1 Medicaid EHR Incentive Program Focus on Stage 2 Kim Davis-Allen, Outreach Coordinator
2 Understanding Participation Program Year Program Year January 1 st - December 31st. Year in which you met program requirements. Program years through Payment Year Payment Year Simple count. Medicaid: One - Six. Payment Year One: $21,250 Payment Years Two - Six: $8,500 Medicare: One - Five. Payments vary based on when participation began and program year participation
3 Program Updates Program Year 2014 applications must have proof of 2014 certified technology on vendor letterhead: Provider or practice name 2014 Certification number Name and version of the system Date of implementation Medicare Payment Adjustments: Only applies to those provider types that can participate in the Medicare EHR incentive program Can receive a payment and an adjustment in the same Program year CMS reopened the Hardship Exemption Application Process for providers who have been unable to: Fully implement 2014 Edition CEHRT due to delays in 2014 Edition CEHRT availability. Attest by October 1, 2014 using the flexibility options provided in the CMS 2014 CEHRT Flexibility Rule.
4 Meaningful Use Stages Adopt, Implement, Upgrade Not actually using system Must be more than a planned implementation 2014 Stage 1 13 core measures 5 out of 9 menu measures 9 out of 64 Clinical Quality Measures (CQMs) 2014 Stage 2 17 core measures 3 out of 6 menu measures 9 out of 64 CQMs Stage 3 Begins January 1, 2017 for Eligible Professionals (EPs)
5 Meaningful Use Basics Meaningful use reporting is based on all patients/encounters. 50% of encounters must be at locations equipped with certified EHR technology. 80% of unique patients seen at locations with certified EHR technology must have their records in a certified EHR system.
6 Meaningful Use Documentation Meaningful use report from your EHR system Screenshots Dashboard Summary report Documents must contain numeric measures Core measures Menu measures CQMs If reporting from multiple systems have documentation from the systems Add numerators/denominators for application Additional Documentation (AD) Form specific to stage Sections A and B not required if only practicing at one location or using same system at different locations Section C is based on location
7 2014 Stage 1 Core Measures Met at More Than: 1. Computerized order entry for medication orders - 30% of unique patients. 2. Implement drug-drug, drug-allergy checks - Yes/No. 3. Maintain an up-to-date problem list - 80% of unique patients. 4. Generate and transmit permissible prescriptions electronically - 40%. 5. Maintain active medication list - 80% of unique patients. 6. Maintain active medication allergy list - 80% of unique patients. 7. Record demographics - 50% of unique patients. 7
8 2014 Stage 1 Core Measures Met at More Than: 8. Record and chart changes in vital signs - 50% of unique patients. 9. Record smoking status for patients 13 and older - 50% of unique patients. 10. Implement one clinical decision support rule - Yes/No. 11. Provide patients with the ability to view online, download, and transmit their health information - **New for 2014** 50% of unique patients. 12. Provide clinical summaries for each office visit - 50% of unique patients. 13. Protect electronic health information (privacy & security) - Yes/No. 8
9 2014 Stage 1 Menu Measures Met at More Than: 1. Implement drug-formulary checks - Yes/No 2. Incorporate clinical lab-test results into certified EHR as structured data - 40% of clinical lab results 3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach - Yes/No 4. Send reminders to patients per patient preference for preventive/follow-up - 20% of all patients 65 or older and 5 years and younger 5. Use certified EHR to identify patient-specific education resources and provide to patient if appropriate - 10% of unique patients 9
10 2014 Stage 1 Menu Measures Met at More Than: 6. Perform medication reconciliation for incoming transitions of care - 50% of transitions of care. 7. Provide summary care record for transitions in care or referrals - 50% of transitions of care. 8. Capability to submit electronic data to immunization registries and actual submission - Public Health Measure. 9. Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission - Public Health Measure. 10
11 Stage 2 Requirements Eligible Professional. Progress to Stage 2 after two reporting periods of Stage Core Measures 3 Menu Measures 9 CQMS
12 Stage 2 Core Measures for EPs CPOE for medication; lab and radiology orders. erx. Record demographics. Record vital signs. Record smoking status. 5 CDSI rules AND drug-drug and drug-allergy interaction checks. Conduct security risk analysis. Incorporate structured lab results. Generate patient list by condition. Reminders for preventative/follow-up. Provide patient education resources. Medication reconciliation. Provide summary of care document. Provide online access to health info (View, download, and transmit). Provide clinical visit summaries. Transmission of immunization data. Secure messaging with patients. Feb 2014
13 Stage 2 Menu Measures for EPs 1. Capability to submit electronic syndromic surveillance data. 2. Record electronic notes in patient records. 3. Imaging results accessible through CEHRT. 4. Record patient family history as structured data. 5. Identify and report cancer cases to a public health central cancer registry. 6. Identify and report cases to a specialized registry (other than a cancer registry). Feb 2014
14 Computerized Order Entry Objective Use computerized order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. Measure More than: 60% of medication orders, 30% of radiology orders, and 30% of laboratory orders. Exclusion Writes fewer than 100 medication, radiology or laboratory orders during the EHR reporting period. Change from Stage 1 Increased threshold for meds from 30% to 60%. Adds lab and imaging. Tips CPOE used to create the first record of the order so it becomes part of the medical record and action can be taken on it. Any licensed healthcare professionals and credentialed medical assistants can enter orders. Comply with state, local and professional guidelines and MAs must be credentialed by an organization other than the employing organization. Denominator is specific to orders created by the EP or authorized providers.
