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Meaningful Use Stage 2 – The Infrastructure Wave

Adele AllisonNational Director of Government Affairs

September 25, 2012

888.879.7302 • www.SuccessEHS.com

Stage 2 MU – Infrastructure Wave

• Meaningful Use Look-Back• Incentive Program Highlights• Stage 1 Changes• Stage 2 Measures• Clinical Quality Measures• Health IT Considerations• Questions


Meaningful Use – Authority • ARRA Signed 2/17/09 in Denver, CO• Purpose: Stimulate the economy through investments in

infrastructure, unemployment benefits, transportation, education, and healthcare.

• $45B in HITECH Funding: o $20B in Medicare Incentiveso $14B in Medicaid Incentives

PROGRAM 2012 2013 2014 2015 2016 2017

Medicaid EHR Incentive Program

CarrotsYear 1: $21,250

Year 1: $21,250

Year 1: $21,250

Year 1: $21,250

Year 1: $21,250

Year 1: $21,250

Years 2-6: $8,500

Years 2-6: $8,500

Years 2-6: $8,500

Years 2-6: $8,500

Years 2-6: $8,500

Years 2-6: $8,500

Medicare EHR Incentive Program**

Carrots Up to

$18,000Up to

$15,00Up to

$12,000Up to

$8,000Up to

$4,000

Sticks

-1.0% -2.0% -3.0%** Meaningful Use incentives will vary based upon the EP’s year initiated and allowable charges.


Summing-up HITECH Goals

1. Adopt and Use Certified EHR Technology (CEHRT)

2. Capture DATA – Vitals, Problems, Allergies, etc.

3. Move DATA – Interoperability

4. Report DATA – CQMs and PQRS • $27B in “Carrots”• Stage 1 Meaningful Use = Marks 11 and and 22• Stage 2 Meaningful Use = Marks 33 and and 44


Meaningful Use – State of the Union • 55% of Physicians had “adopted” any CEHRT

o Among Physicians Under age 50 → 64% adoption rateo Over age 50 → 49% adoption rateo Hosted CEHRT → 41%o 29% of Solos as compared to 86% among large practices (11+ MDs)

• 58% of PCPs have adopted CEHRT• 55% of Medical Specialists have adopted CEHRT• 48% of Surgical Specialists have adopted CEHRT• 75% Physicians with CEHRT report meeting MU1• 85% are somewhat (47%) or very (38%) satisfied• 75% of CEHRT adopters → “It’s enhanced patient care”• 50% with no CEHRT plan to purchase in next 12 months


Polling the Audience


Meaningful Use – State of the Union • ↑↑ $3.6 Billion in Medicare Incentives Paid – Hospitals/Providers• ↑ $3.3 Billion in Medicaid Incentives Paid – Hospitals/Providers• ↑ 287,000 hospitals / providers registered• 47 States have launched Medicaid Programs

o D.C. – September 2012o MN – September 2012o NH – September 2012o Hawaii, Guam, Am. Samoa - Unknowno Puerto Rico and Virgin Islands – Unknown


Meaningful Use – State of the Union • Active Registrations

o Hospitals → 3,973o Medicare Eligible Providers → 192,016o Medicaid Eligible Providers → 91,130

• Hospital Attestation → $4,523,283,457• Medicare EP Stage 1 Attestation → $1,267,068,609$1,267,068,609

• Medicaid EP Year 1 & Year 2 Attestation →→ $1,140,158,421$1,140,158,421

Program to Date Eligible Professionals Payments13,623 Internal Med. 14,467 Family Med. 5,095 Cardiology 2,860 OB/Gyn 2,897 Gastro

1,938 Urology 1,605 ENT 2,465 Gen’l Surgery 2,850 Ortho 2,019 Neurology

16,548 Other

Program to Date Eligible Professionals PaymentsAIU 39,612 Physicians 9,223 Nurse Prac. 1,159 Mid-Wives 3,366 Dentists 608 Physician Asst.

MU 741 Physicians 258 Nurse Prac. 21 Mid-Wives 12 Dentists 12 Physician Asst.


