Funding Michigan Sites
Eligible Michigan hospitals selected to join MPOG receive BCBSM funding to help offset implementation and participation costs, including technical and clinical staffing, IT infrastructure, software, professional billing fees, and the Anesthesiology Clinical Quality Reviewer (ACQR) role. Funding is available for both initial implementation and ongoing MPOG participation.
Funding
Eligible Michigan hospitals who successfully complete recruitment and are chosen as a new site by the coordinating center will receive funding from BCBSM to offset the costs of joining MPOG, including:
- Technical FTE
- Clinical FTE
- Servers
- Software
- Professional Billing Fees
Technical
In the first year, Michigan hospitals will receive funding from BCBSM for servers, software, cost of obtaining professional fee billing reimbursement, and IT / clinical staff costs. Implementation takes a significant amount of technical resources and a hospital should plan to allocate 50% of a technical expert for six to nine months.
After the first year, hospitals will continue to receive yearly funding from BCBSM for technical resources. MPOG is an ongoing effort and will require continued technical support to assist with ad hoc issues, patches and software updates.
Anesthesiology Clinical Quality Reviewer (ACQR)
Sites will receive yearly funding for the ACQR. This role must be filled by a nurse with operating room experience who will assist both during the implementation phase as well as work with the QI Champion from the site to lead QI efforts. Funding for the ACQR is based on annual case volumes, see table below.
Primary / Secondary Sites
A hospital system with several hospitals on the same instance of an electronic health record (EHR) system are categorized as Primary or Secondary sites. The technical implementation costs will not double to add more hospitals but a hospital system will incur incremental costs for each additional hospital.
Funding
Below is the overview of the available funding:
Year One Estimated Reimbursements
| Computer Equipment and Software | Primary Site | Secondary Site |
|---|---|---|
| SQL Server 2012 local database and virtual machine | $8,000 | $2,000 |
| SQL Server 2012 Site license (if no site license available through your hospital) | $5,000 or $0 | $0 |
| Professional fee billing company reimbursement (funds to obtain professional fee data from billing company) | $3,000 | $1,000 |
| Site Hospital IT to deploy EHR interface | $40,000 | $10,000 |
| Total first year capital reimbursement | $56,000 or $51,000 | $13,000 |
| ACQR | Primary Site | Secondary Site |
|---|---|---|
| ACQR Tier 1: 0.2 FTE funded at 100%, based on 0 – 10,000 cases per year | $20,000 – $30,000 | $20,000 – $30,000 |
| ACQR Tier 2: 0.4 FTE funded at 100%, based on 10,001 – 70,000 cases per year | $35,000 – $45,000 | $35,000 – $45,000 |
| ACQR Tier 3: 0.8 FTE funded at 100%, based on 70,000+ cases per year | $70,000 – $90,000 | $70,000 – $90,000 |
Estimated Ongoing Reimbursements – Year 2 and Beyond
| Primary Site | Secondary Site | |
|---|---|---|
| Operating | ||
| Hospital IT maintenance of data interface | $8,000 | $2,000 |
| ACQR | ||
| ACQR Tier 1: 0.2 FTE funded at 100%, based on 0 – 10,000 cases per year | $20,000 – $30,000 | $20,000 – $30,000 |
| ACQR Tier 2: 0.4 FTE funded at 100%, based on 10,001 – 70,000 cases per year | $35,000 – $45,000 | $35,000 – $45,000 |
| ACQR Tier 3: 0.8 FTE funded at 100%, based on 70,000+ cases per year | $70,000 – $90,000 | $70,000 – $90,000 |