New Hampshire Guidelines for Meaningful Use and Supporting Documents

Transcription

1 This document provides New Hampshire Medicaid Office guidelines for Medicaid EHR Incentive Program screenshots and reports that are included as supporting documentation for meaningful use attestations. This document is subject to change based on CMS statutory, or New Hampshire Medicaid Office, program revisions. IMPORTANT Eligible Professionals whose meaningful use documentation does not adhere to the guidelines noted in this document will be deemed ineligible to receive an incentive payment during that payment year. This document is divided into three sections: Section 1: General guidelines for meaningful use documentation Section 2: Stage 1 Meaningful Use measure specific requirements Section 3: Stage 2 Meaningful Use measure specific requirements July

2 SECTION 1: ALL MEANINGFUL USE SCREEN SHOTS AND REPORTS MUST: 1. Be generated from Certified EHR Technology (CEHRT). 2. Display dates that are WITHIN the meaningful use reporting period. 3. Display: ***IMPORTANT*** NH Medicaid will not accept reports that are dated outside of the reporting period. An Eligible Professional (EP) who submits screen shots dated outside of the reporting period will be ineligible for an incentive payment (no exceptions effective in 2015) a. EP s first and last name (i.e., NOT an administrator s); b. Facility/Organization name and address; c. Date (that is within the meaningful use reporting period); d. Provider NPI (if possible). 4. Display the measure title and identification number. 5. Display the appropriate Document Type on epip (with a corresponding File Name and Memo that clearly describes the content of the document). 6. Not include HIPPA data. If patient data has been redacted, please ensure that it is not readable prior to uploading it on epip. 7. Be in sequential order to match the order on epip. Best practice: upload one document containing screenshots for each report category, i.e., one report with all Core measures; one report with all Menu measures; one report with all CQMs. Acceptable (but not preferable): upload individual screenshots; if this option is used, the measure identification number must be included in the Memo field on epip. 8. Be submitted even for Eligible Professionals that are excluded from a measure because they have no patients in the numerator and denominator. If a provider is not listed on a report because he/she is claiming exclusion, handwrite the provider name with an explanation (example: Dr. John Smith was excluded from this measure ) on the report with a signature and date. July

3 SECTION 2: STAGE 1 MEANINGFUL USE MEASURE SPECIFIC GUIDELINES 1. Core #2 (Implement drug drug and drug allergy interaction checks) screenshots must: Reflect only data that was captured during the meaningful use reporting report Demonstrate that the Drug/Drug and Drug/Allergy interaction check function has been enabled on the EHR (for example: a color coded warning for the provider) 2. Core #12 (Implement one clinical decision support rule) screenshots must: Reflect only data that was captured during the meaningful use reporting report Demonstrate that the EHR automatically triggers interventions based on a specialty or high clinical priority (such as a problem list; medication; or laboratory test) 3. Core #13 (Protect Electronic Health Information) A security risk analysis must be conducted, or reviewed, during each program year This analysis must occur no earlier than the start of the EHR reporting year and no later than the date the provider submits his/her attestation for that EHR reporting period. It is recommended that a risk analysis be done within each program year; however, the analysis may be completed after the end of the program year as long as it is completed before the attestation Risk analysis requirements must be met for each program year; it is not acceptable to use the same security risk analysis for more than one program year 4. Menu #1 (Implement Drug Formulary Checks) screenshots must: Demonstrate that the Drug Formulary check has been enabled (for example, recommended medications based on a patient s insurance coverage) July

4 SECTION 2 (continued): STAGE 1 MEANINGFUL USE MEASURE SPECIFIC GUIDELINES 5. Menu #3 (Generate list of patients) screenshots must: Not include HIPAA data; patient data that is redacted must be non readable prior to uploading on epip Clearly display a list of patients identified by condition; medication; or other quality improvement intervention (with patient data redacted) 6. Menu #8 (Capability to submit electronic data to immunization registries) or Menu #9 (Capability to submit electronic syndromic surveillance data): Select one measure as an exclusion in epip Upload a copy of the Public Health Exclusion Letter on epip; a link to the letter is included on the measure on epip as well as on the Regional Extension Center of New Hampshire Public Health webpage July

5 SECTION 3: STAGE 2 MEANINGFUL USE MEASURE SPECIFIC GUIDELINES 1. Core #6 (Clinical Decision Support) screenshots must: Be uploaded for all Clinical Decision Support rules, Drug Drug, and Drug Allergy Reflect only data captured during the meaningful use reporting report Demonstrate that the EHR automatically triggers interventions based on a specialty or high clinical priority (such as a problem list; medication; or laboratory test) Not include HIPAA data; patient data that is redacted must be non readable prior to uploading on epip 2. Core #11 (Generate list of patients) screenshots must: Not include HIPAA data; patient data that is redacted must be non readable prior to uploading on epip Clearly display a list of patients identified by condition; medication; or other quality improvement intervention (with patient data redacted) July