Meaningful Use – Highest / Lowest• Top 5 States – Hospitals/Providers

• Lowest 5 States – Hospitals/Providers

State Medicare Medicaid Paid Count TotalTexas $268,799,000 $345,233,522 9,487 $614,032,521California $222,294,768 $353,096,067 9,083 $575,391,835Florida $268,485,118 $203,126,345 8,172 $471,611,464New York $215,608,873 $177,350,910 7,052 $392,959,783Pennsylvania $204,156,197 $146,275,623 7,973 $350,431,820

State Medicare Medicaid Paid Count TotalNorth Dakota $11,128,406 $3,021,084 262 $14,149,490Idaho $10,280,322 $2,678,361 197 $12,958,683South Dakota $7,104,719 $5,671,423 296 $12,776,142Wyoming $1,813,941 $5,893,626 126 $7,707,567District of Columbia $2,921,701 $0 177 $2,921,701


CEHRT Impact• Gains in Population Health Management

o Cleveland Clinic Florida 9.6% Pre-CEHRT Hypoglycemia insulin order sets → dropped to

3.8% Post-CEHRT adoption 60% Pre-CEHRT Normal Blood Sugar rates → 65% Post-CEHRT

adoptiono SuccessEHS Customers

1,274 Clinic Sites using ePrescribing 1,102 Clinic Sites using Extended eRx

1,156 Clinic Sites using Clinical Event Manager 762 Clinic Sites using Patient Portal


Measuring Knowledge





MU – Objectives & Measures• Objectives are broad spanning goals/activities• Measures are specific task(s) requirements• Meeting the measures = meeting the Objectives for that

Stage• Stage 1 MU (July, 2010)

o 15 Core Measures required by all EP’so 10 Menu 10 Menu Measures from which EP’s choose Measures from which EP’s choose 55o 13 Exclusion Clauses Clauses

• Stage 2 MU (August, 2012)

o 17 Core Measures required by all EP’so 6 Menu 6 Menu Measures from which EP’s choose Measures from which EP’s choose 33o 20 Exclusion 20 Exclusion ClausesClauses


Incentive Payouts

• MU Incentives are not funded by Senate Appropriations• Incentives are an Entitlement• Money cannot “run out”

Calendar Year

First Calendar Year in which the EP Receives an Incentive Payment

2011 2012 2013 20142015 and

subsequent years

2011 $18,000

2012 $12,000 $18,000

2013 $8,000 $12,000 $15,000

2014 $4,000 $8,000 $12,000 $12,000

2015 $2,000 $4,000 $8,000 $8,000 $02016 $2,000 $4,000 $4,000 $0

TOTAL $44,000 $44,000 $39,000 $24,000 $0Shortage Area

Totals* $48,400 $48,400 $42,900 $26,400 $0

* Providers practicing in a federally identified shortage area are eligible for a 10% increase.


Incentive Payouts

Calendar YearFirst Calendar Year in which the EP Receives an Incentive Payment

2011 2012 2013 2014 2015 2016

2011 $21,2502012 $8,500 $21,2502013 $8,500 $8,500 $21,2502014 $8,500 $8,500 $8,500 $21,2502015 $8,500 $8,500 $8,500 $8,500 $21,2502016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,2502017 $0 $8,500 $8,500 $8,500 $8,500 $8,5002018 $0 $0 $8,500 $8,500 $8,500 $8,5002019 $0 $0 $0 $8,500 $8,500 $8,5002020 $0 $0 $0 $0 $8,500 $8,500

2021 $0 $0 $0 $0 $0 $8,500

TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63,750


MU2 Highlights• Published in the Federal Register September 4, 2012• Delayed Stage 2 by one year to CY2014• CY2014 attesters (MU1 or MU2) → any quarter

o 3 month reporting period for ‘Care attesting Stage 1/2 in 2014o First year ‘Caid EPs either any 90-days or quarters, by state option

• Everyone gets 2 years in each Stage• Changes to Quality measures with expectation they will be

electronically submitted• Patient Engagement → Big theme• Stage 2 allows for batch or group reporting• Production HIE will be required


MU2 Launch Date• MU2 begins for EP in CY2014• MU1 or MU2 EPs in 2014 → quarter EHR reporting period• MU1 Latecomers starting after 2014 → full year EHR

reporting period• Quarters / Yearly reporting supports data integrity with

other Federal initiatives (E.g. PQRS, ACOs)First

Payment Year

Stage of Meaningful Use2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

2011 1 1 1 2* 2 3 3 TBD TBD TBD TBD2012 1 1 2* 2 3 3 TBD TBD TBD TBD2013 1 1* 2 2 3 3 TBD TBD TBD2014 1* 1 2 2 3 3 TBD TBD2015 1 1 2 2 3 3 TBD2016 1 1 2 2 3 32017 1 1 2 2 3*3-month quarter EHR reporting period for Medicare; continuous 90-day EHR reporting period (or

3-months at state option) for Medicaid. All first year EPs in 2014 use any continuous 90-days.

