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Meaningful Use
  @NCFP
 Jonathan Ploudré, 10/2010
History: Stimulus Bill
“Meaningful Use”
Goals (vs. Measurements)   (vs. Requirements)




• Improve Care
• Engage Patients
• Coordinate Care
• Secure/Private
• Public Health
Healthcare Bias




See things through the patient’s eyes
Cowboy




Don’t do it alone, it takes a team.
Core Measures
Demographics




50%, including Race, Ethnicity, Language Preference
Vitals




50% of Patients
Problem/Allergy/Med
       Lists




      80% of Patients
Smoking




50% of Patients older the 13yo
Electronic Rx




40% of Permissible Prescriptions
“CPOE”
        Computer Provider Order Entry




30% of Patients have at least one med CPOE’d
Drug/Drug/Allergy
  Interactions




   Turned on in system
Clinical Decision
    Support




  One Rule Implemented
Transmit Info to CMS




     Just Test Capability
Clinical Summary




    50% of all Visits.
Electronic Copy




 On Request, 50% in 3 days.
Exchange Clinical Info




        Just Test
Security Audit




 Comprehensive Policy
Optional Measures
Drug/Formulary (RxHub)




        Turned On
Lab Interface




   Turned On
Patient List




 At least 1 registry
Patient Reminders




Under 5, Over 65 Preventive Reminders
Electronic Access (Portal)




        10% of Patients
Patient Specific
  Education




      10%
Med Reconciliation




        50%
Summary of Care
    (Health Summary)




         50%
Immunization Registry




        Just Test
Syndrome Surveillance




        Just Test
Core Measures            Optional Measures
      Demographics                  RxHub
           Vitals               Lab Interface
       Problem List               Patient List
        Allergy List          Patient Reminders
          Med List                  Portal
      Smoking Status          Patient Education
       Electronic Rx        Medical Reconciliation
           CPOE               Summary of Care
    Drug Interactions       Immunization Registry
Clinical Decision Support   Syndromic Surveillance
      Transmit CMS
    Clinical Summary
     Electronic Copy
 Exchange Clinical Info
      Security Audit
Core Measures            Optional Measures
      Demographics                  RxHub
           Vitals               Lab Interface
       Problem List               Patient List
        Allergy List          Patient Reminders
          Med List                  Portal
      Smoking Status          Patient Education
       Electronic Rx        Medical Reconciliation
           CPOE               Summary of Care
    Drug Interactions       Immunization Registry
Clinical Decision Support   Syndromic Surveillance
      Transmit CMS
    Clinical Summary
     Electronic Copy
 Exchange Clinical Info
      Security Audit
Meaningful Use

• Simplifies: What should we do with tech?
• On Target: We’re already most of the way.
• Is an Opportunity (not a problem).
• Gives us Early Mover Advantage.
• e-MDs will do much of the work for us
?

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Meaningful use overview

Editor's Notes