Should you try to meet Meaningful Use?

1
Should you try to meet Meaningful Use?

• Healthcare IT Strategy
• paulroemer_at_healthcareitstrategy.com

2
Does Meaningful Use work for You?
3
Does meeting MU align with your business strategy?
4
Does Meaningful Use work for you?

• The CMS created a decision point. You must weigh
  meeting Meaningful Use.

5
Meeting Meaningful Use kicks off a chain reaction

• What if MU changes after you are committed to as
  strategy?

6
What might your options be?

• Fortunately, there are several options to
  evaluate.

7
What should your MU Strategy be?

• You must decide how to define how to quantify
  your
• strategy for MU.

8
Why is this decision critical?

• External influencers will squeeze your Business
  and HIS
• strategy.

• PROVIDER

Reform
MU
9
Why is this decision critical?

• You need to ascertain where to place each option

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Why is this decision critical?

• Once the nose of the camel gets under the tent

The camel wants to get all the way in. The
government is moving towards a national
healthcare business model. You have your own
model. Do they complement one another or conflict?
11
More is unknown than known

• What is unknown cannot be controlled

Standards
HIE
Reform
Date Change
No leader
Plan B?
N-HIN
Change requirements
12
How do we plan your HIT strategy?

• What are the influencers and inputs?

Your Strategic Plan
Align to Reform
HIT initiatives
Strategic GAPS
MU options
13
Should you attempt to meet Meaningful Use and
why?
14
Should you attempt to meet Meaningful Use and
why?
By what date
Full MU
Yes
What Option
Partial
By When
Do you meet MU
Whats the plan
No
15
If Full MU, what is the best date for you to meet
it?
2011
2012
21013
Full MU
By what date
21014
21015
16
What are the ARRA implications to you of the
dates for full MU?
2011
100 of incentive
2012
100 of incentive
2013
100 of incentive
What are the implications?
60 of incentive
2014
2015
30 of incentive
17
What are the risks to you of seeking to meet full
MU?
Probability of passing MU?
External risks?
Align with your strategy?
What are the risks prior to 2016
Meeting your key metrics?
PENALTIES
After 2016
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What is the probability of passing the MU test
for full MU?
Determine by year of test
If the requirements change
What are Stage 2 requirements
Vendor certification
What is the probability of passing MU?
Impact of reform
What are Stage 3 requirements
Affect on your strategy
If the date change
19
What are the external risks to passing the MU
test for full MU?
Determine by year of test
HIT staff shortages
Vendor Support
Change in Medicare payments
What are the External Risks
Impact of reform
Regulatory reform
Affect on strategy
Acquisitions by your firm
20
Does passing the MU test for full MU align with
your strategy?
Supply Cost
Quality and Safety
Revenue Cycle
Culture and Service
Physician Collaboration
Growth
How does MU align with your strategy
Patient Retention
Centralize Business Support
Primary care growth
Labor Productivity
21
Does passing the MU test for full MU align with
your metrics?
Increase staff satisfaction
Increase culture scores
Decrease length of stay
Increase operational excellence
Decrease waiting times
How does MU align with your metrics
Improve customer service
Increase clinical quality
22
What HIT projects do you have to do to meet full
MU requirements?
Clinical Transformation
Eligibility checking
Standard orders
upgrades
Whats needed for 2011
Quality performance
EO Rx
Other years should be similar in terms of tasks
Meaningful Use CPOE
23
What influencers should be considered to meet
full MU requirements?
Cost
When can you complete
Staffing
What is the ROI
What are the Influencers
Stage 2 3 requirements
Other HIS projects
Other years should be similar in terms of tasks
Meaningful Use CPOE
24
What costs should be understood to meet full MU
requirements?
Systems
Work flow improvement
Staffing
What is the ROI
What is the Cost
training
Other years should be similar in terms of tasks
Change management
25
What staffing should be answered to decide
meeting full MU requirements?
How many
By when?
What are staffing needs
Skill sets
Other years should be similar in terms of tasks
Contractors
26
What does meeting full MU requirements do to
other projects?
What are they
Can they be delayed
What are Non-MU projects
Allocating funds
Other years should be similar in terms of tasks
Allocating staff
27
What is the impact of doing CPOE?
Would you do CPOE without MU
CPOE is the bulk of work and risk
What is CPOEs impact
What is chance of success
Other years should be similar in terms of tasks
Allocating staff
28
What is the best year to meet MU requirements?
2011-2013
2014-2015
When can you complete MU
What is the ROI by year
Other years should be similar in terms of tasks
Impact of year on HIT projects
29
What will be the requirements of Stages 2 3
with MU?
Unknown requirements
Unknown cost
What are Stages 2 3
Unknown risk
Other years should be similar in terms of tasks
What is chance of success
30
How do you measure the risk of trying to meet MU?
Determine individual risks
Determine their probability
Develop risk matrix
Perform Risk Analysis
Determine their impact
Map options by year to risks