KENTUCKY Cabinet for Health and Family Services Update 2015 Kentucky Health Information Exchange Kentucky Medicaid EHR Incentive Program
KY Medicaid Attestations As of 12/31/14 Total: 4,462 Hospitals: 224 (95 registrations) Providers: 4,238 Total Payouts: Hospitals: $117.6 million Providers: $58.8 million Medicare: $260 million 4,293 providers (hospitals + providers)
EHR Incentive Tracking As of 12/08/2014 $300,000,000 Kentucky Medicaid and Medicare EHR Incentive Payments Received $250,000,000 $200,000,000 $150,000,000 $100,000,000 $50,000,000 $0 Medicaid Incentive $
Medicaid EHR Incentive Payments Hospitals by County As of 12/08/2014 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancock Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean Madison Magoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simpson Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford Total Hospital Incentive Payments to date $117,627,010.78
Medicaid EHR Incentive Payments Physicians by County As of 12/08/2014 Adair Allen Anderson Ballard Barren Bath Bell Boone Bourbon Boyd Boyle Bracken Breathitt Breckinridge Bullitt Butler Caldwell Calloway Campbell Carlisle Carroll Carter Casey Christian Clark Clay Clinton Crittenden Cumberland Daviess Edmonson Elliott Estill Fayette Fleming Floyd Franklin Fulton Gallatin Garrard Grant Graves Grayson Green Greenup Hancoc k Hardin Harlan Harrison Hart Henderson Henry Hickman Hopkins Jackson Jefferson Jessamine Johnson Kenton Knott Knox Larue Laurel Lawrence Lee Leslie Letcher Lewis Lincoln Livingston Logan Lyon McCracken McCreary McLean Madison Magoffin Marion Marshall Martin Mason Meade Menifee Mercer Metcalfe Monroe Montgomery Morgan Muhlenberg Nelson Nicholas Ohio Oldham Owen Owsley Pendleton Perry Pike Powell Pulaski Robertson Rockcastle Rowan Russell Scott Shelby Simps on Spencer Taylor Todd Trigg Trimble Union Warren Washington Wayne Webster Whitley Wolfe Woodford Total Provider Incentive Payments to date $58,757,666.81 Indiana
EHR Incentive Program - NEWS Certified Electronic Health Record Technology (CEHRT) Flexibility Rule 2014 Released for comment in July, published early September, effective October 1 Available for provider attestation 2 nd week of October Allows providers the option to flex back utilizing 2011 edition CEHRT or 2011/2014 edition CEHRT Utilizing the CEHRT Flex Rule gives providers the option to attest to Program year 2013 requirements 2014 edition CEHRT must be not fully implemented Pushes back Stage 3 to 2017 6
EHR Incentive Program - NEWS Kentucky Flexibility: Attestation deadlines extended: Hospitals: January 30, 2015 Providers: April 30, 2015 Policy on electronic submission of Clinical Quality Measures relaxed to accommodate providers with EHR vendors who can NOT submit an electronic file Manual entry of CQMs will be allowed for these providers Electronic submission will be encouraged whenever possible 7
EHR Incentive Program Documentation Required KHIE Participation Agreement, All appropriate addendums for public health measures, Meaningful Use Confirmation Form and/or Go-Live Approval Form Meaningful Use reports Payment Reassignment document Patient volume report CEHRT id supporting documentation Checklist is available at the EHR Incentive Program website: http://chfs.ky.gov/dms/ehr.htm 8
EHR Incentive Program Sticking Points Medicaid Enrollment End dated Name mismatch TIN mismatch Group linkage Patient Volume Group vs. Individual Group linkage Pediatrician Board Certification Reporting CQMs Electronic submission requirement 9
Eligible Hospitals & CAHs (FFY) Stages of Meaningful Use 2011 2012 2013 2014 2015 Stage 1 Stage 1 Stage 1 Stage 2 Stage 2 Stage 1 Stage 1 Stage 2 Stage 2 Stage 1 Stage 1 Stage 2 Stage 1 Stage 1 Stage 1 Note: Medicare reports in quarters while Medicaid reporting periods are any continuous 90 day period.
Eligible Providers (CY) Stages of Meaningful Use 2011 2012 2013 2014 2015 2016 2017 Stage 1 Stage 1 Stage 1 Stage 2 Stage 2 Stage 2 Stage 3 Stage 1 Stage 1 Stage 2 Stage 2 Stage 2 Stage 3 Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 1 Stage 1 Stage 2 Stage 2 Stage 1 Stage 1 Stage 2 Note: Medicare reports in quarters while Medicaid reporting periods are any continuous 90 day period.
Important Dates for Eligible Providers (CY) October 1, 2014 November 30, 2014 December 31, 2014 CEHRT Flexibility Rule effective date. Last day to submit a Hardship Exception application for 2015 Medicare Payment Adjustment Last day of Calendar Year (CY), reporting year ends. January 1, 2015 March 31, 2015 April 1, 2014 2016 2021 Reporting year begins. Last day to attest to receive an Incentive Payment for CY 2014. First day to attest for Meaningful Use to receive an incentive payment for CY 2015. Last year to initiate participation in the Medicaid EHR Incentive Program. Last year to receive a Medicaid EHR incentive payment.
