EMR Interoperability and CMS Reimbursement
Opher Nadler, M.D.
Chair, LHP Data and Systems Committee
If your EMR isn’t talking and exchanging data with other EMRs, it may impact your reimbursement from Centers for Medicare & Medicaid Services (CMS) in the near future.
Technology is continuously evolving and changing the way we provide care and interact with one another. CMS programs such as the EHR Incentive Program, more commonly known as Meaningful Use, incentivized groups to implement Certified Electronic Heath Record Technology (CEHRT) in their clinics. This technology has allowed providers to clearly and discretely document information in patient records, pull reports on the information in the system and communicate with providers within their practice.
Lately, governing bodies, such as the Office of the National Coordinator, and EMR vendors are focusing on building pathways for providers in different health systems and on different EMRs to communicate with one another. This is commonly referred to as EMR interoperability. EMR interoperability can be achieved in multiple ways, such as establishing a direct connection with another site or exchanging information with a larger Health Information Exchange (HIE). HIEs act as a data hub and serve information out to groups that are connected to it, as appropriate. Think of it as signing up with one wireless phone carrier and being able to call people on a different carrier.
LHP’s interoperability journey
The goal of EMR interoperability is simple: give providers more robust information about their patients at their fingertips. Legacy Health Partners is embarking on its own interoperability journey alongside Legacy Health. There are over 41 different EMRs within the LHP network. The goal of the Data and Systems Committee is to exchange data between these various EMRs so we can better care for our patients.
LHP is currently working with primary care and pediatric practices on prioritized EMRs within the network to set up data connections that will supplement claims data and provide a rich data set for our quality measures, as well as close care gaps for our patients. In addition, LHP is connecting with HIEs such as Carequality to facilitate a broader network for data exchange. Your site will benefit from data exchange if you are also connected to one of these HIEs.
While interoperability is the future of sharing information in healthcare, it’s important for LHP practices to first stay up-to-date with their technology. Having CEHRT at your site is becoming a baseline requirement for many programs and has been listed as a requirement in the MACRA proposed rule. LHP is here to help answer your questions about the importance of CEHRT at your clinic and how to prepare for data exchange via a direct connection or through an HIE.
LHP staff members, including Field Operations Advisers, are available to help you explore options for data exchange to help you prepare for changes in reimbursement based on better patient care. Call 503-415-5109 or email LegacyHealthPartners@lhs.org.
Be a part of LHP leadership – Board and Committee member applications due Oct. 28
In 2017 there will be open seats on the LHP Board and four committees: Quality and Membership, Data and Systems, Finance and Contracting, and Population Health Services Committee (formerly called “Legacy Health/Legacy Health Partners Joint Operating Committee”). Board and committee members receive an annual stipend for their service.
The provider-led board and committees meet monthly to provide direction and make decisions critical to the development of the clinically integrated network. Please consider applying. Physicians are eligible to serve on the board; committee seats are open to all LHP providers and practice administrators. Learn about roles and responsibilities and complete an application here. You can indicate on your application form which position is of most interest to you.
Questions? Call 503-415-5109 or email LegacyHealthPartners@lhs.org.
Join your colleagues in a discussion about cervical cancer screening on Oct. 19
Join other LHP members in discussion about:
- Benchmarks and our current performance
- Best practices regarding workflows and exchange of information
- Patient access issues
- Strategies for further discussion and information sharing with LHP membership
Date: Wednesday, Oct. 19.
Time: 6-7:30 p.m. Hearty snacks and beverages provided
Location: Mt. Hood Women’s Health, 24850 SE Stark St., Suite 200, Gresham, OR 97030
Who is coming: Primary care and women's health providers
Click here to RSVP or call Lauren Tacke at 503-413-5565
Legacy Health Partners Mission: Delivering value and improving health
Questions? Call 503-415-5109.