Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures. James R. Christina, DPM Director Scientific Affairs APMA

Size: px
Start display at page:

Download "Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures. James R. Christina, DPM Director Scientific Affairs APMA"

Transcription

1 Stage 2 Meaningful Use: Menu Objectives and Clinical Quality Measures James R. Christina, DPM Director Scientific Affairs APMA

2 What Stage Am I In? 2 2

3 CMS Proposed Rule On May 20, 2014 CMS and Office of the National Coordinator (ONC) released a notice of proposed rulemaking (NPRM) that would allow providers participating in the EHR Incentive Programs to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year The NPRM will grant flexibility to providers who are experiencing difficulties fully implementing 2014 Edition CEHRT to attest this year. The proposed rule would allow providers to use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions, or the 2014 Edition. Beginning in 2015, all eligible providers would be required to report using 2014 Edition CEHRT.

4 If you can attest to not being able to fully implement 2014 CEHRT then you have the following options If you were scheduled to demonstra te: Stage 1 in 2014 Stage 2 in 2014 You would be able to attest for MU: Using 2011 & 2014 Edition CEHRT to do: Using 2011 Edition CEHRT to do: 2013 Stage 1 objectives and measures 2013 Stage 1 objectives and measures 2013 Stage 1 objectives and measures -or Stage 1 objectives and measures 2013 Stage 1 objectives and measures -OR Stage 1 objectives and measures -OR- Stage 2 objectives and measures Using 2014 Edition CEHRT to do: 2014 Stage 1 objectives and measures 2014 Stage 1 objectives and measures -OR- Stage 2 objectives and measures

5 FACTS ABOUT PROPOSED RULE: This is a proposed rule meaning that there is a 60 day comment period. APMA will comment on the proposed rule, particularly stating that there should not be the need to attest to inability to fully implement but all providers should have the option of choosing what CEHRT they want to use to attest. The comment period will end on July 21, CMS will probably not issue the final rule on this until around September 1, That will mean when the final rule comes out there will be only one calendar quarter (Oct-Dec) left to meet the requirements for MU for CMS has indicated that if you feel that you will attest to not being able to fully implement 2014 CEHRT and you are able to meet the MU requirements in the proposed rule during one of the calendar quarters prior to the final rule, you will be able to attest to that calendar quarter once the rule is finalized. So for example, if you were scheduled to demonstrate Stage 1 or Stage 2 of MU in 2014 and during one of the calendar quarters you were still using your 2011 CEHRT, if you met the 2013 Stage 1 objectives and measures, you would be able to attest to that quarter once the final rule was published. Note that the options in the table listed depend on whether you were scheduled to report on Stage 1 or Stage 2 in Note that it will still only require a 90 day attestation linked to one of the calendar quarters for Reporting of clinical quality measures will depend on whether you are meeting 2013 or 2014 objectives and measures

6 If you have upgraded to a 2014 CEHRT but are not able to fully implement all of the features you can attest to 2014 Stage 1 objectives and measures. As stated in the proposed rule: A provider s ability to fully implement all of the functionality of 2014 Edition CEHRT may be limited by the availability and timing of product installation, deployment of new processes and workflows, and employee training. This effect is compounded for providers in Stage 2 as some providers may not be able to fully implement all of the functions included in 2014 Edition CEHRT that are necessary to meet the Stage 2 objectives and measures in time to complete their EHR reporting period in Therefore, under our proposal, providers who are scheduled to begin Stage 2 for the 2014 EHR reporting period but are unable to fully implement all the functions of their 2014 Edition CEHRT required for Stage 2 objectives and measures due to delays in 2014 Edition CEHRT availability would have the option of using 2014 Edition CEHRT to attest to the 2014 Stage 1 objectives and measures for the 2014 EHR reporting period. Providers who are scheduled to begin Stage 2 in 2014 who choose this option must attest that they are unable to fully implement 2014 Edition CEHRT because of issues related to 2014 Edition CEHRT availability delays when they attest to the meaningful use objectives and measures.

7 Reporting Period for 2014 (remains unchanged even with proposed rule)

8 Stage 2 Requirements

9 Menu Objectives

10 Submit electronic syndromic surveillance data to public health agencies

11

12

13 Record electronic notes in patient records

14

15

16 Imaging results accessible through CEHRT

17

18

19 Record patient family health history

20

21 Report cancer cases to a public health central cancer registry

22

23

24 Report specific cases to a specialized registry

25

26

27 Qualified Clinical Data Registry (QCDR) For 2014, these registries are CMSapproved entities that collects medical and/or clinical data for the purpose of patient and disease tracking to foster improvement in the quality of care provided to patients.