15 E-Prescribing Objective Generate and transmit permissible prescriptions electronically (e-rx). Measure More than 50% of permissible prescriptions are queried for a drug formulary and transmitted electronically using certified electronic health record technology. Exclusions Writes fewer than 100 permissible prescriptions. Does not have a pharmacy within their organization and there is not a pharmacy that accepts electronic prescriptions within 10 miles. Change from Stage 1 Increased threshold from 40%. Consolidates drug-formulary check from Stage 1. Tips A prescription is defined as the authorization by an EP to a pharmacist to dispense a drug that the pharmacist would not dispense to the patient without such authorization. Providers can use intermediary networks that convert information from the certified EHR into a computer-based fax as long as the EP generates the e-rx and transmits it to the intermediary.
16 Record Demographics Objective Record the following demographics: preferred language, sex, race, ethnicity, and date of birth. Measure More than 80% of all unique patients seen by the EP have demographics recorded as structured data. Exclusion None. Change from Stage 1 Increased threshold from 50%. The term gender is replaced with the term sex. Tips If a patient declines to provide demographic information, or if capturing a patient s ethnicity or race is prohibited by state law, such a notation entered as structured data would count as an entry for purposes of meeting the measure.
17 Record Vital Signs Objective Record and chart changes in the following vital signs: Height, Weight, Blood Pressure; calculate and display body mass index (BMI); and plot and display growth charts for children 2-20 years, including BMI. Measure More than 80% of all unique patients seen by the EP during the EHR reporting period have blood pressure (for patients age 3 and over only) and height and weight (for all ages) recorded as structured data. Exclusions Sees no patients three years or older is excluded from recording blood pressure. Believes three vital signs have no relevance to their practice. Believes height and weight are relevant, but blood pressure is not, is excluded from recording blood pressure. Believes blood pressure is relevant to their scope of practice, but height and weight are not, is excluded from recording height and weight. Tips Change from Stage 1 - Increased threshold from 50%.
18 Record Smoking Status Objective Record smoking status for patients 13 years old and older. Measure More than 80% of all unique patients 13 years or older seen by the EP have smoking status recorded as structured data. Exclusion EPs who see no patients 13 years or older. Change from Stage 1 Increased threshold from 50%. Tips This is a check of the medical record for patients 13 years old or older. If this information is already in the medical record available through certified EHR technology, an inquiry does not need to be made every time a provider sees a patient 13 years old or older. The frequency of updating this information is left to the provider and guidance is provided already from several sources in the medical community.
19 Clinical Decision Support Interventions Objective Use clinical decision support (CDSI) to improve performance on high-priority health conditions. Measure One: Implement five CDS interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Absent clinical quality measures CDS interventions must be related to high-priority, health conditions Two: Enabled functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period Exclusion Measure two EPs who write fewer than 100 prescriptions during the EHR reporting period. Change from Stage 1 Increased from one CDSI to five. Drug-drug; drug-allergy consolidated into this measure. 1 CDSI suggested to be related to efficiency. Tips Drug-drug and drug-allergy interaction alerts are separate from the 5 CDSIs. Full scope of CDSI not just pop-up alerts. Can be supportive of quality initiatives within the practice.
20 Patients View, Download, and Transmit Objective Provide patients the ability to view online, download and transmit their health information within four business days of the information being available to the EP. Specific information required. Measure One: More than 50% of all unique patients seen by the EP during the EHR reporting period are provided timely (Four business days after the information is available to the EP) online access. Two: More than 5% of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download or transmit to a third party their health information. Exclusion Neither orders or creates health information may exclude both measures. Conducts 50% or more of patient encounters in a county that does not have 50% or more of its housing units with 3Mbps broadband availability. Tips Access: when a patient possesses all the necessary information to view, download, and transmit their information. Encourage patient use of the portal and know how your system calculates patient use/access.
21 Patients View, Download, and Transmit The following information must be made available online as health information requirements: Patient name Provider's name and office contact information Current and past problem list Procedures Laboratory test results Current medication list and medication history Current medication allergy list and medication allergy history Vital signs (height, weight, blood pressure, BMI, growth charts) Smoking status Demographic information (preferred language, sex, race, ethnicity, date of birth) Care plan field(s), including goals and instructions Any known care team members including the primary care provider (PCP) of record Not required if: The information is not available in certified EHR technology (CEHRT); or Is restricted from disclosure due to any federal, state or local law regarding the privacy of a person s health information, including variations due to the age of the patient; or The provider believes that substantial harm may arise from disclosing particular health information in this manner.
