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B6Z h9Z  D4 E  `#"l@@@@@B?@BZ x < R4 CZ h;Z   G  rA?j0300520"H@@@B@BZ < p* 2 (*Z h6CHNKINK /TEXTTEXTZHSTSHSTSHZJ:STSHSTSHKp+STSHSTSHwFDPPFDPP|FDPPFDPP~FDPPFDPPFDPPFDPPFDPPFDPPFDPPFDPPFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPCFDPC Messenger Physicians and Hospitals Partnering to Better Serve Our Communities CommCommCommCommunities Volume 6, Issue 1 Spring, 2010 CMS 2011 Electronic Prescribing Incentive Program 2 Colorectal Cancer Screening 2 The Medicare EHR Incentive Program 3 Inside this issue: Page # Page # Messenger 110 Free Street Portland, Maine 04101 Phone: 207 771-2004 Fax: 207 771-2005 MMC Physician-Hospital Organization Physicians and Hospitals Partnering to Better Serve Our Communities PRSRT STD U.S. Postage PAID Permit #424 Portland Maine MMC PHO Selected as a Medicare Imaging Demonstration (MID) Convener Jeff Aalberg M.D. Recently the MMC PHO was selected as a Medicare Imaging Demonstration (MID) Convener*. The PHO will oversee and direct a two-year initiative that measures patterns of advanced diagnostic imaging, determines the appropriateness and then tests whether a decision support system can improve quality, reduce unnecessary utilization and limit radiation exposure. Intuitively this appears the right thing to do, but embedded are some important milestones that may influence healthcare delivery in significant ways: Collaboration: Diverse, but engaged, groups partnered to produce the MID application as well as to guide the implementation. Culture: Providers have agreed to self-imposed accountability and appropriateness for health care delivery despite the challenge that this may bring to established office workflows. Evidence based care, at the point of care: A sophisticated evidence based decision support tool will be placed into the ordering process for advanced imaging; decisions can be adjusted in real time. Actionable data: Comparative data will be collected and returned to providers that will offer an opportunity to influence quality and reduce unnecessary utilization. Courage: Providers in Maine have been recognized as leaders in innovation. As one of five selected conveners we have an opportunity to influence how future care will be delivered to many US citizens. While these elements are not new, inserting them into a health care culture that often measures change in decades, not months, is cutting edge. * The MID is a CMS project and prior authorization is prohibited under the Demonstration. 2011 CPM Board of Directors: President: Robert Hawkins, MD Ronald Bailyn, MD Mark Bouchard, MD Thomas Brewster, MD Andrew Candelore, DO Lars Ellison, MD Mark Fourre, MD Sean Hanley, MD Stephen Hayes, MD Rebecca Hemphill, MD Kathleen Herlihy, MD Elizabeth Johnson, MD John Kazilionis, DO Daniel Landry, MD John Lualdi, MD Steppe Mette, MD Scott Mills, MD Sheila Pinette, DO Tina Piraino, DO James Powers, MD James Stevenson, MD Skip Wilkis, MD Nathan Wilson, MD Contact Us: Executive Director Peter Wood 482-7050 woodp@mmc.org Sr. Director, CMO Jeffrey Aalberg, MD p 482-7061 aalbej@mmc.org Sr. Director, COO News Editor Jen Moore 482-7051 moorej@mmc.org Provider Relations Manager News Editor Angela Best 482-7054 besta@mmc.org Spring, 2011 National Colorectal Cancer (CRC) Screening continued from page three: Alternative prevention tests: Flexible sigmoidoscopy every 5-10 years Computerized tomography colonography every 5 years Alternative cancer detection tests Annual Hemoccult Sensa Fecal DNA testing every 3 years A positive result of FIT, flexible sigmoidoscopy, or computed tomography colonography should be followed by a colonoscopy. Importantly, there are additional specific recommendations for higher risk groups. References and More Information: For Providers: The American College of Gastroenterology s 2008 colorectal cancer screening guidelines. Journal of the National Cancer Institute Article: What Don t We Know About Colonoscopy? New Study Raises Questions About Practice, Biology, and More For Patients: MaineHealth Cancer Resource Center or call toll free 866-609-5183 Or email: lewisj4@mainehealth.org Uninsured and low income individuals may be eligible for free screening. Call the Maine Colorectal Cancer Control Program (MCRCCP) at 1-877-320-6800 or visit www.colonscreenme.org for more information. 