28 U S Wound Registry (USWR) The U.S. Wound Registry (USWR) is one of many specialty registries developed and operated by the non-profit Chronic Disease Registry. It became a PQRS registry at the outset of the registry process in 2008 and is one of most experienced PQRS registries. As a non-profit organization focused on quality of care for patients with chronic wounds, the USWR began to shed light on gaps in practice such as why off-loading is so poorly implemented for diabetic foot ulcers. 1 USWR worked with the Institute for Clinical Outcomes Research (ICOR) to develop the Wound Healing Index (WHI) to stratify patients by severity in order to provide a more equitable way to report healing outcomes. 2 In conjunction with the Alliance of Wound Care Stakeholders (AWCS) USWR submitted new wound care quality measures to CMS in 2009 and 2011 and started the Do the Right Thing TM project to pilot test these quality measures in outpatient wound centers (e.g. DFU off-loading, venous ulcer compression, vascular assessment of patients with leg ulcers). 3 For many years the USWR has lead the way in PQRS reporting for wound care clinicians.

29 APMA relationship with USWR Complete the survey TODAY: Beginning on March 31, 2014 when specifications are posted online, select the APMA recommended measures and ask you EHR vendor to program the specifications into your EHR. You may want to have to contact your EHR vendor beforehand to discuss any integration issues. Download the Business Associate Agreement (BAA) from the USWR website ( sign it, and return it by fax to the USWR at or to Once your vendor has completed the programming to allow you to submit your measures, you are ready to create an account for payment. Work with your assigned USWR representative to finish your set up and begin reporting! APMA members receive a $50 discount

30 What If None of the Menu Objectives Are Relevant? It s rare, but it s possible that none of the menu objectives are applicable to your scope of practice. If that is the case for you and you qualify for all of the exclusions for each of the menu objectives, then you can select 3 menu objectives and claim the exclusion for each. However, if you do not qualify for all of the exclusions to the menu objectives, you must go back and select menu objectives on which you can report.

31 Clinical Quality Measures (CQMs)

32 Changes to CQMs in 2014 Beginning in 2014, the reporting of clinical quality measures (CQMs) will change for all providers. EHR technology that has been certified to the 2014 standards and capabilities will contain new CQM criteria, and eligible professionals will report using the new 2014 criteria regardless of whether they are participating in Stage 1 or Stage 2 of the EHR Incentive Programs.

33 How to Submit CQM Data in 2014 All Medicare eligible professionals have the option of submitting three months of CQM data online through the CMS Registration & Attestation System. Medicare eligible professionals also have the option to submit a full year of data electronically using the QRDA format to receive credit for the EHR Incentive Program and the Physician Quality Reporting System. Please note that your attestation for the Medicare EHR Incentive Program is not complete until you submit clinical quality measure data, so your EHR incentive payment will be held until your electronic submission is processed.

34 How to Select CQMs in 2014 Beginning in 2014, eligible professionals must select and report on 9 of a possible list of 64 approved CQMs for the EHR Incentive Programs. There is also a new requirement in 2014 that the quality measures selected must cover at least 3 of the 6 available National Quality Strategy (NQS) domains, which represent the Department of Health and Human Services NQS priorities for health care quality improvement. The 6 domains are: Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Health Care Resources Clinical Processes/Effectiveness You can find a complete list of the 2014 CQMs for the EHR Incentive Programs and their associated National Quality Strategy domains at: Clinical Quality Measure webpage at Guidance/Legislation/ EHRIncentivePrograms/ClinicalQualityMeasures.html

35 Potential CQMs for Podiatrists Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention (Population and Public Health) Preventive Care and Screening: Influenza Immunization (Population and Public Health) Pneumonia Vaccination Status for Older Adults (Clinical Processes/Effectiveness) Diabetes: Eye Exam (Clinical Processes/Effectiveness) Diabetes: Foot Exam (Clinical Processes/Effectiveness) Diabetes: Hemoglobin A1c Poor Control (Clinical Processes/Effectiveness) Hemoglobin A1c Test for Pediatric Patients (Clinical Processes/Effectiveness) Diabetes: Urine Protein Screening (Clinical Processes/Effectiveness) Diabetes: Low Density Lipoprotein (LDL) Management (Clinical Processes/Effectiveness) Falls: Screening for Future Fall Risk (Patient Safety) Documentation of Current Medications in the Medical Record (Patient Safety) Closing the referral loop: receipt of specialist report (Care Coordination) Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up (Population and Public Health) Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented (Population and Public Health)

36 CQMs are a reporting requirement Unlike the Physician Quality Reporting System (PQRS), reporting CQMs for Meaningful Use is a reporting requirement only you do not have to meet a threshold for performance. It is acceptable to report CQMs in which you have patients in the denominator but zero in the numerator (you did not perform the quality measure)

37 RESOURCES

38 Questions James R. Christina, DPM

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Travis Broome AMIA Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Travis Broome AMIA 9-20-2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures

More information

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond)

Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Meaningful Use Measures: Quick Reference Guide Stage 2 (2014 and Beyond) Core Measures Required: All 17 objectives Objective: Requirement: Exclusions: Accomplish in Clinical 1. Computerized - Documenting

More information

MEANINGFUL USE STAGE FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

MEANINGFUL USE STAGE FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY MEANINGFUL USE STAGE 2 2014 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives. EPs must meet 3 of the 6 menu measures.