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Medicare Penalties

• Applies to EPs treating Medicare Part B PFS Patients• HITECH requires Payment Adjustment if no MU by 2015• Adopt, Implement or Upgrade (AIU) is NOT MU• Payment Adjustment based on prior year’s reporting period

– 2 year lag• Any MU in 2013 = No Adjustment in 2015• Medicare MU registration & attestation by 10.1.2014 = No

Adjustment in 2015• This means 90-day reporting period no later than 7.1.2014• EP must continue to meet MU annuallyannually to avoid

adjustments in subsequent years


Medicare Penalties • Penalties are cumulative with other CMS Programs

• EP Hardship Exceptions1. Infrastructure → E.g. Lack of Broadband2. New EP → 2-year limited exception3. Unforeseen Circumstances → E.g. Natural Disaster4. Lack of Face-to-Face or F/up Need with Patients → E.g. Pathology,

Radiology, Anesthesiology 5. Multiple Locations and Lack of control over availability of CEHRT

for more than 50% of patient encounters

2015 2016 2017 2018 2019 2020+EP subject to MU adjustment only 99% 98% 97% 96% 95% 95%

EP also subject to eRx adjustment 98% 98% 97% 96% 95% 95%

EP also subject to PQRS adjustment 96.5% 96% 95% 94% 93% 93%

EP also subject to Value-Based Modifiers (VBM)

+/-TBD

+/-TBD

+/-TBD

+/-TBD

+/-TBD

+/-TBD


Medicaid Patient Volume Expansion• Required Thresholds

o Pediatricians → 20% - 30%o FQHC / RHC → 30% using “Needy” Encounter in Numeratoro All Other → 30%

• Calculations from auditable data source and documentation• MU2 → Look-back period now the 12-months preceding

attestation, not CY• Includes encounters for anyone enrolled in Medicaid

o Medicaid CHIP expansion encounters (except standalone Title 21)o Encounters with Zero-pay claims

• Zero-pay encounters includeo Denied due to Max-out Service Limito Denied for non-coverage under Medicaid Programo Paid at $0 due to another payer’s paymento Denied for lack of timely submission


Measuring Knowledge





Stage 1 Changes – CY2013-14

• Core CPOE Denominatoro Currently: # of Unique Patients with 1 Rx seen by EPo “New” Option: # of orders for Rx during EHR Reporting Periodo CY2013 and beyond → EPs can use either

• Core Vitals Exclusion Clauseo Currently: BP and Height/Weight not relevanto “New”: EP can split to exclude 1 onlyo CY2013 → EPs can use either exclusiono CY2014 → New Exclusion Only

• Core Vitals Age Requirementso Currently: See no patients age 2+o “New”: Sees no patients age 3+o CY2013 → EPs can use either exclusiono CY2014 → New Exclusion Only


Stage 1 Changes – CY2013-14

• Core Test of Exchanging Key Clinical Information → Removed from Stage 1 effective CY2013

• Core ePrescribing Exclusion → Added where EP not within 10 mile radius of ePharmacy effective CY2013

• 3 Menu Measures → Data submission to Public Health for Immunizations, Reportable Labs and Syndromic Surveillanceo Removed “except where prohibited” o Encouraging submission even if not state required

• 2 Measures → Core Electronic Copy and Menu Timely Electronic Accesso 2014 Edition Vendor Certification = obsoleteo Replaced: CY2014 Stage 2 measure of Patient View, Download and Transfer

• Core Submission of CQMs Eliminated and Incorporated into definition of “Meaningful EHR User”

• Stage 1 EPs must choose 5 Menu Measures if available


Measuring Knowledge





Stage 2 Measures – 17 Core 17 Core Objectives

No. Objective Measure Threshold

New, Revised, Expanded,

Consolidated or Unchanged

Exclusions Health IT Needs

1Computerized Provider Order

Entry (CPOE)

Use CPOE for medication, lab and radiology orders entered by any professional permitted by law

60% Rx (↑ from 40%), 30% Labs, 30% Radiology

Expanded

EP has < 100 Rx, lab, radiology orders collectively

Orders Management Orders Audit Trails Delinquency Alerts

2

Generate and Transmit

Permissible Prescriptions Electronically

Using a certified EHR technology and compared to at least 1 drug formulary (still excludes controlled substance [Sch. II-V] and OTC)