2011 Electronic Prescribing (eRx) Incentive Program Update In November, the Centers for Medicare & Medicaid Services announced that beginning in 2012, eligible professionals who are not successful electronic prescribers may be subject to a payment adjustment. The payment adjustment in 2012, with regard to all of the eligible professionals Part B-covered professional services, will result in the eligible professional or group practice receiving 99% of the Physician Fee Schedule (PFS) amount that would otherwise apply to such services. In 2013, the eligible professionals will receive 98.5% of their covered Part B-eligible charges if they aren t a successful electronic prescriber. In 2014, the penalty for not being a successful electronic prescriber is 2% resulting in eligible professionals receiving 98% of their covered Part B charges. For purposes of determining which eligible professionals or group practices are subject to the payment adjustment in 2012: CMS will analyze claims data from January 1, 2011- June 30, 2011 to determine if the eligible professional has submitted at least 10 electronic prescriptions during the first six months of calendar year 2011. Please see the  Getting Started webpage at http://www.cms.gov/erxincentive/ on the CMS website for more information; or download the Medicare s Practical Guide to the Electronic Prescribing (eRx) Incentive Program under Educational Resources. Making sense of Meaningful Use In 2010, the Centers for Medicare & Medicaid Services (CMS) released a final rule to implement provisions of the American Recovery and Reinvestment Act of 2009 (Recovery Act) that provide incentive payments for the meaningful use of certified EHR technology. Through the Medicare and Medicaid EHR incentive programs, CMS hopes to expand the meaningful use of certified EHR technology. The American Recovery and Reinvestment Act (ARRA) specifies three components of Meaningful Use: Use of a certified EHR in a meaningful way Use of certified EHR technology for electronic exchange of health information to improve the quality of health care Use of certified EHR technology to submit clinical quality measures How do I participate? Find out if you are eligible for either the Medicare or Medicaid EHR Incentive Programs. Are you a professional eligible for both programs? If so, you must choose a program and follow the rest of the relevant checklist below. Get registered. Registration is now open to eligible professionals (EPs). Note: Register as soon as possible. You can register before having a system installed. For Medicaid: If your state is already participating, register now for the Medicaid EHR Incentive Program. If your state has not yet begun participating in the Medicaid EHR Incentive Program: you may wish to register now for the Medicare EHR Incentive Program. Use certified EHR technology. To receive incentive payments, make sure the EHR technology you're using or are considering buying has been certified by the Office of the National Coordinator for Health Information Technology. Be a Meaningful User. You have to successfully demonstrate "meaningful use" for a consecutive 90-day period in your first year of participation (and for a full year in each subsequent years) to receive EHR incentive payments. Attest for incentive payments. To get your EHR incentive payment, you must attest (legally state) that you've demonstrated "meaningful use" with certified EHR technology Medicare EHR Incentive Program maximum payment is $44,000, with a possible 10% increase for EPs in a health professional shortage area Medicaid EHR Incentive Program maximum payment is $63,750. Want more information about the EHR Incentive Programs? Make sure to visit http://www.cms.gov/EHRIncentivePrograms/ for the latest news and updates on the EHR Incentive Programs. If you have further questions please feel free to contact Sandi Daigle at (207)482-7067 or Daiglsa@mmc.org Colorectal Cancer (CRC) Screening Some facts about colorectal cancer: Colorectal cancer is the third most common cancer and the second leading cause of cancer-related death in the U.S. Colorectal cancer screening of asymptomatic individuals can identify polyps as well as established cancer  reducing colon cancer deaths by as much as 60-70%. Treatment of early stage CRC can significantly reduce morbidity and mortality. Treating early-stage colon cancer is roughly 25% of the cost of treating late-stage cancer. Several choices for CRC screening for the average risk age group 50-75 are available. The preferred cancer prevention test is colonoscopy every 10 years beginning at age 50 (age 45 for African Americans). The preferred cancer detection test is annual fecal immunochemical testing (FIT). (continued on page four) 2011 MMC PHO Board of Directors: President: Robert Hawkins, MD Ronald Bailyn, MD Peter Bates, MD Vance Brown, MD Stephen Hayes,MD John Heye Elizabeth Johnson, MD Frank McGinty Richard W. Petersen Kathleen Herlihy, MD James Powers, MD Donald Quigley, Esq. 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