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Pennsylvania DPW Update -- April 2014

Submitted by Pamela Zemaitis, DPW
If you have any questions, please contact us at ra-mahealthit@pa.gov
Pamela Zemaitis | OMAP HIT Communications Coordinator

As of Monday March 31st, the Medical Assistance Health IT initiative has issued 7,114 Eligible Professional (EP) and 292 Eligible Hospital (EH) payments. To date, we have made payments of $121,890,150 for Eligible Professionals and $150,429,693 for Eligible Hospitals. As of March 31st, we have made 2,185 payments to EPs for meeting requirements that they are Meaningfully Using their EHR.

The pilot program was initiated to support efforts by Behavior Health and Long Term Care providers to electronically share health information with other providers. The program was designed to serve a high volume of Medicaid recipients in defined geographic locations, known as 'eHealth Pods,' by arranging for technical assistance for these providers via Technical Service Partners. On our website, we have made information available about the eHealth Pod Pilot Program. This week we added three Case Studies, that summarize two eHealth Pod's experiences in the pilot program as well as a summary of challenges identified during the project. You can find these case studies at: http://www.dpw.state.pa.us/provider/healthcaremedicalassistance/medicalassistancehealthinformationtechnologyinitiative/hitresources/index.htm

To keep you updated with information on the Medicare and Medicaid EHR Incentive Programs, CMS has recently added three new FAQs and four updated FAQs to the CMS FAQ system. We encourage you to stay informed by taking a few minutes to review the new information below.

New FAQs:

1. For Eligible Professionals (EP) in the Medicaid EHR Incentive Program using the group proxy method of calculating patient volume, how should the EPs calculate patient volume using the "12 months preceding the EP's attestation" approach, as not all of the EPs in the group practice may use the same 90-day period.

2. Can a hospital count a patient toward the measures of the "Patient Electronic Access" objective in the Medicare and Medicaid EHR Incentive Programs if the patient accessed his/her information before they were discharged?

3. When demonstrating Stage 2 meaningful use in the EHR Incentive programs, would an eligible professional (EP) be required to report on the "Electronic Notes" objective even if he or she did not see patients during their reporting period?

Updated FAQ:

1. For Stage 1 and 2 meaningful use objectives of the Medicare and Medicaid EHR Incentive Programs that require submission of data to public health agencies, if multiple eligible professionals (EPs) are using the same certified EHR technology across several physical locations, can a single test or onboarding effort serve to meet the measures of these objectives?

2. For the Stage 2 meaningful use objective of the Medicare and Medicaid EHR Incentive Programs that requires the successful electronic exchange of a summary of care document with either a different EHR technology or the CMS designated test EHR, if multiple eligible professionals (EPs) are using the same certified EHR technology across several physical locations, can a single test meet the measure?

3. In calculating the meaningful use objectives requiring patient action, if a patient sends a message or accesses his/her health information made available by their eligible professional (EP), can the other EPs in the practice get credit for the patient's action in meeting the objectives? Read the answer.

4. When reporting on the Summary of Care objective in the EHR Incentive Program, which transitions would count toward the numerator of the measures?

On March 31, 2014, the United States Senate passed H.R. 4302, the Protecting Access to Medicare Act 2014. The bill was signed into law by President Obama on April 1, 2014. The enactment of the ICD-10 code set had a mandated October 1, 2014 implementation. The law delays ICD-10 implementation until at least October 1, 2015. The Department is analyzing the impacts of this delay to Medical Assistance programs, and will publish updates to the ICD-10 website as more information becomes available.

The U.S. Department of Health & Human Services (HHS) has released a new Security Risk Assessment (SRA) tool to help health care providers in small-to-medium sized offices conduct risk assessments of their organizations. The SRA Tool is the result of a collaborative effort by the HHS Office of the National Coordinator for Health Information Technology (ONC) and Office for Civil Rights (OCR). The tool is designed to help practices conduct and document a risk assessment to evaluate potential security risks in their organizations under the Health Insurance Portability and Accountability Act (HIPAA) Security Rule. The application, available for downloading at www.HealthIT.gov/security-risk-assessment, also produces a report that can be provided to auditors. The webpage contains a User Guide and Tutorial video to help providers begin using the tool. Conducting and reviewing a security risk assessment is not only a key requirement of the HIPAA Security Rule, but is also a core objective for providers participating in the Medicare and Medicaid EHR Incentive Programs.

