Meaningful Use. Goals and Principles

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1 Meaningful Use Goals and Principles 1

2 HISTORY OF MEANINGFUL USE American Recovery and Reinvestment Act, 2009 Two Programs Medicare Medicaid 3 Stages 2

3 ULTIMATE GOAL Enhance the quality of patient care and improve patient outcomes 3

4 MEANINGFUL USE STAGES Stage 1 Stage 2 Stage 3 Capture and share health information Decision support, interoperability, and patient engagement Use of information for improved outcomes TBD 4

5 MEANINGFUL USE OBJECTIVE DOMAINS Improve quality, safety, and efficiency Improve public and population health Engage patients and families Ensure privacy and security for personal health information Improve care coordination 5

6 STAGE 1 14 core objectives 5 of 10 menu objectives Themes: Capturing health information and demographics Sharing information for care coordination Reporting clinical quality measures and public health information 6

7 STAGE 2 17 core objectives 3 of 6 menu objectives Themes: Disease management Medication management Decision support Better transitions in care Patient engagement and access to their own health information 7

8 STAGE 3 Requirements not published yet Themes: Improvements in quality, safety, and efficiency of care Improving population health Continued focus on decision support for high priority conditions 8

9 Who can qualify? 9

10 ELIGIBLE PROFESSIONALS Medicare Providers who qualify as physicians under the Medicare statute Doctors of medicine and osteopathy Limited purposes Dentists Podiatrists Optometrists Chiropractors 10

11 ELIGIBLE PROFESSIONALS Medicaid All providers who qualify for Medicare Limited purposes Optometrists Dentists Nurse-midwives Nurse practitioners Physician assistants practicing in FQHCs Must have Medicaid volume percentages 20% for pediatricians 30% for all others 11

12 What do I need? 12

13 VITERA MEANINGFUL USE SOLUTION Vitera Intergy EHR Vitera Practice Portal Vitera Practice Analytics 13

14 PREPARATION CHECKLIST Decide which Meaningful Use program to attest under Decide which menu measures and Clinical Quality Measures you wish to fulfill Determine what required information you already gather Determine what required information you need to start gathering Determine how to re-work your workflows to obtain new required information 14

15 CORE OBJECTIVES 15

16 CORE OBJECTIVE 1 Using Computerized Physician Order Entry (CPOE) Improves optimal drug selection Reduces errors Reduces chance of selecting medications to which a patient is allergic Guided dose algorithms Information is put into the patient s medical record and easy to access 16

17 CORE OBJECTIVE 2 Drug-Drug and Drug-Allergy Check Ordering medications safer and easier Minimize potential for adverse events Minimize pharmacy call-backs Displaying alerts to provide better clinical decisions 17

18 CORE OBJECTIVE 3 Maintain Up-to-Date Problem List Provides a fast overview of patient s history Available to all clinical staff Increased efficiency 18

19 CORE OBJECTIVE 3 19

20 CORE OBJECTIVE 4 Generate and Transmit Permissible Prescriptions Electronically Fast and efficient Easy to review on follow-up visits Increases patient satisfaction- Quick prescription pick-up 20

21 CORE OBJECTIVE 4 21

22 22

23 CORE OBJECTIVES 1 AND 4 Involve doctors in workflow re-engineering Visually map new workflows Test workflows Have super user on hand 23

24 CORE OBJECTIVE 5 Maintain an Active Medication List Streamline visit More accessible Increases communication with patients Helps transform and maintain culture of patient-centered care 24

25 CORE OBJECTIVE 5 25

26 CORE OBJECTIVE 6 Maintain Active Medication Allergy List Easy review Reduce occurrence of adverse reactions Safe patient care 26

27 CORE OBJECTIVE 6 27

28 CORE OBJECTIVE 7 Record Demographics Increase practice efficiency Accurate billing Look at results in performance in terms of groups 28

29 CORE OBJECTIVE 7 29

30 CORE OBJECTIVE 8 Record and Chart Changes in Vitals Essential, baseline data for treatment decisions Recognition of acute and chronic changes 30

31 CORE OBJECTIVE 8 31

32 CORE OBJECTIVE 9 Record Smoking Status for Patients 13 and Over Step toward durable cessation Encourage patients to quit 32

