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Rural Kentucky Medical
Scholarship Fund
Funding Proposal for EHR Survey
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Incentive Qualifications
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Not be hospital-based
Demonstrate “meaningful use” of a certified EHR
Medicaid Incentive Qualifications
Treat a patient population, of which at least 30% receive
Medicaid – 20% for pediatricians
Medicare Incentive Qualifications
Claim either 75% of Medicare Part B billings or the maximum
allowable incentive ($44,000 based on Part B billings)
* Note: The LEAST amount will be reimbursed
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EMR vs. EHR
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Electronic Medical Records
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Electronic Health Records
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The legal record of the Care
Delivery Organization (CDO)
A record of clinical services for
patient encounters in a CDO
Systems are sold by vendors
and installed by hospitals, etc.
Owned by the CDO
May not contain other
encounter information
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Closer to traditional
Medical Record
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Subset of information from
various CDOs
Example: Continuity of Care
Record, shared labs, pharmacy,
radiology, medical
Community, state, or regional
(RHIOs) – nationwide goals
Owned by patient or
stakeholder
Patient-centered, provides
interactive patient access.
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INTEROPERABLE
Meaningful Use
Requirements for 2011
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Physician practices implement CCHIT-certified EMR
Participation in an Information Exchange
Electronically prescribe prescriptions
Use Computerized Physician Order Entry (CPOE) for
all orders, even if electronic interfaces with receiving
entities are not available.
Must be able to check insurance eligibility
electronically from public and private payers, and
submit claims electronically.
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Meaningful Use
Requirements for 2011
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Patients must receive timely electronic access to their
health information, including lab results, medications
Must generate patient lists by specific conditions for
quality improvement, reduction of disparities
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Quality reporting participation
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Physicians must implement one clinical decision rule relevant to
specialty or high clinical priority
Must record patient smoking status and advance directives
Must maintain an up-to-date list of current and active diagnoses
based on ICD-9 or SNOMED
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Meaningful Use Quality
Measures Required for 2011
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% Diabetics with A1c under control
% Hypertensive patients with BP
under control
% patients with LDL under control
% of smokers offered smoking
cessation counseling
% of patients with recording BMI
% of surgical patients who received
VTE prophylaxis
% of order entered directly by
physicians through CPOE
Use of high-risk medications in the
elderly
% of females over 50 receiving annual
mammogram
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% of patients at high-risk for cardiac
events on aspirin prophylaxis
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% eligible patients who received flu
vaccine
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% lab results incorporated into EHR in
coded format
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% of patients over 50 with annual
colorectal cancer screenings
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Stratify reports by gender, insurance,
type, primary language, race, and
ethnicity.
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Thank You
Questions?