Georgia Medicaid EHR Incentive Program
Presented by: Jacqueline Koffi, Program DirectorGeorgia Department of Community Health,
Division of Health Information Technology
Date: September 20, 2011
The Program
The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.
Georgia Medicaid Electronic Health Records Incentive program
• Physicians• Nurse practitioners• Certified nurse-midwives,• Dentists and• Physician assistants (who
furnish services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant.)
• At least 30% Medicaid patient volume or• 20% - 29% Medicaid patient volume, and is a pediatrician or; • Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30% patient volume attributable to needy individuals
AND
Eligible Professionals incentive payments of up to $63,750
Georgia Medicaid Electronic Health Records Incentive program
Eligible Hospitals – Acute care hospitals (including CAHs hospitals) with at least 10%
Medicaid patient volume – Children's hospitals (no Medicaid patient volume requirements)
Adopt, Implement, Upgrade or demonstrate Meaningful Use of certified EHR technology.
Birth of the Collaborative
• 13 states collaborated to develop a “core” system with HP:– Arkansas, Connecticut, Delaware, Florida, Georgia,
Indiana, Kansas, Massachusetts, Oregon, Pennsylvania, Rhode Island, Vermont, Wisconsin
– Medical Assistance Provider Incentive Repository - MAPIR
Medical Assistance Provider Incentive Repository - MAPIR
• MAPIR is the state level EHR incentive program repository• Customized by each State• Interfaces with Medicare and Medicaid EHR Incentive
Program Registration and Attestation System (R&A)• State Medicaid Management Information System (MMIS)• Georgia launched on September 5th!• Predicted 54 hospitals would be eligible……
Successful Attestation
Payments thru March 2012– Eligible Hospitals:
• 79 $47,847,677.74– Eligible Professionals:
• 517 $10,858,757.00– Total: $58,706,434.74
Hospitals Paid thru March 2012
ADVENTIST HEALTH SYSTEM GEORGIA, INC ∙ BROOKS COUNTY HOSPITAL ∙CANDLER HOSPITAL, INC ∙CARTERSVILLE MEDICAL CENTER LLC ∙ CHARLTON MEMORIAL HOSPITAL ∙CHATUGE REGIONAL HOSPITAL INC ∙CLINCH COUNTY HOSPITAL AUTHORITY ∙ COBB HOSPITAL ∙COLISEUM MEDICAL CENTER, LLC ∙COLQUITT REGIONAL MEDICAL CENTER ∙COLUMBIA POLK GENERAL HOSPITAL, INC CRAWFORD LONG HOSPITAL ∙DOCTORS HOSPITAL OF AUGUSTA LLC ∙DOCTORS HOSPITAL, INC ∙DODGE COUNTY HOSPITAL AUTHORITY ∙DOUGLAS HOSPITAL, INC ∙EGLESTON CHILDREN'S HOSPITAL AT EMORY UNIVERSITY, INC ∙EHCA EASTSIDE LLC ∙ELBERT MEMORIAL HOSPITAL ∙EMANUEL COUNTY HOSPITAL AUTHORITY ∙ EMORY-ADVENTIST INC ∙EVANS MEMORIAL HOSPITAL, INC ∙ FAIRVIEW PARK, LIMITED PARTNERSHIP ∙ FAYETTE COMMUNITY HOSPITAL, INC ∙ FLOYD HEALTHCARE MANAGEMENT INC ∙ GRADY GENERAL HOSPITAL ∙ GRADY MEMORIAL HOSPITAL CORPORATION ∙ GWINNETT HOSPITAL SYSTEM, INC ∙ HEALTHMONT OF GEORGIA INC ∙ HOSPITAL AUTHORITY OF BEN HILL ∙ HOSPITAL AUTHORITY OF CALHOUN COUNTY ∙ HOSPITAL AUTHORITY OF CANDLER COUNTY ∙ HOSPITAL AUTHORITY OF JEFF DAVIS COUNTY GEORGIA ∙ HOSPITAL AUTHORITY OF JEFFERSON COUNTY AND THE CITY OF LOUISVILLE ∙ HOSPITAL AUTHORITY OF MITCHELL COUNTY ∙ HOSPITAL AUTHORITY OF RANDOLPH COUNTY ∙ HOSPITAL AUTHORITY OF THE CITY OF BAINBRIDGE AND DECATUR COUNTY GEORGI ∙ HOSPITAL AUTHORITY OF WASHINGTON