Medisoft Clinical and Lytec MD EHR Meaningful Use Stage 2 Guide Configuration and End User Training 2014 and Beyond

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1 Title page Medisoft Clinical and Lytec MD Configuration and End User Training Business Performance Services August 2014 Produced in Cork, Ireland

2 Copyright notice Copyright notice Copyright 2014 McKesson Corporation and/or one of its subsidiaries. All Rights Reserved. Publication date August 2014 Use of this documentation and related software is governed by a license agreement. This documentation and related software contain confidential, proprietary, and trade secret information of McKesson Corporation and/or one of its subsidiaries, and is protected under United States and international copyright and other intellectual property laws. Use, disclosure, reproduction, modification, distribution, or storage in a retrieval system in any form or by any means is prohibited without the prior express written permission of McKesson Corporation and/or one of its subsidiaries. This documentation and related software is subject to change without notice. Product Medisoft Clinical and Lytec MD Corporate address McKesson Corporation 5995 Windward Parkway Alpharetta, GA Trademarks Medisoft Clinical and Lytec MD are registered trademarks of McKesson Corporation and/ or one of its subsidiaries. All other product and company names may be trademarks or registered trademarks of their respective companies. Revision history Date Page (s) Description 08/01/ Updated the Performance metric section. 08/25/ Updated chapter 20. ii Configuration and End User Training August 2014

3 Table of Contents Table of Contents Introduction - General Information and Resources Meaningful Use Stage 2 requirements Reporting periods and payment adjustments Stage 2 overview guides Stage 2 objectives Registration Attestation Other useful resource links Contact us Preface - Clinical Encounters Configuration of Appointment Scheduling For Practice Partner Configuration of Patient Records Access levels Clinical Encounters screen Fields and buttons on the Clinical Encounters screen Clinical Encounter New and Edit screen Fields and buttons on the Clinical Encounter screen Chapter 1 - Core Objective 1 - Computerized Physician Order Entry (CPOE) Objective Description Performance metric Configuration Configuration notes End user workflow training End user notes Chapter 2 - Core Objective 2- E-Prescribing and Use of Formulary Data Objective Description Performance metric Notes Configuration for e-prescribing Configuration notes End user workflow for e-prescribing New prescriptions and renewals (from the patient s chart) Responding to electronic refill requests End user notes Configuration for formulary implementation eprescribing Configuration utility setup Patient demographics End user workflow for formulary checks End user notes August 2014 Configuration and End User Training iii

4 Table of Contents Chapter 3 - Core Objective 3 - Demographics Objective Description Performance metric Configuration End user training End user notes Chapter 4 - Core Objective 4 - Vital Signs Objective Description Performance metric Configuration End user training End user notes Chapter 5 - Core Objective 5 Smoking Status Objective Description Performance metric Configuration End user training End user training notes Chapter 6 - Core Objective 6 Clinical Decision Support Rule Objective Measure Measure Notes Configuration Measure 1: Clinical decision support interventions Measure 2: Drug-drug and drug-allergy interaction checks End user training Measure 1: Clinical decision support interventions Measure 2: Drug-drug and drug-allergy interaction checks End user notes Chapter 7 - Core Objective 7 - Patient Electronic Access Objective Description Performance metric Measure 1: Patient has electronic access to his/her health information Measure 2: Patients view, download, and/or transmit their health information 56 Important notes Exclusions Configuration Measure 1: Patients given electronic access Configuration for Web View Configuration notes End user training for Web View Configuration for RelayHealth iv Configuration and End User Training August 2014

5 Table of Contents End user training for RelayHealth End user notes Measure 2: Patient has viewed/downloaded/transmitted health information Access levels Web View Audit Trail Obtaining and saving a RelayHealth certificate RelayHealth Login Metrics End user training for Web View (for patients) End user training for RelayHealth (for patients) End user notes Chapter 8 - Core Objective 8 - Clinical Summary Objective Description Performance metric Configuration Access levels System configuration Configuration notes End user training End user notes Chapter 9 - Core Objective 9 - Security & Risk Analysis Objective Description Performance metric Exclusions Notes Security measures recommendations in the EHR application Access control/authentication in Practice Partner Chart access control and emergency access Auto-park and log-off features Operator Audit Trail report System security events Notes Chapter 10 - Core Objective 10 Structured Lab Results Description Objective Performance metric Configuration Configuration notes End user workflow End user notes Chapter 11 - Core Objective 11 Generate Patient List by Problem Objective Description Performance metric Patient Inquiry Patient Inquiry configuration August 2014 Configuration and End User Training v

