Patient Engagement and
Meaningful Use at Atrius Health
Michael A. Lee MD, MBA
Director, Clinical Informatics
Atrius Health
Atrius Health
• Non-profit alliance of six leading independent
medical groups in Massachusetts
– Dedham Medical Associates
– Granite Medical
– Harvard Vanguard Medical Associates
– Reliant Medical Group
– Southboro Medical Group
– South Shore Medical Center
Atrius Health
• Provide care for almost 1,000,000 adult and pediatric patients
• 1000 physicians, 1500 other healthcare professionals across 35
Atrius Health
•
100% on EMR combined with corporate data
warehouse, used for managing quality and cost.
Patient portal.
•
Long history with global payments, currently about
50% risk across commercial, Medicare and
Medicaid populations.
Stage 1 MU Attestation and Payment
• 758 Eligible Providers
• 732 Successful Attestation and Payment
for 90 days Stage 1 in 2011
• About $8 Million received
• An additional 20 received for Medicaid at
Atrius (not including Reliant)
Social and e-Media at Harvard Vanguard
Blog
e-Newsletter
It starts with
our Blog
•
Launched in
February, 2011
•
Use blogs for
e-newsletter, FB and
•
Over 128,000 visits
in 17 months
•
1850 “likers”
•
23+ interactions per week
Healthy Matters
•
Over 110,000 email
addresses
•
Email every 6 weeks
•
Use blog posts
•
Links to key services
•
Very successful
– 30.6% open rate – 23.3% click-through – 2% bounce
Meaningful Use
• Patient Engagement
• Meaningful Use Measures
• What do they really do?
• What are we trying to do?
Stage
1----P-117 –Electronic Copy of Health Information
• More than 50 percent of all patients of the EP who request an electronic copy of their health information are provided it within 3 business days.
• Numerator
• The number of patients in the denominator who receive an
electronic copy of their electronic health information within three business days.
• Denominator
• The number of patients of the EP who request an electronic copy of their electronic health information four business days prior to the end of the EHR reporting period.
• Exclusions
• If the EP has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period they would be excluded from this requirement. Only specific third party requests for information are included in the denominator.
Stage 1--P119 -Electronic Access for Patients
• At least 10 percent of all unique patients seen by the EP are
provided timely (available to the patient within four business days of being updated in the certified EHR technology) electronic
access to their health information subject to the EP’s discretion to withhold certain information.
• Numerator
• The number of patients in the denominator who have timely (available to the patient within four business days of being
updated in the certified EHR technology) electronic access to their health information online.
• Denominator
• Number of unique patients seen by the EP during the EHR reporting period.
• Exclusions
Stage 2–--P219-Provide patients the ability to view online,
download, and transmit their health information
.
• 1. More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (within 4 business days after the information is available to the EP) online access to their health information subject to the EP's discretion to withhold certain information.
• 2. More than 10 percent of all unique patients seen by the EP during the EHR reporting period (or their authorized
representatives) view, download , or transmit to a third party their health information.
• Numerator 1
• The number of patients in the denominator who have timely (within 4 business days after the information is available to the EP) online access to their health information online.
• Denominator 1
• Number of unique patients seen by the EP during the EHR reporting period.
Stage 2 measure –--P219-Provide patients the ability to view online,
download, and transmit their health information
• Numerator 2
• The number of unique patients (or their authorized representatives) in the denominator who have viewed online or downloaded or transmitted to a third party the patient's health information.
• Denominator 2
• Number of unique patients seen by the EP during the EHR reporting period.
• Exclusions
• Any EP who neither orders nor creates any of the information listed for inclusion as part of this measure may exclude both measures.
• Any EP that conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 4Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude only the second measure.
• The thresholds of both of these measures must be reached in order for the EP to meet the objective. If the EP reaches one of these thresholds but not the other, then the EP will fail to meet
Stage 1--P120-After Visit Summary
•
Clinical summaries provided to patients for more than 50
percent of all office visits within
3 business days
.
•
Numerator
•
Number of office visits in the denominator for which the
patient is provided a clinical summary within three
business days.
•
Denominator
•
Number of office visits by the EP during the EHR
reporting period.
•
Exclusions
•
EPs who have no office visits during the EHR reporting
period would be excluded from this requirement.
Stage 2—P220-After Visit Summary
•
Clinical summaries provided to patients within
24
hours for
more than 50 percent of office visits.
•
Numerator
•
Number of office visits in the denominator where the
patient is provided a clinical summary of their visit within
24 hours.
•
Denominator
•
Number of office visits conducted by the EP during the
EHR reporting period.
•
Exclusions-
Any EP who has no office visits during the
EHR reporting period
.
Stage 1 –P121 Patient Education
•
More than 10 percent of all unique patients seen by the EP
are provided patient-specific education resources.
•
Numerator
•
Number of patients in the denominator who are provided
patient education specific resources.
•
Denominator
•
Number of unique patients seen by the EP during the EHR
reporting period.
•
Exclusions
None
.
Stage 2—P221-Patient Education Resources
•
Patient-specific education resources identified by Certified
EHR Technology are provided to patients for more than 10
percent of all office visits by the EP.
•
Numerator
•
Number of patients who had office visits during the EHR
reporting period who were subsequently provided
patient-specific education
resources identified by Certified EHR
Technology.
•
Denominator
•
Number of office visits by the EP during the EHR reporting
period.
•
Exclusions
Any EP who has no office visits during the
EHR reporting period.
Stage 2 -–P230-Patients Send Secure Messages
• A secure message was sent using the electronic messaging
function of Certified EHR Technology by more than 10 percent of unique patients seen during the EHR reporting period.
• Numerator
• The number of patients in the denominator who send a secure electronic message to the EP using the electronic messaging function of Certified EHR Technology during the EHR reporting period.
• Denominator
• Number of unique patients seen by the EP during the EHR reporting period.
• Exclusions Any EP who has no office visits during the EHR reporting period
