Middlebury Family Health Targeting Meaningful Use Eileen Fuller

Middlebury Family Health: Targeting Meaningful Use Eileen Fuller, MD Stacy Ladd, Practice Administrator Michelle Clark, MA Medent Specialist

ON TARGET MFH at a Glance Four provider private practice • Started working with VITL in March 2010 • Signed contract with Medent in Sept. 2010 • Staggered EHR modules going live in Jan. 2011 • Interfaced with Porter Hospital Lab in Feb. 2011 • Attested to Meaningful Use on June 8, 2011 • Certified at Level 3 for PCMH on July 1, 2011

ON TARGET Selecting an EHR Homework was completed… • Worked with VITL • Talked with other practices • Reviewed demos • Narrowed down the list • Reviewed contracts and options • Signed contract with “best fit” vendor

ON TARGET Implementation: January, 2011 It was a busy month! • • Installed & set-up hardware from the 5 th-7 th Went live with Practice Management on 10 th Pre-loaded EHR based on scheduled patients Rolled out e-Prescribing first • Followed with other modules as trained • Trained all staff on system during January • Sporadic follow up in February • Final training on template modification March 17 • Documented visits utilizing all templates • All doctors trained by early February

ON TARGET For Better or Worse… • Office was open during training • No official “go live” date • Added modules until complete • Some visits were documented using EHR • Remainder with paper charts • Gradually increased number of EHR visits • By March, all patient visits were in Medent

ON TARGET Kept An Eye on the Goal Incorporated elements needed for: • Patient Centered Medical Home • Meaningful Use Medent built in: • Dashboard for criteria • Report functionality for disease management • Hub for exchange of clinical info (Criteria #14) VITL helped: • Security Risk Assessment • Guidance on implementation and criteria

ON TARGET Meaningful Use Attestation Medicare EHR incentive • Examined every criteria • Dashboard and reports • Used Clinical Quality Measures from PQRS • Worked through Security Risk Assessment • Created a remediation plan for deficiencies • Reviewed the Medicare Attestation User guide • Checked the EP Attestation Worksheet • Received incentive funds in late July

ON TARGET Lessons Learned • Document from the start • Set up your system to collect data • Keep track of progress for criteria • Work with EHR vendor for reports • Include the entire office • Work in conjunction with PCMH • DON’T reinvent the wheel • You can do it all!

ON TARGET The On Target MFH Physicians

ON TARGET QUESTIONS?

ON TARGET Helpful Links • VITL website http: //www. vitl. net/ • Medicare EP Registration User Guide http: //www. vitl. net/sites/default/files/documents/EHRMedicare. EP_Registration. User. Guide. pdf • Medicare Attestation User Guidehttp: //www. cms. gov/EHRIncentive. Programs/Downloads/EP_Attestation_User_Guide. pdf • EP Attestation Worksheet http: //www. cms. gov/EHRIncentive. Programs/Downloads/EP_Attestation_Worksheet. pdf