22 Clinical Summaries Objective Provide clinical summaries for patients for each office visit. Measure Clinical summaries provided to patients or patient-authorized representatives within one business day for more than 50% of office visits. Exclusion EPs who have no office visits during the EHR reporting period. Change from Stage 1 Shortens timeframe from three days to one business day. Additional required fields including care plan. Tips Can be provided through a PHR, patient portal on the web, secure , or electronic media. If specified information not available indication can be made to satisfy this measure. If an EP believes that substantial harm may arise from the disclosure of particular information, an EP may choose to withhold that particular information from the clinical summary. Know how your system calculates.
23 Clinical Summary Information Patient name Provider's name and office contact information Date and location of the visit Reason for the office visit Current problem list Current medication list Current medication allergy list. Procedures performed during the visit Immunizations or medications administered during the visit. Vital signs taken during the visit (or other recent vital signs) Laboratory test results List of diagnostic tests pending Clinical instructions Future appointments Referrals to other providers Future scheduled tests Demographic information maintained within certified electronic health record technology (sex, race, ethnicity, date of birth, preferred language) Smoking status Care plan field(s), including goals and instructions Recommended patient decision aids (if applicable to the visit) Fall 2013
24 Protect Electronic Health Information Objective Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Measure Conduct or review a security risk analysis in accordance with 45 CFR (a)(1) including addressing the encryption/security of data stored in accordance with 45 CFR (a)(2)(iv) and 45 CFR (d)(3) and implement security updates as necessary and correct identified deficiencies as part of the provider s risk management process. Exclusion None. Change from Stage 1 Emphasis on data encryption. Tips If previously done and meets the requirements specified only a review is required. Documentation is critical. Meaningful use does not impose new or expanded requirements on the HIPAA security rule. Be sure you understand the requirements.
25 Incorporate Lab Results Objective Incorporate clinical lab test results into EHR as structured data. Measure More than 55% of all clinical lab test results ordered by the EP during the EHR reporting period who results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data. Exclusion EP who order no lab tests whose results are either in a positive/negative or numerical format during the EHR reporting period. Change from Stage 1 Previously a menu measure. Tips The EP is not limited to only counting structured data received via electronic exchange, but may count in the numerator all structured data entered through manual entry through typing, option selecting, scanning, or other means.
26 Patient Lists Objective Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities; research or outreach Measure Generate at least one report listing patients of the EP with a specific condition Exclusion None. Change from Stage 1 Was a menu measure. Tips Each EHR reporting period must have its own report. Maintenance of problem lists and medication lists will need to be a workflow priority.
27 Reminders for Preventive Care Objective Use clinically relevant information to identify patients who should receive reminders for preventative/follow-up care and send these patient the reminders, per patient preference. Measure More than 10% of all unique patients who have had 2 or more office visits with the EP within the 24 months before the beginning of the EHR reporting period were sent a reminder, per patient preference when available. Exclusion EPs who have had no office visits in the 24 months before the EHR reporting period. Change from Stage 1 Was a menu measure. Requirements broadened but threshold reduced. Tips To count, the patient must not already be scheduled for preventive/follow up care. Reminders to engage in certain activities is also included in this measure.
28 Patient Specific Education Resources Objective Use clinically relevant information from certified EHR technology to identify patient-specific education resources and provide those resources to the patient. Measure Education resources are provided to more than 10% of all unique patients with office visits during the EHR reporting period. Exclusion EPs who have no office visits during the EHR reporting period. Change from Stage 1 Was a menu measure. Tips Unique patient calculation. Certified technology uses the patient s problem list, medication list or laboratory test results to identify patient-specific educational resources. Materials do not have to be stored within the certified technology.
29 Medication Reconciliation Objective The EP who receives a patient from another setting of care OR provider of OR believes an encounter is relevant should perform medication reconciliation. Measure The EP performs medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the care of the EP. Exclusion EPs who were not the recipient of any transitions of care during the EHR reporting period. Change from Stage 1 Was a menu measure. Tips Transition of Care The movement of a patient from one setting of care (hospital, ambulatory primary care practice, ambulatory specialty care practice, long-term care, home health, rehabilitation facility) to another. The measure of this objective does not dictate what information must be included in medication reconciliation. Will need the ability to indicate that the visit is a transition of care visit.
30 Summary of Care Objective The EP who transitions their patient to another setting of care OR provider of care OR refers their patient to another provider of care should provide summary care record for each transition of care or referral. Measure One: Summary of care record or more than 50% of transitions and referrals. Two: More than 10% of transitions or referrals are either (a) electronically transmitted using certified technology or (b) where the recipient receives the summary of care record via exchange facilitated by an NwHIN participant or in a manner consistent with the governance mechanism established for NwHIN. Three: Conducts one or more successful electronic exchanges of a summary of care record (counted in measure 2) to a different EHR platform OR conducts one or more successful tests with the CMS designated test entity. Exclusion Less than 100 transitions of care or referrals during the EHR reporting period. Change from Stage 1 Was a menu measure.
