs enhance meaningful change. Under Medicare: maximum of $44,000/provider, over 5 years Under Medicaid: maximum of $63,750/provider, over 6 years; $21,250 within the first year

40. Medicare & Medicaid Incentives 10 The Centers for Medicare & Medicaid Services is making available up to $27 billion in EHR incentive payments, or as much as $44,000 (through Medicare) or $63,750 (through Medicaid) per eligible professional.

42. Doctors of dental surgery or dental medicine

43. Doctors of podiatric medicine

44. Doctors of optometry

46. Nurse practitioners

47. Certified nurse-midwives

48. Dentists

49. Physician assistants (PAs) in PA-led Federally Qualified Health Center (FQHC) or rural health clinic (RHC)Medicaid EPs Source: http://www.cms.gov/EHRIncentivePrograms/20_Eligibility.asp

50. Improving Care Delivery Culture Change Improved Practice and Care VHIT VHIT Plan Office Workflow Redesign ClinicalDecisionSupport Providers Act Patient Do Care Team Study VHIT Improved Health Outcomes VHIT Meaningful Use of EHR 12

51. Cumulative Sign-Ups and Go-Lives 13

52. VHIT Website: www.vhitrec.org 14

53. 15 Contacts: Sallie Cook, MD Chief Medical Officer scook@vhqc.org 804.289.5320 Letha Fisher, MSN, RN,CHC Director, VHIT lfisher@vhqc.org 804.289.5320 www.vhitrec.org Virginia Health Information Technology Regional Extension Center is funded by grant #90RC0022/01 from the Office of the National Coordinator for Health Information Technology, US Department of Health and Human Services. 15