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Health IT and American Recovery and Reinves tment Act ( ARRA) of 2 0 0 9 : Help , Hyp e and Hop e Frances Dare, Director H eal th care P ractice and H eal th P ol icy M ay 1 9 , 2 0 0 9 Cisco Confidential

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S nap s hot—HIT in the S timu lu s L eg is lation
$30B+ through Department of Health and Human S erv i c es ( HHS )
E HR i nc enti v es through M ed i c are and M ed i c ai d
G rants for v ari ous programs


S pec i fi c fund s for s ome health enti ti es

ADOPTION


V ary i ng ti meframes


E mphas i s on s ec ure, elec troni c ex c hange of health i nformati on Source: Cisco IBSG Healthcare Practice, 2009 Cisco Confidential

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E HR Incentives —M edicare M eaning f u l u sers of certif ied E H R s w ith sp ecif ic cap ab il ities P h y sicians

(n o t h o s p ita l b a s e d )

I nc entiv es beg in in 2 0 1 1 —o v er f iv e y ea rs $ 4 4 k —ma x f o r mo st

$ 4 8 k —ma x if in pro f essio na l sh o rta g e a rea N o inc entiv e if a d o pt a f ter 2 0 1 4 . N o pa y ments a f ter 2 0 1 6 Reimbursement pena l ty sta rting in 2 0 1 5

H osp ital s I nc entiv es beg in in FY2011—o v er f iv e y ea rs. W eig h ted to ea rl y y ea rs $ 2 M

ba se

U p to $ 1 1 M

F o rmul a ba sed o n d isc h a rg es

N o inc entiv e a f ter 2 0 1 5 .

P ena l ties beg in in F Y 2 0 1 6

Source: Cisco IBSG Healthcare Practice, 2009 Cisco Confidential

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E HR Incentives —M edicaid “E l ig ib l e P rof essional ” MD, dentist, CNMW, PA, Nu r se Pr a c titio ner

Q ua l if y ing el ig ibil ity —ba sed o n perc enta g e o f pra c tic e’s pa tients th a t a re M ed ic a id

E H R inc entiv e eq ua l to 8 5 % o f “a v era g e a l l o w a bl e c o st” to purc h a se, impl ement, o r upg ra d e ( inc l ud ing ma intena nc e a nd tra ining ) I nc entiv es up to $ 6 3 , 7 5 0

P ro v id er must pa y rema ining 1 5 % “a v era g e a l l o w a bl e c o st”

o f th e

I nc entiv es beg in in 2 0 1 1

Fo r f i r s t y e a r o f p a y m e n t , d e m o n s t r a t e e f f o r t t o a d o p t, im p le m e n t, o r u p g r a d e . M u s t b e m e a n in g fu l u s e r o f c e r tifie d E H R a fte r y e a r o n e . Source: Cisco IBSG Healthcare Practice, 2009 Cisco Confidential

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W hat is M eaning f u l U s e The ability to:


E x c han g e elec tr on ic d ata


R ep or t c lin ic al q u ality m eas u r es
eP r es c r ibe ( p hys ic ian s on ly) D em on s tr ated by:


C laim s w ith s p ec if ic c od es
R es p on d to H H S s u r v ey
A ttes t

Source: Cisco IBSG Healthcare Practice, 2009 Cisco Confidential

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Q u alif ied E lectronic Health Record
Demographi c s


C li ni c al i nformati on: Hx and prob lem li s ts
C apac i ty for c li ni c al d ec i s i on s upport
P hy s i c i an ord er entry


C apture and q uery i nformati on relev ant to health c are q uali ty


E x c hange elec troni c health i nformati on w i th, and i ntegrate i nformati on from, other s ourc es

Cisco IBSG, 2008

Cisco Confidential

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$ 2 B

D is cretionary F u nds


$20M to National Institute of Standards and Technology

“C rea te a nd test sta nd a rd s rel a ted to h ea l th sec urity a nd intero pera bil ity ”


$3 00M to O NC H IT $ 3 0 0 M

f o r reg io na l a nd subna tio na l ef f o rts f o r h ea l th inf o rma tio n ex c h a ng e

Focu s A rea

S p ecif ics

7 i n v e s t m e n t a r e a s v ia H H S a g enc ies

I ncluding: telemedicine, technology to p rotect electronic health information, H I T for p ub lic health

H I T R e s e a r c h C e n t e r a nd H ea l th I nf o rma tio n T ec h no l o g y R e g i o n a l E x t e n s i o n C e n te rs

S up p ort p rov iders w ith E H R adop tion. R egional centers can b e contracted to not-for-p rofit organiz ations

S ta te & triba l g r a n t s —b e c o m e L O A N fo r p r o v id e r s

V ia O N C H I T. M ay not b e aw arded b efore J anuary 1 , 2 0 1 0

S ta te p l a n n i n g a n d i m p l e m e n t a t i o n g r a n t s

fu n d s

D emo nstra tio n pro g ra m to a w a rd g r a n t s — in te g r a tin g H IT in to c lin ic a l e d u c a tio n

F ina nc ia l a ssista nc e to e s t a b l i s h o r e x p a n d m e d ic a l in fo r m a tic s p r o g r a m s Source: Cisco IBSG Healthcare Practice, 2009

Cisco Confidential

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V ia O N C H I T. F ocus is HIT adoption and the ex change of electronic health information

Targeting medical schools and others Targeting medical schools and other institutions of higher learning I n t e r n e t B u s in e s s S o lu tio n s G r o u p

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Help . . . . Hop e

Questions?

Cisco Confidential

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F ranc es Dare, Di rec tor, Healthc are P rac ti c e fd are@

c i s c o. c om

4 6 9 .2 5 5 .4 2 2 6

Cisco Confidential

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