FPA dedicated Webinar: Meaningful Use for EPs Stage 2 in 2014
|
|
- Madeleine Norman
- 5 years ago
- Views:
Transcription
1 FPA dedicated Webinar: Meaningful Use for EPs Stage 2 in 2014 Reid Haase HIT Consultant (REACH) March 26, 2014 REACH - Achieving - Achieving meaningful meaningful use of your use EHRof your EHR
2 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 2
3 2014 MU measurement period Medicare & Medicaid: EPs in Stage 1 Year 1 (90 days) of MU can select any 90 day measurement period (period does NOT have to be aligned to a quarter) Medicare: For all EPs doing Stage 1 Year 2 in 2014: MU measurement period reduced to 1 quarter To allow providers time to adopt 2014 certified EHR technology and allow time for other major initiatives such as ICD-10, etc. Medicaid: any 90 days for Stage 1 Year 2 Medicaid Adopt / Implement / Upgrade is not considered being MU compliant 3
4 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 4
5 Essential Changes in EHR Certification EHR Certification: From Stage 1 Certified 2011 Certification New Certification criteria 2014 Certification All will need to have 2014 Certified EHR Technology (CEHRT) in payment year 2014 for both Stage 1 & 2 ONC/CMS will not require an EP to purchase components they do not need Vendors will not need to recertify on criteria that have not changed since
6 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 6
7 How do you know if your EHR is Certified? To achieve Meaningful Use, one must use a ONC Authorized Certification Body (ONC- ACB) certified EHR & obtain a Certification ID each year when attesting to MU Listings of the EHRs and what they are certified for can be found at: This is what you will find 7
8 ONC Certified EHR Products List 8
9 Search for your EHR 9
10 Shopping cart add ALL EHRs! 10
11 Percent of Criteria Met 11
12 The Certification ID 12
13 The Criteria Met 13
14 2014 Edition EHR & Certification ID Easy to forget but don t! Retrieve and update your EHR Certification ID from CHPL and plug it into your Medicare or Medicaid registration / attestation page. Medicare: If you don t update, the old Certification ID will default into your 2014 attestation. PROBLEM!! Medicaid/MEIP: CHPL number field is cleared out each year must be manually entered If an EP is working at multiple locations you ll need to add each CEHRT into the shopping cart to get a unique Certification ID Remember the 50% CEHRT rule for providers working at multiple locations and to combine MU core data (and menu data and CQMs where there is overlap). 14
15 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 15
16 Medicare Payment Adjustments EPs who demonstrated meaningful use beginning in calendar years will not be penalized 2 years later Payment Adjustment Year EHR Reporting Period For EPs who demonstrates meaningful use in 2014 or later for the first time (using 2014 as an example): Payment Adjustment Year day EHR Reporting Period 2014* 2014 Full Year EHR Reporting Period * If the EP attests no later than October 1,
17 EP Hardship Exceptions Applications for Exceptions: EPs who meet both of the following criteria: Lack of face-to-face or telemedicine interaction with patients AND Lack of follow-up need with patients Disqualifiers: Billing E&M Codes Care plans with follow-up with the EP EPs who practice at multiple locations Attest that they lack of control over availability of CEHRT for more than 50% of patient encounters Show agreements with the locations not equipped Source: 17
18 EP Hardship Exceptions Application for Exceptions: Internet Infrastructure No wired internet is available Internet is available but: Cost prohibitive due to the need to create infrastructure Insufficient speed for Meaningful Use (3Mbs/sec) (?) Timing: Any 90 day period in the 18 months prior to the application deadline of July 1 for EPs the year before the payment adjustment year (Jan 2013 July 2014 for 2015 penalty year) Proof: quotes or correspondence from at least two different Internet service providers For insufficient speed required by your certified EHR technology vendor Source: 18
19 EP Hardship Exceptions Application for Exceptions: Examples: Closure Bankruptcy Other debt restructuring Natural disasters EHR loses certification The Unknown When considering other circumstances the application must outline why meaningful use is unachievable Merely outlining the circumstances with the expectation that CMS will determine the effects on meaningful use is not sufficient Source: 19
20 New 2014 EHR Hardship Exception Issued March 2014 by CMS *If+ you are unable to implement the 2014 Edition of Certified Electronic Health Record (EHR) Technology in time to successfully demonstrate meaningful use for the 2014 reporting year, you may be eligible for a hardship exception from the applicable Medicare payment adjustment CMS info sheet for EPs: Guidance/Legislation/EHRIncentivePrograms/Downloads/CEHRT2014 _HEGuidance_EPs.pdf 20
21 Automatic EP Hardship Exceptions Automatic Exceptions (but not shown as automatic per CMS March 2014 tip sheet): For EPs who list the following practice areas as their primary specialty The included Medicare Specialty Codes are diagnostic radiology (30), nuclear medicine (36), interventional radiology (94), anesthesiology (05), and pathology (22). &faqid= Education/Outreach/NPC/Downloads/ EHR-NPC.pdf 21
22 Automatic EP Hardship Exceptions Automatic Exceptions (but not shown as automatic per CMS March 2014 tip sheet): Newly practicing EPs will get a 2-year exception to payment adjustments based on Medicare claims and enrollment data. Education/Outreach/NPC/Downloads/ EHR-NPC.pdf 22
23 Applying for Hardship Exceptions EPs must apply each year to avoid the payment adjustments. Applications need to be submitted by July 1 for EPs of the year before the payment adjustment year Granted if provider demonstrates that the circumstance poses a significant barrier to their achieving meaningful use. Details and applications available at: programs/paymentadj_hardship.h tml Receiving an exception avoids the penalty but the EP misses the incentive payment and advances on the MU timeline 23
24 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 24
25 Important Changes to Meaningful Use Starting in 2014 Menu objective exclusions will count as a deferred item For all in the 2014 reporting year not in their first year of attestation: Reporting period reduced to a calendar quarter (Medicare not Medicaid) To allow providers time to adopt 2014 certified EHR technology and prepare for Stage 2 To allow quality measures to correspond with reporting requirements of other quality reporting programs 25
26 Concepts for the Updated Meaningful Use Rules Starting in 2014 For Stage 2: More exchange More patient online access and involvement Stage 1 menu items moved to core Percentages (measures) have increased Turnaround time is shorter to provide info to patients Some measures incorporated into others 26
