EHR Support

Welcome to the EHR and Meaningful Use Support Center

Through the links and tabs on this page, we hope you will find useful, clear, and concise information.

The EHR and MU Support Center is here to assist clinics and providers in understanding and navigating the Meaningful Use program in ordder to improve their use of electronic health record technology, maximize incentive payments, and avoid payment adjustments.IMG_6453smallest
The Medicare and Medicaid EHR incentive Programs (also known as “Meaningful Use” programs) began in 2011 and have progressed and changed over the years with  more changes ahead.

To date, Tribal, Federal, and Urban clinics within the Portland Area have earned approximately $3.7 million in incentive payments through the EHR incentive Programs while opportunities exist to earn more.
The EHR and MU Support Center seeks to provide support not only in meeting Meaningful Use, but also in supporting the day to day use of electronic health records to
better serve our patients and work towards reducing health disparities.

We can provide one-on-one support, with particular expertise in RPMS EHR. Troubleshooting, optimizing software, and providing customized training for both Clinical Application Coordinators (CACs) and end users are a few of the support activities we can offer. We are building a library of video recordings to assist both CACs and end users as well.

Contact Katie Johnson at kjohnson@npaihb.org or (503) 416-3272 for more information.

Goals

  •  As of September 2014, the NPAIHB REC has 166 Portland Area providers signed up with us.
  •  Earned grant credit for 150 of these providers for being live on a certified EHR
  •  75 (and counting) providers have been documented as reaching Stage 1 MU
  •  The REC has assisted 13 sites in “going live” on RPMS e-Prescribing
  • The REC has assisted 24 sites in completing a required Security Risk Analysis
  •  Over $3.6 million has been earned by and paid out to providers and clinics in the Portland Area through the EHR Incentive Programs

History

On February 17, 2009, the President signed the American Recovery and Reinvestment Act of 2009 (ARRA).  Title XIII of Division A and Title IV of Division B of ARRA, together cited as the Health Information Technology for Economic and Clinical Health Act (HITECH Act), include provisions to promote meaningful use of health information technology to improve the quality and value of American health care.  The HITECH Act also established the Office of the National Coordinator for Health Information Technology (ONC) within the U.S. Department of Health and Human Services (HHS) as the principal federal entity responsible for coordinating the effort to implement a nationwide health information technology (health IT) infrastructure that allows for the use and exchange of electronic health information in electronic format.

The HITECH Act (Title IV in Division B of ARRA) authorizes incentive payments for eligible Medicare and Medicaid providers’ meaningful use of certified electronic health record (EHR) technology.  By 2015, providers were expected to have adopted and be actively utilizing an EHR in compliance with the “meaningful use” definition or they are subject to financial penalties under Medicare (per Sections 4101(b) and 4102(b) of ARRA).  The detailed criteria to qualify for meaningful use incentive payments will be established by the Secretary of HHS (hereafter referred to as the Secretary) through the formal notice-and-comment rulemaking process.  For access to the most current publicly available information about meaningful use, please visit the Meaningful Use section of the ONC programmatic website at: http://healthit.hhs.gov/meaningfuluse

Through the American Recovery and Reinvestment Act (ARRA), ONC established 62 Regional Extension Centers (RECs) that assisted primary care providers in the adoption and meaningful use of electronic health records.  In 2011, the NPAIHB EHR and MU Support Center was established when the Northwest Portland Area Indian Health Board partnered with the National Indian Health Board to become a Regional Extension Center (REC) for the Portland Area.  The REC was established to help providers demonstrate Meaningful Use of a certified electronic health record.  The goal was to improve health outcomes and reduce health disparities in our population through the use of an electronic health record. The REC program proved successful.  As REC, we were able to assist over 160 providers in Portland Area with navigating the MU program registration process, upgrading to a certified EHR, achieving the meaningful use requirements, providing assistance with security risk assessments, and deployment of RPMS electronic prescribing of medications. The REC grant is complete, but the NPAIBH EHR and MU Support Center is in full operation.

MU

  • Medicare

    The incentive portion of the Medicare EHR Incentive Program finishes in 2016.

    Beginning in 2015, eligible professionals who do not successfully demonstrate meaningful use will be subject to a payment adjustment. The payment reduction starts at 1% and increases each year that an eligible professional does not demonstrate meaningful use, to a maximum of 5%

    The payment adjustments are only on Medicare Part B Physician Fee Schedule reimbursements.

    The payment adjustment is specific to the provider, is based on a 2 year look back period, and will follow the provider if they change employers.   Therefore, acti ons related to meeting MU now will have impacts on 2018 reimbursements.

    There is currently a hardship exemption application available for RPMS EHR users who did not meet MU in 2015.  The deadline for submitted the application is July 1, 2016.

