Health Information Technology Updates and

HappeningsState Network Council

November 30, 2010

Today’s Questions

• Where are we on the path to Meaningful Use?

• What have the Feds done lately?• How is the State work progressing?• Who’s doing what?• What is KHIN?• What is brewing for the REC?• What will the REC do for hospitals?

Where are we on the path to Meaningful Use?

• KHPA survey being scrapped in favor of AHA Annual Survey Supplemental

• 2009 Highlights

What have the Feds done lately?

• Certification Clarification– AHA/KHA Position

• ICD-10• Stage 2 Discussions

How is the State work progressing?

• State Plan Approval pushed out by ONC– Remaining funding hanging on approval

• KHIE appointed – met twice– Broad representation (business, consumers, gov)

– Bell, John, Stanek

– Contract with state to receive funding• Legal counsel, staff

• HIE?

Who’s doing what?

• KDHE – ONC Grant recipient ($9 mil)– HIT Coordination across all agencies

• KHIE– Kansas Health Information Exchange Inc– Governor appointed – broad representation– Designated entity for HIT/HIE– Assure HIE available– Approve HIEs, RHIOs– Set state policy – 2011 Legislation

The Kansas Health Information Technology and Exchange Act

(“K-HITE”)

• Legal impediments to use of HIE

• Contrary state law, superseded by the new law– Personal Health Information (PHI)

• Requires HIO’s/HIE’s compliance to be approved by KHIE.

• Clarifies “Personal Representatives”

What is KHIN?

• Kansas Health Information Network• Who: KMS, KHA, eHealthAlign, WHIE• What: Provider driven exchange

– Technical Service Organization

– Connection with NHIN, PH and Medicaid

• Where: statewide• When: Will start as soon as funding is

secured

What’s brewing for the REC?

Eligible Professionals

Develop and execute a strategy to achieve meaningful use and improve the quality of care in your practice.

Hospital Supplemental

Coordinate between Critical Access Hospitals /Rural Hospitals and their local outpatient clinics.  Provide the inpatient settings, education and tools to move towards Meaningful Use.

What is brewing for the REC?

• 300+ physicians signed

– Special pricing

– Services for Physicians• EHR implementation and project management

• HIT education and training

• Vendor selection & financial consultation

• Practice/workflow redesign

• Privacy & security best practices

• Group purchasing services

The KFMC HIT REC Advantage (cont.)

• First 350 Priority Primary Care Providers (PPCPs) in RHCs – NO SERVICE FEES!

– A PPCP is any MD or DO, ARNP, Nurse Mid-Wife or PA with prescriptive privileges

• Individual or small group practices (10 or fewer) primarily focused on primary care,

• Public and Critical Access Hospitals (CAHs)

• Community Health Centers (CHCs) and RHCs

• Other settings that predominantly serve uninsured, underinsured, and medically underserved populations

• A signed contract can be terminated with 90 days written notice.

EHR products move to the final stage of evaluation and selection

– AllScripts

– Amazing Charts

– E-Clinical Works

– EHS Med

– E-MDs

– GE

– GreenWay

– McKesson

– NextGen

– Sage Intergy

Physician Incentive Calculation http://www.kfmc.org/rec/tools/incentcalc.html

Data you need:1. Average annual Medicare allowed charges

2. Year Doc expects to meet meaningful use

OR

1. Year Doc expects to meet meaningful use

2. Ave # of patients/physician/day

3. % of patients who are Medicare beneficiaries

4. Average allowed charges per Medicare patient

5. Working days/year/physician

What will the REC do for hospitals?

• KHERF Subcontract– No Charge– Services

• Web Enabled Tools• Education

– Traditional– Communities

• Information• Hardware, software, consulting pricing

– MOU

– Submitted to ONC for approval

Communities

• Communities of Practice– Vendor specific

• Learning Communities– MU requirements (Risk Assessment)

• Geographic– Networks

• Direct communication• Model reports and tools• Other?

The MOU(In your packet)

• Allows access to all services and tools– Everyone working together

• No cost to CAH or RH – Leveraging KHA and KHERF “in kind”– Leveraging KRHOP HIT Funding

• Involve the Rural Health Networks• Allows KHERF to draw down funding

– Signed copies by mid to late December

• Information through HIT Contact List and CEOs