27 Stage 1 and Stage 2 Meaningful Use for 2014 Stage 1 Stage 2 Eligible Professionals 13 core objectives 5 of 9 menu objectives 18 total objectives Eligible Professionals 17 core objectives 3 of 6 menu objectives 20 total objectives 27
28 Stage 2 Criteria for 2014: Core: Numerator/Denominator: Demographics Medication reconciliation CPOE E-Prescribing Vital signs Smoking status Clinical summaries Labs as structured data Provide patient-specific education resources Provide patients with eaccess with some using it Referral/Transfer of care summary Patient reminders Secure messages from patients Yes or No: Patient list by specific condition 5 clinical decision support rules (with D-D, D- A) Submission of electronic data to immunization registries. Protect electronic health information Menu: Numerator/Denominator: Electronic notes Imaging results Family health history Yes or No: Report to cancer registries Report to specialized registries Provide electronic syndromic surveillance data to public health agencies. 28
29 Stage 2 Core Measures for EPs (in reference to Stage 1 measures) 29
30 CMS EP Core #1 Computerized Provider Order Entry (CPOE) Stage 1 (Core) Measure >30% of patients on any meds with one CPOE med order or may use >30% all orders Denominator Unique patients or unique orders) Exclusion: Any EP who writes <100 medication orders during the EHR reporting period. Stage 2 (Core) Measures >60% of all medication orders, >30% of all laboratory and >30% radiology orders must be entered using CPOE Denominators: Unique orders Exclusions: Any EP who writes <100 medication, <100 radiology, or <100 laboratory orders during the EHR reporting period. Starting in 2013, any licensed healthcare professionals and credentialed medical assistants, can enter orders into the medical record for purposes of including the order in the numerator for the objective of CPOE if they can originate the order per state, local and professional guidelines. 30
31 Drug Formulary Check Stage 1 (Menu) Measure Implement drug formulary checks with at least one internal or external formulary Denominator Yes/No Attest Exclusion Writes <100 medication orders during the EHR reporting period Stage 2 (Core/Menu) Measure Incorporated into the erx core item 31
32 CMS EP Core #2 eprescribing (EP) Stage 1 (Core) Measure >40% of permissible scripts are generated and transmitted electronically Denominator Number of permissible (noncontrolled substance) scripts written by the EP Exclusion Any EP who writes <100 prescriptions during the EHR reporting period. No pharmacies that accept e- prescriptions within 10 miles Stage 2 (Core) Measure >50 percent of permissible or all prescriptions written are queried for a drug formulary and transmitted electronically Denominator Number of permissible or all scripts written by the EP Exclusion Any EP who writes <100 permissible prescriptions during the EHR reporting period. No pharmacies that accept e- prescriptions within 10 miles 32
33 CMS EP Core #3 Demographics Stage 1 (Core) Measure >50% of patients seen: preferred language, gender, race, ethnicity, and DOB. For EHs: date and preliminary cause of death Denominator Unique Patients Exclusion None Stage 2 (Core) Measure >80% of patients seen: preferred language, sex, race, ethnicity, DOB. For EHs: date and preliminary cause of death Denominator Unique Patients Exclusion None 33
34 CMS EP Core #4 Vital Signs Stage 1 (Core) Measure >50% of patients 2yo seen: height, weight, BP, BMI, & for age 2-20: growth charts w/bmi. May split BP and height-weight, also may use only 3 for BP and all ages for H/W/BMI) Denominator Unique patients Exclusion If outside scope of practice Stage 2 (Core) Measure >80% of patients height/length, weight, BMI; 3yo: BP; age 0-20: growth charts w/bmi. May split BP and height/length-weight Denominator Unique Patients Exclusion If BP or H/L-W is outside scope of practice 34
35 CMS EP Core #4 Vital Signs 35
36 CMS EP Core #5 Smoking Status Stage 1 (Core) Measure >50% of patients 13yo seen, record status as structured data Denominator Unique patients Exclusion No patients 13 years old or older. Stage 2 (Core) Measure >80% of patients 13yo seen, record status as structured data Denominator Unique patients Exclusion No patients 13 years old or older. 36
37 Drug-Drug and Drug-Allergy Interaction Checks Stage 1 (Core) Measure This functionality is enabled for the entire EHR reporting period Denominator Yes/No Attest Exclusion None Stage 2 (Core) Incorporated into the Clinical Decision Support Measure: This functionality is enabled for the entire EHR reporting period 37
38 CMS EP Core #6 Clinical Decision Support Stage 1 (Core) Measure 1 CDS rule relevant to the specialty specific quality metric with the ability to track compliance Denominator Yes/No Attest Exclusion None Stage 2 (Core) Measures 5 CDS interventions relevant to 4 quality metrics or high priority condition Drug-drug and drug-allergy interactions turned on Denominator Yes/No Attest Exclusion D-D/D-A only if writes <100 medication orders 38
39 CMS EP Core #7 Online Access to Health Information Stage 1 Core for 2014 and later Measure > 50 percent are provided timely online access to their health information within 4 business days of it being available Denominator Unique patients Exclusion Creates no information, except for Patient name and Provider's name and office contact information. Stage 2 (Core) Measures >50% are provided timely online access to their health information within 4 business days >5% view, download, or transmit their health information Denominator Unique patients Exclusions Creates no information, except for Patient name and Provider's name and office contact information, may exclude both measures. 50% encounters in a county with <50% percent of its housing units have 3Mbps broadband may exclude the second measure. 39
40 CMS EP Core #8 Clinical Summaries (EP) Stage 1 (Core) Measure >50% of office visits, a patient gets a visit summary within 3 business days Denominator Office Visits Exclusion No office visits during the EHR reporting period Stage 2 (Core) Measure >50% of office visits, a patient or their representative gets a visit summary within 1 business day Denominator Office Visits Exclusion No office visits during the EHR reporting period 40
41 CMS EP Core #8 Clinical Summary Content The Common Meaningful Use Dataset. Patient name. Sex. Date of birth. Race the standard specified in (f). Ethnicity the standard specified in (f). Preferred language the standard specified in (g). Smoking status the standard specified in (h). Problems at a minimum, the version of the standard specified in (a)(3) Medications at a minimum, the version of the standard specified in (d)(2). Medication allergies at a minimum, the version of the standard specified in (d)(2). Laboratory test(s) at a minimum, the version of the standard specified in (c)(2). Laboratory value(s)/result(s). Vital signs height, weight, blood pressure, BMI. Care plan field(s), including goals and instructions. Procedures At a minimum, the version of the standard specified in (a)(3) or (b)(2). Optional. The standard specified at (b)(3). Optional. The standard specified at (b)(4). Care team member(s). In addition 1. The provider s name and office contact information 2. Date and location of visit 3. Reason for visit 4. Immunizations and/or medications administered during the visit 5. Diagnostic tests pending 6. Clinical instructions 7. Future appointments 8. Referrals to other providers 9. Future scheduled tests 10. Recommended patient decision aids. 41
