PSP – Technology Group
POLICIES AND PROCEDURES MANUAL
POLICY SECTION
POLICY NAME
APPROVAL DATE
APPROVAL AUTHORITY
POST IMPLEMENTATION SUPPORT
Physician eligibility, support, and reimbursement
30 April 2014
Jeremy Smith, Director, Practice Support Program - Technology Group
Purpose/Scope:
This document outlines the terms and reimbursement for eligible physicians participating in the Post
Implementation Support program and objective data dashboard meaningful use verification. This policy is in effect
from April 1, 2014 to March 31, 2015.
Support and Reimbursement:
Support and reimbursement is available for eligible physicians who are working towards the achievement of
1
Clinical Value Level 3 (CV3) as defined by the Clinical Value Model for EMR meaningful use and verified by an
objective data dashboard within their EMR. A one-time sessional payment of $3,000 per physician is offered once
2
level CV3 is achieved and verified via submission of the CV3 objective report .
Post Implementation Support Reimbursement
PSP - Technology Group’s Post Implementation Support is available to assist individual physicians and practices
with working towards achievement of CV3. It is a service facilitated by a Practice Automation Coach and
Relationship Manager who will provide assessments to outline EMR functionality gaps and a plan to support
workflow changes that will aid in optimal use of the EMR. This service covers many areas of use beyond the
objective data dashboard, but as with the dashboard, is designed to help practices meet the CV3 criteria.
Engaging in Post Implementation Support is optional, but if a physician chooses to proceed with support they are
eligible for two possible advances on the $3,000 sessional payment:
 In acknowledgement of the time and effort required to learn the EMR and integrate it into daily practice,
physicians can take a $1,000 advance on the outcome payment;
 Physicians can also draw upon an amount of up to $1,000 to offset costs incurred for EMR vendor
training.
Demonstrated Achievement of CV3
The balance of the $3,000 sessional payment is available upon submission of the results from the objective data
dashboard, which is available as a PDF summary within the physician’s EMR, confirming achievement of CV3. This
report should be emailed to [email protected].
A physician may want to request an exception due to the unique nature of the patient population or clinic services
(e.g. pediatric focus). In these cases, all reasons for an exception should be outlined in the email confirming level
CV3, along with an image/copy of the particular dashboard measure. Requested exceptions will be reviewed by a
clinical working group at the end of each month.
1
2
See detailed CVM Triangle
See Funding Model Overview
Post Implementation Support – Policy – eligibility, support and reimbursement
April 2014
1
PSP – Technology Group
Physician Eligibility:
 Any full-service family practice (FSFP) clinic or walk-in clinic in BC, regardless of the particular EMR in use.
 Salaried or exclusively Alternative Payment Program (APP) physicians are eligible for Post Implementation
Support services but are not eligible for funding or reimbursement payments. This policy is in line with other
Doctors of BC programs such as the Practice Support Program (PSP).
 Long-term locums (i.e. locums who bill MSP more than $50,000 per year through one site) are eligible for Post
Implementation Support services.
Specialists, or GPs with a sole specialty focus are not currently eligible but a funding and support model will be
made available later in the year. Considerations will be made around what is most appropriate for the various
types of specialties (e.g. some will not have longitudinal data).
CME Credits:
Once a physician completes the Post Implementation Support services - Initial Assessment, Practice Optimization
Plan, and Progress Assessment - they are automatically provided with 6 MainPro C credits and 6 MainPro M1
bonus credits for their participation.
If a physician has already reached Clinical Value level 3+ and chooses to forego Post Implementation Support
services, they are still eligible to apply for CME credits independently. Physicians should be directed to
http://www.cfpc.ca/Linking_Learning_to_Practice/ where they can find more information about the “Linking
Learning to Practice (LLP)” program and how to apply.
Funding Model Overview
Objective CV3
(required for full
reimbursement)
Post Implementation Support
(OPTIONAL)
Support Available
Criteria
Funds Available
Subjective
Clinical Value
Assessment
 One on one clinical value
assessment facilitated by a
PAC
Practice
Optimization
Plan and
Progress
Assessment
 Customized practice
optimization plan (jointly
created by PAC and the
practice)
 In-office support from PAC
 Physician and MOA peer
mentoring
 Local EMR community user
groups
 Commitment to practice
optimization plan
 Completion of follow up
assessment to review progress
 Completion of online ‘feedback’
survey
EMR Vendor
Services
 Customized vendor training
or services as recommended
in the practice optimization
plan
 Vendor services invoice and
associated reimbursement form
Up to $1,000
advance based on
invoiced amount
Objective
Assessment
 The objective data
dashboard within each EMR
assesses progress towards,
and the achievement of,
Clinical Value Level 3 (CV3)
 Demonstration of data quality at
CV3 via PDF summary of the
objective data dashboard,
available in the EMR* emailed to
[email protected]
$3,000 minus any
advances used for
protected time
and vendor
services
CME Credits
 Completion of initial assessment
$1,000 advance
for protected
time
(once the four
outlined criteria
are met)
6 MainPro C
credits and 6
MainPro M1
bonus credits for
participation in
support (active
learning) cycle
Physician can
apply through LLP
via the College of
Family Physicians
of Canada
*All vendors have been through conformance testing and release dates will vary by vendor throughout Spring 2014.
Post Implementation Support – Policy – eligibility, support and reimbursement
April 2014
2
PSP – Technology Group
Reimbursable Vendor Services
Reimbursable vendor services are products and/or services that have been identified on the practice optimization
plan with the intention of increasing EMR meaningful use and optimization. They may include the following items:



Customized EMR software training and follow-up support as identified in the clinical value assessment
and practice optimization plan;
Third-party training or support services that are authorized by the EMR vendor for their product; or
Travel expenses for training as invoiced by EMR vendor and/or other service providers.
Reimbursable vendor services do not include the following:



Any hardware, software, or IT services such as IT support of eFax services;
Building or distributing existing or custom templates, tools or reports; or
Add-on services such as eReferral, patient portal, etc.
Although the items listed above are not eligible for the $1,000 advance for vendor training/support, a physician
may choose to purchase such services and use the sessional payment they receive for demonstrating achievement
of CV3 to offset such costs.
Post Implementation Support reimbursement payments will be made through the regular Doctors of BC
reimbursement mechanism and will follow the same process as previous EMR reimbursements. Reimbursement
queries can be directed to [email protected].
Post Implementation Support – Policy – eligibility, support and reimbursement
April 2014
3