AllscriptsEnterpriseEHR UnderstandYourPathtoMeaningfulUse

Copyright 2010 Allscripts-Misys Healthcare Solutions, Inc.
Understand Your
Path to Meaningful
Use
3
The Path to Meaningful Use
4
Allscripts EHRs Stage 1 Stimulus Set
Certified EHR
CCD to PHR &
Reminders
Basic Clinical
Quality Reporting
Stimulus
Reporting
eReferrals
via ARN
Immunization
Registries
Syndromic
Surveillance
Achieving Stage 1 Meaningful Use
Firstan ARRA-certified EHR
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the ACE hash tag is #ACE2010
Certification
5
Approved
EHR Certification Criteria
6
Manage a problem
list
Manage a
medication list
Send a prescription
electronically
Manage an allergy
list
7
The Steps to Certification
Necessary inputs:
Final certification tests by the National Institute of Standards and
Technology (NIST) - Just released
Accreditation of certifying bodies - EXPECTED September
Certifying bodies begin process - EXPECTED September /
October
August September October
2010
NIST tests
published
Accreditation
of certifying
bodies
Certification
possible
Q1 2010 Q2 2010 Q4 2010
The Meaningful Use Release Timeline
Note: Timeline subject to change as new information is interpreted.
Meaningful Use Requirements, VOC,
Functional Design and Coding
Q3 2010
calendar year
MU Early Validation
Testing
Early
Adoption
GA
Code Drops
1 2 3 4
1
Stage 1 Meaningful Use Requirements
Generate lists of patient based on
specific conditions
Maintain active medication list
Capability to submit electronic data to
immunization registries
Maintain active medication allergy list
Record and chart vital signs Lab results Protect Health Information
Send reminders to patients based on
patient preferences and selected
by specific criteria
Capability to submit electronic
syndromic surveillance data to
public health agencies
Implement one clinical decision support
rule relevant to specialty or high
clinical priority
Provide summary care record for each
transition of care
Record smoking status for patients 13
and over
Implement drug-drug and drug-allergy
checks
Provide patients with timely electronic
access to their health information
Report ambulatory clinical quality
measures to CMS (or the states)
Generate and transmit permissible
prescriptions electronically (eRx)
Provide access to patient-specific
education resources upon
request
Maintain an up-to-date problem list of
current and active diagnoses
Computerized Provider Order Entry
(CPOE) for medication orders
Implement drug-formulary checks
Provide patients with an electronic
copy of their health information
Clinical summaries provided to patients
for all office visits
Medication Reconciliation when the EP
receives a patient from another
setting of care or provider of care
Record the following demographics:
preferred language, gender, race
and ethnicity, and date of birth
Capability to exchange key clinical
information among providers of
care and patient entities
electronically
Objective
2
3
Patient Demographics (Race and Ethnicity)
No Active Problems
Patient Communication Methods (reminders/clinical summary)
Reminders
Clinical Summaries
Population Management
Electronic Patient Access
Health Information within 48 hours of request
Timely access within 96 hours
Immunization Registries
Syndromic Surveillance
Relevant Meaningful Use Modifications
Patient Demographics
1
1
2
2
1
1
2
2
Dictionaries and
fields for:
Race
Ethnicity
No Active Problems
1
1
1
1
New entry
No Active
Problems
2
2
Magenta
entry
indicates
No Active
Problems
has been
selected
2
2
ACI
17
No Active Problems
No Active Problems
displays in Chart
2
2
Adding a new problem,
automatically removes
No Active Problems
1
1
1
1
2
2
Problem Component
Patient Preferences
Clinical
Summaries
2
2
Reminders
1
1
1
1
2
2
Dictionaries and
fields for:
19
Clinical Summaries
1
1
New check
box from
Encounter
Summary to
provide a
Clinical
Summary
Clinical
Summaries
1
1
20
Clinical Summaries
Clinical Summary
Not Yet Provided
2
2
Clinical Summary
Provided
1
1
1
1
2
2
Provider Schedule
Patient Demographics (Race and Ethnicity)
No Active Problems
Patient Communication Methods (reminders/clinical summary)
Reminders
Clinical Summaries
Electronic Patient Access
Electronic copy of health information within 3 business days of request
Timely access within 4 business days of information being available
Immunization Registries
Syndromic Surveillance
Relevant Meaningful Use Modifications
Uses a centralized query tool to obtain a defined population group
Generates a list of patients (Pursuit List) that meet the defined
criteria
Allows actions to be defined once the Pursuit List is obtained:
Creation of Reminders
Creation of Tasks
Creation of a Patient List
Send Patient Communications
Export File
4
24
Achieving Stage 1 Meaningful Use
Introducing the Stimulus Set
Certified EHR
Allscripts EHRs Stage 1 Stimulus Set
CCD to PHR &
Reminders
Basic Clinical
Quality Reporting
Stimulus
Reporting
eReferrals
via ARN
Immunization
Registries
Syndromic
Surveillance
Core Objective Menu Set (Choose 5)
Computerized Provider Order Entry (CPOE) for medication orders directly
entered by any licensed healthcare professional who can enter orders into
the medical record per state, local and professional guidelines
Implement drug-formulary checks
Implement drug-drug and drug-allergy checks Lab results
Maintain an up-to-date problem list of current and active diagnoses Generate lists of patient based on specific conditions to use for quality
improvement, reduction of disparities, research or outreach.