31 Immunization Registry Submission Objective Capability to submit electronic data to immunization registries except where prohibited and in accordance with applicable law and practice. Measure Achieved ongoing submission in prior EHR reporting period and continuing to submit. Registered with FL SHOTS by deadline (60 days within start of EHR reporting period) and ongoing submission was achieved. Registered with FL SHOTS by deadline and currently engaged in testing. Registered with FL SHOTS by deadline and waiting to begin testing. Exclusion Four exclusions, one is applicable for Florida: Does not administer immunizations during the EHR reporting period. Change from Stage 1 Was a menu measure. Tips Testing no longer meets this measure.
32 Secure Messaging Objective Use secure electronic messaging to communicate with patients on relevant health information. Measure A secure message was sent using the electronic messaging function of certified EHR technology by more than 5% of unique patients (or their authorized representatives) seen by the EP during the EHR reporting period. Exclusion No office visits during the EHR reporting period. Conducts 50% or more of patient encounters in a county that does not have 50% or more of its housing units with 3Mbps broadband availability. Tips Not an expectation that the EP personally respond to messages. A phone call or office visit may be more appropriate to address the concerns raised in the message. Requires patient action which may need to be encouraged by the EP.
33 Stage 2 Menu Measures 1. Capability to submit electronic syndromic surveillance data - urgent care providers in Florida. 2. Record electronic notes in patient records. 3. Imaging results accessible through CEHRT. 4. Record patient family history as structured data. 5. Identify and report cancer cases to a public health central cancer registry. 6. Identify and report cases to a specialized registry (other than a cancer registry). Fall 2013
34 Syndromic Surveillance Objective Capability to submit syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice. Measure Successful ongoing submission of electronic syndromic surveillance data from the certified EHR technology to a public health agency for the entire EHR reporting period. Exclusion Four exclusions, two apply in Florida: Not in a category of providers that collects ambulatory syndromic surveillance information. No public health agency capable of receiving data in the specific standards required by the certified EHR technology at the start of their EHR reporting period. Tips Florida DOH is only accepting syndromic surveillance data from urgent care EPs. https://www.epicomfl.net/merlincasereporting/meaningfuluse/meaningful_registration_dtl.aspx
35 Record Electronic Notes Objective Record electronic notes in patient records. Measure Enter at least one electronic progress note created, edited and signed by an EP for more than 30% of unique patients with at least one office visit during the EHR reporting period. Text must be searchable and may contain drawings and other content. Exclusion None. Tips CMS will rely on providers own determination and guidelines defining when progress notes are necessary to communicate individual patient circumstances and for coordination with previous documentation of patient observations, treatments and/or results in the electronic health record. Non-searchable notes do not qualify but the entire note does not have to be text.
36 Imaging Results Objective Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through the certified EHR technology. Measure More than 10% of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through the certified EHR technology. Exclusion EPs who order less than 100 tests whose result is an image during the EHR reporting period. EPs who have no access to electronic imaging results at the start of their EHR reporting period. Tips Radiologic services as any imaging services that uses electronic product radiation. Images and imaging results that are scanned may be counted in the numerator.
37 Family Health History Objective Record patient family health history as structured data. Measure More than 20% of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives. Exclusion No office visits during the EHR reporting period. Tips First Degree Relative: a family member who shares about 50 % of their genes with a particular individual in a family. First degree relatives include parents, offspring and siblings. This measure is a minimum and not a limitation on the health history that can be recorded. Recording of unknown as structured data can be used to count in the numerator.
38 Cancer Registry Reporting Objective Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited and in accordance with applicable law and practice. Measure Successful ongoing submission of cancer case information from the certified EHR technology for the entire EHR reporting period. Exclusion Four exclusions, one applies in Florida: Not in a category of providers that diagnosis or treat cancer Tips
39 Specialized Registry Reporting Objective Capability to identify and report specific cases to a specialized registry (other than a cancer registry) except where prohibited and in accordance with applicable law and practice. Measure Successful ongoing submission of specific case information from the certified EHR technology for the entire EHR reporting period. Exclusion Four exclusions three that may apply: Not in a category of providers that diagnosis or treat any disease associated with a specialized registry sponsored by a national specialty society for which the EP is eligible or the public health agencies in their jurisdiction. No specialized registry capable of receiving data in the specific standards required by the certified EHR technology at the start of their EHR reporting period. No public health registry in Florida
40 Summary of Care Record Summary of Care for Transitions of Care (TOC). Three measures, two require electronic transmission of the summary of care Know how your vendor plans on meeting this requirement. When will they be ready? What forms of exchange will they support? Will the system allow for exchange with a sufficient number of providers? Connections with HIEs Know your denominator. Know your referral base.
41 Patient Engagement Requirements Patient Access to Health Information Requires more than 5% of unique patients seen during reporting period view, download, or transmit their health information to a third party. Secure Messaging Requires more than 5% of unique patients seen during reporting period or their authorized representatives send a secure message using the electronic messaging function of the certified EHR. 41
42 Preparing for Stage 2 Many of the measures are what you are doing. Know what is expected and incorporate now. Focus on patient engagement. Know Problem Areas.