More information

2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY 2015 MEANINGFUL USE STAGE 2 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Updates October 2, 2012 Rick Hoover & Andy Finnegan What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Pennsylvania ehealth Initiative All Committee Meeting November 14, 2012 What is in the Rule Changes to Stage 1 of meaningful use Stage 2 of

More information

Medicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015

Medicaid Electronic Health Records Meaningful Use. Lisa Reuland, Program Manager October 15, 2015 Medicaid Electronic Health Records Meaningful Use Lisa Reuland, Program Manager October 15, 2015 1 Agenda Medicaid Overview Stage 1: Meaningful Use Stage 2: Meaningful Use CQM Reporting Stage 3: Meaningful

More information

Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12

Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12 New York State-Health Centered Controlled Network (NYS HCCN) Webinar #5 Meaningful Use: Looking Ahead to Stage 2 and CPS 12 December 10, 2013 Ekem Merchant-Bleiberg, Director of Implementation Services

More information

Meaningful Use Participation Basics for the Small Provider

Meaningful Use Participation Basics for the Small Provider Meaningful Use Participation Basics for the Small Provider Vidya Sellappan Centers for Medicare & Medicaid Services Office of E-Health Standards and Services HIT Initiatives Group July 30, 2014 EHR INCENTIVE

More information

Meaningful Use Stages 1 & 2

Meaningful Use Stages 1 & 2 Meaningful Use Stages 1 & 2 Making Sure You Get the Most Out of Your EHR Tracy McDonald Medicaid EHR Incentive Program Coordinator Agenda Meaningful Use Stages & Incentive Program Timing 2014 Changes to

More information

Meaningful Use for 2014 Stag St e ag 1 Or Or Stag St e ag e 2 For Fo r 2014? Meaningful Meaningful Use: Stag St e ag e 1 1 Fo r Fo 2014

Meaningful Use for 2014 Stag St e ag 1 Or Or Stag St e ag e 2 For Fo r 2014? Meaningful Meaningful Use: Stag St e ag e 1 1 Fo r Fo 2014 Meaningful Use for 2014 Gerald E. Meltzer MD MSHA Medical Director imedicware Stage 1 Or Stage 2 For 2014? Meaningful Use: Stage 1 For 2014 1 Key Changes for 2014 Patient Electronic Access Clinical Quality

More information

Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016

Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016 Ophthalmology Meaningful Use Attestation Guide 2016 Edition Updated July 2016 Provided by the American Academy of Ophthalmology and the American Academy of Ophthalmic Executives (AAOE), the Academy's practice

More information

Transforming Health Care with Health IT

Transforming Health Care with Health IT Transforming Health Care with Health IT Meaningful Use Stage 2 and Beyond Mat Kendall, Director of the Office of Provider Adoption Support (OPAS) March 19 th 2014 The Big Picture Better Healthcare Better

More information

CMS EHR Incentive Programs Overview

CMS EHR Incentive Programs Overview CMS EHR Incentive Programs Overview Elizabeth Holland and Robert Anthony Session 20, Room 320 Monday, February 24 at 11:30 AM DISCLAIMER: The views and opinions expressed in this presentation are those

More information

The History of Meaningful Use

The History of Meaningful Use A Guide to Modified Meaningful Use Stage 2 for Wound Care Practitioners for 2015 The History of Meaningful Use During the first term of the Obama administration in 2009, Congress passed the Health Information

More information

Stage one: Meaningful Use Changes in 2014

Stage one: Meaningful Use Changes in 2014 Stage one: Meaningful Use Changes in 2014 Publication MO-06-06-HOSP GEN This material was prepared by Primaris, the Medicare Quality Improvement Organization for Missouri, under contract with the Centers

More information

PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY

PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY PROPOSED MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On February 23, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated proposed

More information

Overview of the EHR Incentive Program Stage 2 Final Rule published August, 2012

Overview of the EHR Incentive Program Stage 2 Final Rule published August, 2012 I. Executive Summary and Overview (Pre-Publication Page 12) A. Executive Summary (Page 12) 1. Purpose of Regulatory Action (Page 12) a. Need for the Regulatory Action (Page 12) b. Legal Authority for the

More information

MEANINGFUL USE 2015 PROPOSED 2015 MEANINGFUL USE FLEXIBILITY RULE

MEANINGFUL USE 2015 PROPOSED 2015 MEANINGFUL USE FLEXIBILITY RULE MEANINGFUL USE 2015 PROPOSED 2015 MEANINGFUL USE FLEXIBILITY RULE *Please note, the below guidelines are currently proposed. ASCRS will let you know if and when they are finalized through regulatory alerts

More information

MEANINGFUL USE STAGE 2

MEANINGFUL USE STAGE 2 MEANINGFUL USE STAGE 2 PHASED-IN IMPLEMENTATION PROCESS DECEMBER 2014 - PREPARATION MONTH Start this process as early as possible WATCH VIDEO TRAINING SESSIONS: (Sessions available starting December 1,

More information

THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE. Angel L. Moore, MAEd, RHIA Eastern AHEC REC

THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE. Angel L. Moore, MAEd, RHIA Eastern AHEC REC THE MEANING OF MEANINGFUL USE CHANGES IN THE STAGE 2 MU FINAL RULE Angel L. Moore, MAEd, RHIA Eastern AHEC REC WE WILL BRIEFLY DISCUSS Meaningful Use (MU) Incentive Programs, Eligibility & Timelines WE

