Printer Friendly

Missouri Health Information Technology (MO HIT) assistance center supports nurses' adoption and meaningful use of Electronic Health Records (EHR).

Nurses in Missouri are playing a vital role in the State's increasing use of certified EHR technology. They recognize the importance of this step to modernize medicine and appreciate how an EHR improves countless duties. Patient records are always at their fingertips and they don't have to spend time tracking down missing files. Patient calls are easier and faster since a nurse can view office visit details, prescription information and even lab results with a few clicks. And EHR immunization and health screening alerts make it easier than ever for health care providers to keep patients current on preventative care.

But the cost, the amount of change, and the effort required to make the transition to an EHR can overwhelm providers. That's where The Missouri Health Information Technology (MO HIT) Assistance Center and new Medicare and Medicaid EHR Incentive programs can help. A growing number of Missouri health care providers are tapping into the special support and the EHR incentive programs to help them eliminate the use of paper health records and become meaningful users of electronic health record technology. The Missouri Nurses Association, as a stakeholder of the Missouri Health Information Technology (MO HIT) Assistance Center, urges members to learn how the Center's services and support could help eligible nurse practitioners and other eligible health professional earn up to $63,750 in Medicaid EHR incentives or eligible physicians earn up to $44,000 in Medicaid EHR incentives.

The MO HIT Assistance Center is one of 62 regional extension centers in the United States. Providers can count on these regional extension centers as a trusted resource and advisor to help them understand what they need to know, and have access to the most up-to-date information regarding health information technology developments. These centers also offer individualized support to providers through all stages of the EHR adoption process. The MO HIT Assistance Center works alongside any EHR vendor to provide the extra help a health care provider needs to successfully adopt and achieve meaningful use of an EHR.The MO HIT Assistance Center stands ready to help providers take full advantage of the special window of opportunity to realize the benefits of health information technology and its meaningful use.

The MO HIT Assistance Center's support and services are offered at a greatly reduced cost to individuals & small group practices focused on primary care; rural hospitals; and community and rural health centers predominantly serving uninsured, underinsured and medically underserved populations. Primary care providers, including nurse practitioners, physician assistants and physicians (Internal Medicine, Family Practice, OB/GY N, Pediatrics) with prescribing privileges in the following settings:

* Small group practices (10 or fewer providers with prescriptive privileges

* Ambulatory clinics connected with a public or critical access hospital

* Community health centers and rural health clinics

* Other ambulatory settings that predominately serve uninsured, underinsured, and medically underserved populations

Missouri eligible professionals may purchase an annual membership for $750. The majority of the MO HIT Assistance Center's direct technical service costs for priority primary care providers are subsidized by the Regional Cooperative Agreement with the Office of the National Coordinator, Department of Health and Human Services for 2010 and 2011. This cost may be further reduced for providers who demonstrate need. Providers not eligible for the subsidy pay the full fee of $5,750 or may purchase services a la cart.

As a regional extension center, all health care providers in Missouri can count on the MO HIT Assistance Center as a resource for information and the latest news on electronic health records adoption and health information exchange.

Here is how the MO HIT Assistance Center can help both current and new users of certified EHR technology:

CURENT EHR USERS

The MO HIT Assistance Center makes achievement of meaningful use easier. The Center will identify barriers to meaningful use and then provide suggestions for solutions.

The MO HIT Assistance Center will:

* do a personalized evaluation of the practice to determine eligibility for EHR incentives and subsidized support from the MO HIT Assistance Center

* evaluate the current EHR system to identify meaningful use barriers

* provide suggested solutions to overcome meaningful use barriers

* help providers develop EHR interoperability and health information exchange

* standardize the EHR processes to obtain discrete data and avoid the pitfalls of multiple points of entry that don't map to outcome reporting

* analyze provider reports to ensure that data, output, report integrity, and that all reports meet meaningful use standards

* review usage of the EHR system and suggest ways to enhance and maximize that usage

* help providers keep abreast of privacy and security best practices

* provide health information training and education

NEW EHR USERS

The MO HIT Assistance Center will guide and support providers through the entire EHR adoption process. It helps providers plan, prepare, and execute the transition to EHRs -and helps providers achieve meaningful use. The MO HIT Assistance Centers works with providers and the EHR vendor to maximize results and minimize work disruptions.