6 Table of Contents Running a Patient Inquiry report Notes Patient registries Configuration Access levels Setting up a new patient registry Note template edits End user training End user notes Chapter 12 - Core Objective 12 - Generate Patient Reminders Objective Description Performance metric Configuration PRUtils Access levels Configuration notes End user training Patient Demographics Patient Inquiry Batch Communication Setting up batch communication jobs Running a Batch Communication Job End user notes Chapter 13 - Core Objective 13 - Provide Patient-Specific Education Objective Description Performance metric Notes Configuration End user training End user notes Chapter 14 - Core Objective 14 - Medication Reconciliation Objective Description Performance metric Configuration Access levels Note template edits Configuration notes End user training Chapter 15 - Core Objective 15 - Summary of Care Record Objective Description Performance metric Measure 1: Generate Summary Of Care Measure 2: Provide Summary Of Care With A Direct Message vi Configuration and End User Training August 2014

7 Table of Contents Measure Important notes Configuration Access levels PPart.ini edits Setting up a direct message account with RelayHealth and acquiring direct message addresses Direct exchange via RelayHealth (external systems) Entry of direct addresses End user training Measure 1: Generate Summary of Care Record End user notes Measure 2: Sending an electronic summary of care via direct message Measure 3: Exchange an electronic summary of care with a provider with a different EHR or with a CMS test EHR Chapter 16 - Core Objective 16 - Submit Vaccine Data to State Immunization Registries. 143 Objective Description Exclusion Note Performance metric Configuration Health Maintenance names Editing the Immunization report Note template edits End user training Entering immunization information in Health Maintenance Entering immunization information in a note Creating the.hl7 file for submission to the state registry Chapter 17 - Core Objective 17 - Secure Message from Patient Objective Description Performance metric Exclusions Important notes Configuration Provider Maintenance Access levels Web View Audit Trail Obtaining and saving a RelayHealth certificate RelayHealth Secure Messaging Metrics End user training (for patients) Notes Chapter 18 - Menu Objective 1 - Submit Electronic Syndromic Surveillance Data to Public Health Agencies Objective Description August 2014 Configuration and End User Training vii

8 Table of Contents Performance metric Exclusion Configuration End user training Notes Submission to local/state health agency Chapter 19 - Menu Objective 2 - Electronic Notes Description Objective Performance metric Note Configuration End user workflow End user notes Chapter 20 - Menu Objective 3 - Images and Imaging Results Accessible through CEHRT 161 Description Objective Performance metric Configuration Access levels PPart.ini edits Setting up external systems Zoom configuration Configuration notes End user workflow End user notes Chapter 21 - Menu Objective 4 - Family History as Structured Data Description Objective Performance metric Note Configuration Special Features: note view vs. grid view Access levels Note template edits End user workflow Recording family history data in the Family History grid Recording family history data in a progress note End user notes Chapter 22 - Menu Objectives 5 and 6 - Cancer Registry and Specialized Disease Registry 179 Objectives Chapter 23 - EHR Performance Metrics Report Configuring the EHR Performance Metrics report Access levels viii Configuration and End User Training August 2014

9 Table of Contents PPart.ini settings Running and printing the EHR Performance Metrics report EHR Performance Metrics report example Information on the EHR Performance Metrics report Stage 2Objectives Drill-down patient information on the EHR Performance Metrics report Index August 2014 Configuration and End User Training ix

