Meaningful Use and How it Relates to the Quality Payment Program. Erin Dormaier, CHTS-IM, PCMH CCE Transformation Support Services Manager
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1 Meaningful Use and How it Relates to the Quality Payment Program Erin Dormaier, CHTS-IM, PCMH CCE Transformation Support Services Manager 1
2 Timeline EPs EPs can attest for a total of six years Check at 2
3 Timeline EHs EHs can attest for a total of three years % % 50% % 40% 50% % 10% 40% 50% % 10% 40% 50% % 10% 40% % 10% % 3
4 2016 Meaningful Use Reporting Any consecutive 90 days in 2016 Alternate exclusion information from CMS 2016 Stage 2 Specification Sheets 4
5 2017 Meaningful Use Reporting Any Consecutive 90 days in 2017 Modified Stage 2 or Stage 3 EP & EH Stage 2 Objectives EP & EH Stage 3 Objectives Protect Electronic Health Information Clinical Decision Support (EP Only) Computerized Provider Order Entry (CPOE) (EP Only) Electronic Prescribing (erx) Health Information Exchange Patient Specific Education Medication Reconciliation Patient Electronic Access Secure Electronic Messaging (EP Only) Public Health Reporting 2017 Stage 2 Specification Sheets Protect Electronic Health Information Clinical Decision Support (EP Only) Computerized Provider Order Entry (CPOE) (EP Only) Electronic Prescribing (erx) Health Information Exchange Coordination of Care Patient Electronic Access Public Health Reporting Stage 3 Specification Sheets 5
6 Meaningful Use Full Year Reporting 2018 reduced to 90 days EP & EH Stage 3 Objectives Protect Electronic Health Information Clinical Decision Support (EP Only) Computerized Provider Order Entry (CPOE) (EP Only) Electronic Prescribing (erx) Health Information Exchange Coordination of Care Patient Electronic Access Public Health Reporting 6
7 Dually Eligible If eligible for Medicaid EHR Incentive Program AND Quality Payment Program, attest in BOTH sites 7
8 MIPS Alignment with Meaningful Use 2017 Advancing Care Information Transition Measures (ACI) Aligns with Stage 2 Modified Stage 2 Measures 2017 ACI Transition Measures Protect Electronic Health Information Clinical Decision Support Computerized Provider Order Entry (CPOE) Electronic Prescribing (erx) Health Information Exchange (formerly known as Summary of Care) Patient Specific Education Medication Reconciliation Patient Electronic Access Secure Electronic Messaging (EP only) Public Health and Clinical Data Registry Reporting Protect Electronic Health Information Clinical Decision Support Computerized Provider Order Entry (CPOE) Electronic Prescribing (erx) Health Information Exchange (formerly known as Summary of Care) Patient Specific Education Medication Reconciliation Patient Electronic Access Secure Electronic Messaging (EP only) Public Health and Clinical Data Registry Reporting ACI Scoring Info 8
9 MIPS Alignment Advancing Care Information (ACI) ACI/MU Measure Set Security Risk Analysis Electronic Prescribing (erx) Provide Patient Access Send Summary of Care Request/Accept Summary of Care Aligns with Stage 3 Patient Specific Education View, Download, Transmit Secure Messaging Patient Generated Health Data Clinical Information Reconciliation Immunization Registry Reporting Syndromic Surveillance Reporting Electronic Case Reporting Public Health Registry Reporting Clinical Data Registry Reporting 9
10 MIPS Alignment Quality Clinical Quality Measures 6 for MIPS Quality (for max score) 9 across 3 domains for Meaningful Use Don t need to be the same 10
11 2015 CEHRT Contact vendor and ask when/if 2015 CEHRT is expected to be released Plan your reporting period around 2015 CEHRT upgrade if possible Save Meaningful Use/Clinical Quality Measure reports prior to upgrade for 2016 & 2017 Screenshot yes/no measures 11
12 Protect Electronic Health Information ONC Security Risk Assessment Must have mitigation plan for risks 12
13 Centralized Repository Lists public health and clinical data registries Guidance/Legislation/EHRIncentivePrograms/CentralizedRepository-.html Not an exhaustive list from the website: The CMS Centralized Repository is not the authoritative source of all reporting options currently available. The information within the Repository was collected in September and October Participation in the Repository by public health agencies, clinical data registries, and specialized registries is voluntary. 13
14 Audits Meaningful Use Documents to save: Security risk assessment showing updated at least yearly, what was updated and by who including remediation plan on risks Public health or registry proof of connection or waitlist Meaningful Use and clinical quality measure reports Eligibility workbooks & detailed patient list CEHRT screenshot(s) Justification for ANY exclusions Screenshots to take during reporting period: Clinical decision support rules Drug formulary enabled Drug to drug and drug allergy interactions enabled EHR version of CEHRT 14
15 Resources Transformation Support Services Team Assist with grant qualification QPP/MU assistance through Colorado Care Connections Program Practice facilitation/chita through SIM Consulting EHR Incentive Program Coordinator Medicaid EHR Incentive Program Information Guidance/Legislation/EHRIncentivePrograms/index.html MIPS/QPP Information MIPS ACI Spec Sheets 15
16 Contact Information Kelly Hernandez, Medicaid EHR Incentive Program Coordinator Erin Dormaier, Transformation Support Services Manager 16
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