8. MeHI is the designated
state agency for:
Coordinating health care
innovation, technology and
competitiveness
Accelerating the adoption of
health information technologies
Promoting health IT to improve
the safety, quality and efficiency
of health care in Massachusetts
Advancing the dissemination of
electronic health records
systems in all health care
provider settings
MBI
MASSACHUSETTS
BROADBAND INSTITUTE
MeHI is a division of the Massachusetts
Technology Collaborative, a public
economic development agency
8
MeHI Overview
THE INNOVATION INSTITUTE
at the MassTech Collaborative
MeHI
MASSACHUSETTS
eHEALTH INSTITUTE
• Tech Hub Collaborative
• Big Data Consortium
• Advanced Manufacturing
Collaborative
• Innovation Index
• Mass Broadband 123
• MassVetsAdvisor
• Interoperable EHR Adoption
• Connected Communities
• eHealth Services & Support
• eHealth Cluster
Massachusetts eHealth Institute
16. 16
eQIP | Detailed Eligibility Criteria
Eligibility Criteria Method of Substantiation*
1.
Provide BH clinical care services in MA Statement of Operations/Income Statement
indicating Patient Service Revenue* (PSR)
for any month (6/1/14 through 9/30/14)
2.
Hold license to provide BH clinical care
programs/services in MA, OR
Its providers have valid professional
licenses
Currently valid license(s) to provide BH
clinical care programs/services (by DPH) or
MA DMH certification as provider of BH
services
3.
Provide primarily BH services
(>50% of annual PSR from BH
services in MA)
Documentation indicating
(1) Percent of PSR for last SFY and
(2) Source/amount for all BH PSR (private
payer(s), Medicaid, Medicare etc.)
4.
Is a not-for-profit corporation Certificate of Good Standing for a not-for-profit
corporation in MA
** Patient Services Revenue = NPSR (3rd party payers) + revenue under a state or local
contract to provide BH services
17. 17
eQIP | Detailed Eligibility Criteria (cont.)
Eligibility Criteria Method of Substantiation
5.
No financial relationship/affiliation to a
health care system
Corporate org chart showing ownership,
governance & operational structure
5A.
Organizations that are part of a
system meet this criteria . . . IF:
Annual PSR of parent org is <$25M
Documentation: annual PSR of parent org
is <$25M
6.
Serve large proportion of public payer
clients
(>50% of PSR is public payer )
Documentation: portion of PSR from public
payer for last SFY
7.
Not an Eligible Hospital (“EH”) and
providers are not Eligible Professionals
(“EPs”)
Documentation: is not an EH and its
providers are not EPs
7B.
Organizations that have some EPs
meet this criteria . . . IF:
Number of EPs >30% of clinical staff,
and
Is either independent or annual PSR
of parent org is <$25M
Documentation: total clinical staff &
percent of EPs AND
Documentation: no financial
relationship/affiliation or annual PSR of
parent org is <$25M
22. 22
eQIP | Milestones
Milestone 1 (15% of total incentive) = required EMRAM* Stage 1 & 2
– Desktop access to clinical information, unstructured data, multiple data sources,
intra-office/informal messaging
– Beginning of a CDR with orders and results, computers may be at point-of-care,
access to results from outside facilities
Milestone 2 (25% of total incentive) = required EMRAM* Stage 3
– Electronic messaging, computers have replaced the paper chart, clinical
documentation and clinical decision support
Milestone 3 (35% of total incentive) = required EMRAM* Stage 4 & 5
– Computerized Provider Order Entry, Use of structured data for accessibility in
EMR and internal and external sharing of data
– Personal health record, online tethered patient portal
________________________
HIway Milestone 4 (25% of total incentive) = Transacting on Mass HIway
– “Floating” Milestone
– Organizations can meet the HIway Milestone at any time after meeting M-1
– Must be integrated into the EHR
*NOTE: some requirements may not be applicable to BH organizations
23. eQIP: A-EMRAM Stages – overview
23
HIMSS Ambulatory EMR Adoption Model (A-EMRAM)
̶ Focus on key IT systems that need to be implemented for achieving higher levels of access,
quality, efficiency and safety
US Ambulatory EMR Adoption Model SM
eQIP
Milestone
Stage Cumulative Capabilities
Stage 7 HIE capable, sharing of data between the EMR and community based EHR, business
and clinical intelligence
Stage 6 Advanced clinical decision support, proactive care management, structured messaging
M-3
Stage 5 Personal health record, online tethered patient portal
Stage 4 CPOE, Use of structured data for accessibility in EMR and internal and
external sharing of data
M-2
Stage 3 Electronic messaging, computers have replaced the paper chart, clinical
documentation and clinical decision support
M-1
Stage 2 Beginning of a CDR with orders and results, computers may be at point-of-care,
access to results from outside facilities
Stage 1 Desktop access to clinical information, unstructured data, multiple data
sources, intra-office/informal messaging
Stage 0 Paper chart based