More information

Meaningful Use Stage 2. Physician Office October, 2012

Meaningful Use Stage 2. Physician Office October, 2012 Meaningful Use Stage 2 Physician Office October, 2012 Why are we here? Meaningful Use overview NOT Stage 1 requirements NOT Interesting facts Stage 1 - The Moving Target Stage 2 Final Rule Penalties Audits

More information

Quality Reporting: PQRS, CQM, GIQuIC. Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director

Quality Reporting: PQRS, CQM, GIQuIC. Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director Quality Reporting: PQRS, CQM, GIQuIC Erin Dettrey Product Manager, Analytics Sylvia Cohen gadvisor Team Lead Laurie Parker GIQuIC Executive Director Agenda - Setting the stage - Value Based Modifier -

More information

Provide an understanding of what comprises "meaningful use" of EHR technology

Provide an understanding of what comprises meaningful use of EHR technology 1 Provide background on federal electronic health record (EHR) incentives Overview of Health IT Incentives Medicare/Medicaid EHR incentives Provide an understanding of what comprises "meaningful use" of

More information

Prime Clinical Systems, Inc

Prime Clinical Systems, Inc 2.29.16 1 2015 Year Meaningful Use Checklist The attestation period for Meaningful Use Year 2015 is January 4 to March 11, 2016. Here are some helpful tips to assist you: 1. The PCM MU report card updates

More information

Meaningful Use Certification Details

Meaningful Use Certification Details May 2, 2016 TRIARQ Health 1050 Wilshire, Suite 300 Troy, MI 48084 Meaningful Use Certification Details CHPL Practice Date CERTIFICATION Product Version Classification PRODUCT Type Certified EDITION NUMBER

More information

MEANINGFUL USE FOR THE OB/GYN. Steven L. Zielke, MD 6/13/2014

MEANINGFUL USE FOR THE OB/GYN. Steven L. Zielke, MD 6/13/2014 MEANINGFUL USE FOR THE OB/GYN Steven L. Zielke, MD 6/13/2014 Disclosures: I have no conflicts of interest I am not being paid by CMS to present this talk I am not endorsing any EHR I cannot guarantee attestation

More information

Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP)

Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP) Updated 2017 Medicaid EHR Incentive Program Requirements For Eligible Providers (EP) 1 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois

More information

Medicaid Provider Incentive Program

Medicaid Provider Incentive Program Medicaid Provider Incentive Program The Road to Meaningful Use Ohio Association of Community Health Centers 2013 Spring Conference March 6, 2013 Presenters: Elbony McIntyre, Project Manager Emma Esmont,

More information

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013

Medicare & Medicaid EHR Incentive Programs. Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 Medicare & Medicaid EHR Incentive Programs Stage 2 Final Rule Jason McNamara Technical Director for Health IT HIMSS Meeting April 25, 2013 What is in the Rule Changes to Stage 1 of meaningful use Stage

More information

The three proposed options for the use of CEHRT editions are as follows:

The three proposed options for the use of CEHRT editions are as follows: July 21, 2014 Marilyn B. Tavenner Administrator Centers for Medicare & Medicaid Services Karen B. DeSalvo, MD, MPH, MSc National Coordinator Office of the National Coordinator for Health Information Technology

More information

MACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing

MACRA and MIPS. How Medicare Meaningful Use and PQRS are Changing MACRA and MIPS How Medicare Meaningful Use and PQRS are Changing Link to recorded session: https://attendee.gotowebinar.com/recording/1305549490878052097 Presenting Today: Molly Goodhart Joined Quatris

More information

Meaningful Use Stage 2

Meaningful Use Stage 2 Meaningful Use Stage 2 Presented by: Deb Anderson, HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 HTS Who We Are Stage 2 MU Overview Learning Objectives 2014 CEHRT Certification

More information

Meaningful Use: a Primer

Meaningful Use: a Primer Health Information Technology Extension Center of Los Angeles Meaningful Use: a Primer Mary Mitchell Director of Meaningful Use Defined as: What is Meaningful Use? A. Use of a certified EHR in a meaningful

More information

Benchmark Data Sources

Benchmark Data Sources Medicare Shared Savings Program Quality Measure Benchmarks for the 2016 and 2017 Reporting Years Introduction This document describes methods for calculating the quality performance benchmarks for Accountable

More information

Meaningful Use Stage 2 For Eligible and Critical Access Hospitals

Meaningful Use Stage 2 For Eligible and Critical Access Hospitals Meaningful Use Stage 2 For Eligible and Critical Access Hospitals Eileen Colen This material was prepared by HealthInsight, the Medicare Quality Improvement Organization for Nevada and Utah, under contract

More information

Beyond Meaningful Use: Driving Improved Quality. CHCANYS Webinar #1: December 14, 2016

Beyond Meaningful Use: Driving Improved Quality. CHCANYS Webinar #1: December 14, 2016 Beyond Meaningful Use: Driving Improved Quality CHCANYS Webinar #1: December 14, 2016 Agenda The Current State Measuring Monitoring & Reporting Quality. Meaningful Use 2018 and Beyond The New Quality Payment

