How a Patient Portal will help you meet Meaningful Use criteria

1. Health Information Associates
Patient
&
Portals

2. Health Information
Associates of Texas
info@healthinfotexas.com

3. Health Information Associates
Services We Provide
EMR/EHR and POMIS Selection and Implementation
and EHR Incentive Payment
Meaningful Use Compliance
Workflow Analysis to Map Current Process to Post-
Implementation Process
Financial Services and Protection – Billing and
Collection Optimization and Audit Risk Mitigation
Marketing – Branding, Social Media Usage, Image
Enhancement

4. Making Sense of the
Meaningful Use Maze

5. Patient Portals and
Meaningful Use
What a Patient Portal is
What Patient Portals do
How Patient Portals Help Meet MU Criteria
Examples
Future of Patient Portals and Why You Should Care

6. But First…….
A question ????
Is it a matter of volume or
efficiency?
Efficiency=Output/Time

7. Status of EMRs

8. Status of Patient Portals

10. Patient Portals – What are they?
Patient Portals are healthcare-related online applications that allow patients to
interact and communicate with their healthcare providers
Typically, portal services are available on the Internet at all hours of the day.
Some patient portal applications:
exist as stand-alone web sites and sell their services to healthcare providers.
Other portal applications are integrated into the existing web site of the
healthcare provider.
Still others are modules added onto an existing EMR system.
What all of these share is the ability of the patient interacting with their medical
information via the Internet.
The lines between an electronic medical record, personal health record, and a patient
portal are blurring.. Wikipedia – Jan. 25, 2012

11. Why are Patient Portals becoming
popular?
As more people do more of their business on the Internet-
making travel arrangements,
banking,
trading stocks,
checking their children's grades,
catching up on the news,
downloading books and movies,
keeping track of their friends and business associates-
the day will come when they start to wonder why they have to resort to
the telephone to call their doctor.
A survey that our company conducted found that 77% of patients would
use an on-line patient portal.

12. Patient Portals – What do they
do?
Request Appointments with preferred dates and times
Receive reminders of appointments or other significant dates
Review clinical data (EMR data)
Review educational material (based on DX)
Check lab results
Examine statements and make payments via on-line bill payment
Request a prescription refill
Complete new patient intake forms
Update existing information
Communicate with the office (front office and care providers)

15. Two Types of Criteria
EHR Functionality
Clinical Quality
Measures

16. EHR Functionality
Core Set 15
Menu Set 10
Mandatory 20 Criteria
Select 5
Needed

17. Patient Portals can help your
practice meet
3 (of 15) core objectives and
4 (of 5) menu objectives
for a total of
7 (of 20)

18. Meaningful Use Criteria Met by Patient Portal
Core Set
1. Computerized provider order entry (CPOE)
2. E-Prescribing (eRx)
3. Report ambulatory clinical quality measures to CMS/States
4. Implement one clinical decision support rule
5. Provide patients with an electronic copy of their health information, upon request
6. Provide clinical summaries for patients for each office visit
7. Drug-drug and drug-allergy interaction checks
8. Record demographics
9. Maintain an up-to-date problem list of current and active diagnoses
10. Maintain active medication list
11. Maintain active medication allergy list
12. Record and chart changes in vital signs
13. Record smoking status for patients13 years or older
14. Capability to exchange key clinical information among providers of care and
patient-authorized entities electronically
15. Protect electronic health information

19. Meaningful Use Criteria Met by Patient Portal
Menu Set
1. Drug-formulary checks
2. Incorporate clinical lab test results as structured data
3. Generate lists of patients by specific conditions
4. Send reminders to patients per patient preference for preventive/follow
up care
5. Provide patients with timely electronic access to their health information
6. Use certified EHR technology to identify patient-specific education
resources and provide to patient, if appropriate
7. Medication reconciliation
8. Summary of care record for each transition of care/referrals
9. Capability to submit electronic data to immunization registries/systems*
10. Capability to provide electronic syndromic surveillance data to public
health agencies*

20. Meaningful Use Criteria Met by Patient Portal
Menu Set
The following pages provide detailed
information on those Meaningful Use
Criteria that a patient portal will help
you meet.

21. 1
Meeting the Meaningful Use Criteria
Core Set (15 Mandatory)
Objective
Provide patients with an electronic copy of their health information
(including diagnostic test results, problem list, medication lists, medication
allergies), upon request
Measure
More than 50% of all requesting patients receive an electronic copy of their
health information within 3 business days
Patient Portal
Patients are given secure access to the portal and pull up their current
health information along with any clinic office visit summary.

22. 2
Meeting the Meaningful Use Criteria
Core Set (15 Mandatory)
Objective
Provide clinical summaries for patients for each office visit.
Measure
Clinical summaries provided to patients for more than 50% of all office
visits within 3 business days
Patient Portal
While this requirement can be addressed via paper copies, the cost
effective solution is to give an electronic copy to patients who want one.

23. 3
Meeting the Meaningful Use Criteria
Core Set (15 Mandatory)
Objective
Capability to exchange key clinical information (for example, problem list,
medication list, medication allergies, diagnostic test results), among
providers of care and patient authorized entities electronically.
Measure
Performed at least one test of certified EHR technology's capacity to
electronically exchange key clinical information.
Patient Portal
Your certified EHR will be able to generate the properly formatted data file,
but a good patient portal will allow you to share this data with a referring
doctor or specialist.

24. 1
Meeting the Meaningful Use Criteria
Menu Set (Select 5 of 10)
Objective
Send reminders to patients per patient preference for preventive/ follow up
care.
Measure
More than 20% of all unique patients 65 years or older or 5 years old or
younger were sent an appropriate reminder during the EHR reporting
period.
Patient Portal
There are others way to do this but a patient portal should have the
functionality to do this if you cannot do it through other methods.

25. 2
Meeting the Meaningful Use Criteria
Menu Set (Select 5 of 10)
Objective
Provide patients with timely electronic access to their health information
(including lab results, problem list, medication lists, medication allergies)
within four business days of the information being available to the doctor.
Measure
More than 10% of all unique patients are provided electronic access to
their health information within four business days of being updated in the
certified EHR. Goes to 90% in MU Stage 3.
Patient Portal
Patient requests a secure access code and is issued one. They access the
portal and pull up their current health information along with any clinic
office visit summary.

26. 3
Meeting the Meaningful Use Criteria
Menu Set (Select 5 of 10)
Objective
Use certified EHR technology to identify patient-specific education resources
and provide those resources to the patient if appropriate.
Measure
More than 10% of all unique patients are provided patient-specific
education resources
Patient Portal
Data pulled from certified EHR provides ICD-9s for the patient. Email link
to patient with appropriate ICD-9 driven educational material or have link
on Patient Portal.

27. 4
Meeting the Meaningful Use Criteria
Menu Set (Select 5 of 10)
Objective
The EP who transitions their patient to another setting of care or provider
of care or refers their patient to another provider of care should provide
summary of care record for each transition of care or referral.
Measure
Provide as summary of care record for more than 50% of transitions of care
and referrals
Patient Portal
This can be done a number of ways but some systems allow the practice to
email a secure link to the referee who then can access the patient’s record
through the patient portal.

28. Example of Patient Health Information from Patient Portal

29. Example of Patient Lab Results from Patient Portal

30. Example of Patient Education from Patient Portal Based on Patient’s DX

31. The Future of Patient Portals
We will look back one day and
wonder how we ran a practice
without a Patient Portal