How to look at Meaningful Use and what questions should you evaluate to determine if you should try to meet it.

1. Should you try to meet Meaningful Use? Healthcare IT Strategy [email_address]

2. Does Meaningful Use work for You?

3. Does meeting MU align with your business strategy? “ Meeting Meaningful Use just for the ARRA money is like having a baby just for the tax refund.” PA CIO

13. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes No

14. Should you attempt to meet Meaningful Use and why? Do you meet MU Yes Full MU Partial By what date What Option By When No What’s the plan

15. If Full MU, what is the best date for you to meet it? Full MU By what date 2011 2012 21013 21014 21015

16. What are the ARRA implications to you of the dates for full MU? What are the implications? 2011 2012 2013 2014 2015 100% of incentive 100% of incentive 100% of incentive 60% of incentive 30% of incentive

17. What are the risks to you of seeking to meet full MU? What are the risks prior to 2016 Probability of passing MU? External risks? Align with your strategy? Meeting your key metrics? PENALTIES After 2016

18. What is the probability of passing the MU test for full MU? What is the probability of passing MU? Determine by year of test What are Stage 2 requirements What are Stage 3 requirements If the date change If the requirements change Vendor certification Impact of reform Affect on your strategy

19. What are the external risks to passing the MU test for full MU? What are the External Risks Determine by year of test Vendor Support Regulatory reform Acquisitions by your firm HIT staff shortages Change in Medicare payments Impact of reform Affect on strategy

20. Does passing the MU test for full MU align with your strategy? How does MU align with your strategy Quality and Safety Culture and Service Centralize Business Support Labor Productivity Supply Cost Revenue Cycle Patient Retention Primary care growth Physician Collaboration Growth

21. Does passing the MU test for full MU align with your metrics? How does MU align with your metrics Increase culture scores Increase operational excellence Improve customer service Increase clinical quality Increase staff satisfaction Decrease length of stay Decrease waiting times

22. What HIT projects do you have to do to meet full MU requirements? What’s needed for 2011 Clinical Transformation Standard orders EO Rx Meaningful Use CPOE Eligibility checking upgrades Quality performance Other years should be similar in terms of tasks

23. What influencers should be considered to meet full MU requirements? What are the Influencers Cost Staffing Other HIS projects Meaningful Use CPOE When can you complete What is the ROI Stage 2 & 3 requirements Other years should be similar in terms of tasks

24. What costs should be understood to meet full MU requirements? What is the Cost Systems Staffing training Change management Work flow improvement What is the ROI Other years should be similar in terms of tasks

25. What staffing should be answered to decide meeting full MU requirements? What are staffing needs How many By when? Skill sets Contractors Other years should be similar in terms of tasks

26. What does meeting full MU requirements do to other projects? What are Non-MU projects What are they Can they be delayed Allocating funds Allocating staff Other years should be similar in terms of tasks

27. What is the impact of doing CPOE? What is CPOE’s impact Would you do CPOE without MU CPOE is the bulk of work and risk What is chance of success Allocating staff Other years should be similar in terms of tasks

28. What is the best year to meet MU requirements? When can you complete MU 2011-2013 2014-2015 What is the ROI by year Impact of year on HIT projects Other years should be similar in terms of tasks

29. What will be the requirements of Stages 2 & 3 with MU? What are Stages 2 & 3 Unknown requirements Unknown cost Unknown risk What is chance of success Other years should be similar in terms of tasks

30. How do you measure the risk of trying to meet MU? Perform Risk Analysis Determine individual risks Determine their probability Determine their impact Map options by year to risks Develop risk matrix