More information

Welcome to the MS State Level Registry Companion Guide for

Welcome to the MS State Level Registry Companion Guide for Welcome to the MS State Level Registry Companion Guide for Step 3 Attestation of your EHR This companion guide will assist providers as they move through the MS State Level Registry (MS SLR) online attestation

More information

of 23 Meaningful Use 2015 PER THE CMS REVISION TO THE FINAL RULE RELEASED OCTOBER 6, 2015 CHARTMAKER MEDICAL SUITE

of 23 Meaningful Use 2015 PER THE CMS REVISION TO THE FINAL RULE RELEASED OCTOBER 6, 2015 CHARTMAKER MEDICAL SUITE 1 Meaningful Use 2015 PER THE CMS REVISION TO THE FINAL RULE RELEASED OCTOBER 6, 2015 CHARTMAKER MEDICAL SUITE WHEN WE ARE FINISHED TODAY YOU SHOULD KNOW THE FOLLOWING. 2 EHR reporting periods Amended

More information

The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals

The HITECH EHR Meaningful Use Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals September 1, 2010 Presented and

More information

Note: Every encounter type must have at least one value designated under the MU Details frame.

Note: Every encounter type must have at least one value designated under the MU Details frame. Meaningful Use Eligible Professionals Eligible Providers (EPs) who are participating in the EHR Incentive Program either under Medicare or Medicaid must complete at least 2 years under Stage 1 before they

More information

United Medical ACO Participation Criteria

United Medical ACO Participation Criteria United Medical ACO Participation Criteria Items Requiring Practice Reporting 1) Submission of Reports: Practices must report A,B, and C to UMACO A. Thirty-four ACO Quality Measures -See Appendix A B. Average

More information

Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III

Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III HIMSS Meaningful Use Regional Meeting Clinical Quality Measures Barbara Connors, DO, MPH Chief Medical Officer CMS Region III 2 Eligibility for EHR Incentive Program Incentive payments for eligible professionals

More information

Accelerating the Impact of Performance Measures: Role of Core Measures

Accelerating the Impact of Performance Measures: Role of Core Measures Accelerating the Impact of Performance Measures: Role of Core Measures Mark McClellan, MD, PhD Director, Engelberg Center for Health Care Reform Senior Fellow, Economic Studies Leonard D. Schaeffer Chair

More information

Agenda. Meaningful Use: What You Really Need to Know. Am I Eligible? Which Program? Meaningful Use Progression 6/14/2013. Overview of Meaningful Use

Agenda. Meaningful Use: What You Really Need to Know. Am I Eligible? Which Program? Meaningful Use Progression 6/14/2013. Overview of Meaningful Use Agenda Meaningful Use: What You Really Need to Know Presented by: Melissa Francisco American College of Rheumatology Overview of Meaningful Use Eligibility Requirements Stage 1: Basics, Key Changes When

More information

Computer Provider Order Entry (CPOE)

Computer Provider Order Entry (CPOE) Computer Provider Order Entry (CPOE) Use computerized provider order entry (CPOE) for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record

More information

Meaningful Use: Introduction to Meaningful Use Eligible Providers

Meaningful Use: Introduction to Meaningful Use Eligible Providers Meaningful Use: Introduction to Meaningful Use Eligible Providers Introduction to Meaningful Use: Webinar Overview Define Meaningful Use Review Meaningful Use Key Dates & Program Incentives Discuss the

More information

CMS Meaningful Use Proposed Rules Overview May 5, 2015

CMS Meaningful Use Proposed Rules Overview May 5, 2015 CMS Meaningful Use Proposed Rules Overview May 5, 2015 Elisabeth Myers Center for Clinical Standards and Quality Centers for Medicare & Medicaid Services Disclaimer» CMS must protect the rulemaking process

More information

CMS Modifications to Meaningful Use in Final Rule. Slide materials and recording will be available after the webinar

CMS Modifications to Meaningful Use in Final Rule. Slide materials and recording will be available after the webinar CMS Modifications to Meaningful Use in 2015-2017 Final Rule Denise Satterfield Practice Solutions Advisor December 2015 Welcome Slide materials and recording will be available after the webinar Submit

More information

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health

Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal. Lori Hack & Val Tuerk, Object Health Meaningful Use Basics and Attestation Process Guide for Medicare and Medi-Cal Lori Hack & Val Tuerk, Object Health 2 3 Agenda Who Qualifies for the EHR Incentive Funds? EHR Incentive Registration Process

More information

Overview of the EHR Incentive Program Stage 2 Final Rule

Overview of the EHR Incentive Program Stage 2 Final Rule HIMSS applauds the Department of Health and Human Services for its diligence in writing this rule, particularly in light of the comments and recommendations made by our organization and other stakeholders.