COUNTY ∙ HOSPITAL AUTHORITY OF WILKES COUNTY ∙ IRWIN COUNTY HOSPITAL ∙ JOHN D ARCHBOLD MEMORIAL HOSPITAL, INC ∙ KENNESTONE HOSPITAL, INC ∙ LOWER OCONEE COMMUNITY HOSPITAL, INC ∙ MACON COUNTY MEDICAL CENTER, INC ∙ MACON NORTHSIDE HOSPITAL, LLC ∙ MCG HEALTH INC ∙ MEADOWS REGIONAL MEDICAL CENTER INC ∙ MEDICAL CENTER, INC ∙ MORGAN COUNTY GEORGIA HOSPITAL AUTHORITY ∙ NORTH FULTON MEDICAL CENTER, INC ∙ NORTHEAST GEORGIA MEDICAL CENTER, INC ∙ OCONEE REGIONAL MEDICAL CENTER, INC ∙ PALMYRA PARK HOSPITAL, INC ∙ PAULDING MEDICAL CENTER, INC ∙ PHOEBE PUTNEY MEMORIAL HOSPTIAL, INC ∙ PHOEBE WORTH MEDICAL CENTER, INC ∙ PIEDMONT MOUNTAINSIDE HOSPITAL, INC ∙ PUTNAM GENERAL HOSPITAL ∙ REDMOND PARK HOSPITAL, LLC ∙ RESTORATION HEALTHCARE OF COMMERCE, LLC ∙ SAINT JOSEPH'S HOSPITAL, INC ∙ SCOTTISH RITE CHILDREN'S MEDICAL CENTER ∙ SOUTHERN HEALTH CORP OF ELLIJAY ∙ SOUTHERN HEALTH CORPORATION OF DAHLONEGA INC ∙ ST MARY'S HEALTH CARE SYSTEM, INC ∙ STATESBORO HMA INC ∙ STEPHENS COUNTY HOSPITAL AUTHORITY ∙ TANNER MEDICAL CENTER, INC ∙ TENET HEALTH SYSTEM GB, INC ∙ TENET HEALTHSYSTEM SPALDING, INC ∙ TENET SOUTH FULTON, INC ∙ THE COBB FOUNDATION, INC ∙ THE HOSPITAL AUTHORITY OF MILLER COUNTY ∙ THE HOSPITAL AUTHORITY OF MONROE COUNTY, GEORGIA ∙ TMC/VILLA RICA HOSPITAL, INC ∙ TY COBB HEALTHCARE SYSTEM ∙ UNION COUNTY HOSPITAL AUTHORITY ∙ UPSON COUNTY HOSPITAL INC ∙ WEST GEORGIA MEDICAL CENTER, INC
April 2012 Payments
Eligible Hospitals: • 5 Approx. $2.7M
Eligible Professionals:• 61 Approx. $2M
Approximate Total: $4.7M
Hospitals Receiving Payments April 2012
• CRISP REGIONAL HOSPITAL• NEWTON HEALTH SYSTEM• PIEDMONT NEWNAN HOSPITAL• SOUTHERN REGIONAL HEALTH SYSTEM• TMC/HIGGINS GENERAL HOSPITAL
What’s Next?
• Stage 1 Meaningful Use• Core and Menu Objectives• Clinical Quality Measures• Reporting Periods• Concierge Service
Stage 1 Meaningful Use
Stage 1 Meaningful Use will focus on:• Electronically capturing health information in a standardized
format• Using that information to track key clinical conditions• Communicating that information for care coordination processes• Initiating the reporting of clinical quality measures and public
health information• Using information to engage patients and their families in their
care
Core and Menu Objectives
• 24 meaningful use objectives. To qualify for an incentive payment, 19 of these 24 objectives must be met. – There are 14 required core objectives. – The remaining 5 objectives may be chosen from the list
of 10 menu set objectives.• https://www.cms.gov/Regulations-and-Guidance/Legislation/
EHRIncentivePrograms/downloads//Hosp_CAH_MU-TOC.pdf
Clinical Quality Measures
CQMs are a mechanism for assessing observations, treatment, processes, experience, and/or outcomes of patient care
– Hospitals must report on all 15 CQMs– https://www.cms.gov/Regulations-and-Guidance/Legislation/
EHRIncentivePrograms/downloads/CQM_Hospitals_2012_02_02.pdf
Reporting Periods
Meaningful Use Stage 1 Reporting Period
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http://www.ga-hitrec.org/gahitrec/Phone: 404-752-1015Toll Free: 877-658-1990
http://www.cms.gov/EHRIncentivePrograms
Toll Free: 1-888-734-6433
http://dch.georgia.gov/ehr
1-800-766-4456
Resources
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