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KENTUCKYCabinet for Health and Family ServicesUpdate 2015Kentucky Health Information ExchangeKentucky Medicaid EHR Incentive Program
KY Medicaid AttestationsAs of 12/31/14 Total: 4,462Hospitals: 224 (95 registrations)Providers: 4,238Total Payouts:‒ Hospitals: 117.6 million‒ Providers: 58.8 million Medicare:‒ 260 million‒ 4,293 providers (hospitals providers)
EHR Incentive TrackingAs of 12/08/2014Kentucky Medicaid and Medicare EHR Incentive PaymentsReceived 300,000,000 250,000,000 200,000,000 150,000,000 100,000,000 50,000,000 0Medicaid Incentive
Medicaid EHR Incentive PaymentsHospitals by CountyAs of 12/08/2014CampbellBooneKentonTotal Hospital IncentivePayments to date roeClintonWhitleyMcCrearyBellLetcher
Medicaid EHR Incentive PaymentsPhysicians by CountyAs of 12/08/2014CampbellBooneKentonTotal ProviderIncentive Payments todate eClintonWhitleyMcCrearyBellCalloway Indiana
EHR Incentive Program - NEWSCertified Electronic Health Record Technology(CEHRT) Flexibility Rule 2014 Released for comment in July, published early September,effective October 1Available for provider attestation 2nd week of OctoberAllows providers the option to “flex back” utilizing 2011edition CEHRT or 2011/2014 edition CEHRTUtilizing the CEHRT Flex Rule gives providers the optionto attest to Program year 2013 requirements2014 edition CEHRT must be “not fully implemented”Pushes back Stage 3 to 20176
EHR Incentive Program - NEWSKentucky Flexibility: Attestation deadlines extended:– Hospitals: January 30, 2015– Providers: April 30, 2015 Policy on electronic submission of Clinical Quality Measuresrelaxed to accommodate providers with EHR vendors who canNOT submit an electronic file– Manual entry of CQMs will be allowed for these providers– Electronic submission will be encouraged whenever possible7
EHR Incentive ProgramDocumentation Required KHIE Participation Agreement, All appropriate addendumsfor public health measures, Meaningful Use ConfirmationForm and/or Go-Live Approval FormMeaningful Use reportsPayment Reassignment documentPatient volume reportCEHRT id supporting documentationChecklist is available at the EHR Incentive Program website:http://chfs.ky.gov/dms/ehr.htm8
EHR Incentive ProgramSticking Points Medicaid Enrollment End dated Name mismatch TIN mismatch Group linkagePatient Volume Group vs. Individual Group linkage Pediatrician Board CertificationReporting CQMs Electronic submission requirement9
Eligible Hospitals & CAHs (FFY)Stages of Meaningful Use20112012201320142015Stage 1Stage 1Stage 1Stage 2Stage 2Stage 1Stage 1Stage 2Stage 2Stage 1Stage 1Stage 2Stage 1Stage 1Stage 1Note: Medicare reports in quarters while Medicaid reportingperiods are any continuous 90 day period.
Eligible Providers (CY)Stages of Meaningful Use2011201220132014201520162017Stage 1 Stage 1 Stage 1 Stage 2 Stage 2 Stage 2 Stage 3Stage 1 Stage 1 Stage 2 Stage 2 Stage 2 Stage 3Stage 1 Stage 1 Stage 2 Stage 2 Stage 3Stage 1 Stage 1 Stage 2 Stage 2Stage 1 Stage 1 Stage 2Note: Medicare reports in quarters while Medicaid reportingperiods are any continuous 90 day period.
Important Dates for Eligible Providers (CY)October 1, 2014November 30, 2014December 31, 2014 CEHRT Flexibility Rule effective date. Last day to submit a Hardship Exception applicationfor 2015 Medicare Payment Adjustment Last day of Calendar Year (CY), reporting year ends.January 1, 2015 Reporting year begins.March 31, 2015 Last day to attest to receive an Incentive Payment forCY 2014.April 1, 2014 First day to attest for Meaningful Use to receive anincentive payment for CY 2015.2016 Last year to initiate participation in the MedicaidEHR Incentive Program .2021 Last year to receive a Medicaid EHR incentivepayment.