Important Dates for Eligible Hospitals & CAHs (FFY) October 1, 2014 November 30, 2014 Reporting year begins. CEHRT Flexibility Rule effective date. Last day to submit a Hardship Exception application for 2015 Medicare Payment Adjustment December 31, 2014 January 1, 2015 April 1, 2014 September 30, 2015 2016 2021 Last day to attest to receive an incentive payment for the federal fiscal year (FFY) 2014. First day to attest for Meaningful Use to receive an incentive payment for FFY 2015. Last day to submit a Hardship Exception application for 2016 Medicare payment adjustment. Last day of the FFY. Reporting year ends. Last year to initiate participation in the Medicaid EHR Incentive Program. Last year to receive a Medicaid EHR incentive payment.
719 KHIE Participation Agreements March 1, 2011 January, 2014 Representing 2,746 Healthcare Locations KHIE Participation Agreements Signed # PA's 800 700 600 500 400 300 200 100 0
Data As of 11/14/14 15
Hospital Connections 89 Live Hospitals (24 CAH/65 Acute) As of 01/01/2015 Acute Hospital w/ PA Acute Hospital LIVE on KHIE Campbell Boone Kenton Critical Assess Hospital w/ PA Henderson Union Webster Crittenden Hopkins Livingston Caldwell CAH LIVE on KHIE Gallatin Carroll Bracken Pendleton Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Nicholas Fleming Carter Boyd Scott Jefferson Shelby Franklin Rowan Bourbon Bath Woodford Elliott Bullitt Montgomery Lawrence Spencer Anderson Fayette Clark Menifee Hancock Meade Jessamine Morgan Mercer Powell Johnson Breckinridge Nelson Martin Washington Estill Wolfe Daviess Hardin Madison Magoffin Boyle Garrard Lee McLean Larue Marion Floyd Ohio Breathitt Pike Lincoln Grayson Jackson Owsley Taylor Rockcastle Knott Hart Casey Perry Muhlenberg Butler Edmonson Green Clay Ballard McCracken Lyon Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Warren Barren Carlisle Hickman Fulton Graves Marshall Calloway Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan
1033 LIVE Connections Hospitals/Physicians/Labs by County As of 01/01/2015 Hospital Physician Lab Combination Livingston Crittenden Union Caldwell Henderson Webster Hopkins Boone Kenton Campbell Gallatin Bracken Pendleton Carroll Grant Trimble Mason Owen Robertson Greenup Lewis Henry Harrison Oldham Nicholas Fleming Carter Boyd Scott Shelby Franklin Rowan Jefferson Bourbon Bath Woodford Elliott Fayette Montgomery Lawrence Spencer Bullitt Anderson Clark Menifee Meade Jessamine Morgan Mercer Powell Johnson Hancoc k Breckinridge Nelson Washington Martin Estill Wolfe Daviess Hardin Madison Magoffin Boyle Garrard Lee McLean Larue Marion Floyd Breathitt Pike Lincoln Ohio Grayson Jackson Owsley Taylor Rockcastle Knott Hart Casey Perry Muhlenberg Butler Edmonson Green Clay Ballard McCracken Lyon Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Warren Barren Carlisle Hickman Fulton Graves Marshall Calloway Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan Others: 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 via KHIE Hospitals/Physicians by Count As of 12/08/2014 Hospital Physician Lab Combination Livingston Crittenden Union Caldwell Henderson Webster Hopkins Boone Kenton Campbell Gallatin Carroll Bracken Pendleton Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Nicholas Fleming Carter Boyd Scott Jefferson Shelby Franklin Rowan Bourbon Bath Woodford Elliott Bullitt Montgomery Lawrence Spencer Anderson Fayette Clark Menifee Hancock Meade Jessamine Morgan Mercer Powell Johnson Breckinridge Nelson Washington Wolfe Martin Estill Daviess Hardin Boyle Garrard Madison Magoffin Lee McLean Larue Marion Floyd Breathitt Lincoln Ohio Grayson Jackson Owsley Pike Taylor Rockcastle Knott Hart Casey Perry Muhlenberg Butler Edmonson Green Clay Ballard McCracken Lyon Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Warren Barren Carlisle Hickman Graves Marshall Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan Fulton Calloway Others: Kentucky Immunization Registry State Lab (Microbiology) (Franklin) Grundy, VA Scioto, OH
