Robert H. Roswell, M.D.

Oklahoma Hospital AssociationSeptember 1, 2009

Health Information Technology

$17.2 B for Medicare and Medicaid incentives for physician and hospital adoption of electronic health records (EHRs)

$2B for grants from the Secretary of HHS and the Office of the National Coordinator for Health Information Technology (ONCHIT)

Incentive payments for eligible professionals

2011 $18,000 2012 $12,000 2013 $8,000 2014 $4,000 2015 $2,000

Total $44,000

(plus an additional $4,400 if in a designated health professional shortage area)

Penalties begin in 2015 if EHR has not been adopted

Failure to adopt EHRs

Physician Medicare penalties start in 2015

2015 -- 1% reduction in Medicare fees 2016 – 2% reduction in Medicare fees 2017 – 3% reduction in Medicare fees HHS may increase penalties after

2017 if EMR adoption level is unsatisfactory

Medicaid Incentives

Up to $21,250 for adoption of certified EHR technology

Up to $8,500 a year for 5 years for operation and maintenance

Total funding cap of $63,750 per eligible physician (Medicaid patients comprise 30% of practice; 20% for pediatricians)

Incentive payments for eligible hospitals Base amount ($2M) plus a a discharge-

related payment, adjusted for Medicare share up to $11M

Year 1 100% Year 2 75% Year 3 50% Year 4 25%

Beginning in FY 2011 (October 1st, 2010)

Penalties begin in 2015 for hospitals not adopting EMRs.

“Meaningful Use”: Certified

New HIT Policy Committee must define initial certification criteria by December 31st, 2009

Second draft matrix released July 16th

Meaningful use of certified EHR technology

Using a certified EHR technology including the use of electronic prescribing

Connected in a manner that provides for electronic exchange of health information

Submits information on clinical quality measures

2011 Hospital Meaningful Use Matrix

10% of all orders through CPOE Implement drug/allergy software Problem, medication, and allergy lists Demographics, advance directives,

vital signs Structured lab data, quality measures Electronic billing Exchange key clinical information

among providers

And we have 13 months to get it done!

HHS Grant Program: $2 Billion

Section 3013

$300M to States or State-designated entities

Planning and implementation of HIE efforts

State HIE Cooperative Agreement Program

FOA released August 20th

$564 million in funding Secretary Terri White designated

state lead Public forum held August 14th

OHCA coordinating application with broad stakeholder input

State HIE Grant Program

Item to Submit Date

Letter of Intent September 11, 2009, by 5:00pm EST

Application October 16, 2009 by 5:00pm EST

Award Announcements December 15, 2009

Anticipated Project Start Date Beginning January 15, 2010

State HIE Grant Program

Estimated Oklahoma funds $6-10M

Planning phase cannot exceed 6 months