Important Dates for Eligible Hospitals &CAHs (FFY)October 1, 2014November 30, 2014December 31, 2014 Reporting year begins. CEHRT Flexibility Rule effective date. Last day to submit a Hardship Exception applicationfor 2015 Medicare Payment Adjustment Last day to attest to receive an incentive payment forthe federal fiscal year (FFY) 2014.January 1, 2015 First day to attest for Meaningful Use to receive anincentive payment for FFY 2015.April 1, 2014 Last day to submit a Hardship Exception applicationfor 2016 Medicare payment adjustment.September 30, 2015 Last day of the FFY. Reporting year ends.2016 Last year to initiate participation in the Medicaid EHRIncentive Program.2021 Last year to receive a Medicaid EHR incentivepayment.
719 KHIE Participation AgreementsMarch 1, 2011 – January, 2014Representing 2,746 Healthcare LocationsKHIE Participation Agreements Signed# PA's8007006005004003002001000
DataAs of 11/14/1415
Hospital Connections89 Live Hospitals (24 CAH/65 Acute)As of 01/01/2015CampbellBooneKentonAcute Hospital LIVE on KHIEAcute Hospital w/ PAGallatinCAH LIVE on KHIECritical Assess Hospital w/ rearyBellLetcher
1033 LIVE ConnectionsHospitals/Physicians/Labs by CountyAs of 01/01/2015BooneKenton lowayFultonOthers: Kentucky Immunization Registry State Lab (Microbiology) (Franklin) Grundy, VA Hamilton, OH Indiana Pennyroyal Behavioral Health Ctrs Lexington Fayette County Detention Center
782 KY Immunization Registry Connections viaKHIE Hospitals/Physicians by CountAs of 12/08/2014BooneKenton ellCallowayOthers: Kentucky Immunization Registry State Lab (Microbiology) (Franklin) Grundy, VA Scioto, OH
177 Syndromic Surveillance Connections viaKHIE Hospitals/Physicians by CountyAs of 01/01/2015BooneKenton yOthers: Out of State –IN Out of State - OHLetcher
Transitions of Care:Direct Secure Messaging332 LocationsAs of 01/01/2015CampbellBooneKentonDIRECT LiveGallatinDIRECT Live CareAlignPendletonCarrollBrackenGrantTrimbleDIRECT Live and WayneWhitleyMcCrearyBellCallowayFultonOthers: Out of State-Ohio eHR Out of State-Indiana eHR
Direct Secure Messaging StatusAs of 1/7/2015 332 locations live Locations icsLong Term Care/Skilled FacilitiesRehab FacilitiesHome Health AgenciesLocal Health Departments Primary Use Case: Transitions ofCare/Referrals
Direct (Point-to-Point) NetworkMedAlliesCernerCerner ng-TermCareKHIE35 sEpicUsersHealthDepartmentsRehabilitation
EHR - DTAAP-Accredited HISP DP, Falcon, e,ViteraUpdoxNextGenShareAcumen, Allmeds,Elekta, gMed, HealthInnov Tech,HMS, MDs,Eyefinity,First ingMed,Practice FusionAllScripts MeditechRelay HealthMcKesson
Priorities 2015 Next Generation KHIE Focus: Interoperability & Full Exchange Additional and Improved Functionality Coordination of Care Behavioral Health/Long Term Care/Corrections Use Cases for Direct Secure Messaging Health Home Initiative Alerts – ADT Messages Disaster/Emergency Preparedness
KHIE Outreach CoordinatorCoverage RegionsCampbellBooneKentonRegion 1 – Laura ShonkRegion 2 – Teresa PoffRegion 3 – Ann O’HaraRegion 4 – Tiffany PiersonRegion 5 – June onWhitleyMcCrearyBellLetcher
Current Data ExchangeFor complete listing of all healthcarelocations live on the Kentucky HealthInformation Exchange cut and paste thislink into your web hen click on ‘Live on KHIE’ link
Meaningful UseGuidance/ResourcesKY Public Health hreporting.aspxFlex Rule dance.aspxEHR Vendor EStatus.aspxTransitions of Care/Direct Secure Messaginghttp://khie.ky.gov/tech/Pages/toc.aspxKY Medicaid EHR Incentive Program websitehttp://chfs.ky.gov/dms/EHR.htm
Visit Ushttp://khie.ky.gov
incentive payment for FFY 2015. January 1, 2015 Last day to submit a Hardship Exception application for 2016 Medicare payment adjustment. April 1, 2014 September 30, 2015 Last day of the FFY. Reporting year ends. Last year to initiate participation in the Medicaid EHR Incentive Program. 2016 Last year to receive a Medicaid EHR incentive