43 2014 Clinical Quality Measures Regardless of Stage. EPs - 9 out of 64. Cover at least three of the National Quality Strategy Domains. Core Sets for Adult and Children. Choices may be driven by what vendor is offering. No threshold that must be met. CQM Reporting Dually eligible hospitals beyond 1 st year of Meaningful Use must electronically report CQM data. Medicaid only providers will report to the state through the on-line application.
44 Certification Flexibility Rule Rule effective October 1, 2014 The rule grants flexibility to providers who are unable to fully implement 2014 Edition Certified Electronic Health Record Technology (CEHRT) for an EHR reporting period in 2014 due to delays in 2014 CEHRT availability. Implementation- a provider s ability to fully implement the functionality may be limited by the availability and timing of product installation, deployment of new processes and workflows, and employee training. Providers may now use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions, or the 2014 Edition for 2014 participation.
45 Attestation Options
46 Unable To Fully Implement Due To Software development delays. Missing or delayed software updates. Being able to implement 2014 CEHRT for only part of the reporting period not the full reporting period. Unable to train staff, test the updated system, or put new work flows in place because of delays associated with installation of 2014 CEHRT. Unable to meet Stage 2 summary of care measures due to recipient of transmittals impacted by 2014 CEHRT issues.
47 Not Allowable Reasons Financial issues. Inability to meet one or more measures. Staff turnover and changes. Provider waited too long to engage a vendor. Refusal to purchase the requisite software updates. Providers who fully implemented 2014 Edition CEHRT and can report in 2014.
48 Additional Considerations CQM reporting will be tied to the reporting option chosen. For example, providers will not be allowed to attest to 2014 Stage 1 measures and 2013 CQMs. Additional attestation documents will be required documenting why a 2014 CEHRT could not be fully implemented. Changes to MAPIR allowing a provider to attest using a previous edition of CEHRT are expected to be completed Spring Certification Number entered will determine reporting options.
49 Immunization Measure Details Attesting under a Flexibility Option: No new test is required. Use 2013 program year documentation. Attesting Using 2014 edition CEHRT Stage 1 First year of Stage 1 must perform the test. Second year of Stage 1 - must perform a test unless they have achieved ongoing submission or have documentation from Florida Shots advising not to perform the test. Documentation from Florida Shots regarding status at the end of the EHR reporting period. Stage 2 Register by the deadline of no later than 60 days after the start of their EHR reporting period. Work with Florida Shots toward ongoing submission if it was not already achieved. Stage 2 registration will not allow for entry of an EHR reporting period end date in the past. Providers who achieved ongoing submission prior to their 2014 EHR reporting period and did not register by the deadline, must register and enter a date the form will accept.
50 What Does This Mean? Providers are encouraged to talk to their vendor about their options in accessing 2013 Meaningful Use reports as this ability may no longer be available once you begin installing 2014 CEHRT. Providers must have 2014 CEHRT for Program Year Program Year 2015 will require a full year reporting period if not your first meaningful use period. Medicare Hardship Exemption applications reopened. Request due by November 30, 2014 and are only for reasons specified Guidance/Legislation/EHRIncentivePrograms/PaymentAdj_Hardship.html
51 Audits Prepare reports and screenshots from your EHR before completing your application. Review your attestation to help ensure you have attested to menu measures you have qualified for. Read CMS guidelines regarding each measure s rule and objective. Correspond with auditors and provide requested documentation in timely manner. Ask questions you have regarding the audit and the requested documentation. If you are selected for audit, any future program year payments will be held until the audit is completed.
53 Additional Contacts and Resources EHR Incentive Program Call Center: (855) Florida HIE Help Desk:
EHR Incentive Program Focus on Stage One Meaningful Use Kim Davis-Allen, Outreach Coordinator Kim.firstname.lastname@example.org October 16, 2014 Checklist Participation Explanation Program Updates Stage One
STAGE 2 MEANINGFUL USE CORE AND MENU MEASURES FOR ELIGIBLE PROFESSIONALS CORE MEASURES must meet all CPOE for Medication, Laboratory and Radiology Orders Objective: Use computerized provider order entry
Stage 1 vs. Comparison for Eligible Professionals CORE OBJECTIVES (17 Total) Stage 1 Objective Stage 1 Measure Objective Measure Use CPOE for Medication orders directly entered by any licensed healthcare
Medicaid EHR Incentive Program Dentists as Eligible Professionals Kim Davis-Allen, Outreach Coordinator Kim.email@example.com Considerations Must begin participation by Program Year 2016 Not required
EHR Incentive Program Stage 2 Objectives Summary CORE OBJECTIVES (You must meet all objectives unless exclusion applies.) TARGETING CANCER CARE Objective Objective Description Measure/Attestation Requirement
CORE OBJECTIVES (16 total) Stage 1 vs. Stage 2 Comparison Table for Eligible Hospitals and CAHs Last Updated: August, 2012 Stage 1 Objective Use CPOE for medication orders directly entered by any licensed
Eligible Hospital and Critical Access Hospital (CAH) Attestation Worksheet for Stage 2 of the Medicare Electronic Health Record (EHR) Incentive Program The Eligible Hospital and CAH Attestation Worksheet
AQAF Health Information Technology Forum Meaningful Use Stage 2 Clinical Considerations Marla Clinkscales & Mike Bice Alabama Regional Extension Center (ALREC) August 13, 2013 0 Agenda What is Meaningful
Meaningful Use Updates Stage 2 and 3 Julia Moore, Business Analyst SMC Partners, LLC July 8, 2015 Stage 2 Requirements 2015 EPs beyond 1st year of MU must report on a full year of data EPs in 1 st year
MEANINGFUL USE STAGE 2 2015 FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY STAGE 2 REQUIREMENTS EPs must meet or qualify for an exclusion to 17 core objectives EPs must meet 3 of the 6 menu measures.
