1. HealthTECH Workforce Forum Presents:
Electronic Health Records Adoption:
Driving to 2015 and Beyond
May 19th, 2011
EHR Implementation Panel
Moderator:
Paula J. Magnanti, MT(ASCP)
Founder & Managing Principal
Strategic Healthcare Solutions
Vice Chair, HIMSS Chapters Task Force
Past President, New England HIMSS
August 29, 2010

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national landscape effecting healthcare IT
AGENDA
• Welcome & Introductions
• EHR Implementation Panelists
• The National Healthcare Landscape
• The Final Rules: Meaningful Use &
HITECH Act
• Q&A

3. Welcome
Introductions & EHR Panelists
August 29, 2010

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EHR Implementation Panelists:
• Mary Griskewicz, MS, FHIMSS, Senior Director, Ambulatory
Information Systems, HIMSS (Healthcare Information and Management
Systems Society)
• Barry Greene, Chief Executive Officer, EHR Consulting Firm,
Libertas.md
• Asher Kramer, Director, EHR Management Consulting, maxIT
Healthcare, LLC
• Ludwig Spinelli, Chief Executive Officer, Optimus Health Care, Inc

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national landscape effecting healthcare IT
Government Initiatives: The Healthcare Echo System
August 29, 2010

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national landscape effecting healthcare IT
The National Healthcare Landscape
ARRA MEANINGFUL USE
HITECH CCHIT, EHR's, PHR's
HEALTHCARE REFORM BEACON COMMUNITIES
ACO~ACCOUNTABLE CARE PATIENT-CENTERED MEDICAL
ORGANIZATIONS HOMES
HIE's, HIO's, RHIO's HIPAA 5010, HIPAA HITECH
REC~REGIONAL EXTENSION CENTERS ICD10 – The International Statistical
Classification of Diseases, Revision 10
November 2nd,
2010

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national landscape effecting healthcare IT
National Healthcare Legislation: Review
• ARRA - $787 Billion, February 17, 2009
American Recovery and Reinvestment Act
• HITECH - $ 25.8 Billion Health IT , February 17, 2009
The Health Information Technology for Economic and Clinical Health Act (HITECH Act)
• Meaningful Use – Final Rule, July 13th, 2010
EHR Adoption starting 2011: 15 Core Objectives for Phase 1 staring January 2011
• Beacon Communities – Pilot grants for 17 Communities
$13.8 M-Cincinnati HealthBridge, Inc, $16.8M- Southeastern Michigan Health Association
• Regional Extension Center – 60 (REC’s) in the US
EHR Adoption to Physicians and HIE Statewide Framework

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Where Your Money Is Going? $787 billion
source: http://www.hhs.gov/recovery/
August 29, 2010

9. Making Meaning of
“Meaningful Use”
Improving health and transforming health care
through Meaningful Use of HIT
2009 2011 2013 2015
source: HIT Policy Meaningful Use Workgroup, July 16, 2009

10. HITECH Act
Regional extension centers
Adoption of EHRs
Workforce training
•Improved individual and
population health
Medicare & Medicaid Meaningful Use
outcomes
Incentives and penalties of EHRs •Increased transparency
and efficiency
State grants for health •Improved ability to study
Information exchange and improve care delivery
Standards & certification Exchange of health
framework information
Privacy & Security
framework
Innovation and Research to enhance HIT
Blumenthal D. Launching HITECH. N Engl J Med. 2010 Jan 4.
http://healthcarereform.nejm.org/?p=2669

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Meaningful Use and Why it matters?
• It’s the standard that doctors and hospitals must achieve to qualify for
Medicare and Medicaid incentive payments.
• It’s the federal government’s new roadmap for linking HIT and HIE to
healthcare delivery system improvements.
• It will be the central organizing principle for the ongoing work of the Office
of National Coordinator, the HIT Policy Committee, and the HIT Standards
Committee
• It will become a dominant consideration for EHR Vendors as they upgrade their
products.

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A New Day in Healthcare for America: “Affordable Care Act”
August 29, 2010

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National Healthcare Legislation
“AFFORDABLE CARE ACT”: March 30, 2010; H.R. 3590
The comprehensive health care reform law enacted in March 2010. The law in two parts:
 The Patient Protection and Affordable Care Act was signed into law on March
23, 2010
 Health Care and Education Reconciliation Act on March 30, 2010. The name
“Affordable Care Act” is used to refer to the final, amended version of the law.
The Patient Protection and Affordable Care Act of 2010 directs the Centers for Medicare and
Medicaid Services (CMS) to create a national voluntary program for accountable care
organizations (ACOs)
by January 2012. ACOs are provider groups that accept responsibility for the cost and quality of
care delivered to a specific population of patients cared for by the groups’ clinicians.
source: http://www.healthcare.gov/

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National Healthcare Legislation: Websites
www.hhs.gov/recovery
www.regionalextensioncenters.com/
www.cchit.org/
http://www.healthcare.gov/
http://onc-chpl.force.com/ehrcert/EHRProductSearch

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Thank You!
Paula J. Magnanti, MT(ASCP)
Founder & Managing Principal
STRATEGIC HEALTHCARE SOLUTIONS
Contact Us:
617.852.5564 cell
paula@strategichealthcare-solutions.com
http://www.linkedin.com/in/paulajmagnanti
www.twitter.com/shshealthcare
"Your Healthcare Advisor Executive"
August 29, 2010