42 CMS EP Core #9 Protect Personal Health Information Stage 1 (Core) Measure Conduct or review a security risk analysis, implement security updates as necessary and correct identified security deficiencies Denominator Yes/No Attest Exclusion None Stage 2 (Core) Measure Conduct or review a security risk analysis, including the encryption/security of data stored in CEHRT, implement security updates as necessary and correct identified security deficiencies Denominator Yes/No Attest Exclusion None 42
43 CMS EP Core #10 Incorporate Lab Results Stage 1 (Menu) Measure >40% of labs with numeric or +/- result in chart as structured data Denominator Unique +/- or numeric lab results Exclusion No results of this type ordered Stage 2 (Core) Measure >55% of labs with numeric or +/- result in chart as structured data Denominator Unique +/- or numeric lab results Exclusion No results of this type ordered 43
44 CMS EP Core #11 Patient Lists Stage 1 (Menu) Measure Generate at least one pt list based on a specific condition Denominator Yes/No Attest Exclusion None Stage 2 (Core) Measure Generate at least one pt list based on a specific condition Denominator Yes/No Attest Exclusion None 44
45 CMS EP Core #12 Patient Reminders (EP) Stage 1 (Menu) Measure >20% of pts 65 or 5yo sent reminders for follow up care Denominator Unique Patients Exclusion No patients 65 or 5yo Stage 2 (Core) Measure >10% pts with >1 office visit within 2 years receive reminders for follow-up care sent per patient preference. Denominator Unique patients with 2 or more visits in past 24 months Exclusion No office visits in 24 months before the measurement period 45
46 CMS EP Core #13 Patient Education Stage 1 (Menu) Measure >10% of all unique patients are provided patientspecific education resources identified by Certified EHR Technology. Denominator Unique patients Exclusion None Stage 2 (Core) Measure >10% of all unique patients are provided patientspecific education resources identified by Certified EHR Technology. Denominator Unique patients Exclusion No office visits 46
47 CMS EP Core #14 Medication Reconciliation Stage 1 (Menu) Measure >50% of transitions of care or a relevant encounter Denominator # of transitions of care (and relevant encounters if there is a policy) Exclusion No transitions of care or referrals received Stage 2 (Core) Measure >50% of transitions of care or a relevant encounter Denominator # of transitions of care (and relevant encounters if there is a policy) Exclusion No transitions of care or referrals received 47
48 Problem List Stage 1 (Core) Measure >80% of patients seen at least one or none as structured data Denominator Unique patients Exclusion None Stage 2 Measure Incorporated as a mandatory element in the transfer of care document Denominator Referrals or transfers of care Exclusion None 48
49 Medication List Stage 1 (Core) Measure >80% of patients seen at least one or none as structured data Denominator Unique patients Exclusion None Stage 2 Measure Incorporated as a mandatory element in the transfer of care document Denominator Referrals or transfers of care Exclusion None 49
50 Medication Allergies Stage 1 (Core) Measure >80% of patients seen at least one or none as structured data Denominator Unique patients Exclusion None Stage 2 Measure Incorporated as a mandatory element in the transfer of care document Denominator Referrals or transfers of care Exclusion None 50
51 CMS EP Core #15 Transfer of Care / Referral Stage 1 (Menu) Measure >50% of referrals and transitions of care Denominator Care transitions Exclusion Does not refer or transition Stage 2 (Core) Measure >50% of referrals and transitions of care >10% sent electronically One or more sent electronically to: A different provider with a different EMR The CMS designated test EHR Denominator Care transitions Exclusion <100 transfers/referrals during the EHR reporting period 51
52 CMS EP Core #15 Elements of the Stage 2 Transfer of Care / Referral Summary It includes: The Common Meaningful Use Dataset. Patient name. Sex. Date of birth. Race the standard specified in (f). Ethnicity the standard specified in (f). Preferred language the standard specified in (g). Smoking status the standard specified in (h). Problems at a minimum, the version of the standard specified in (a)(3) Medications at a minimum, the version of the standard specified in (d)(2). Medication allergies at a minimum, the version of the standard specified in (d)(2). Laboratory test(s) at a minimum, the version of the standard specified in (c)(2). Laboratory value(s)/result(s). Vital signs height, weight, blood pressure, BMI. Care plan field(s), including goals and instructions. Procedures At a minimum, the version of the standard specified in (a)(3) or (b)(2). Optional. The standard specified at (b)(3). Optional. The standard specified at (b)(4). Care team member(s). In addition Encounter diagnoses. The standard specified in (i) or, at a minimum, the version of the standard specified (a)(3); Immunizations. The standard specified in (e)(2); Cognitive status; Functional status; and Ambulatory setting only. The reason for referral; and referring or transitioning provider s name and office contact information. Inpatient setting only. Discharge instructions. 52
53 CMS EP Core #15 Elements of the Stage 2 Transfer of Care / Referral Summary Uncertainty on implementation of Measurement #2: 10% of all referrals to be sent electronically EHRs with embedded Direct or SOAP transmission protocols can accomplish this Current ONC answer on external, web based Direct solution is that this is not an option See CMS FAQ:
54 CMS EP Core #16 Submit to Immunization Registry Stage 1 (Menu) Measure 1 test of submission to state immunization registry except where prohibited with continued submission if successful Denominator Yes/No Attest Exclusions Administers no immunizations No registry with the capacity to receive Stage 2 (Core) Measure Successful ongoing submission of electronic immunization data to an immunization registry or information system for the entire EHR reporting period Denominator Yes/No Attest Exclusion Administers no immunizations No registry with the capacity to receive 54
55 CMS EP Core #17 Secure Electronic Messaging (EP) Stage 1 None Stage 2 (Core) Measure >5% of unique patients (or their representatives) seen by the EP during the reporting period send the EP a secure message. Denominator Unique patients Exclusion No office visits 50% encounters in a county with <50% percent of its housing units have 3Mbps broadband 55
