Slides fmo February Health 2.0 NYC meetup where Paul Roemer shook up the house with his innovative thinking on meaningful use

1. Healthcare IT Strategy paulroemer@healthcareitstrategy.com

2. Hi, I’m Paul Thank you for coming 2

3. Notes? Up to you 3

5. Should you meet MU?

6. What if there was no MU?4

7. EHR , MU, reform, RHIOs, RECs, & N-HIN, are all complicated

8. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Why buy a drill? We’re listening… Because you need a hole. 6

9. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? EHR is not 7

10. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Why buy a drill? We’re listening… Why buy a drill? Because you need a hole Because you need a hole. Why buy an EHR? 8

11. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Why buy a drill? We’re listening… What’s the elephant in the room? Because you need a hole. 9

12. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? 10

13. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? MU is not 11

14. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Why buy a drill? We’re listening… Because you need a hole. 12

15. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? 2 conflicting models National healthcare yours 13

16. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Meaningful use office 14

17. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Are your businesses all the same? 15

18. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Keep the focus on you… Why buy a drill? We’re listening… Because you need a hole. 16

19. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Color outside the lines… 17

20. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Where are my stone Tablets? Does meeting MU align with your business strategy? ONC 18

21. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? ONC: we’re listening… 19

22. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Heavy lifting just beginning. 20

23. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? ARRA money Good Luck 21

24. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? What if there were no Meaningful Use? 22

25. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? Why buy a drill? We’re listening… Because you need a hole. 23

26. What are the influencers and inputs? Meaningful Use Decision Tie to HIT strategy Your HIS Strategy Text HIT platform How do we plan your HIT strategy? Your Strategic Plan Align to Reform HIT initiatives Strategic GAPS MU options

27. Yes Do you meet MU No Should you attempt to meet Meaningful Use and why?

28. Should you attempt to meet Meaningful Use and why? By what date Full MU Yes What Option Partial By When Do you meet MU What’s the plan No

29. If Full MU, what is the best date for you to meet it? 2011 2012 21013 Full MU By what date 21014 21015

30. What are the ARRA implications to you of the dates for full MU? 2011 100% of incentive 2012 100% of incentive 2013 100% of incentive What are the implications? 60% of incentive 2014 2015 30% of incentive

31. What are the risks to you of seeking to meet full MU? Probability of passing MU? External risks? Align with your strategy? What are the risks prior to 2016 Meeting your key metrics? PENALTIES After 2016

32. What is the probability of passing the MU test for full MU? Determine by year of test If the requirements change What are Stage 2 requirements Vendor certification Impact of reform What is the probability of passing MU? What are Stage 3 requirements Affect on your strategy If the date change

33. What are the external risks to passing the MU test for full MU? Determine by year of test HIT staff shortages Vendor Support Change in Medicare payments Impact of reform What are the External Risks Regulatory reform Affect on strategy Acquisitions by your firm

34. Does passing the MU test for full MU align with your strategy? Supply Cost Quality and Safety Revenue Cycle Culture and Service Physician Collaboration Growth How does MU align with your strategy Patient Retention Centralize Business Support Primary care growth Labor Productivity

35. Does passing the MU test for full MU align with your metrics? Increase staff satisfaction Increase culture scores Decrease length of stay Increase operational excellence Decrease waiting times How does MU align with your metrics Improve customer service Increase clinical quality

36. What HIT projects do you have to do to meet full MU requirements? Clinical Transformation Eligibility checking Standard orders upgrades Quality performance What’s needed for 2011 EO Rx Other years should be similar in terms of tasks Meaningful Use CPOE

37. What influencers should be considered to meet full MU requirements? Cost When can you complete Staffing What is the ROI Stage 2 & 3 requirements What are the Influencers Other HIS projects Other years should be similar in terms of tasks Meaningful Use CPOE

38. What costs should be understood to meet full MU requirements? Systems Work flow improvement Staffing What is the ROI What is the Cost training Other years should be similar in terms of tasks Change management

39. What staffing should be answered to decide meeting full MU requirements? How many By when? What are staffing needs Skill sets Other years should be similar in terms of tasks Contractors

40. What does meeting full MU requirements do to other projects? What are they Can they be delayed What are Non-MU projects Allocating funds Other years should be similar in terms of tasks Allocating staff

41. What is the impact of doing CPOE? Would you do CPOE without MU CPOE is the bulk of work and risk What is CPOE’s impact What is chance of success Other years should be similar in terms of tasks Allocating staff

42. What is the best year to meet MU requirements? 2011-2013 2014-2015 When can you complete MU What is the ROI by year Other years should be similar in terms of tasks Impact of year on HIT projects

43. What will be the requirements of Stages 2 & 3 with MU? Unknown requirements Unknown cost What are Stages 2 & 3 Unknown risk Other years should be similar in terms of tasks What is chance of success

44. How do you measure the risk of trying to meet MU? Determine individual risks Determine their probability Develop risk matrix Perform Risk Analysis Determine their impact Map options by year to risks

45. “Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO Does meeting MU align with your business strategy? 2 conflicting models National healthcare yours 43