8/20/2015. Meaningful Use Update Notice of Proposed Rules

Transcription

1 Meaningful Use Update Notice of Proposed Rules 1

2 Overview of Proposed Rules CMS and ONC recently released notices of proposed rulemaking (NPRMs) for the EHR Incentive Programs and the Certification program Released March 20, 2015 Stage 3 of Meaningful Use NPRM Specifies the Stage 3 requirements for eligible professionals, eligible hospitals, and critical access hospitals in the EHR Incentive Programs EHR Technology Certified to the 2015 Edition NPRM Outlines the certification and standards to help providers meet the proposed Stage 3 requirements with EHR technology certified to the 2015 Edition Released April 10, 2015 Modifications to Meaningful Use in NPRM Proposes revised requirements for eligible professionals, eligible hospitals, and critical access hospitals participating in the EHR Incentive Programs in years 2015 through 2017 Goals of Proposed Provisions 2

3 Modifications to Meaningful Use: NPRM EE1 Proposed Changes to Participation Timeline 3

4 Slide 5 EE1 Adjusted formatting Eldrina Easterly, 8/13/2015

5 Alignment of Meaningful Use NPRMs The Stage 1 and 2 Modification NPRM reconciles measures to align criteria for 2015 to 2017 with Stage 3 to: Prepare providers to report Stage 3 criteria in 2018 Reduce provider burden and create a single set of sustainable objectives that promote best practices for patients Enable providers to focus on objectives which support advanced use of health IT, such as: health information exchange consumer engagement public health reporting For New Participants Year 2015 Propose to allow providers to attest to an EHR reporting period of any continuous 90-day period within calendar year Year 2016 First-time participants may use EHR reporting period of any continuous 90-day period between January 1, 2016 and December 31, 2016 All returning participants must use EHR reporting period of full calendar year (January 1, 2015 through December 31, 2016) Year 2017 All providers, both new or existing, must use EHR reporting period of one full calendar year as defined in Stage 3 proposed rule 4

6 EHR Certification No proposed changes to individual certification requirements for objectives and measures of meaningful use for EHR reporting period in 2015 through 2017 under proposed rule Proposing providers continue to use 2014 Edition certification criteria for EHR reporting period in 2015 and subsequent years until transition to 2015 Edition certification criteria is required for EHR reporting period in 2018 Note: Providers may upgrade early to technology certified to the 2015 Edition for EHR reporting period prior to 2018 as outlined in Stage 3 proposed rule Reporting in 2015 and Only Stage 1 providers only may use alternate exclusions and specifications In 2016 All EPs will report on 9 objectives 2 public health measures All EHs will report on 8 objectives and 3 public health measures Modifications to patient action and public health objectives 5

7 Changes from Stage 1 for EPs Changes from Stage 1 for EHs 6

8 Changes from Stage 2 for EPs Changes from Stage 2 for EHs 7

9 Changes to Patient Action Objectives Changes to Public Health Objectives 8

10 Clinical Quality Measures Attestation Timelines Attestation systems won t be ready until January 1, 2016 at earliest 9

11 Possible Delay of Stage 3 MU Related Resources and Initiatives Arkansas DMS grant to AFMC for free MU assistance for outpatient Medicaid EP s Also covers security risk assessment and Medicaid attestation assistance for 25 critical access and small rural hospitals SHARE Health Information Exchange (see overview courtesy of OHIT) ADH public health registries update 10

12 CMS Help Desks EHR Information Center Help Desk (888) / TTY: (888) Hours of operation: Monday-Friday 8:30 a.m. 4:30 p.m. in all time zones (except on Federal holidays) NPPES Help Desk Visit (800) TTY (800) PECOS Help Desk Visithttps://pecos.cms.hhs.gov/ (866) / TTY (866) Identification & Access Management System (I&A) Help Desk PECOS External User Services (EUS) Help Desk Phone: TTY EUSSupport@cgi.com For more information visit afmc.org/healthit or call

13 SHARE OVERVIEW August 2015 WHO SHARES Hospitals 31 Total Sites 18 Live 13 Implementing Provider Practices 486 Total Sites 310 Live 176 Implementing Live Sites = Data feed(s) in production and/or VHR/SM training completed Implementing = Participation and Pricing agreement(s) in place and/or technical/operational activities underway *As of July 30,

14 VALUE OF SHARE Meet some Meaningful Use (MU) Objectives including: Immunization Reporting, Electronic Lab Reporting and Syndromic Surveillance, Meet MU Objectives for Transitions of Care, Assist 134 PCMH clinics with event notifications as required by the Arkansas Medicaid PCMH Initiative, Use SHARE to connect/interface with non-owned hospitals, Use SHARE as part of your Community Integrated Network to connect with owned and non-owned clinics, Reduce the risk of hospital readmissions and Medicare penalties, Become a referral partner for Long Term and Post-Acute Care, Home Health and Behavioral Health Providers; OHIT is recent awardee of $2.6M by ONC to connect these providers, Get access to over 2,000 provider Secure Messaging addresses via a HISP to HISP connection with SHARE. WHO SHARES SHARE SERVICES Secure Messaging including HISP services Facilitates Transitions of Care MU with Direct Messaging Query based exchange utilizing SHARE s virtual health record (VHR) Interfaced Exchange Enables facilities to send and receive information directly into their EMR systems Based on EMR capabilities Public Health Functionality Immunization Registry reporting Electronic Lab Results (ELR) delivery Syndromic Surveillance Disease Registry reporting (in development with ADH) 13