INTEGRATING A MEANINGFUL USE COORDINATION SOLUTION INTO THE ROLL OUT OF MASSACHUSETTS IIS
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1 INTEGRATING A MEANINGFUL USE COORDINATION SOLUTION INTO THE ROLL OUT OF MASSACHUSETTS IIS Tseli Mohammed MIIS Assistant Manager Massachusetts Immunization Information System Immunization Program, MDPH
2 PRESENTATION AGENDA Massachusetts IIS (MIIS) Context MIIS and Meaningful Use Stage 2 (MU2) Implementation Challenges Customized MU2 Solution: Registration of Intent Onboarding Queue Ongoing submissions MU2 Report Card Enhancements Questions 2
3 MASSACHUSETTS IIS (MIIS) CONTEXT Legislation passed mandating that all healthcare providers must report administered immunizations to the state 2010 Completed electronic data exchange pilot through established connection with EHRs 2012 MIIS Regulations approved by MA Public Health Council and Compliance Schedule distributed Launched MIIS and completed direct data exchange pilot. Initiated statewide rollout efforts, using AMCI s isiis Vision Outreach Management System 2013 Start of Meaningful Use Stage 2 (MU2) and development of AMCI s MU2 Coordination Module to facilitate provider site/user registration, activity tracking and clinical/technical support 3
4 Meaningful Use Stage 2 Meaningful Use Stage 1 4
5 MIIS AND MEANINGFUL USE As a part of the American Recovery and Reinvestment Act (ARRA), the meaningful use initiative requires participating healthcare providers to meet established public health criteria to receive EHR-MU incentives. One of three possible public health components involves testing and establishing a connection from the provider site EHR to the appropriate Immunization Information System (IIS)* MU Stage 1: send test message to IIS & submit acknowledgement MU Stage 2: declaration of readiness & ongoing submissions (umbrella) ** Ongoing submission was already achieved for an EHR reporting period in a prior program year and continues throughout the current EHR reporting period. Registration of Intent for ongoing submission was submitted within 60 days of the start of your EHR reporting period, and ongoing submission was achieved. Registration of Intent for ongoing submission was submitted by the deadline and you are still engaged in testing and validation of ongoing electronic submission. Registration of Intent for ongoing submission was submitted to MDPH by the deadline and you are awaiting an invitation to begin testing and validation. * ** * ** 5
6 IMPLEMENTATION CHALLENGES Relatively young IIS with limited resources Hundreds of providers to manage and track System to allow registrations of intent, for individual practices/medical groups/ehrs Invitation to onboard and other requests for action (technical and clinical) Documentation for attestation 6
7 HOW DOES AN IIS PROGRAM UTILIZE EXISTING RESOURCES TO MEET THE ADMINISTRATIVE, PROVIDER COMMUNICATION AND REPORTING DEMANDS OF MEANINGFUL USE WITHOUT DISRUPTING DAILY OPERATIONS OR SACRIFICING PROGRAMMATIC GOALS? 7
8 MU2 COORDINATION MODULE Launched October 1, 2013 Built upon existing isiis Vision to develop MU2 Coordination Module Automated processes, queues, and tracking for site/group/ehr management and documentation Accessible to MIIS Team as well as MU Coordinators, aligns with established steps to onboard with the MIIS overall 8
9 COMING ON BOARD WITH THE MIIS Intent Registration Onboarding Queue Ongoing Submission 9
10 10
11 REGISTRATION OF INTENT SINGLE SITE 11
12 REGISTRATION OF INTENT GROUP 12
13 INTERNAL MANAGEMENT SYSTEM 13
14 INTERNAL INTENT REGISTRATION QUEUE 14
15 INTERNAL ONBOARDING QUEUE 15
16 INTERNAL ONGOING SUBMISSIONS 16
17 INTERNAL SITE PROFILE: MU 17
18 MU2 REPORT CARD SINGLE OR GROUP 18
19 MU2 MODULE USAGE (AS OF APRIL 2015) MIIS Provider Site Registrations initiated: 2375 Total Sites reporting data to MIIS: 702 MU Registrations of Intent: 993 MU Onboarding Queue: 183 MU Ongoing Submissions:
20 Non-Compliant vs Non- Responsive Queue Automated s and activity tracking Onboard tracking for sites that are not only attesting for MU ENHANCEMENTS 20
21 21
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