EHR Incentive Programs A program administered by the Centers for Medicare & Medicaid Services (CMS) Eligible Professional s Guide to STAGE 2 of the EHR Incentive Programs September 2013 TABLE OF CONTENTS...
1 EP EH CPOE: Use CPOE for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per State, local and professional
Meaningful Use Stage 1 Core Objectives Must Meet all 13 Objectives 1. CPOE for Medication Orders 2. Drug Interaction Checks 3. Up-To-Date Problem List 4. E-Prescribing (erx) 5. Active Medication List 6.
Meaningful Use Stage 2 Presented by: Sarah Leake, HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 HTS Who We Are Stage 2 MU Overview Learning Objectives 2014 CEHRT Certification
Meaningful Use Objectives The purpose of the electronic health records (EHR) incentive program is not so much the adoption of health information technology (HIT), but rather how HIT can further the goals
294 TABLE B5: STAGE 2 OBJECTIVES AND MEASURES CORE SET Improving quality, safety, efficiency, and reducing health disparities Use computerized provider order entry (CPOE) for medication, laboratory and
Medicaid EHR Incentive Program Modified Stage 2: through 2017 November 10, Kim Davis-Allen, Outreach Coordinator Kim.firstname.lastname@example.org November 10, 1 Key Concepts for Modified Stage 2 Restructured
Meaningful Use Criteria for Eligible and Eligible Professionals (EPs) Under the Electronic Health Record (EHR) meaningful use final rules established by the Centers for Medicare and Medicaid Services (CMS),
Meaningful Use Stage 2 MU Audits Presented by: Deb Anderson, CPHIMS HTS Consultant HTS, a division of Mountain Pacific Quality Health Foundation 1 CEHRT Certified Electronic Health Record Technology (EHR)
CMS-0044-P 156 TABLE 4: STAGE 2 MEANINGFUL USE OBJECTIVES AND ASSOCIATED MEASURES SORTED BY CORE AND MENU SET Improving quality, safety, efficiency, and reducing health disparities Use computerized provider
Presented by Terri Gonzalez Director of Practice Improvement North Carolina Medical Society Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce errors Engage
Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by
MEETING MEANINGFUL USE IN MICROMD -STAGE TWO- Presented by: Anna Mrvelj EMR Training Specialist 1 Proposed Rule On April 15, 2015 CMS Issued a new proposal rule for the Medicare and Medicaid EHR Incentive
MEANINGFUL USE STAGE 2 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EMR TECHNOLOGY On August 24, the Centers for Medicare & Medicaid Services (CMS) posted the much anticipated final rule for Stage
Modified Stage Two Meaningful Use 2015-2017 with Final Rule Quick Reference Guide To qualify for Stage 1 or 2, a provider must meet: 10 objectives, Including 2 consolidated public health measures Reporting
EHR Incentive Programs for Eligible Professionals: What You Need to Know for 2015 Tipsheet CMS recently published a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals,
Product Mappings to the ARRA/HITECH Stage 1 Requirements for Eligible Providers Number CORE SET (These objectives are to be achieved by all eligible professionals in order to qualify for incentive payments.)