The MO HIT Assistance Center will:

* do a personalized evaluation of the practice to determine eligibility for EHR incentives and subsidized support from the MO HIT Assistance Center

* interview staff to develop an individual roadmap and project plan assessing computer skills, hardware, software, network, and patient volume to determine readiness for EHR adoption and suggest remedial actions, if necessary

* observe and map workflow and paper flow with the EHR vendor to optimize the EHR utilization and targeting problem areas

* provide a short list of vetted EHR vendors that have been reviewed by a panel of physicians and EHR experts. As an EHR vendor-neutral organization, the MO HIT Assistance Center urges providers to select only the best EHR for their practice and will support and guide providers' consideration of additional EHR product s, if desired.

* offer group purchasing rates and negotiated preferential terms for select EHR, related hardware, networking, information technology and document scanning services

* provide referrals to vetted banks with established bridge loan programs with competitive rates

* provide project and change management throughout the entire EHR adoption process, from preparation through the achievement of meaningful use of the EHR. It will assist with team meetings, provide phone support and the necessary tools to manage change or overcome obstacles

* offer coaching, tools, and best practices for preparation, vendor relations, staff preparation and patient scheduling during the installation and "go live" stages of the EHR adoption

* assist with post "go live" metrics, track progress toward meaningful use criteria, and identify gaps and strategies to fill gaps

MEANINGFUL USE OVER VIEW

Meaningful use has three stages with different goals for each. In Stage 1, (2011-2012) providers must meet certain objectives or measures, and 80% of patients must have records in the certified EHR system for a reporting period of 90 days. In Stage 2, (scheduled to begin 2013) the goals are quality improvement at the point of care and electronic exchange of information during a reporting period of one year. In Stage 3, (scheduled to begin 2015) the goals are improvements in quality, safety and efficiency in clinical decision support and self-management for a reporting period of one year.

To qualify for the Medicare and Medicaid EHR Incentives, eligible professionals must achieve "meaningful use" requirements. The components of meaningful use are: the use of certified EHR technology for electronic exchange of health information to improve quality of health care; the use of certified EHR technology to submit clinical quality and other measures; and the use of a certified EHR in a meaningful manner (e.g. e-prescribing). These meaningful use requirements vary between the Medicare and the Medicaid EHR Incentive programs. To qualify for incentive payments, meaningful use requirements must be met in the following ways:

* Medicare EHR Incentive Program

Eligible professionals and hospitals must successfully demonstrate meaningful use of certified electronic health record technology every year they participate in the program.

* Medicaid EHR Incentive Program

Eligible professionals and hospitals may qualify for incentive payments for the adoption, implementation, upgrade or the demonstration of meaningful use in their first year of participation. They must successfully demonstrate meaningful use for the remaining years they participate in the program.

Whether you want to know if your practice is ready to make the switch to an EHR or just want to reach meaningful use a little faster, the MO HIT Assistance Center can help. For more information E-mail EHRhelp@missouri.edu or call 1-877-882-9933 or visit the MO HIT Assistance Center's web site http://www.EHRhelp.missouri.edu.

The Missouri Health Information Technology (MO HIT) Assistance Center is an independent, non-profit organization, providing technical assistance, guidance, and information on best practices to support and accelerate providers' efforts to become meaningful users of certified EHR technology. This regional extension center is funded through an award from the Office of the National Coordinator for Health Information Technology, Department of Health and Human Services Award Number 90RC0039/01.
COPYRIGHT 2011 Missouri Nurses Association
No portion of this article can be reproduced without the express written permission from the copyright holder.
Copyright 2011 Gale, Cengage Learning. All rights reserved.

Article Details
Printer friendly Cite/link Email Feedback
Publication:Missouri Nurse
Geographic Code:1U4MO
Date:Apr 1, 2011
Words:1467
Previous Article:Nurses in shape, the right dose!
Next Article:Finding and leveling evidence for evidence-based practice.
Topics:

Terms of use | Privacy policy | Copyright © 2019 Farlex, Inc. | Feedback | For webmasters