177 Syndromic Surveillance Connections via KHIE Hospitals/Physicians by County As of 01/01/2015 Hospital Physician Combination Livingston Crittenden Union Caldwell Henderson Webster Hopkins Boone Kenton Campbell Gallatin Carroll Bracken Pendleton Trimble Grant Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Nicholas Fleming Carter Boyd Scott Jefferson Shelby Franklin Rowan Bourbon Bath Woodford Elliott Bullitt Montgomery Lawrence Spencer Anderson Fayette Clark Menifee Hancock Meade Jessamine Morgan Mercer Powell Johnson Breckinridge Nelson Washington Wolfe Martin Daviess Estill Hardin Boyle Garrard Madison Magoffin Lee McLean Larue Marion Floyd Breathitt Lincoln Ohio Grayson Jackson Owsley Pike Taylor Rockcastle Knott Hart Casey Perry Muhlenberg Butler Edmonson Green Clay Ballard McCracken Lyon Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Warren Barren Carlisle Hickman Graves Marshall Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan Fulton Calloway Others: Out of State IN Out of State - OH
Transitions of Care: Direct Secure Messaging 332 Locations As of 01/01/2015 DIRECT Live DIRECT Live CareAlign DIRECT Live and CareAlign Henderson Union Webster Crittenden Hopkins Livingston Caldwell Campbell Boone Kenton Gallatin Bracken Pendleton Carroll Grant Trimble Mason Owen Robertson Lewis Greenup Henry Harrison Oldham Nicholas Fleming Carter Boyd Scott Shelby Franklin Rowan Jefferson Bourbon Bath Woodford Elliott Fayette Montgomery Lawrence Spencer Bullitt Anderson Clark Menifee Hancock Meade Jessamine Morgan Powell Mercer Johnson Breckinridge Nelson Martin Washington Estill Wolfe Daviess Hardin Madison Magoffin Boyle Garrard Lee McLean Larue Marion Floyd Breathitt Pike Lincoln Ohio Grayson Jackson Owsley Taylor Rockcastle Knott Hart Casey Perry Muhlenberg Butler Edmonson Green Clay Ballard McCracken Lyon Warren Barren Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Carlisle Hickman Fulton Graves Marshall Calloway Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan Others: Out of State-Ohio ehr Out of State-Indiana ehr
Direct Secure Messaging Status As of 1/7/2015 332 locations live Locations include: Hospitals Physicians/Clinics Long Term Care/Skilled Facilities Rehab Facilities Home Health Agencies Local Health Departments Primary Use Case: Transitions of Care/Referrals
Direct (Point-to-Point) Network Cerner Users Cerner Med Allies Allscripts Users DirectTrust Accredited Network Long-Term Care 35+ DTAAPaccredited HISPs KHIE HISP Post-Acute Care Meditech Users Epic Users Health Departments Rehabilitation
EHR <->DTAAP-Accredited HISP Connections AthenaHealth Meditech SuccessEHS Ulrich, ModuleMD, QRS, CorrecTek, Connexin CPSI, Netsmart ADP, Falcon, GE, glostream, HealthFusion, Meditab, OCERIS, VersaSuite, Vitera Acumen, Allmeds, Elekta, gmed, Health Innov Tech, HMS, NexTech NextGen NextGen Share KHIE ICA Epic, Meditech Inpriva Updox AmazingCharts, e-mds, Eyefinity, First Insight, Greenway, Healthland, Medinformatix, Modernizing Med, Practice Fusion AllScripts Meditech Relay Health McKesson
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 Coordinator Coverage Regions Region 1 Laura Shonk Region 2 Teresa Poff Region 3 Ann O Hara Region 4 Tiffany Pierson Region 5 June Madden Livingston Crittenden Union Caldwell Henderson Webster Hopkins McLean Daviess Muhlenberg Hancoc k Ohio Butler Breckinridge Grayson Meade Edmonson Hardin Hart Jefferson Bullitt Larue Nelson Green Trimble Oldham Carroll Henry Shelby Spencer Washington Marion Taylor Gallatin Franklin Boyle Casey Campbell Boone Kenton Owen Grant Woodford Anderson Fayette Mercer Scott Jessamine Lincoln Garrard Pendleton Harrison Bourbon Madison Rockcastle Bracken Robertson Nicholas Bath Montgomery Clark Menifee Estill Jackson Mason Powell Fleming Lee Owsley Clay Wolfe Lewis Rowan Morgan Breathitt Perry Carter Elliott Magoffin Greenup Knott Boyd Lawrence Johnson Floyd Martin Pike Ballard McCracken Lyon Metcalfe Adair Russell Pulaski Laurel Leslie Letcher Warren Barren Carlisle Hickman Graves Marshall Trigg Christian Todd Logan Simpson Allen Monroe Cumberland Clinton Wayne McCreary Whitley Knox Bell Harlan Fulton Calloway
Current Data Exchange For complete listing of all healthcare locations live on the Kentucky Health Information Exchange cut and paste this link into your web browser http://khie.ky.gov/nr/pages/resources.as px Then click on Live on KHIE link
Meaningful Use Guidance/Resources KY Public Health Reporting http://khie.ky.gov/tech/pages/publichealthreporting.aspx Flex Rule 2014 http://khie.ky.gov/tech/pages/meaningfuluseguidance.aspx EHR Vendor Status http://khie.ky.gov/tech/pages/ehrvendortokhiestatus.aspx Transitions of Care/Direct Secure Messaging http://khie.ky.gov/tech/pages/toc.aspx KY Medicaid EHR Incentive Program website http://chfs.ky.gov/dms/ehr.htm
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