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ILHIE Medicaid Work Group Minutes - April 18 2011 

April 18, 2011

Attendees (phone and in-person):

  • Scott Allen, American Academy of Pediatrics
  • Dave Barnes, Department of Healthcare and Family Services (HFS)
  • Janet Barrett, OSF Healthcare
  • Kelly Carter, Illinois Primary Health Care Association
  • Connie Christen, HFS
  • Patrick Gallagher, Illinois State Medical Society
  • Andrew Garrett, HFS
  • Krysta Heaney, Office of Health Information Technology (OHIT)
  • Roger Holloway, Illinois Health Information Technology Regional Extension Center (IL-HITREC)
  • Peter Ingram, Sinai Health System
  • Vince Keenan, Illinois Academy of Family Physicians
  • Mike Koetting, HFS
  • John Lekich, HFS
  • Mike McCabe, United Healthcare
  • Elizabeth McKnight, Chicago Health Information Technology Regional Extension Center (CHITREC)
  • Renee Perry, HFS
  • Mary Ring, Illinois Critical Access Hospital Network
  • Pat Schou, Illinois Critical Access Hospital Network
  • Katherine Sherman, Fox Systems
  • Theresa Walunas, CHITREC
  • Matt Werner, Consultant
  • Harrison White, Gateway Foundation

Review of Minutes

After roll call was taken, the work group approved the meeting minutes from the March 21, 2011, meeting.

State Medicaid Health Information Technology (SMHP) Plan Update

Renee Perry updated the group, saying that the SMHP was submitted on April 7, 2011, and she is waiting for comments from the Centers for Medicare and Medicaid Services (CMS). Renee indicated that during a call with Region V, CMS staff, they expressed no concerns. Turn-around time is expected to be 6-8 weeks from the day of submission. The launch and payment date for the incentive program will have to be pushed back, which is being discussed internally at HFS. Peter Ingram indicated that if the launch and payment date goes beyond September 30, 2011, all hospitals will fall into the next payment year.

Provider Volume Calculation Sheet

Renee reported that one of the main comments work group members sent about the Draft Calculation Work Sheet is that more detailed explanations need to be provided. Explicit instructions will be included and will be posted on the HFS Web site. Renee will circulate the revised work sheet to the group.

Myths Dispelled on Meaningful Use Population Health Measure Reporting in Illinois in 2011

Vince Keenan had this article distributed to the work group, and indicated that he wanted to bring people's attention to it. Vince pointed out that an abundance of information about Meaningful Use is in circulation.

Meaningful Use Go to Meeting Exercise

Katherine Sherman, of Fox Systems, reviewed a Meaningful Use educational presentation with the group. The presentation included the Statewide Health Information Exchange and the Provider Incentive Program (PIP) goals and objectives, which came from the SMHP and the Office of Health Information Technology's Strategic and Operational Plan. Katherine pointed out that it is important to start Phase 2 of the PIP now, to give providers and the state time to develop their systems.

For providers to meet Meaningful Use, they must use their systems in a meaningful manner; ensure they are using Electronic Health Record technology to exchange health information; and submit clinical quality and other measures. The Meaningful Use federal rule requires two sets of measures. One is the core set, which includes the capability to exchange key clinical information among providers electronically. The other is an optional menu set, which includes patient access to their own health information and selected electronic public health exchanges.

In Stage 1 of Meaningful Use, eligible professionals must complete 20 of 25 Meaningful Use objectives, and six clinical quality measures. Hospitals must complete 19 of 24 Meaningful Use objectives and 15 clinical quality measures. Some Meaningful Use objectives are not applicable to every provider's clinical practice, thus they would not have any eligible patients or actions for the measure denominator. In these cases, the eligible professional, eligible hospital or Critical Access Hospital would be excluded from having to meet that measure. Provider participation in Meaningful Use, for the first three years, includes Adopt, Implement, and Upgrade in the first year by attestation; the second year requires 90 days of data; and in the third year, one year of data is required.

Meeting adjourned. The next scheduled meeting is on May 16, 2011.