This free national Webinar, "Meaningful Use and Its Implications For Your Practice," was presented by ACP and AmericanEHR Partners and featured Dr. David Blumenthal, National Coordinator for Health Information Technology and Dr. Michael Zaroukian, FACP, Chief Medical Information Officer for Michigan State University. Dr. Blumenthal leads the federal government's programs on health IT adoption including Meaningful Use. Funding to support this Webinar has been provided by Hewlett-Packard.

1. David Blumenthal, MD, MPP National Coordinator for Health Information Technology Meaningful Use and Its Implications for Your PracticeAugust 4, 2010 Funding to support this Webinar has been provided by Hewlett-Packard

2. David Blumenthal, MD, MPP National Coordinator for Health Information Technology Meaningful Use and Its Implications for Your PracticeAugust 4, 2010 Funding to support this Webinar has been provided by Hewlett-Packard

3. Michael Zaroukian, MD, PhD, FACP, FHIMSS Professor of Medicine & Chief Medical Information Officer at Michigan State University Meaningful Use and Its Implications for Your PracticeAugust 4, 2010 Funding to support this Webinar has been provided by Hewlett-Packard

4. Meaningful Use andIts Implications for Your PracticeAugust 4, 2010 Michael Zaroukian, MD, PhD, FACP, FHIMSS Chief Medical Information Officer & Professor of Medicine, Michigan State University Medical Director, Clinical Informatics & Care Transformation, Sparrow Health System Member, ACP Medical Informatics Subcommittee

5. Objectives Why we should strive to become meaningful users What it takes to make MU a habit Essentials for EHR meaningful use Getting started – tasks, decisions, issues What to focus on for 2011 Working together to get MU done 5

6. Why Strive for Meaningful Use? Quality Health IT can support greater effectiveness, efficiency, safety, timeliness, equity Costs Urgent need to contain costs, improve value Incentives and penalties CMS meaningful use payments (2011-2015) Payment penalties if not a meaningful user by 2015 6

7. Why Strive for Meaningful Use? Payment reform is coming… Payment based on quality measures Payment for care coordination, medical homes, prevention, early detection, chronic disease management “Bundled” payments – shared responsibility for quality Resource use optimization, gain-sharing Accountable care organizations 7

8. To Be or Not to Be (Meaningful Users),What’s the Difference in the End? Meaningful Users $ to reward investment in needed change Decision support & data to demonstrate, improve quality & value Readiness & eligibility for new payment models Not Meaningful Users No $ for needed change Lower payments (1-5%) Fewer data to demonstrate, improve quality & value Less ready to participate in new payment models 8

9. Making Meaningful Use a Habit Means Knowing… “What to do” Clear, understandable, achievable initial measures “How to do it” Balancing standardization with flexibility Help for those who need it “Why to do it” Agreed upon goals and objectives for quality, engagement, coordination, population health, privacy/security 9

10. Meaningful Use Marathon Training: “Crawl-Walk-Jog-Run” 10 2015 2013 2011

11. Essentials for EHR Meaningful Use 11 (Clinical and Informatics Leadership) (Practice Executive Leadership) (Information Technology Leadership)

12. Getting Started:Early Tasks, Decisions, Issues Assess practice readiness Providers and staff Leadership IT capacity Create a plan Select or upgrade your “qualified” EHR Going it alone vs. connecting to existing EHR (vendor hosted, hospital, IDN, etc.) Decide how much help to get (e.g., RECs) 12

13. Getting Started: Early Tasks, Decisions, Issues Make sure everyone in your practice gets/stays on board Remind why meaningful use really matters Involve physicians early on Develop, support champions, super-users Train and verify competencies Measure and report what matters Align rewards, accountability with goals Focus on sustainability (payment reform) 13

14. Getting Started: Early Tasks, Decisions, Issues Focus on all 3 major components of technology adoption Technology, People, Processes Know the 15 “core” measures you must meet Pick 5 “menu” measures to meet first Optimize EHR workflows to make meeting the measures easier 14

15. Core Set: All 15 Required 15

16. Core Set: All 15 Required 16

17. Menu Set: 5 of 10 Required 17

18. Brief Description: Menu Set (5/10) 18

19. Working Together in Your Office to Getting Meaningful Use Done 19

20. Improve Quality, Safety, Efficiency, and Reduce Health Disparities – 2011 Objectives 20

21. Improve Quality, Safety, Efficiency, and Reduce Health Disparities – 2011 Measures 21

22. Engage Patients and Families:2011 Objectives and Measures 22

23. Improve Care Coordination:2011 Objectives and Measures 23

24. Improve Population and Public Health: 2011 Objectives and Measures 24

25. In Summary: What Office-based Physicians Should Do… If you already have an EHR… Make sure it is “qualified” for meaningful use Make a habit of using it in a “meaningful” way Positively engage your practice leadership in EHR optimization and meaningful use by all 25

26. In Summary: What Office-based Physicians Should Do… If you don’t yet have an EHR… Don’t wait…make a plan and then act on it Decide if you want to “go it alone” Consider getting help from those nearby with experience and resources 26

27. Comments and Questions Meaningful Use and Its Implications for Your PracticeAugust 4, 2010 Funding to support this Webinar has been provided by HewlettPackard 27