56 Stage 2 Menu Measures for EPs (in reference to Stage 1 measures) 56
57 CMS EP Menu #1 Syndromic Surveillance Stage 1 (Menu) Measure 1 test of submission to a public health agency except where prohibited with continued submission if successful Denominator Yes/No Attest Exclusions Not in a category of providers who collect this data No agency with the capacity to receive Stage 2 (Menu) Measure Successful ongoing submission to a public health agency for the entire EHR reporting period Denominator Yes/No Attest Exclusion: Not in a category of providers who collect this data No agency with the capacity to receive 57
58 CMS EP Menu #2 Electronic Provider Notes Stage 1 None Stage 2 (Menu) Measure >30% of unique patients have at least one electronic progress note created, edited and signed by an authorized provider. The text must be text searchable and may contain drawings and other content Denominator Unique patients Exclusion None 58
59 CMS EP Menu #3 Imaging Results Stage 1 None Stage 2 (Menu) Measure >10 percent of all tests whose result is one or more images are accessible through Certified EHR Technology Denominator Imaging studies Exclusion Orders <100 imaging studies during the EHR reporting period or without access to electronic imaging results at the start of the EHR reporting period. 59
60 CMS EP Menu #4 Family Health History Stage 1 None Stage 2 (Menu) Measure >20% have a structured data entry for one or more firstdegree relatives Denominator Unique patients Exclusion No office visits 60
61 CMS EP Menu #5 Cancer Registry (EP) Stage 1 None Stage 2 (Menu) Measure Successful ongoing submission of cancer case information to a public health central cancer registry for the entire EHR reporting period. Denominator Attest yes/no Exclusion: EP does not diagnose or directly treat cancer; The EP operates in a jurisdiction for which no public health agency is capable of receiving electronic cancer case information 61
62 CMS EP Menu #6 Specialized Registries (EP) Stage 1 None Stage 2 (Menu) Measure Successful ongoing submission of specific case information to a specialized registry for the entire EHR reporting period. Denominator Attest yes/no Exclusion: EP does not diagnose or directly treat a relevant disease; The EP operates in a jurisdiction for which no public health agency is capable of receiving electronic case information 62
63 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 63
64 Changes to CQMs Reporting Prior to 2014 Beginning in 2014 EPs Report 6 out of 44 CQMs 3 core or alt. core 3 menu EPs Report 9 out of 64 CQMs Selected CQMs must cover at least 3 of the 6 NQS domains Recommended core CQMs: 9 for adult populations 9 for pediatric Populations Starting in of the 44 CQMs finalized in the Stage 1 final rule will remain 32 new CQMs will be added totalling 64
65 CQM Selection for 2014 All EPs must select 9 of 64 CQMs from at least 3 of the 6 HHS National Quality Strategy domains: Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness 65
66 2014 Quality Measures Diabetes Cardiovascular disease Preventative care and Screening Pediatrics Geriatrics Appropriate use Asthma Oncology Alcohol and drug dependence Depression Ophthalmology HIV/AIDS Functional assessment Medication management Pregnancy Referral reports 66
67 2014 CQMs Recommended for Adults Patient and Family Engagement. Patient Safety. Care Coordination. Population/Public Health. Efficient Use of Healthcare Resources. Clinical Process/Effectiveness. Functional status assessment for complex chronic conditions Use of High-Risk Medications in the Elderly Documentation of Current Medications in the Medical Record Description Closing the referral loop: receipt of specialist report Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Preventive Care and Screening: Screening for Clinical Depressionand Follow-Up Plan Use of Imaging Studies for Low Back Pain Controlling High Blood Pressure 67
68 2014 CQMs Recommended for Children Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents Population/Public Health. Efficient Use of Healthcare Resources. Chlamydia Screening for Women Childhood Immunization Status Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan Appropriate Testing for Children with Pharyngitis Appropriate Treatment for Children with Upper Respiratory Infection (URI) Use of Appropriate Medications for Asthma Clinical Process/Effectiveness. ADHD: Follow-Up Care for Children Prescribed Attention- Deficit/Hyperactivity Disorder (ADHD) Medication Children who have dental decay or cavities Description: Percentage of children ages 0-20, who have had tooth decay or cavities during the measurement period. 68
69 Selecting 2014 CQMs: Excel matrix tool to help with CQM selection (developed by Regional Extension Center Community of Practice) Columns include: NQF #, CMS#, Brief description Adult or Pediatric set of 9 recommended National Quality Strategy Domain (6 domains) Specialty area related to CQM Programs utilizing each CQM: MU, PQRS, ACO, Million Hearts, CHIPRA, Medicare Advantage Finalized version expected in April 69
70 Selecting 2014 CQMs: REACH tool 70
71 Selecting 2014 CQMs: Example: Endocrinology One tab for each specialty showing pertinent CQMs 71
72 CQM Reporting in 2014 In 2014, there are two primary reporting methods available for reporting the CQMs: Attestation Beginning in 2014, all Medicare-eligible providers in their second year and beyond of meaningful use may electronically report their CQM data to CMS via the PQRS method in Jan/Feb 2015 Medicaid providers submit CQMs according to their state-based submission requirements. 72
73 Aligning CQMs Across Programs The same CQMs will be used in multiple quality reporting programs beginning in 2014 Other programs include Hospital IQR Program, PQRS, CHIPRA, and Medicare SSP and Pioneer ACOs Hospital Inpatient Quality Reporting Program Physician Quality Reporting System Children s Health Insurance Program Reauthorization Act Medicare Shared Savings Program and Pioneer ACOs 73
74 2014 CQM Quarterly Reporting For Medicare providers, beyond their first attestation year, the month reporting period is fixed to the quarter of either the fiscal or calendar year in order to align with existing CMS quality reporting programs. In subsequent years, the reporting period for CQMs will be the entire calendar year (for EPs) or beyond the 1 st year of MU. Provider Type EP Eligible Hospital/CAH Optional Reporting Period in 2014 Calendar year quarter: January 1 March 31 April 1 June 30 July 1 September 30 October 1 December 31 Fiscal year quarter: October 1 December 31 January 1 March 31 April 1 June 30 July 1 September 30 Reporting Period for Subsequent Years of Meaningful Use 1 calendar year (January 1 - December 31) 1 fiscal year (October 1 - September 30) Submission Period for Subsequent Years of Meaningful Use 2 months following the end of the reporting period (January 1 - February 28) 2 months following the end of the reporting period (October 1 - November 30) 74