Meaningful Use - The Basics Presented by PaperFree Florida 1 Topics Meaningful Use Stage 1 Meaningful Use Barriers: Observations from the field Help and Questions 2 What is Meaningful Use Meaningful Use
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2015 The chart below lists the measures (and specialty exclusions) that eligible providers must
Meaningful Use Stage 2 Administrator Training 1 During the call please mute your line to reduce background noise. 2 Agenda Review of the EHR Incentive Programs for Stage 2 Meaningful Use Measures and Corresponding
Modified Stage 2 Meaningful Use s 2015-2017 Objective 1: Protect Electronic Health Information NONE Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1)
EHR Incentive Programs: 2015 through 2017 (Modified Stage 2) Overview CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access
Meaningful Use: Stage 1 and 2 Hospitals (EH) and Providers (EP) Lindsey Mongold, MHA HIT Practice Advisor Oklahoma Foundation for Medical Quality Meaningful Use Stage 1 Focuses on Functional & Interoperability
Stage 2 of Meaningful Use Summary of Proposed Rule Background In order to receive incentives for the adoption of electronic health records (EHRs) under either the Medicare or Medicaid (Medi-Cal) incentive
Core Set of Objectives and Measures Must Meet All 15 Measures Stage 1 Objectives Stage 1 Measures Reporting Method Use Computerized Provider Order Entry (CPOE) for medication orders directly entered by
Community Center Readiness Guide Additional Resource #13 Meaningful Use Implementation Tracking Tool (Template) MEANINGFUL USE HITECH s goal is not adoption alone but meaningful use of EHRs that is, their
DEMONSTRATING MEANINGFUL USE STAGE 1 REQUIREMENTS FOR ELIGIBLE PROVIDERS USING CERTIFIED EHR TECHNOLOGY IN 2014 The chart below lists the measures (and specialty exclusions) that eligible providers must
E Z BIS ELECTRONIC HEALTH RECORDS CERTIFICATION AND THE HITECH INCENTIVE PROGRAM The Incentives On July 13, 2010, the U.S. Department of Health and Human Services finalized the Electronic Health Record
Contact Information: West Texas Health Information Technology Regional Extension Center 3601 4 th Street MS 6232 Lubbock, Texas 79424 806-743-1338 http://www.wtxhitrec.org/ Grant award - $6.6m Total number
MICROMD EMR VERSION 9.0 2014 OBJECTIVE MEASURE CALCULATIONS TABLE OF CONTENTS PREFACE Welcome to MicroMD EMR... i How This Guide is Organized... i Understanding Typographical Conventions... i Cross-References...
Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor 1 CPOE (Computerized Physician Order Entry) More than 30 percent of all unique patients with at least
On April 10, 2015, CMS released the proposed rule for Meaningful Use in 2015 through 2017. This document summarizes the key points from that proposal. - Reporting Period Length - 2015: 90 consecutive days
GE Healthcare Achieving Meaningful Use with Centricity EMR Are you Ready to Report? GE Healthcare EMR Consulting CHUG Fall Conference October 2010 Achieving Meaningful Use with Centricity EMR The EMR Consulting
Stage 2 Meaningful Use What the Future Holds Lindsey Wiley, MHA HIT Manager Oklahoma Foundation for Medical Quality An Important Reminder For audio, you must use your phone: Step 1: Call (866) 906-0123.
Ophthalmology Meaningful Use Attestation Guide Stage 2 2014 Edition Physicians who first participated in meaningful use in 2011 or 2012 must move on to Stage 2 in 2014. For 2014 only, physicians will attest
MDeverywhere, Inc. Presents 2014 CMS EHR Incentive Program Requirements: What Providers Need To Know Presented by: Kristen Heffernan Director Product Management & Marketing, Henry Schein MicroMD Agenda
MEDICAL ASSISTANCE STAGE 2 SUMMARY OVERVIEW On September 4, 2012, CMS published a final rule that specifies the Stage 2 Meaningful Use criteria that eligible professionals (EPs), eligible hospitals (EHs)
Whitepaper Meaningful Use Stage 1: EHR Incentive Program Information -------------------------------------------------------------- Daw Systems, Inc. UPDATED: November 2012 This document is designed to
[MEANINGFUL USE STAGE 2 REPORTING] P. 1 OF 97 Meaningful Use Workflow - Stage 2 Sevocity 11.4 is a Complete EHR, which is ONC 2014 Edition compliant and has been certified by the Certification Commission
Meaningful Use 2015 and beyond Presented by: Anna Mrvelj EMR Training Specialist 1 Agenda A look at the CMS Website Finding your EMR version Certification Number Proposed Rule by the Centers for Medicare
Modified Stage 2 Final Rule 2015-2017 Illinois Health Information Technology Regional Extension Center (ILHITREC) SUPPORT PROVIDED BY ILHITREC: The Illinois Health Information Technology Regional Extension
Meaningful Use Qualification Plan Overview Certified EHR technology used in a meaningful way is one piece of a broader Health Information Technology infrastructure intended to reform the health care system
AAP Meaningful Use: Certified EHR Technology Criteria On July 13, 2010, the US Centers for Medicare and Medicaid Services (CMS) released a Final Rule establishing the criteria with which eligible pediatricians,
Meaningful Use in 2015 and Beyond Changes for Stage 2 Jennifer Boaz Transformation Support Specialist Proprietary 1 Definitions AIU = Adopt, Implement or Upgrade EP = Eligible Professional API = Application
2013 Meaningful Use Dashboard Calculation Guide Learn how to use Practice Fusion s Meaningful Use Dashboard to help you achieve Meaningful Use. For more information, visit the Meaningful Use Center. General
MEDICFUSION / HERFERT MEANINGFUL USE STAGE 1 and 2 ATTESTATION GUIDE 2015 The following document is intended to aid in preparation for gathering necessary information to attest in early 2016. All Medicfusion
Centers for Medicare and Medicaid Services Final Rule - Stage 3 Meaningful Use Criteria Objectives and Measures Summary October 22, 2015 Version 1.2 Provided by www.clinicalarchitecture.com Contents Overview...
