Meaningful Use Key Dates
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- Debra Howard
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2 Meaningful Use Key Dates July 1: Last day for eligible hospitals to begin their 90-day reporting to demonstrate Meaningful Use for FY Sept. 30: Last day of the federal fiscal year.
3 Proposed Rule-2014 Only Comment Period Ending in July
4 Meaningful Use Key Dates Oct. 1- Reporting period begins for eligible hospitals and critical access hospitals for o o 90 days for 1 st year of participation- Stage 1, Year 1 only. 365 (federal fiscal year-entire year) for subsequent years of participation.
5 Meaningful Use Key Dates Meeting Meaningful Use is an annual and ongoing event. Penalties o o Foregoing reimbursement for the skipped year lack of attestation. Reduced reimbursement from Medicare starting in 2015.
6 Review of Process and Helpful Documentation Process Document Roadmap Auditing Document FAQ Page Tip Sheets
7 Appoint MU Contact and Team Determine how your team will start planning. Review and create policies. Roll out of new objectives. Review stats during attestation period.
8 Most Challenging Objectives
9 Patient Access-Portal Measure 1: More than 50% of all unique patients discharged from the IP/ED during the reporting period have their information available within 36 hours of discharge.
10 Patient Access-Portal Measure 2 (Stage 2)- More than 5% of all patients (or authorized rep) who are discharged from the IP/ED view, download, or transmit their information during the reporting period.
11 Patient Access- (Measure 1) Address Patient Portal Launch on Virtual Chart Custom Patient Education Document
12 Patient Engagement-How will you engage your Patients? Health Fair Gift Cards Authorized Representative Website, Social Media, Community
13 Clinical Decision Support Stage 1: 1 CDS alert is activated (entire reporting period). Stage 2: 5 CDS alerts are activated (entire reporting period). 4 Related to CQM. Drug-Drug, Drug-Allergy activated (entire reporting period).
14 Interface Readiness-General Determine if state accepts reportable objectives. Exclusion - retain letter from public health agency. Determine who will submit send out/reference labs. Determine if Infection Control needs to be implemented.
15 Interface Readiness-ELR LOINC Codes SNOMED Codes Specimen Information (Specimen Tables) Associated Problems UCUM Tables Security Switch 109
16 Interface Readiness- Immunizations Route Table CVX Code Site Table VFC Status Table
17 Interface Readiness-Syndromic Chief Complaint Please note: Chief Complaint is the words of the patient for the reason of visit. Working Diagnosis Final Diagnosis
18 Summary Of Care-Measure 1 Use of Transfer/Referral Widget or Follow up Care Question Use of Transfer/Referral CCD on Virtual Chart Problem, Medications and Medication Allergies Documented
19 Summary Of Care-Measure 2 Onboarding with Inpriva. Medical Mailbox (if needed). Gathering of receiving facility direct messaging addresses.
20 Summary Of Care-Measure 3 Determine EHR Randomizer vs sending to another facility that has another EHR vendor. ehr-randomizer.nist.gov Randomizer must be scheduled during attestation period. User Guides available on above website.
21 Protect Electronic Health Information Conduct security risk analysis. Must be completed prior to or during reporting period.
22 Quality Measures ICU room types set up. Widgets/questions used for quality measures should be added to flow charts/e-forms. Patient education documents utilized.
23 Quality Measures-SNOMED Discharge Codes for NQF Measures Charge Items Medication Routes Medication Omit Reasons
24 Quality Measures-LOINC Ancillary Items-Lab Ancillary Items-Rad any that would be used to confirm VTE diagnoses.
25 Quality Measures Meaningful Use Information Eligible Hospital Stage 1 or 2: 2014 Edition Quality Measures Documents
26 Auditing Retain exemption information. Retain statistic report. Retain audit logs. Retain quality measure reports. Retain clinical decision support auditing/reports. Retain risk analysis.
27 Auditing Retain interface submission information. Retain patient types. Retain direct messaging/exchange information. Retain randomizer information. Keep in file folder with electronic back-up.
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