Generate and transmit permissible prescriptions electronically (eRx) Send reminders to patients based on patient preferences and selected by
specific criteria
Maintain active medication list Provide patients with timely electronic access to their health information
(including lab results, problem list, medication lists, medication allergies)
within 4 business days of the information being available to the EP
Maintain active medication allergy list Provide access to patient-specific education resources upon request
Record the following demographics: preferred language, gender, race and
ethnicity, and date of birth
The EP who receives a patient from another setting of care or provider of
care or believes an encounter is relevant should perform medication
reconciliation
Record and chart vital signs Provide summary care record for each transition of care
Record smoking status for patients 13 and over Capability to submit electronic data to immunization registries
Report ambulatory clinical quality measures to CMS (or, for EPs seeking
the Medicaid incentive payment, the states)
Capability to submit electronic syndromic surveillance data to public health
agencies
Implement one clinical decision support rule relevant to specialty or high
clinical priority along with the ability to track compliance with that rule
Provide patients with an electronic copy of their health information
Clinical summaries provided to patients for all office visits
Capability to exchange key clinical information among providers of care
and patient authorized entities electronically
Protect Health Information
The Role of the Stimulus Set
Meeting Minimum Stage 1 Objectives
Stimulus Set
Basic Patient Access
CCD = Continuity of
Care Document
PHR = Personal
Health Record
Publishes an API to
send CCDs to
industry standard
PHRs
Sends reminders to
patients based on
- preferences
- conditions
What is it?
PHRs are part of
making health
records portable
CCDs standardize
the way medical info
is shared
Why is it
important?
Reduces record
transfer and phone
staffing costs
Reduces no-show
rate
Increase patient
satisfaction
What are the
benefits?
Stimulus Set
Reporting Portal
Reports quality
measures to CMS or
the States, inclusive
of operational and
clinical metrics
Integrates data from
PM and EHR
Creates pursuit lists
What is it?
For 2011, attestation
required for stimulus
payment
Visibility into patient
population by specific
condition is critical to
quality improvement,
reduction of
disparities, research
and outreach.
Why is it
important?
Delivers greater
understanding of
clinical operations
Enables identification
of improvement
opportunities
Tracks progress
towards goals
What are the
benefits?
Stimulus Set
Basic Clinical Quality Metrics
Calculates core and
additional clinical
quality metrics
required for Stage 1
incentives
Delivers quality-
driven alerts
Delivers reports on
individual and
aggregate
performance
What is it?
Helps shape best
clinical practices
Lays foundation for
P4P and other
payment models
Why is it
important?
Allows providers to
meet Stage 1
objectives/ measures
What are the
benefits?
Stimulus Set
Immunization Registry & Syndromic Surveillance
Submission
Record, receive &
transmit reports to
immunization
registries
Record, receive &
transmit reports to
state and federal
public health
agencies
What is it?
Facilitates
compliance
Critical to population
health management
Why is it
important?
Allows providers to
meet Stage 1
objectives/ measures
May open
opportunities for
alternative funding
What are the
benefits?
Seamless exchange
between Allscripts
clients, with vision to
reach any provider
Leverages existing
EHR referral workflow
Provides referring
and referred practices
with required
information
What is it?
Enhances care
coordination
Improves quality of
communication from
referring clinicians
Why is it
important?
Stimulus Set
eReferrals via Allscripts Referral Network
What are the
client benefits?
Reduces
administrative
burden
Eliminates costly
paper
Decreases wait times
for specialty
appointments
33
Certified EHR
CCD to PHR &
Reminders
Basic Clinical
Quality
Stage 1 Stimulus Set
Stimulus
Reporting
eReferrals
via ARN
Immunization
Registries
Syndromic
Surveillance
Patient Portal
Clinical Quality
Solution
PayerPath Solutions
Analytics
Connectivity
Device Integration
Transformation
Consulting
Academy
Allscripts EHRs
Pursue Your Vision for World Class
Healthcare
Patient Portal
Rich integration with PHRs
Streamlined communication between patients
and practice
Appointment requests
Refill requests
Secure email to providers
Normal lab results
Increased administrative
& clinical efficiency
34
Client
Benefits
Clinical Quality Solution
Point of care dashboards to deliver actionable information
Comprehensive platform for participating in public and
private incentive programs
PQRI
Commercial P4P
Others
Benchmarking
Foundation for Stage 2 & 3
objectives & measures
35
Client
Benefits
5
Account Planning
Web-based assessment
They get immediate feedback on progress
Technology
Workflow
Overall
We will construct account plans for each client
Launch: July 19, 2010
Evolution
UEC
Evolution
UEC
Goals:
Cut upgrade time in half
Improve customer satisfaction
Product &
Program
Information
Product &
Program
Information
Pre-qualify
Demos
Engage Sales
Rep
Pre-qualify
Demos
Engage Sales
Rep
Scheduling
Setup
Migration
Communicate
eLearning
Knowledge
Community
Certification
Support Ticket
Hot Fix
Downloads
My Account
Support Ticket
Hot Fix
Downloads
My Account
Enterprise
EHR
PRO EHR
PRO PM
My Way
Allscripts
Products
Clarity
MS
Dynamics
SalesForce.com
Strategia
LMS
Community
Forum Product
SupportForce.com
Allscripts
Information
Systems
PayerPath
41 41
Allscripts Portal
6
7
What Can Help Me?
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