Meaningful Use: It s Not Too Late For 2015! Jeffrey D. Lehrman, DPM, FACFAS, FASPS, FAPWH APMA Coding Committee Expert Panelist, Codingline.com Fellow, American Academy of Podiatric Practice Management
EMR Name/ Model EMR Vendor Cerner PowerChart Ambulatory (PowerWorks ASP) Cerner Corporation Core Set of Measures 1 Use CPOE for medication orders directly entered by any licensed healthcare professional
Insight Software, LLC 3050 Universal Blvd Ste 120 Weston FL 33331-3528 Tel. 877-882-7456 www.myvisionexpress.com Meaningful Use of Certified EHR Technology with My Vision Express* Eligible Professional
Meaningful Use and Lab Related Requirements ONC State HIE / NILA Workgroup August 20, 2013 What is an EHR? Electronic Health Record Information system used by healthcare providers to store and manage patient
Page 27 VIII. Dentist Crosswalk Overview The final rule on meaningful use requires that an Eligible Professional (EP) report on both clinical quality measures and functional objectives and measures. While
Image Research, LLC Christopher B. Sullivan, Ph.D. 2901 Quail Rise Court, Tallahassee, FL 32309 Summary of the Final Rule for Meaningful Use for 2015 and 2016 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers
Achieving Meaningful Use Training Manual Terms EP Eligible Professional Medicare Eligible Professional o Doctor of Medicine or Osteopathy o Doctor of Dental Surgery or Dental Medicine o Doctor of Podiatric
Meaningful Use for Dummies: Deciphering Final meaningful use stage 2 criteria indicates stronger focus on patient engagement, HIE. Check out this chart to find out more about the meaningful use program.
Understanding Meaningful Use Stage 2 Miranda Ladue, Manager, Product Management Adam Plotts, Manager, Product Management Copyright 2011 Allscripts Healthcare Solutions, Inc. Agenda Review MU Timeline MU
CMS EHR Incentive Programs: An Overview Meaningful Use Stages Vidya Sellappan Centers for Medicare & Medicaid Services Office of E-Health Standards and Services HIT Initiatives Group August 13, 2014 Table
MEANINGFUL USE STAGE 2 Summary of Proposed Rule (EP) The Meaningful Use Stage 2 Notice of Proposed Rule Making (NPRM) has been released and entered a 60-day comment period (March 7-May 6, 2012). HealthInsight
Qualifying for Medicare Incentive Payments with Crystal Practice Management Version 4.1.25 01/01/ Table of Contents Qualifying for Medicare Incentive Payments with... 1 General Information... 3 Links to
Overview of the EHR Incentive Program presented by Meaningful Use Stages 1 & 2 1 P Automated coding P Chief-complaint-driven P AnticiPlate Technology P Point-and-Click Functionality P erx through Surescripts
Making Sense of Meaningful Use: Stage 2 1 Who are we? Purdue Healthcare Advisors (PHA)*, a business unit of Purdue University, specializes in affordable assistance to organizations that share our passion
Are you ready? Meaningful Use Stage 2 HIT Summit July 26, 2014 Meaningful Use Stage 2 Are you Ready? Speakers: Robyn Polinar, BA, MBA, AMB & Community EMR Supervisor Hawai i Pacific Health Nadine Owen,
Incentives to Accelerate EHR Adoption The passage of the American Recovery and Reinvestment Act (ARRA) of 2009 provides incentives for eligible professionals (EPs) to adopt and use electronic health records
November 8, 2012 Practice Group: Health Care Stage 2 of Meaningful Use: Ten Points of Interest By Patricia C. Shea On September 4, 2012, the Department of Health and Human Services, Centers for Medicare
Meaningful Use 2014: Stage 2 MU Overview Scott A. Jens, OD, FAAO October 16, 2013 Overview General Overview of Stage 2 MU in 2014 Core Objectives for Stage 2 Menu Objectives for Stage 2 Complete summary
Lunch and Learn IFAF 09/24/11 Michael L. Brody, DPM Disclaimers Sammy Sponsor of this presentation PICA Biomedix All Pro Imaging The Brave New World of HIT Today s Topics: PQRS E-Rx EMR Health Information
EHR Meaningful Use Guide for Stage I (2011) HITECH Attestation Version 2.0 Updated May/June 2014 7500 Six Forks Road, Suite 200 Raleigh, NC 27615 1.866.643.7778 email@example.com 1 Ge ng Started This
EHR Meaningful Use Guide for Stage I (2011) HITECH Attestation Version 2.0 Updated May/June 2014 in partnership with 1-866-866-6778 firstname.lastname@example.org www.medicfusion.com/platinum Medicfusion EMR
Meaningful Use Modification Rules for 2015-2017 Oct. 26, 2015 Author: Jennifer Swinnich, Associate Director, PAMED Practice Support The following is a summary of the Meaningful Use Modifications for 2015-2017.
Program Year 2014 Stage 2 Meaningful Use for EPs Valorie A. Vigil, Staff Manager Idalia Lechuga-Tena, Communications Manager New Mexico Human Services Department Medical Assistance Division Systems Bureau
Changes with MU Stage 2 Presenter: Jennifer Oelenberger, Director and Acct Management We give back EHR Concepts takes pride in giving our clients resourceful information to prepare you for the next steps
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