ELIGIBLE PROFESSIONAL PROGRAM YEAR 2013 MEDICAL ASSISTANCE GRACE PERIOD COUNTDOWN – Currently we are in the Medical Assistance grace period for Program Year 2013 for the Eligible Professionals. After today, you have 2 days to complete your Program Year 2013 applications. If you have any questions, please email us at ra-mahealthit@pa.gov.

Previously reported...

As of Monday March 24th, the Medical Assistance Health IT initiative has issued 7,064 Eligible Professional (EP) and 291 Eligible Hospital (EH) payments. To date, we have made payments of $121,258,316 for Eligible Professionals and $150,559,927 for Eligible Hospitals. As of March 24th, we have made 2,251 payments to EPs for meeting requirements that they are Meaningfully Using their EHR.

As of Monday March 10th, the Medical Assistance Health IT initiative has issued 6,904 Eligible Professional (EP) and 282 Eligible Hospital (EH) payments. To date, we have made payments of $119,624,897 for Eligible Professionals and $148,507,585 for Eligible Hospitals. As of March 10th, we have made 2,012 payments to EPs for meeting requirements that they are Meaningfully Using their EHR.

As of Monday March 3rd, the Medical Assistance Health IT initiative has issued 6,800 Eligible Professional (EP) and 280 Eligible Hospital (EH) payments. To date, we have made payments of $118,345,647 for Eligible Professionals and $145,999,270 for Eligible Hospitals. As of March 3rd, we have made 1,938 payments to EPs for meeting requirements that they are Meaningfully Using their EHR.

2013 Pennsylvania Medical Assistance EHR Incentive Program Achievements

Ranking--National Medicaid EHR Incentive Program Category

  • 7th in Total Dollar Amount of Incentives
  • 5th in Total Number of Provider Payments
  • 3rd in Total Number of Professionals Receiving MU Related Payment
  • 1st in Percentage of Professionals Returning for a 2nd Year Payment (out of the top 10 payment issuing states)

Other 2013 achievements include convening an on-going discussion group of providers to identify best practices related to the EHR incentive program and conducting a pilot project to support behavioral health and long term care providers in using their EHRs to exchange information electronically. Both these activities have been very informative. We will continue to convene the best practices group and use the information gathered from the pilot to support providers' ability to participate effectively in the program.

2014 will be an important year for the program. With so many changes taking place we anticipate that there will be a lot of questions. Our goal is to provide you the resources needed to answer those questions so we want to hear how we can help support you in the upcoming year. Please email any suggestions for webinars, resources for the website or other ideas to ra-mahealthit@pa.gov.

In the New Year we will be exploring how health information exchange can be leveraged to allow for more efficient reporting to the program and we have begun analysis on how provider participation in the EHR incentive program relates to quality of care. We look forward to providing information on these topics and many more in 2014.

Thank you to all the providers and other stakeholders for making 2013 such a successful year and we look forward to working with everyone in 2014.

For Eligible Hospitals the Medical Assistance EHR Incentive program year 2013 deadline of December 30, 2013 is approaching fast. You must submit an incentive application through MAPIR by December 30, 2013 in order to receive an incentive payment from the Medical Assistance EHR incentive program for program year 2013. Please contact us at ra-mahealthit@pa.gov if you have any questions.

We mentioned this last week but wanted to mention it again. If you need to update something in your Medical Assistance Account (i.e. fee assignment, add a NPI number, add a service location, complete a new registration, etc.) you should start that process as soon as possible. If you want to apply for Program Year 2013, you have until April 6, 2014. Changes, updates or additions to a provider's MA account may take up to 90 days so you will want to start this process immediately. If you have any questions, please email us at ra-mahealthit@pa.gov

This is just a reminder that the MAPIR system will not be available from Saturday, January 4, 2014 until Friday, January 10, 2014. The system is being upgraded and will not impact any applications that have been submitted or are in progress. We apologize for the inconvenience but it should not impact your attestation at all. If you have any questions, please email us at ra-mahealthit@pa.gov.

If you have any questions, please email us at ra-mahealthit@pa.gov.

PA Health Insurance Exchange

Under the federal Patient Protection and Affordable Care Act Pennsylvania is required to set up a state-run health insurance exchange by 2013. The state has applied for $33 million dollars from the federal government to implement the exchange but still needs to pass enabling legislation. A draft plan for the exchange can be found on the PA Insurance Departments website or download a pdf copy of the KPMG Report Nov 21, 2011.