More information

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs)

Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Texas Medicaid Electronic Health Record (EHR) Incentive Program: Federally Qualified Health Centers (FQHCs) Julia Alejandre, Medicaid / CHIP Health IT Jason Phipps, Medicaid / CHIP Health IT July 20, 2012

More information

Meaningful Use Stage 2. Physicians February 2013

Meaningful Use Stage 2. Physicians February 2013 Meaningful Use Stage 2 Physicians February 2013 CME Disclosures J.N. Cook, D.O. MPH has nothing to disclose Randi Terry, MBA has nothing to disclose Credit where credit is due What is Meaningful Use? American

More information

Quality Measurement and Reporting Kickoff

Quality Measurement and Reporting Kickoff Quality Measurement and Reporting Kickoff All Shared Savings Program ACOs April 11, 2017 Sandra Adams, RN; Rabia Khan, MPH Division of Shared Savings Program Medicare Shared Savings Program DISCLAIMER

More information

CMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN)

CMS Transforming Clinical Practices Initiative and. The Southern New England Practice Transformation Network (SNE PTN) CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Selecting Performance Category Measures and Reporting Requirements 1/31/2017

More information

Decoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance

Decoding the QPP Year 2 Quality Measure Benchmarks and Deciles to Maximize Performance Decoding the QPP Year 2 Quality Measure Benchmarks and s to Maximize Performance Leila Volinsky, MHA, MSN, RN, PCMH CCE, CPHQ Senior Program Administrator New England Regional Lead Quality Payment Program

More information

American Recovery & Reinvestment Act

American Recovery & Reinvestment Act American Recovery & Reinvestment Act Meaningful Use Dawn Ross, Clinical Informatics Director Linda Wilson, Meaningful Use Coordinator 10/26/2015 Overview American Recovery and Reinvestment Act of 2009

More information

EHR/Meaningful Use

EHR/Meaningful Use EHR/Meaningful Use 2015-2017 The requirements for Meaningful Use attestation have changed due to the recently released Medicare and Medicaid Programs: Electronic Health Record Incentive Program Stage 3

More information

9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds

9/28/2011. Learning Agenda. Meaningful Use and why it s here. Meaningful Use Rules of Participation. Categories, Objectives and Thresholds Coding on the River 10/01/2011 Christina Catalano University of Florida Jacksonville Healthcare Inc. Director, EHR Compliance and Meaningful Use Learning Agenda Meaningful Use and why it s here Meaningful

More information

Falcon Quality Payment Program Checklist- 2017

Falcon Quality Payment Program Checklist- 2017 Falcon Quality Payment Program Checklist- 2017 DISCLAIMER: This material is provided for informational purposes only and should not be relied upon as legal or compliance advice. If legal advice or other

More information

2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto

2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs. September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto 2016 MEANINGFUL USE AND 2017 CHANGES to the Medicare EHR Incentive Program for EPs September 27, 2016 Kathy Wild, Lisa Sagwitz, and Joe Pinto Agenda Meaningful Use (MU) in 2016 MACRA and MIPS (high level

More information

2015 Meaningful Use and emipp Updates (for Eligible Professionals)

2015 Meaningful Use and emipp Updates (for Eligible Professionals) 2015 Meaningful Use and emipp Updates (for Eligible Professionals) Kai-Yun Kao Department of Health and Mental Hygiene Presented to: Maryland Medicaid Providers Date: February 18, 2016 Webinar Agenda 2

More information

Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care

Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care Small Rural Hospital Transition (SRHT) Project HELP Webinar Meaningful Use and Care Transitions: Managing Change and Improving Quality of Care Paul Kleeberg, MD, FAAFP, FHIMSS Aledade Medical Director

More information

2016 PQRS and VBM for Anesthesia and Pain Management

2016 PQRS and VBM for Anesthesia and Pain Management 2016 PQRS and VBM for Anesthesia and Pain Management 2016 PQRS and VBM for Anesthesia and Pain Management 1 Table of Contents PQRS 1 Definitions 2 PQRS Basics 2 MAV 3 Claims-based vs. Registry-based Reporting

More information

2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options

2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options The Physicians Advocacy Institute s Medicare Quality Payment Program (QPP) Physician Education Initiative 2017 Transition Year Flexibility Advancing Care Information (ACI) Category Options Ad 1 P a g e

More information

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009

Medicare & Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009 Medicare & Medicaid EHR Incentive Program Final Rule Implementing the American Recovery & Reinvestment Act of 2009 Conceptual Approach to Meaningful Use Improved Data capture and sharing Advanced Clinical

More information

Updates to the EHR Incentive Programs Jason Felts, MS, CSCS HIT Practice Advisor

Updates to the EHR Incentive Programs Jason Felts, MS, CSCS HIT Practice Advisor Updates to the EHR Incentive Programs - 2014 Jason Felts, MS, CSCS HIT Practice Advisor An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123. Step 2: Enter code 2071585#.