75 EP Individual CQM Reporting Beginning in 2014 Eligible Professionals reporting for the Medicare EHR Incentive Program Category Data Level Payer Level Submission Type Reporting Schema First Year of Demonstrating MU* Aggregate All payer Attestation Submit 9 CQMs from EP measures table covering at least 3 domains EPs Beyond the 1 st Year of Demonstrating Meaningful Use Option 1 Aggregate All payer Attestation Option 2 Patient Medicare Electronic Submit 9 CQMs from EP measures table covering at least 3 domains Satisfy requirements of PQRS EHR Reporting Option using CEHRT * Attestation is required for EPs in their 1st year of demonstrating MU because it is the only reporting method that would allow them to meet the submission deadline of October 1 to avoid a payment adjustment. 75
76 EP Group CQM Reporting Beginning in 2014 Eligible Professionals reporting for the Medicare EHR Incentive Program Category EPs in an ACO (Medicare Shared Savings Program or Pioneer ACOs) EPs satisfactorily reporting via PQRS group reporting options EPs Beyond the 1 st Year of Demonstrating Meaningful Use* Data Level Payer Level Submission Type Patient Medicare Electronic Patient Medicare Electronic Reporting Schema Satisfy requirements of Medicare Shared Savings Program or Pioneer ACOs using CEHRT Satisfy requirements of PQRS group reporting options using CEHRT * Groups with EPs in their 1st year of demonstrating MU can report as a group, however the individual EP(s) who are in their 1st year must attest to their CQM results by October 1 to avoid a payment adjustment. 76
77 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 77
78 Both Medicare & Medicaid Audits Both Medicare and Medicaid audits are being conducted Medicare audits are conducted by Figliozzi & Co on behalf of CMS Medicaid audit are conducted by the MN Dept. of Human Services (not the MEIP Help Desk those are pre-payment reviews) 78
79 One in 20 Will Face Audits Medicare aims to audit about 5% of all meaningful use attesters by conducting pre-payment and post-payment audits MN Medicaid audits are always post-payment and conducted by DHS (any interaction with the MEIP Help Desk is pre-payment verification and NOT an audit). Medicare has an appeals process but requires that payment be recouped during this process 6 year look back period for audits! 79
80 How are Medicare audits operationalized? EP will receive an letter from Figliozzi & Co. ( address in CMS EHR incentive program registration web page) Letter contains an Information Request List You have 4 weeks from the date on the letter to supply the information to the auditing firm Provide only what is requested and no more Submission options: Figliozzi portal Secure Snail mail 80
81 The Letter Dear Dr. Smith, The Centers for Medicare and Medicaid Services (CMS) has contracted with Figliozzi & Company, CPAs P.C.1 to conduct meaningful use audits of certified Electronic Health Record (EHR) technology... This letter is to inform you that you have been selected by CMS for an audit of your meaningful use of certified EHR technology for the attestation period. Attached to this letter is an information request list. Be aware that this list may not be all-inclusive and that we may request additional information necessary to complete the audit. Please supply all requested items by March 11, 2013, by utilizing one of the following methods: 1. Electronically uploading the information to our secure web portal (see step by step instructions attached) 2. Mailing the information to: Figliozzi & Company, CPAs P.C. 585 Stewart Avenue Suite 416 Garden City, NY If you have any questions, please contact me by at or by telephone at (516) extension 302. Sincerely, Peter Figliozzi CPA, CFF, FCPA 81
82 Example Audit Questions: Meaningful Use Objective Drug-Drug/Drug- Allergy Interaction Checks and Clinical Decision Support Protect Electronic Health Information Exclusions Audit Validation Functionality is available, enabled, and active in the system for the duration of the EHR reporting period. Security risk analysis of the certified EHR technology was performed prior to the end of the reporting period. Documentation to support each exclusion to a measure claimed by the provider Suggested Documentation One or more screenshots from the certified EHR system that are dated during the EHR reporting period selected for attestation. Report that documents the procedures performed during the analysis and the results. Report should be dated prior to the end of the reporting period and should include evidence to support that it was generated for that provider s system (e.g., identified by National Provider Identifier (NPI), CMS Certification Number (CCN), provider name, practice name, etc.). Report from the certified EHR system that shows a zero denominator for the measure or otherwise documents that the provider qualifies for the exclusion. 82
83 Common Problems Identified in Audits Noncompliance with the requirement that health care providers conduct a data security risk assessment and have a mitigation plan in place (EP Core #9) Lack of adequate documentation to support responses to some of the yes or no meaningful use requirements For example, whether Drug-Drug / Drug- Allergy functionality has been on during the full MU measurement period 83
84 Be prepared for an Audit: REACH tools EP Audit Readiness Assessment Tool (Excel document screenshot in next slide) Also useful for pre-attestation checking Contact your REACH consultant to obtain this document and learn how to use REACH offers an audit readiness and review service (fee for service offering) 84
85 Be prepared for an Audit: REACH tools 85
86 Audit Questions or Appeals for Medicare Contact the auditing firm with questions: Peter Figliozzi at (516) x302 or Use the CMS appeals website Guidance/Legislation/EHRIncentivePrograms/Appeals.html for general appeal questions and updates on the status of any pending appeals. CMS Help Desk , between 9 a.m. and 5 p.m. EST, Monday through Friday, for general questions on how to file appeals and the status of any pending appeals. 86
87 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 87
88 What you can do to prepare Prepare for sharing information with patients: Complete patients problem, medication and allergy lists. Make sure they are up to date and current Decide what types of information you will share with patients Patient portals will require a lot of decision making on the part of providers Begin to encourage patients to get involved in their care Talk up the fact that you will be adding technology to allow them to make appointments on line, message their provider and get their lab results Help patients identify where they might access a computer (library, waiting room) and how to manage privacy in such a setting Explore whether you will use your vendor s portal solution or some other option Prepare for exchanging information with others: Establish relationships with other organizations to which you refer in order to begin planning exchange (be sure to include nursing homes and home care) Think about a connecting with acancer registry and/or other national registries to submit data on an ongoing basis 88