50% (↑ from 40%)Expanded and Consolidated

EP writes < 100 Rx; or,

No pharmacy w/in 10 miles of the practice

Rx Database Interaction Alerting eRx (E.g.,

Surescripts) Formulary Checking

3Record Patient Demographics

Gender, race, ethnicity, DOB, and preferred language as structured data

80% (↑ from 50%) ExpandedNone

Patient Administration

Master Patient Index

4Record Vital Signs and Chart Changes

Height & weight (all ages), blood pressure (ages 3+), BMI (all ages), and growth charts for children (0-20) as structured data

80% (↑ from 50%)Revised and Expanded

No pts. age 3+ Ht., Wt., BP

irrelevant BP only irrelevant

Vitals Capture Tool Detailed Entry Normal Ranges and

Graphing Automated BMI and

Growth Charts

5Record Smoking

StatusPatients age 13 and older as structured data

80% (↑ from 50%) Expanded

EP does not see pts. age 13+

Smoking Status Alerting to lack of

Documentation


Stage 2 Measures – 17 Core

17 Core Objectives





6Implement Clinical Decision Support

and Track Compliance

Implement CDS to improve on high-priority condition:1.5 CDS interventions for 5 or more CQMs during entire reporting period; and2.Enable drug-drug and drug-allergy checks for entire reporting period.

5 Rules and Rx alerting by attestation

Expanded and Consolidated

2nd measure only – EP writes < 100 Rx

Evidence-based guidelines

Population Management Tool

Point-of-Care Alerting for non-adherence

Static and Customizable Interventions

7Incorporate Clinical

Lab Test Results into EHR

Incorporated as structured data – positive/negative or numerical format – within the EHR

55% (↑ from 40% and made Core) Expanded

EP orders no lab tests during EHR reporting period

Bidirectional Lab Interface for in-house and/or reference labs

8Generate Lists of

Patients by Condition

1 List with a Specific Condition for use in quality improvement, reduction of disparities, research or outreach

By attestation (Made Core) Unchanged

None



Action Tracking and Escalation

Patient Portal Alerting Form letter merging Phone Lists

9Send Reminders to

Patients

Preventative and follow-up care for all patients based on clinically relevant info for anyone with an OV in past 24 months

10% (↓ from 20%, all patients and Made

Core)Expanded

EP has no office visit in previous 24 months



Action Tracking and Escalation

Patient Portal Alerting Form letter merging Phone Lists

10Timely Electronic Access to Health

Information

Patients can view online, download and transfer info within 4 days of being available to EP, subject to EPs discretion to withhold certain info

1. 50% of all pts., and

2. 5% of pts. access

New

EP has no orders / creates info required

>50% visit in county with >50% with 3Mbps broadband available

Advanced Patient Portal Robust Portal Integration

to CEHRT Access Tracking Patient Administration


Stage 2 Measures – 17 Core

17 Core Objectives

No. Objective Measure ThresholdNew, Revised,

Expanded, Consolidated or

Unchanged


11Provide Patients with

Clinical Summaries

For each office visit to patients within 1 business day, which includes up-to-date lists of problems, medications and Rx allergies (paper and electronic must be avail. to pt.)

50% (Unchanged)Expanded and Consolidated

EP has no office visit during EHR reporting period

Advanced Patient Portal Robust integration of

Portal to CEHRT

12Use of secured messaging with

Patients

Send secured messages to patients seen during reporting period 5% New


Advanced Patient Portal Messaging Capabilities

13Use EHR for Patient-

Specific Education Resources

Provide patient-specific education resources to all patients

10% (Unchanged but made Core and “if

appropriate” removed)

Expanded


Integrated Patient Education Tools

Static and Customizable forms

Multi-language

14Perform Medication

ReconciliationDuring transitions of care (TOC) into care of EP 50% (Made Core) Unchanged

EP not recipient of any TOC during EHR reporting period

HIE (Direct or Exchange) Rx History

15Provide Summary of

Care Record

Patients referred or transitioned to another provider or setting and electronically transmit to a different system.