More information

Quality Payment Program: The future of reimbursement

Quality Payment Program: The future of reimbursement Quality Payment Program: The future of reimbursement Presented by Evan M. Gwilliam, DC MBA BS CPC CCPC NCICS CCCPC CPC-I MCS-P CPMA CMQP Executive Vice President 1 Dr. Evan Gwilliam Education Bachelor

More information

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview

EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview EHR Incentive Programs: 2015 through (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals

More information

2016 Requirements for the EHR Incentive Programs: EligibleProfessionals

2016 Requirements for the EHR Incentive Programs: EligibleProfessionals 2016 Requirements for the EHR Incentive Programs: EligibleProfessionals Vidya Sellappan Division of Health Information Technology Quality Measurement & Value-based Incentives Group Center for Clinical

More information

Calendar Year 2014 Medicare Physician Fee Schedule Final Rule

Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Calendar Year 2014 Medicare Physician Fee Schedule Final Rule Non-Facility Cap After receiving many negative comments on this issue from physician groups, along with the House GOP Doctors Caucus letter

More information

Medicaid EHR Incentive Program What You Need to Know about Program Year 2016

Medicaid EHR Incentive Program What You Need to Know about Program Year 2016 Medicaid EHR Incentive Program What You Need to Know about Program Year 2016 February 2017 Carrie Ortega, Health IT Project Manager Imeincentives@dhs.state.ia.us 1 Attestation Reminders 2016 Dates to Remember

More information

Meaningful Use 2016 and beyond

Meaningful Use 2016 and beyond Meaningful Use 2016 and beyond Main Street Medical Consulting May 12, 2016 Meaningful use, MACRA, MIPS? Whaaaaat? 1 Reporting Period and Timeline In 2016 all providers are required to use CEHRT versions

More information

CMS Quality Payment Program: Performance and Reporting Requirements

CMS Quality Payment Program: Performance and Reporting Requirements CMS Quality Payment Program: Performance and Reporting Requirements Session #QU1, February 19, 2017 Kristine Martin Anderson, Executive Vice President, Booz Allen Hamilton Colleen Bruce, Lead Associate,

More information

Overview of the Changes to the Meaningful Use Program Called for in the Proposed Inpatient Prospective Payment System Rule April 27, 2018

Overview of the Changes to the Meaningful Use Program Called for in the Proposed Inpatient Prospective Payment System Rule April 27, 2018 Overview of the Changes to the Meaningful Use Program Called for in the Proposed Inpatient Prospective Payment System Rule April 27, 2018 NOTE: These policies have only been proposed. No policies are final

More information

Agenda 2. EHR Incentive Programs 3/5/2015. Overview EHR incentive programs Meaningful Use Differences between Stage 1 and Stage 2

Agenda 2. EHR Incentive Programs 3/5/2015. Overview EHR incentive programs Meaningful Use Differences between Stage 1 and Stage 2 Meaningful Use and the Electronic Health Record Presented by: Susan Reehill CPC, CEMC, CHONC, CPMA Certified Professional Medical Auditor AHIMA Approved ICD-10 CM/PCS Trainer Overview EHR incentive programs

More information

during the EHR reporting period.

during the EHR reporting period. CMS Stage 2 MU Proposed Objectives and Measures for EPs Objective Measure Notes and Queries PUT YOUR COMMENTS HERE CORE SET (EP must meet all 17 Core Set objectives) Exclusion: Any EP who writes fewer

More information

MIPS eligibility lookup tool (available in Spring 2018): https://qpp.cms.gov/participation-lookup

MIPS eligibility lookup tool (available in Spring 2018): https://qpp.cms.gov/participation-lookup 2018 MIPS Roadmap Under the Quality Payment Program launched in 2017, the Centers for Medicare and Medicaid Services (CMS) evaluates all eligible clinicians based on one of two tracks. The Academy expects

More information

Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program

Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program Stage 3 and ACI s Relationship to Medicaid MU Massachusetts Medicaid EHR Incentive Program September 19 & 20, 2017 Today s presenters: Brendan Gallagher Thomas Bennett Agenda Stage 3 Meaningful Use (MU)

More information

CMS Incentive Programs: Timeline And Reporting Requirements. Webcast Association of Northern California Oncologists May 21, 2013

CMS Incentive Programs: Timeline And Reporting Requirements. Webcast Association of Northern California Oncologists May 21, 2013 CMS Incentive Programs: Timeline And Reporting Requirements Webcast Association of Northern California Oncologists May 21, 2013 Objective This webcast will address CMS s Incentive Program reporting requirements

More information

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA

Medicare & Medicaid. William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Medicare & Medicaid EHR Incentive Program William Kassler, MD Chief Medical Officer Centers for Medicare & Medicaid Services Boston, MA Overview Background / Policy Context EHR Incentive Program basics

More information

Eligible Professional Core Measure Frequently Asked Questions

Eligible Professional Core Measure Frequently Asked Questions Eligible Professional Core Measure Frequently Asked Questions CPOE for Medication Orders 1. How should an EP who orders medications infrequently calculate the measure for the CPOE objective if the EP sees

More information

PATIENT CENTERED. Medical Home. Attestation. Facility Compliance

PATIENT CENTERED. Medical Home. Attestation. Facility Compliance 2 0 1 7 Attestation PATIENT CENTERED Medical Home of Facility Compliance State of Wyoming, Department of Health, Division of Healthcare Financing Check the Patient Centered Medical Home (PCMH) Programs