33 CORE OBJECTIVE 9 33

34 34

35 CORE OBJECTIVES 8 AND 9 Determine who is to collect vitals and smoking status Determine when in the patient visit vitals and smoking status should be collected Don t forget growth charts for children ages 2-20 Consistently follow new workflow 35

36 CORE OBJECTIVE 10 Report Ambulatory Clinical Quality Measures (CQM) Increases delivery of high-quality care Correlates to the future of reimbursement for service and quality of processes implemented by your office 36

37 CORE OBJECTIVE 10 37

38 38

39 CORE OBJECTIVE 10 Review top 10 visit types by ICD-9 codes Check list of CQMs for correlation Determine which CQMs you can meet before attestation process 39

40 CORE OBJECTIVE 11 Implement One Clinical Decision Support (CDS) Rule Help deliver the highest quality of care Assures that all patients receive appropriate and timely preventative services Ensures that patients get the right tests, medications, and treatments 40

41 CORE OBJECTIVE 11 41

42 CORE OBJECTIVE 12 Provide Patients with an Electronic Copy of Health Information Upon Request Helps patients and caregivers become more engaged with healthcare Ability to take medical record to new provider 42

43 CORE OBJECTIVE 13 Provide Clinical Summary for Each Visit Better communication around pertinent medical information Increased coordination of care 43

44 CORE OBJECTIVE 13 44

45 45

46 CORE OBJECTIVE 13 Send clinical summaries through Intergy Practice Portal 46

47 CORE OBJECTIVE 15 Protection of Electronic Health Information Provide right amount of security for patient records Avoid some common security gaps that lead to cyber-attack or data loss Helps protect patients, information, technology, and practice 47

48 MENU OBJECTIVES 48

49 MENU OBJECTIVE 1 Implement Drug Formulary Checks Helps make best informed decisions regarding treatment options Prevents callbacks from patients and pharmacy 49

50 MENU OBJECTIVE 2 Incorporate Clinical Lab Test Results into EHR as Structured Data Easy access and reference Increase efficiency Helps providers make more informed clinical decisions 50

51 MENU OBJECTIVE 2 51

52 MENU OBJECTIVE 3 Generate Lists of Patients by Specific Conditions Contribute to public health initiatives for quality improvement, reduction of disparities, research, and outreach Influence health policy Helps analyze most common conditions you treat Focus continuing education 52

53 MENU OBJECTIVE 4 Send Reminders to Patients for Preventative/Follow-up Care Reduces missed appointments Improves the ease of tracking annual exams 53

54 MENU OBJECTIVE 5 Provide Patients with Timely Electronic Access to Health Information Improving care Increasing patient responsibility in health decisions Provides family members information Improves safety 54

55 MENU OBJECTIVE 5 55

56 MENU OBJECTIVE 6 Use Certified EHR Technology to Identify Patient-Specific Education Resources and Provide to the Patient Helps professionals and patients make better decisions about their health Allows patients to better understand their health Leads to informed lifestyle adjustments 56

57 MENU OBJECTIVE 7 Perform Medication Reconciliation Important for patient safety Reduces medication errors common among patients who use multiple pharmacies, providers, and have co-morbidity factors 57

58 MENU OBJECTIVE 7 58

59 MENU OBJECTIVE 8 Provide Summary of Care Record for Each Transition of Care or Referral Provides essential clinical information for receiving care team Helps organize final clinical and administrative activities for the transferring care team Helps ensure the coordination and continuity of health care as patients transfer Improves communication during transfers and discharges Improves care quality and safety 59

60 MENU OBJECTIVE 8 60

61 MENU OBJECTIVE 9 Capability to Submit Electronic Data to Immunization Registries Vital information easily available for other providers and institutions Gives providers historical immunization data for queries Contributes to the improvement of public health 61

62 MENU OBJECTIVE 10 Capability to Submit Electronic Syndromic Surveillance Data to Public Health Agencies Used for epidemiology analyses Monitor and mitigate public health threats Enables public health authorities to provide timely assessments of population health Useful for event detection, situation awareness, and response management 62

63 63

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