    See memo issued by IHS here: <link to EP_EH Hardship Reminder 4-11-16.pdf>   I placed it on the N drive: \\Storageserver\npaihb\Projects\MeaningfulUse\Website our incentives might be.

  • Medicaid

    The last year to begin participation in the Medicaid EHR incentive programs is 2016.  Incentive payments will continue through 2021.  Eligible professionals are eligible for incentive payments for 6 years, and participation years do not have to be consecutive.

    There is no payment adjustment from Medicaid in this program.

    To qualify for Medicaid program, you must be a Physician, Nurse practitioner, Certified nurse-midwife, Dentist, or a Physician Assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant.  These are all called Eligible Providers or EPs.

    To qualify for the Medicaid program, a provider must have at least 30% Medicaid patient volume.

    Tribal clinics may include “needy patients” – those with no insurance – in their patient volume calculations when trying to reach the 30% threshold.

  • Key topics for MU in 2016

    Review MU Recordings at: https://www.youtube.com/playlist?list=PLzTTmEbo5e5FOaxpETghsN_8QfnfkeUON

    Pursue RPMS Personal Health Record/Health Information Exchange/DIRECT Messaging deployment.

    Contact Katie Johnson (kjohnson@npaihb.org) and Ron Won (Roney.won@ihs.gov) for more information

  • Training Materials

    Pharmacy March 2016 Training (where should I place these documents for you?)

    DAY1
    DrugEnterEditConfiguringCompounds.pdf
    DrugFileOptimization.pdf
    FM_Report1GENERIC_LONG_NAMEandVA_PRINT_NAME.pdf
    FM_Report2UNIT_FIELDSandERX.pdf
    FM_Report3NDF.pdf
    FM_Report4DOSAGES.pdf
    FM_Report5DOSAGE_FORM.pdf
    FM_Report6PHARMACY_OI.pdf
    FM_Report7DISPENSE_DRUG_OI.pdf
    PharmacyInformaticsDrugEnterEditScript.pdf
    PharmacyInformaticsDrugEnter_Edit2016March.pdf
    PharmacyInformaticsIntro2016 March.pdf
    PharmacyPkgMarch2016.pdf

    DAY2
    CompletingNDF_Patch.pdf
    CompletingNDF_PatchScript.pdf
    DispenseDrugValidation_withExamples.pdf
    MissingDoseQuickOrdersFileManSearch.pdf
    MissingRouteQuickOrdersFileManSearch.pdf
    MissingScheduleQuickOrdersFileManSearch.pdf
    MonthlyDrugFileMaintenance.pdf
    PatchesTaskmanTasksKeys.pdf
    QuickOrdersAndMenus.pdf

    DAY3
    AdverseReactionTracking.pdf
    Autofinish.pdf
    Benchmark_andAAC_PriceUpdatesRPMS.pdf
    CompletingNDF_Patch.pdf
    CompletingNDF_PatchScript.pdf
    DispenseDrugValidation_withExamples.pdf
    EmdeonWebsite2016.pdf
    FindingInformationInEHR.pdf
    MonthlyDrugFileMaintenance.pdf
    PatchesTaskmanTasksKeys.pdf
    PharmacyADPACsandMedical StaffTeamwork.pdf
    Resources.pdf
    RPMS_MDF_Presentation.pdf
    TroubleshootingPharmacyIssues2016.pdf

    DAY4
    DAW_Codes.pdf
    NatureOfOrderAndPharmacy.pdf
    POS_Training2016.pdf
    Template+Building+Exercise+Script_02192016.docx
    TIU_TemplatesOverview_forPharamacy)_02192016.pdf

    EXTRAS
    2015 IHS Quad Technical Pearls Presentation_KVT.pptx
    Acquisition Price Update using AAC.pdf
    Antibiotic Stewardship quick order menus.pdf
    Best Practices and Supporting Info for listserv.zip
    How to force new drug onto All Other Meds.pdf
    MissingDoseQuickOrdersFileManSearch.docx
    MissingRouteQuickOrdersFileManSearch.docx
    MissingScheduleQuickOrdersFileManSearch.docx
    NCPDP_PharmacyDenialCodes.xlsx
    PracticeDrugFileOptimizationReports.xlsx
    QuickOrderScript.pdf
    Template Building Exercise Script_07142015.docx
    VA tip.msg

    Basic CAC Training 2016

  • Best Practices

    Pharmacy Best Practices
    Suggested Workflows

  • TipSheets

    Nothing on here yet

Project Contacts

Katie Johnson, Pharm D
LCDR, USPHS
Northwest Portland Area Indian Health BoardIMG_6401smallest
Project Director, NPAIHB Regional Extension Center

kjohnson@npaihb.org
503-416-3272 (phone)
503-228-8182 (fax)