More information

Alaska Medicaid Program

Alaska Medicaid Program Alaska Medicaid Program ALASKA ELECTRONIC HEALTH RECORDS Incentive Program Updated January 2018 Provider Manual 1 Background... 4 2 How Do I use this manual?... 6 3 How do I get help?... 7 4 Eligible provider

More information

Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities

Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities Stage 2 Meaningful Use Final Rule CPeH Advocacy Opportunities August 29, 2012 Agenda Review EHR Incentive Program and Intended Purpose Walk through Stage 2 Final Rule Changes to Stage 1 Stage 2 Criteria

More information

Final Meaningful Use Stage 3 Requirements Released August 2018

Final Meaningful Use Stage 3 Requirements Released August 2018 Final Meaningful Use Stage 3 Requirements Released August 2018 Earlier this month, Centers for Medicare and Medicaid Services (CMS) released the final Stage 3 requirements for the program formerly known

More information

Meaningful Use Stage 2. Physicians Offices March 2014

Meaningful Use Stage 2. Physicians Offices March 2014 Meaningful Use Stage 2 Physicians Offices March 2014 Presenters J.N. Cook, D.O. MPH, jcook1@mhc.net Randi Terry, MBA, rterry@mhc.net Credit where credit is due Long Road Traveled How to Qualify 1 2 3 4

More information

Russell B Leftwich, MD

Russell B Leftwich, MD Russell B Leftwich, MD Chief Medical Informatics Officer Office of ehealth Initiatives, State of Tennessee 1 Eligible providers and hospitals can receive incentives for meaningful use of certified EHR

More information

HITECH Act American Recovery and Reinvestment Act (ARRA) Stimulus Package. HITECH Act Meaningful Use (MU)

HITECH Act American Recovery and Reinvestment Act (ARRA) Stimulus Package. HITECH Act Meaningful Use (MU) Presents Presents: Speaker: Elizabeth Woodcock, MBA, FACMPE, CPC www.elizabethwoodcock.com Speaker: Elizabeth Woodcock, MBA, FACMPE, CPC www.elizabethwoodcock.com HITECH Act Meaningful Use (MU) Definition

More information

Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015

Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015 Connecticut Medicaid EHR Incentive Program Flexibility Checklist for Eligible Professionals for Meaningful Use Last Revision: May 27, 2015 The Medicaid EHR Incentive Program provides incentive payments

More information

Promoting Interoperability Measures

Promoting Interoperability Measures Promoting Interoperability Measures Previously known as Advancing Care Information for 2017 and Meaningful Use from 2011-2016 Participants: In 2018, promoting interoperability measure reporting (PI) is

More information

QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success. Wednesday, May 17, :00 4:00 PM ET

QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success. Wednesday, May 17, :00 4:00 PM ET QIN-QIO Sharing Call MIPS in the Real Word: How Your Peers Are Achieving Success Wednesday, May 17, 2017 3:00 4:00 PM ET Meet Your Speakers Kelsey Baker, BA Quality Reporting Program Coordinator Healthcentric

More information

STAGE 2 PROPOSED REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1

STAGE 2 PROPOSED REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1 STAGE 2 PROPOSED REQUIREMENTS FOR MEETING MEANINGFUL USE OF EHRs 1 Requirement CPOE Use CPOE for medication orders directly entered by any licensed health care professional who can enter orders into the

More information

MIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017

MIPS Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 CMS Transforming Clinical Practices Initiative and The Southern New England Practice Transformation Network (SNE PTN) MIPS 2017- Scoring: Explanation and Estimation 2/7/2017 and 2/10/2017 2 Review Determine

More information

PQRS Success in 2015:

PQRS Success in 2015: PQRS Success in 2015: The Effects of Applicability Validation (MAV) on s Selection for Hospitalists Why is Applicability Validation (MAV) important? CMS requires all eligible professionals (EPs) successfully

More information

Stage 1 Meaningful Use Objectives and Measures

Stage 1 Meaningful Use Objectives and Measures Stage 1 Meaningful Use Objectives and Measures Author: Mia Evans About Technosoft Solutions: Technosoft Solutions is a healthcare technology consulting, dedicated to providing software development services

More information

Stage 1. Meaningful Use 2014 Edition User Manual

Stage 1. Meaningful Use 2014 Edition User Manual Stage 1 Meaningful Use 2014 Edition User Manual This document, as well as the software described in it, is provided under a software license agreement with STI Computer Services, Inc. Use of this software

More information

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule

Meaningful Use: Review of Changes to Objectives and Measures in Final Rule Meaningful Use: Review of Changes to Objectives and Measures in Final Rule The proposed rule on meaningful use established 27 objectives that participants would meet in stage 1 of the program. The final

More information

CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures

CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures CHIME Concordance Analysis of Stage 2 Meaningful Use Final Rule - Objectives & Measures Stage 2 MU Objectives and Measures for EHs - Core More than 60 percent of medication, 1. Use CPOE for medication,

More information

Proposed Rules for Meaningful Use 1, 2 and 3. Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health

Proposed Rules for Meaningful Use 1, 2 and 3. Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health Proposed Rules for Meaningful Use 1, 2 and 3 Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health 1 Objectives Provide an overview of the proposed changes to all stages of the Meaningful Use program starting

More information