89 What you can do to prepare Make sure your technology will be ready Plan to undergo an EHR upgrade in late 2014 Talk with your vendor about upgrade timelines Look at the quality measures and let your vendor know which ones are important to you For hospitals, prepare for bar-coded medication administration Plan for more decision support Understand how your vendor will support having 5 interventions tied to relevant quality measures Begin to think about the types of interventions you will incorporate into your EHR Evaluate your workflows Look for efficiencies and make sure everyone is working at the top of their license 89
90 Topics for today 2014 MU Measurement period 2014 EHR Certification Standards Certified Health IT Product List (CHPL) updates Medicare penalties & hardship exceptions Core & menu set objectives for Stage 2 Clinical Quality Measures for 2014 Audits What you can do to prepare Resources 90
91 CMS Stage 2 Guide (47 pages) 91
92 CMS Stage 2 Toolkit (158 pages) 92
93 Meaningful Use Specification Sheets The authoritative source on MU Criteria Downloadable PDF index that links to the Stage 2 Criteria: EP: Guidance/Legislation/EHRIncentivePrograms/Dow nloads/stage2_meaningfulusespecsheet_tableco ntents_eps.pdf Updated by CMS to account for any corrections or changes Includes relevant certification criteria 93
94 CMS Resources: CM Help desk (888) Meaningful Use: Registration instructions: Guidance/Legislation/EHRIncentivePrograms/RegistrationandAttestation.html Meaningful Use Stage 1 Criteria Specifications CMS Stage 2 web page (with information on revised Stage 1 as well as Stage 2): Guidance/Legislation/EHRIncentivePrograms/Stage_2.html Stage 2 Guide for EPs (new as of Sept 2013) Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2_Guide_EPs_9_23_13.pdf Stage 2 Toolkit for EPs, EHs/CAHs (Updated February 2013) Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2_Toolkit_EHR_0313.pdf Attestation Worksheet f 94
95 Other Resources: Quality Measure Specifications on the CMS web site: Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html ONC-ACB Certified EHRs and what modules they are certified for: Office of the National Coordinator Health IT site: Regional Extension Assistance Center for Health Information Technology (REACH) Stratis Health HIT Toolkits for hospitals, clinics, home health, nursing homes and chiropractic North Dakota Department of Health Information Technology Minnesota Department of Health Info Sheet on Public Reporting Measures: 95
96 Upcoming BI Radio calls/webinars: Audit readiness (April) HIE for Stage 2 Transitions of Care /Summary of Care (April) Privacy and Security (May or June) 96
97 Questions? Reid Haase Key Health Alliance Stratis Health, Rural Health Resource Center, and The College of St. Scholastica. REACH is a project federally funded through the Office of the National Coordinator, Department of Health and Human Services. 97
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 information2015 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 informationMeaningful 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 informationMedicare & 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 informationMeaningful 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 informationMEANINGFUL 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 informationTHE 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 informationWebinar #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 informationMeaningful 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 informationMeaningful 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 informationMeaningful 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 informationSTAGE 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 informationMedicare & 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 informationMedicare & 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 informationTransforming 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 informationduring 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 informationPROPOSED 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 informationMEANINGFUL 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 informationClinical 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 informationMedicare and Medicaid EHR Incentive Program. Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule with Comment
Medicare and Medicaid EHR Incentive Program Stage 3 and Modifications to Meaningful Use in 2015 through 2017 Final Rule with Comment Measures, and Proposed Alternative Measures with Select Proposed 1 Protect
More informationCMS 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 informationMeaningful 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 informationEHR 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 informationGE Healthcare. Meaningful Use 2014 Prep: Core Part 1. Ramsey Antoun, Training Operations Coordinator December 12, 2013
GE Healthcare Meaningful Use 2014 Prep: Core Part 1 Ramsey Antoun, Training Operations Coordinator December 12, 2013 2013 General Electric Company All rights reserved. This does not constitute a representation
More informationStage 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 informationof 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 informationStage 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 informationMeaningful Use - Modified Stage 2. Brett Paepke, OD David Wolfson Marni Anderson
Meaningful Use - Modified Stage 2 Brett Paepke, OD David Wolfson Marni Anderson Wait! Where did Stage 1 and Stage 2 go? Traditional stages eliminated in late 2015 in order to: 1. reduce reporting requirements
More informationMeaningful Use Roadmap
Meaningful Use Roadmap Copyright SOAPware, Inc. 2011 1 Introduction 1.1 2 3 Introduction 6 Registration and Attestation 2.1 1. Request the "CMS EHR Certification ID" for SOAPware 9 2.2 2. Register for
More informationMeasures Reporting for Eligible Hospitals
Meaningful Use White Paper Series Paper no. 5b: Measures Reporting for Eligible Hospitals Published September 5, 2010 Measures Reporting for Eligible Hospitals The fourth paper in this series reviewed
More informationCMS 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 informationMeaningful Use What You Need to Know for December 6, 2016
Meaningful Use What You Need to Know for 2016-2017 December 6, 2016 Agenda Overview of Programs Eligibility Requirements Timeframes & Reporting Periods When you need to Upgrade Measures to Meet 2016 &
More informationMeaningful 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 informationEHR/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 informationMeaningful Use and PCC EHR. Tim Proctor Users Conference 2017