1. 50% of TOC or referrals (Made core)

2. 10% electronically transmitted

Expanded and New

EP neither transfers nor refers patient during EHR reporting period < 100 times

CCDA HIE (Direct or Exchange) HIE Tracking

16

Submission of Electronic

Immunization Data to Registry / Information

Systems

Ongoing submission

During Entire EHR Reporting Period

(Made Core)Expanded

EP does not admin. immunizations,

No electronic registry available*

No timely provision of information on available registry

No registry that accepts CEHRT standards available*

Immunization Registry Interface or HIE submission to Immunization Registry

CEHRT Immunization Guideline Adherence Tracking Tool

Detailed Immunization Tool

17Implement Systems to

Protect Privacy and Security of Patient

Data

Conduct/review a security risk analysis; implement security updates as necessary and correct security deficiencies; encrypt data at rest in accordance with 45 CFR 164.312(a)(2)(iv) and 45 CFR 164.306(d)(3)

During Reporting Period by attestation

Expanded

None Thin-Client CEHRT

Operations Encryption Technology (Optional) Data-hosting Internet Access


Stage 2 Measures – 3 of 6 Menu

3 of 6 Menu Objectives





1Imaging Results and Information

Are accessible through the CEHRT 10% New

EP does not perform diagnostic interpret. of scans/test whose result is an image during reporting period, or

EP orders imaging results < 100 times

PACS Results Interface

PACS Portal for image retrieval

2Patient Family Health History

Structured data entry for one or more first-degree relatives 20% New

EP has no office visits during reporting period

Structured Knowledge Base for documentation

Family Health History clinical concepts

3Record Electronic

Notes

At least 1 note created, edited and signed by EP for patients with at least 1 OV during EHR reporting period

30% New

No office visits during reporting period, or

>50% visit in county with >50% with 3Mbps broadband available

Structured Knowledge Base for documentation,

Voice Recognition, Customizable Forms,

and/or Ability to type note

4Submission of

Electronic Syndromic

Surveillance Data

Ongoing data submission to Public Health agencies (where agencies can accept electronic data)

During Entire EHR Reporting

PeriodExpanded

EP does not collect any data,

No electronic registry available*


No registry that accepts CEHRT standards available*

Public Health Registry Interface or HIE submission to Public Health Registry

CEHRT Surveillance tracking tools


Stage 2 Measures – 3 of 6 Menu

*Exclusion does not apply if data can be accepted through a designated HIE

3 of 6 Menu Objectives





5Submission of Cancer Cases

Ongoing data submission to a state cancer registry

During Entire EHR Reporting Period New

EP does not diagnose or directly treat CA

No public health agency is capable of receiving data


No registry that accepts CEHRT standards available

State Cancer Registry Interface or HIE submission to State Cancer Registry

CEHRT Cancer tracking tools

6Submission of

Specialized CasesOngoing data submission to a specialized registry

During Entire EHR Reporting Period New

EP does not diagnose or directly treat CA

No public health agency is capable of receiving data


No registry that accepts CEHRT standards available

Specialized Registry Interface or HIE submission to Specialized Registry

CEHRT Specialized Case tracking tools


Measuring Knowledge





Clinical Quality Measures (CQMs)• Removed as MU Measure → Now Part of Definition of

“Meaningful EHR User”• Electronic reporting by CY2014 for ‘Care regardless of Stage• PQRS will be the vehicle for Clinical Reporting for ‘Care• Clinical Reporting will drive VBM under ACA• Reporting will be reported publicly on “Physician Compare”• ACA requires CMS to align MU with other Federal programs

(E.g. PQRS and eRx)

• No change in ‘Care CQMs through CY2013 → 2 Reporting Methodso Manual calculation / Attestation on CMS websiteo eReporting under PQRS EHR Incentive Program Pilot

• ‘Caid EPs → Look to State on process and timelines


Clinical Quality Measures (CQMs)• Prior to CY2014 → Manual attestation of 6:44 CQMs• CY2014 and Beyond → Electronic submission of 9:64 CQMs

o First year EP → Aggregated data for All Payers through attestationo Subsequent Years, 2 Options

Electronic reporting of Aggregate data for All Payers, or Individual Continuity-of-Care Document (CCD) on Medicare only through

PQRS EHR Direct using CEHRT

• 9 CQMs must include 1 measure in 3 Nat’l Quality Strategy Domains, minimal (Core Sets of 9 Recommended)1. Patient and Family Engagement2. Patient Safety3. Care Coordination4. Population and Public Health5. Efficient Use of Healthcare Resources6. Clinical Processes / Effectiveness


EHR Direct Reporting & CMS• CMS wants EHR Direct Submission of Quality Data• Claims-based / Registry-based = bit of data only• EHR-based = Continuity of Care Document (CCD) on each

individual Patient• Stage 1 MU Final Rule:

• 20 Vendors CMS EHR Direct Qualified → 15 ONC CEHRT as Complete EHRs → Only 9 eRx Incentive Program through EHR Direct

• 51 Data Submission Vendors → The 2012 Reality

“… the HIT Policy Committee proposed the goal as, ‘Report to patient registries for quality improvement, public reporting, etc.’ We have modified this care goal, because we believe that patient registries are too narrow a reporting requirement to accomplish the goals of quality improvement and public reporting.”

