31
Patient Portals Health Information Associates &

Patient portals and meaningful use

Embed Size (px)

DESCRIPTION

How a Patient Portal will help you meet Meaningful Use criteria

Citation preview

Page 1: Patient portals and meaningful use

Patient

Portals

Health Information Associates

&

Page 2: Patient portals and meaningful use

Health Information

Associates of [email protected]

Page 3: Patient portals and meaningful use

Health Information Associates

� EMR/EHR and POMIS Selection and Implementation and EHR Incentive Payment

� Meaningful Use Compliance

� Workflow Analysis to Map Current Process to Post-Implementation Process

� Financial Services and Protection – Billing and Collection Optimization and Audit Risk Mitigation

� Marketing – Branding, Social Media Usage, Image Enhancement

Services We Provide

Page 4: Patient portals and meaningful use

Making Sense of the Meaningful Use Maze

Page 5: Patient portals and meaningful use

Patient Portals and Meaningful Use

� What a Patient Portal is

� What Patient Portals do

� How Patient Portals Help Meet MU Criteria

� Examples

� Future of Patient Portals and Why You Should Care

Page 6: Patient portals and meaningful use

But First…….

A question ????

Is it a matter of volume or efficiency?

Efficiency=Output/Time

Page 7: Patient portals and meaningful use

Status of EMRs

Page 8: Patient portals and meaningful use

Status of Patient Portals

Page 9: Patient portals and meaningful use
Page 10: Patient portals and meaningful use

Patient Portals – What are they?

� Patient Portals are healthcare-related online applications that allow patients to

interact and communicate with their healthcare providers

� Typically, portal services are available on the Internet at all hours of the day.

� Some patient portal applications:

� exist as stand-alone web sites and sell their services to healthcare providers.

� Other portal applications are integrated into the existing web site of the

healthcare provider.

� Still others are modules added onto an existing EMR system.

� What all of these share is the ability of the patient interacting with their medical

information via the Internet.

� The lines between an electronic medical record, personal health record, and a patient

portal are blurring.. Wikipedia – Jan. 25, 2012

Page 11: Patient portals and meaningful use

Why are Patient Portals becoming popular?

As more people do more of their business on the Internet-

� making travel arrangements,

� banking,

� trading stocks,

� checking their children's grades,

� catching up on the news,

� downloading books and movies,

� keeping track of their friends and business associates-

the day will come when they start to wonder why they have to resort to the telephone to call their doctor.

A survey that our company conducted found that 77% of patients would use an on-line patient portal.

Page 12: Patient portals and meaningful use

Patient Portals – What do they do?

Request Appointments with preferred dates and times

Receive reminders of appointments or other significant dates

Review clinical data (EMR data)

Review educational material (based on DX)

Check lab results

Examine statements and make payments via on-line bill payment

Request a prescription refill

Complete new patient intake forms

Update existing information

Communicate with the office (front office and care providers)

Page 13: Patient portals and meaningful use
Page 14: Patient portals and meaningful use
Page 15: Patient portals and meaningful use

Clinical Quality Measures

Two Types of Criteria

EHR Functionality

Page 16: Patient portals and meaningful use

20 Criteria Needed

Menu Set 10Select 5

EHR Functionality

Core Set 15Mandatory

Page 17: Patient portals and meaningful use

Patient Portals can help your practice meet

3 (of 15) core objectives and

4 (of 5) menu objectives

for a total of

7 (of 20)

