Hospitals and Doctors Working Together-What a Concept!

Hospitals and Doctors Working Together-What a Concept!

Hospitals and Doctors Working Together-What a Concept!

Doctors will be financially penalized by Medicare if a certified EHR has not been implemented by 2015

   

Hospitals and Doctors Working Together-What a Concept!

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Electronic Health Records (EHRs) are now required by the federal government for both physicians and hospitals that treat government funded patients including Medicare and/or Medi-Caid. The requirement is documented in the infamous economic stimulus bill - the 2009 American Reinvestment and Recovery Act.

Physicians need to establish EHR systems which must integrate with an established health information exchange system. The EHR system must meet the “meaningful use” requirement” which will be further defined this year.

As an incentive for Medicare patients, the government will provide up to $44,000 per physician, over a five year period beginning in 2011 (see chart below). In addition, Hospitals may receive $11,000,000 over the same period. Medicare payments are increased by 10% for providers located in a "health professional shortage area."


Incentive Paid in

Meaningful Use of a Certified EHR in

Failure to Adopt or demonstrate meaningful use of Certified EHR by

2011 2012 2013 2014 2015 2016 2017 2018

2011

$18K

             

2012

$12K

$18K

           

2013

$8K

$12K

$15K

         

2014

$4K

$8K

$12K

$12K

       

2015

$2K

$4K

$8K

$8K

       

2016

$0

$2K

$4K

$4K

       

2017

$0

$0

$0

$0

       

Total

$44K

$44K

$39K

$24K

       

HPSA

$48.4K (+10%)

$48.4K (+10%)

$42.9K (+10%)

$26.4K (+10%)

-1% Penalty

-2% Penalty

-3% Penalty

-4% Penalty

It's not surprising that this funding has created a bonanza for the HealthIT industry. Now, more than ever before, doctors need strong, courageous, effective, and knowledgeable medical staff leaders to represent their patients' needs as well as their own needs including working vigorously with their hospitals, such as helping physicians with upfront monies they will need for implementation of “certified EHRs”.

EHR implementation provides a once in a lifetime opportunity for hospitals and doctors to work together. Now, that's a concept!


William T. Choctaw MD JD is a healthcare leadership expert. He lectures nationally on many medical legal issues for hospital medical staffs, hospital executives, and managers. He recently authored the book, “Avoiding Medical Malpractice: A Physician’s Guide to the Law.” Dr. Choctaw continues to practice general surgery in Southern California.

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Last Updated : Thursday, September 1, 2022