Aprima Medical Software, Inc. ASP.MD, Inc. AZZLY™

Digital Medical Solutions, Inc. e-MDs Epic

LSS Data Systems Medical Informatics Engineering SuccessEHS, Inc.


Clinical Quality Measures (CQMs)• 64 Measures were finalized in the Final Rule (Table 7)

• Preference given to NQF-endorsed Measureso Average 3-year endorsement processo Dentists – 0 Dental CQMs in Stage 1; NQF endorse 4 measures in Aug, 2011

• 2 Oral Health Measureso Primary Caries Prevention (FV as part of EPSDT) – NQF 1419o 6-month exams on children ages 1-17 – NQF 1335

• Note → White Paper on MU and Dental Slated for October, 2012





Fed. Programs & Patient Engagement • Behavioral Economics requires an Engaged Patient• Transition from Episodic Care to Long-Term Healing and

Wellness• Patient Engagement ↑ Quality and ↓ Costs• 4 Federal Initiatives with Patient Engagement Regulations

o Meaningful Use Stage 2 - 7 Measureso Accountable Care Organizations – 7 Measures7 Measureso NCQA Patient-Centered Medical Home – 66 Factorso Value-based Purchasing – CAPHS


Patient Portal A Must

Pull Information ModelPush Information Model


HIE and TOC / Referrals• 10% of Transitions or Care and Referrals → Electronic

Summary of Care Record• Problem Focus: 75% of PCPs → No info about a patient’s

hospitalization post-discharge = Readmissions• HIE Message (Direct) to PCP from the HospitalHIE Message (Direct) to PCP from the Hospital• Hospitalization Hospitalization CareCare GapsGaps

o Discharge Rx ReconciliationDischarge Rx Reconciliationo Lack of Understanding of Discharge Plan of CareLack of Understanding of Discharge Plan of Careo Non-compliance or Untimely Post-discharge Plan of CareNon-compliance or Untimely Post-discharge Plan of Careo No appointments with a PCPNo appointments with a PCPo Logistics (E.g. Transportation)Logistics (E.g. Transportation)o PCP unawareness of hospitalizationPCP unawareness of hospitalizationo Lack, delay or inadequate communication with downstream providerLack, delay or inadequate communication with downstream providero Lack or inadequate communication with home care provider Lack or inadequate communication with home care provider (includes family)(includes family)


Transformation – Your IT Vendor

• Meaningful Use and Other Meaningful Use and Other DashboardsDashboards??o Metrics / Analytics by ProviderMetrics / Analytics by Providero Facilitates quick numerators/denominators for MU attestationFacilitates quick numerators/denominators for MU attestationo Practice analytics with drill-through detailsPractice analytics with drill-through details

• Patient Portal Patient Portal Inherent with System?Inherent with System?o Additional license or support feesAdditional license or support feeso Additional vendor and integration considerationsAdditional vendor and integration considerations

• Single database Single database solution for PM and EHRsolution for PM and EHR• EHR Direct EHR Direct PQRSPQRS• More than just first call More than just first call supportsupport

o Initiative Toolkits (E.g. MU, PCMH, PQRS)Initiative Toolkits (E.g. MU, PCMH, PQRS)o Consulting Support with domain expertsConsulting Support with domain experts

• Ongoing Client Educational Ongoing Client Educational OfferingsOfferings• REC and QIO REC and QIO AlignmentAlignment


Added to Added to The BRIEFThe BRIEF or Questions: or Questions:[email protected]@successehs.com

Follow me on Twitter:Follow me on Twitter:www.twitter.com/Adele_Allisonwww.twitter.com/Adele_Allison

Copies of Presentation:Copies of Presentation:[email protected]@successehs.com

Next Month:Next Month: MU2 and Patient Engagement, MU2 and Patient Engagement,

TOC, HIETOC, HIE

Health & Medicine

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