PAeHI Press Releases



2013 Board Of Directors Press Release

Board Member Biographies

Truven Health Analytics will implement the CSS

The Authority has selected Truven Health Analytics to build and implement the Authority's community shared services (CSS). CSS is the key component that will enable the secure, confidential electronic exchange of medical records between state-certified organizations--Health Information Exchanges (HIEs) and Health Information Service Providers (HISPs).

With Truven in place, we can begin to create the statewide network-of-networks. The CSS will support the ability of unaffiliated healthcare providers in Pennsylvania to exchange information with one another. It will include a suite of registries, indexing services and security functions that will create a cost-effective pathway between certified HIEs and HISPs so they can exchange information. Medical providers will subscribe or contract with an HIE or HISP so they can exchange electronic medical records.

Without the CSS, these various organizations would be unable to exchange and share information without building and maintaining multiple interfaces.

March 7, 2013

MAXIMUS selected for Independent Verification and Validation

The Authority has selected MAXIMUS as the vendor to conduct the independent verification and validation (IV&V) services for the development of the CSS.

MAXIMUS will provide an objective, third-party review of the implementation of the CSS layer to include three interwoven pieces:
1. Independent assessment from both a technical and managerial perspective
2. Verification that the CSS layer is well-engineered
3. Validation that the CSS layer conforms to the Authority's requirements as laid out in the CSS Request for Proposals (RFP) and meets contractual expectations

This is a critical component to the overall project because the Authority needs to ensure that the exchange of information works properly and effectively to meet federal standards.

March 7, 2013

Office of Health Equity

Department of Health

Fall 2012 Newsletter


Governor Corbett Announces Formation of Pennsylvania eHealth Collaborative Advisory Committee

Harrisburg – Governor Tom Corbett today announced the formal creation of the Pennsylvania eHealth Collaborative Advisory Committee.

"This committee will support the Pennsylvania eHealth Collaborative's efforts to advance health information exchange with the goal of improving patient health and safety," Corbett said.

Corbett issued an executive order last July creating the collaborative. Pennsylvania was awarded $17 million under the American Reinvestment and Recovery Act (ARRA) to help advance health information exchange. The act also provides incentives to doctors and hospitals to adopt electronic health records.

The committee consists of the state health information technology coordinator and appointees that represent the interests of a broad spectrum of the healthcare stakeholder community.

"We would like to acknowledge many of the advisory committee members who have been active participants in the collaborative planning process. We look forward to working with the committee to improve healthcare in Pennsylvania," said George White, the state's chief information officer.

Health information exchanges allow healthcare providers such as hospitals, clinics and physicians to securely share patient information from multiple sources, including other hospital systems, labs and pharmacies. By protecting patient information and providing fast, comprehensive access to data, health information exchanges can improve patient safety, reduce redundant tests and procedures, and improve public health monitoring.

The following individuals were appointed to the advisory committee:

· Sen. James Brewster, McKeesport

· Mark Caron, Harrisburg

· Martin Ciccocioppo, Middletown

· Joseph Cincotta, MD, Wellsville

· Robert Corrato, MD, Newtown Square

· Rep. Bryan Cutler, Quarryville

· Lisa Davis, Boalsburg

· Patricia Epple, Harrisburg

· Jonathan Evans, Erie

· Michael Fiaschetti, Enola

· Sen. Mike Folmer, Lebanon

· Joseph Gallagher, MD, Wayne

· Gaspere Geraci, MD, Mechanicsburg

· Jonathan Greer, New Cumberland

· Susan Kressley, MD, Doylestown

· Elizabeth LaRue, PhD, Pittsburgh

· Edward McCallister, West Homewood

· Jean Nejman, Erie

· Rep. Eddie Day Pashinski, Wilkes-Barre

· Rajesh Patel, MD, Lock Haven

· Cheri Rinehart, Dillsburg

· Donna Rovito, Allentown

· Donald Schwarz, MD, MPH, Philadelphia

· Richard Snyder, MD, Berwyn

· Anita Somplasky, RN, Collegeville

· Wayne Thompson, Hellertown

· Jim Walker, MD, New Cumberland

· Michael Yantis, Harrisburg

· James Younkin, Danville

Media contacts:

Dan Egan, Office of Administration; 717-772-4237

Kevin Harley, Governor's Office; 717-783-1116

News for Immediate Release -- Feb. 27, 2012

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