Meaningful Use and PCC EHR Tim Proctor (tim@pcc.com) Users Conference 2017 Agenda MU basics and eligibility How to participate in MU What s Next for MU? Meeting MU measures in PCC EHR Takeaways An understanding
More informationMeaningful 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 informationMedicaid EHR Incentive Program Health Information Exchange Objective Stage 3 Updated: February 2017
Medicaid EHR Incentive Program Health Information Exchange Objective Stage 3 Updated: February 2017 The Health Information Exchange (HIE) objective (formerly known as Summary of Care ) is required for
More informationComputer 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 informationMeaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 2
Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 2 Table of Contents Introduction 3 Meaningful Use 3 Terminology 4 Computerized Provider Order Entry (CPOE) for Medication, Laboratory
More informationAppendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY
Appendix 4 CMS Stage 1 Meaningful Use Requirements Summary Tables 4-1 APPENDIX 4 CMS STAGE 1 MEANINGFUL USE REQUIREMENTS SUMMARY 1. Use CPOE (computerized physician order entry) for medication orders directly
More informationMeasures Reporting for Eligible Providers
Meaningful Use White Paper Series Paper no. 5a: Measures Reporting for Eligible Providers Published September 4, 2010 Measures Reporting for Eligible Providers The fourth paper in this series reviewed
More informationCHIME 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 informationOverview 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 informationCHCANYS NYS HCCN ecw Webinar
CHCANYS NYS HCCN ecw Webinar Meaningful Use, V10 and UDS January 30, 2013 Stephanie Rose, Project Director Desiree Railine, HIT Implementation Specialist/Trainer Agenda Meaningful Use Stage 1 2014 Review
More informationMeaningful Use Virtual Office Hours Webinar for Eligible Providers and Hospitals
Meaningful Use Virtual Office Hours Webinar for Eligible Providers and Hospitals Patti Kritzberger, RHIT, CHPS Tracey Regimbal, RHIT HIT-Quality Improvement Specialists Jane Stotts, BSN Quality Improvement
More informationMedicaid 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 informationStage 2 Meaningful Use Objectives and Measures
Stage 2 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 informationFinal Meaningful Use Objectives for 2017
Final Meaningful Use Objectives Modified Stage 2 All Eligible Professionals (EP) must attest to all objectives using a 2014 Edition or a combination of 2014 & 2015 CEHRT. Stage 2 Objective Protect Health
More informationOphthalmology 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 informationCore Measure Set. Status. MU1 Increase from 30% New. Computerized Physician Order Entry Use computerized provider order. NextGen EHR Medication Module
Bridge to Meaningful Use: Stage 2 Our Bridge to Meaningful Use connects the various measurements of the EHR Incentives to their respective counterparts in the EHR system. By utilizing the software and
More informationThe 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 informationMeaningful 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 informationTexas 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 informationAmerican 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 informationStage 2 Eligible Professional Meaningful Use Core and Menu Measures. User Manual/Guide for Attestation using encompass 3.0
Stage 2 Eligible Professional Meaningful Use Core and Menu Measures User Manual/Guide for Attestation using encompass 3.0 Prepared By: Arête Healthcare Services, LLC Document Version: V1.0 9/02/2015 Eligible
More informationMeaningful Use CHCANYS Webinar #1
Meaningful Use 2016 CHCANYS Webinar #1 Ekem Merchant -Bleiberg, Director of Implementation Services Alliance of Chicago Wednesday February 24, 2016 Agenda 2016 Meaningful Use Guidelines Timelines & Deadlines
More informationMeaningful Use and PCC EHR
Meaningful Use and PCC EHR (tim@pcc.com) Users Conference 2016 Agenda MU basics and eligibility How to participate in MU Meeting MU measures in PCC EHR Understanding CQM reporting in PCC EHR Takeaways
More informationProvide 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 informationMeaningful 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 informationMEANINGFUL 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 informationMeaningful Use Hello Health v7 Guide for Eligible Professionals. Stage 1
Meaningful Use Hello Health v7 Guide for Eligible Professionals Stage 1 Table of Contents Introduction 3 Meaningful Use 3 Terminology 5 Computerized Provider Order Entry (CPOE) for Medication Orders [Core]
More informationEligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011
Eligible Professionals (EP) Meaningful Use Final Objectives and Measures for Stage 1, 2011 1 On demand webinars are best heard through a headset or earphones (ipod for example) that can be plugged into
More informationMeaningful 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 informationQualifying for Medicare Incentive Payments with Crystal Practice Management. Version 1.0
Qualifying for Medicare Incentive Payments with Crystal Practice Management Version 1.0 July 18, Table of Contents Qualifying for Medicare Incentive Payments with... 1 General Information... 3 Links to
More informationCMS 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 informationMeaningful Use Modified Stage 2 Roadmap Eligible Hospitals
Evident is dedicated to making your transition to Meaningful Use as seamless as possible. In an effort to assist our customers with implementation of the software conducive to meeting Meaningful Use requirements,
More information2016 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 informationHITECH* Update Meaningful Use Regulations Eligible Professionals
HITECH* Update Meaningful Use Regulations Eligible Professionals October 2010 * Health Information Technology for Economic and Clinical Health, a component of the ARRA of 2009 McDowell Lecture December
More informationUpdates 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 informationMeaningful Use Update: Stage 1 and Stage 2
Meaningful Use Update: Stage 1 and Stage 2 REACH - Achieving - Achieving meaningful meaningful use of your use EHR of your EHR Paul Kleeberg, MD, FAAFP, FHIMSS CMIO Stratis Health Minnesota Rural Health
More informationRoll Out of the HIT Meaningful Use Standards and Certification Criteria
Roll Out of the HIT Meaningful Use Standards and Certification Criteria Chuck Ingoglia, Vice President, Public Policy National Council for Community Behavioral Healthcare February 19, 2010 Purpose of Today
More informationEHR Incentive Programs for Eligible Professionals: What You Need to Know for 2016 Tipsheet
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2016 Tipsheet CMS published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and
More informationMeaningful Use Reporting period for 2017: Change: Any consecutive 90 days in 2017 for Medicaid customers only.
