Health IT and American Recovery and

Reinves tment Act ( ARRA) of 2 0 0 9 :

Help , Hyp e and Hop e

Frances Dare, Director

H eal th care P ractice and H eal th P ol icy

M ay 1 9 , 2 0 0 9

Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 1

 S nap s hot—HIT in the S timu lu s
L eg is lation

$30B+ through Department of Health
and Human S erv i c es ( HHS )

E HR i nc enti v es through M ed i c are
and M ed i c ai d

G rants for v ari ous programs

S pec i fi c fund s for s ome health
enti ti es

V ary i ng ti meframes

ADOPTION

E mphas i s on s ec ure, elec troni c
ex c hange of health i nformati on

Source: Cisco IBSG Healthcare Practice, 2009

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 E HR Incentives —M edicare
M eaning f u l u sers of certif ied E H R s
w ith sp ecif ic cap ab il ities
P h y sicians H osp ital s
(n o t h o s p ita l b a s e d )
I nc entiv es beg in in I nc entiv es beg in in
2 0 1 1 —o v er f iv e y ea rs FY2011—o v er f iv e
y ea rs. W eig h ted to
ea rl y y ea rs
$ 4 4 k —ma x f o r mo st $ 2 M ba se
$ 4 8 k —ma x if in U p to $ 1 1 M
pro f essio na l sh o rta g e
F o rmul a ba sed o n
a rea
d isc h a rg es
N o inc entiv e if a d o pt N o inc entiv e a f ter 2 0 1 5 .
a f ter 2 0 1 4 . N o
P ena l ties beg in in
pa y ments a f ter 2 0 1 6
F Y 2 0 1 6
Reimbursement pen-
a l ty sta rting in 2 0 1 5
Source: Cisco IBSG Healthcare Practice, 2009
Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 3
 E HR Incentives —M edicaid
“E l ig ib l e P rof essional ”
MD, dentist, CNMW, PA,
Nu r se Pr a c titio ner
Q ua l if y ing el ig ibil ity —ba sed o n perc enta g e o f
pra c tic e’s pa tients th a t a re M ed ic a id
E H R inc entiv e eq ua l to 8 5 % o f “a v era g e
a l l o w a bl e c o st” to purc h a se, impl ement, o r
upg ra d e ( inc l ud ing ma intena nc e a nd tra ining )
I nc entiv es up to $ 6 3 , 7 5 0
P ro v id er must pa y rema ining 1 5 % o f th e
“a v era g e a l l o w a bl e c o st”
I nc entiv es beg in in 2 0 1 1

Fo r f i r s t y e a r o f p a y m e n t , d e m o n s t r a t e e f f o r t t o
a d o p t, im p le m e n t, o r u p g r a d e . M u s t b e
m e a n in g fu l u s e r o f c e r tifie d E H R a fte r y e a r o n e .
Source: Cisco IBSG Healthcare Practice, 2009
Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 4
 W hat is M eaning f u l U s e

The ability to:

E x c han g e elec tr on ic d ata

R ep or t c lin ic al q u ality m eas u r es

eP r es c r ibe ( p hys ic ian s on ly)

D em on s tr ated by:

C laim s w ith s p ec if ic c od es

R es p on d to H H S s u r v ey

A ttes t

Source: Cisco IBSG Healthcare Practice, 2009

Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 5
 Q u alif ied E lectronic Health Record

Demographi c s

C li ni c al i nformati on: Hx and prob lem li s ts

C apac i ty for c li ni c al d ec i s i on s upport

P hy s i c i an ord er entry

C apture and q uery i nformati on relev ant to
health c are q uali ty

E x c hange elec troni c health i nformati on w i th,
and i ntegrate i nformati on from, other
s ourc es

Cisco IBSG, 2008

Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 6
 $ 2 B D is cretionary F u nds

$20M to National Institute of Standards and Technology
“C rea te a nd test sta nd a rd s rel a ted to h ea l th sec urity a nd intero pera bil ity ”

$3 00M to O NC H IT
$ 3 0 0 M f o r reg io na l a nd subna tio na l ef f o rts f o r h ea l th inf o rma tio n ex c h a ng e

Focu s A rea S p ecif ics

I ncluding: telemedicine, technology to p rotect
7 i n v e s t m e n t a r e a s v ia H H S a g enc ies electronic health information, H I T for p ub lic health
H I T R e s e a r c h C e n t e r a nd H ea l th S up p ort p rov iders w ith E H R adop tion. R egional
I nf o rma tio n T ec h no l o g y R e g i o n a l E x t e n s i o n centers can b e contracted to not-for-p rofit
C e n te rs organiz ations
V ia O N C H I T. F ocus is HIT adoption and the
S ta te p l a n n i n g a n d i m p l e m e n t a t i o n g r a n t s ex change of electronic health information
S ta te & triba l g r a n t s —b e c o m e L O A N fu n d s V ia O N C H I T. M ay not b e aw arded b efore J anuary
fo r p r o v id e r s 1 , 2 0 1 0
D emo nstra tio n pro g ra m to a w a rd g r a n t s —
Targeting medical schools and others
in te g r a tin g H IT in to c lin ic a l e d u c a tio n
F ina nc ia l a ssista nc e to e s t a b l i s h o r e x p a n d Targeting medical schools and other institutions of
m e d ic a l in fo r m a tic s p r o g r a m s higher learning
Source: Cisco IBSG Healthcare Practice, 2009
Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 7
 Help . . . . Hop e

Questions?

Cisco Confidential Copyright © 2 0 0 9 Cis c o S ys te m s , I n c . A l l rights re s e rv e d . I n t e r n e t B u s in e s s S o lu tio n s G r o u p 8

 F ranc es Dare, Di rec tor, Healthc are P rac ti c e
fd are@ c i s c o. c om
4 6 9 .2 5 5 .4 2 2 6
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