Page 18: Patient portals and meaningful use

Meaningful Use Criteria Met by Patient PortalCore Set

1. Computerized provider order entry (CPOE)

2. E-Prescribing (eRx)

3. Report ambulatory clinical quality measures to CMS/States

4. Implement one clinical decision support rule

5. Provide patients with an electronic copy of their health information, upon request

6. Provide clinical summaries for patients for each office visit

7. Drug-drug and drug-allergy interaction checks

8. Record demographics

9. Maintain an up-to-date problem list of current and active diagnoses

10. Maintain active medication list

11. Maintain active medication allergy list

12. Record and chart changes in vital signs

13. Record smoking status for patients13 years or older

14. Capability to exchange key clinical information among providers of care and

patient-authorized entities electronically

15. Protect electronic health information

Page 19: Patient portals and meaningful use

Meaningful Use Criteria Met by Patient PortalMenu Set

1. Drug-formulary checks

2. Incorporate clinical lab test results as structured data

3. Generate lists of patients by specific conditions

4. Send reminders to patients per patient preference for preventive/follow

up care

5. Provide patients with timely electronic access to their health information

6. Use certified EHR technology to identify patient-specific education

resources and provide to patient, if appropriate

7. Medication reconciliation

8. Summary of care record for each transition of care/referrals

9. Capability to submit electronic data to immunization registries/systems*

10. Capability to provide electronic syndromic surveillance data to public

health agencies*

Page 20: Patient portals and meaningful use

Meaningful Use Criteria Met by Patient PortalMenu Set

The following pages provide detailed information on those Meaningful Use Criteria that a patient portal will help

you meet.

Page 21: Patient portals and meaningful use

Objective

Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies), upon request

Measure

More than 50% of all requesting patients receive an electronic copy of their health information within 3 business days

Patient Portal

Patients are given secure access to the portal and pull up their current health information along with any clinic office visit summary.

Meeting the Meaningful Use Criteria

Core Set (15 Mandatory)

1

Page 22: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Core Set (15 Mandatory)

Objective

Provide clinical summaries for patients for each office visit.

Measure

Clinical summaries provided to patients for more than 50% of all office

visits within 3 business days

Patient Portal

While this requirement can be addressed via paper copies, the cost

effective solution is to give an electronic copy to patients who want one.

2

Page 23: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Core Set (15 Mandatory)

Objective

Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, diagnostic test results), among providers of care and patient authorized entities electronically.

Measure

Performed at least one test of certified EHR technology's capacity to electronically exchange key clinical information.

Patient Portal

Your certified EHR will be able to generate the properly formatted data file, but a good patient portal will allow you to share this data with a referring doctor or specialist.

3

Page 24: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Menu Set (Select 5 of 10)

Objective

Send reminders to patients per patient preference for preventive/ follow up care.

Measure

More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period.

Patient Portal

There are others way to do this but a patient portal should have the functionality to do this if you cannot do it through other methods.

1

Page 25: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Menu Set (Select 5 of 10)

Objective

Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies) within four business days of the information being available to the doctor.

Measure

More than 10% of all unique patients are provided electronic access to their health information within four business days of being updated in the certified EHR. Goes to 90% in MU Stage 3.

Patient Portal

Patient requests a secure access code and is issued one. They access the portal and pull up their current health information along with any clinic office visit summary.

2

Page 26: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Menu Set (Select 5 of 10)

Objective

Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate.

Measure

More than 10% of all unique patients are provided patient-specific education resources

Patient Portal

Data pulled from certified EHR provides ICD-9s for the patient. Email link to patient with appropriate ICD-9 driven educational material or have link on Patient Portal.

3

Page 27: Patient portals and meaningful use

Meeting the Meaningful Use Criteria

Menu Set (Select 5 of 10)

Objective

The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary of care record for each transition of care or referral.

Measure

Provide as summary of care record for more than 50% of transitions of care and referrals

Patient Portal

This can be done a number of ways but some systems allow the practice to email a secure link to the referee who then can access the patient’s record through the patient portal.

4

Page 28: Patient portals and meaningful use

Example of Patient Health Information from Patient Portal

Page 29: Patient portals and meaningful use

Example of Patient Lab Results from Patient Portal

Page 30: Patient portals and meaningful use

Example of Patient Education from Patient Portal Based on Patient’s DX

Page 31: Patient portals and meaningful use

The Future of Patient Portals

We will look back one day and wonder how we ran a practice without a Patient Portal