Meaningful Use 2017 Reporting period for 2017: Change: Any consecutive 90 days in 2017 for Medicaid customers only. Who needs to report on Meaningful Use for 2017? Medicaid customers who have 30 % Medicaid
More informationAgenda 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 informationStage 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 informationHow to Participate Today 4/28/2015. HealthFusion.com 2015 HealthFusion, Inc. 1. Meaningful Use Stage 3: What the Future Holds
Meaningful Use Stage 3: What the Future Holds Dr. Seth Flam CEO, HealthFusion Presented by We ll begin momentarily Meaningful Use Stage 3: What the Future Holds Dr. Seth Flam CEO, HealthFusion Presented
More informationMeaningful Use 2015 Measures
Meaningful Use 2015 Measures 22 October 2015 11:00 am Presented by: Sarah Leake MBA, CPEHR Co-Host: Susan Clarke HCISPP 1 Thank you for spending your valuable time with us today. A copy of today s presentation
More informationMeaningful 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 informationAlaska 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 informationin partnership with EHR Meaningful Use Guide for HITECH Attestation
in partnership with EHR Meaningful Use Guide for HITECH Attestation Getting Started This guide will help ensure that you meet or exceed the core and menu objectives required for HITECH Meaningful Use.
More informationEligible 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 information2018 Modified Stage 3 Meaningful Use Criteria for Eligible Professionals (EPs)*
2018 Modified Stage 3 Meaningful Use Criteria for Eligible Professionals (EPs)* n In order for an EP to be considered a meaningful electronic health record (EHR) user, at least 50 percent of the EP s patient
More informationMeaningful Use Overview for Program Year 2017 Massachusetts Medicaid EHR Incentive Program
Meaningful Use Overview for Program Year 2017 Massachusetts Medicaid EHR Incentive Program October 23 & 24, 2017 Presenters: Elisabeth Renczkowski, Al Wroblewski, and Thomas Bennett Agenda 2017 Meaningful
More informationBeyond 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 informationThe 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 information2015 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 informationFinal Meaningful Use Objectives for
Final Meaningful Use Objectives Modified Stage 2 All Eligible Professionals (EP) must attest to all objectives using a 2014 Edition CEHRT. Stage 2 Objective Protect Health Information Clinical Decision
More informationMedicare & Medicaid EHR Incentive Programs
Medicare & Medicaid EHR Incentive Programs Southwest Regional Health Care Compliance Association Conference February 18, 2011 Travis Broome, Special Assistant for Quality Improvement and Survey & Certification
More informationMeaningful 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 informationFinal Meaningful Use Objectives for
Final Meaningful Use Objectives All Eligible Professionals (EP) must attest to all objectives using a 2014 Edition CEHRT. Stage 2 Objective Protect Health Information Clinical Decision Support Stage 2
More informationFINAL Meaningful Use Objectives for
Meaningful Use s All Eligible Professionals (EP) and Eligible Hospitals (EH) must attest to all objectives using a 2014 Edition CEHRT. Protect Electronic Health Information Protect electronic health information
More informationStage 1 Changes Tipsheet Last Updated: August, 2012
Stage 1 Changes Tipsheet Last Updated: August, 2012 Overview CMS recently announced some changes to the Stage 1 meaningful use objectives, measures, and exclusions for eligible professionals (EPs), eligible
More informationAgenda. 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 informationNote: 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 informationUnderstanding Your Meaningful Use Report
Understanding Your Meaningful Use Report Distributed by Kowa Optimed EMRlogic activehr Understanding Your Meaningful Use Report, version 2.1 Publication Date: May 8, 2012 OD Professional and activehr OD
More informationMEANINGFUL 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 informationEHR Meaningful Use Guide
EHR Meaningful Use Guide for Stage I (2011) HITECH Attestation Version 2.0 Updated May/June 2014 in partnership with 1-866-611-5428 herfert@medicfusion.com www.medicfusion.com/herfert Medicfusion EMR V1.1
More informationPractice Director Modified Stage MU Guide 03/17/2016
Table of Contents General Info & Meaningful Use Report....4-7 Measures..........8-62 Objective 1: Protect Electronic Health Information 8 Conduct or Review a security risk analysis Objective 2: Clinical
More informationAPPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS
Appendix 2 NCQA PCMH 2011 and CMS Stage 1 Meaningful Use Requirements 2-1 APPENDIX 2 NCQA PCMH 2011 AND CMS STAGE 1 MEANINGFUL USE REQUIREMENTS CMS Meaningful Use Requirements* All Providers Must Meet
More informationA complete step by step guide on how to achieve Meaningful Use Core Set Measures in Medgen EHR.
Medgen EHR A complete step by step guide on how to achieve Meaningful Use Core Set Measures in Medgen EHR. Contents Important information regarding Meaningful Use... 2 How to generate your measure report
More information