10 Table of Contents x Configuration and End User Training August 2014

11 List of Figures List of Figures Figure 1 Certified Health IT Product List Figure 2 Certified Health IT Product List Figure 3 Certified Health IT Product List Figure 1 Clinical Encounter Edit screen Figure 2 Med Rec button Figure 3 Operator Maintenance Edit screen Figure 4 Operator Maintenance Edit screen Figure 5 Order Name Edit screen - Order Type Laboratory Figure 6 Order Name Edit screen - Order Type Radiology Figure 7 Prescription New screen Figure 8 Rx/Medications screen Figure 9 New Order screen Figure 10 Orders screen Figure 11 Prescription screen Figure 12 eprescribing Configuration Utility screen Figure 13 Select Rx Template screen Figure 14 Prescription New screen Figure 15 Patient New screen Figure 16 Vital Signs New screen Figure 17 Health Maintenance Template Edit screen Figure 18 HM Procedure Rules Edit screen Figure 19 Prescription Defaults screen Figure 20 Health Maintenance prompt message Figure 21 Health Maintenance Summary screen Figure 22 Special Features screen - General tab Figure 23 Patient Edit screen - Configuration tab Figure 24 Patient Edit screen Figure 25 Web View Audit Trail Report screen Figure 26 RelayHealth Login Metrics screen Figure 27 Download My Health Information button Figure 28 How do you want the PHI document delivered? screen Figure 29 Download my Health Information screen Figure 30 CCDA file Figure 31 Health Records button Figure 32 Import/Export Health Data link Figure 33 Download My Data button Figure 34 Text Results Chart Sections screen Figure 35 External Systems screen Figure 36 Clinical Summaries to RelayHealth screen Figure 37 Patient Clinical Summary Report screen Figure 38 Clinical Encounter Not Found screen Figure 39 Render to file screen Figure 40 Export Medical Summary screen Figure 41 Clinical Encounter New screen Figure 42 Operator Maintenance Edit screen Figure 43 Patient Edit screen August 2014 Configuration and End User Training xi

12 List of Figures Figure 44 Access Level Configuration Edit screen Figure 45 Break-the-Glass Security screen Figure 46 Electronic Security screen Figure 47 Electronic Security screen Figure 48 Reports menu Figure 49 Operator Audit Trail Report screen Figure 50 Electronic Security screen Figure 51 Order Name Edit screen Figure 52 Order New screen Figure 53 Laboratory Data Table screen Figure 54 Patient Inquiry New Report screen Figure 55 Enter The Problem Name screen Figure 56 Operator screen Figure 57 Select Provider screen Figure 58 Patient Inquiry New Report screen Figure 59 Enter File Name screen Figure 60 Registry Maintenance screen Figure 61 Patient Edit screen Figure 62 Batch Communication Select screen Figure 63 Batch Communication Detail New screen Figure 64 Letter Template Select screen Figure 65 Batch Communication Select screen Figure 66 Job Summary screen Figure 67 Batch Communication Recipients screen Figure 68 Clinical Encounter Edit screen Figure 69 External Systems screen Figure 70 New External System screen Figure 71 Pat Ed button Figure 72 Patient Education module Figure 73 Problems/Procedures screen Figure 74 Select the Patient Ed... screen - OK button Figure 75 Select the Patient Ed... screen - Cancel button Figure 76 Problems/Procedures screen Figure 77 Rx/Medications screen Figure 78 Medication Reconciliation Detail screen Figure 79 Clinical Encounter New screen Figure 80 Medication Reconciliation Detail screen Figure 81 Medication Reconciliation History screen Figure 82 Medication Reconciliation History screen Figure 83 New Message screen Figure 84 DirectActivated= setting Figure 85 External Systems screen Figure 86 Direct Exchange via RelayHealth screen Figure 87 Operator Maintenance Edit screen Figure 88 Referring Source Maintenance Edit screen Figure 89 Patient Edit screen Figure 90 Print Chart Summary screen Figure 91 Render to file screen Figure 92 Clinical Encounter Not Found screen Figure 93 Clinical Encounter Edit screen Figure 94 Export Medical Summary screen Figure 95 Clinical Encounter Not Found screen xii Configuration and End User Training August 2014

13 List of Figures Figure 96 Save As screen Figure 97 Export Medical Summary Detail Selection screen Figure 98 Clinical Encounter Edit screen Figure 99 New Message screen Figure 100 Select Destination screen Figure 101 Select Destination screen Figure 102 New Message screen Figure 103 Attachments screen Figure 104 Select Attachment screen Figure 105 Attachments screen Figure 106 New Message screen Figure 107 New Message screen Figure 108 Health Maintenance Procedure Name Edit screen Figure 109 Immunizations Selection screen Figure 110 Health Maintenance Procedure New screen Figure 111 PPConnect - Immunization Registry Import screen Figure 112 PPConnect - Immunization Registry Export screen Figure 113 Provider Maintenance Edit screen Figure 114 Web View Audit Trail Report screen Figure 115 RelayHealth Secure Messaging Metrics screen Figure 116 Report Syndromic Surveillance screen Figure 117 NoteTypesRadiology= setting Figure 118 NoteTypesRadiology= setting Figure 119 New External System screen Figure 120 Operator Maintenance Edit screen Figure 121 Edit External System screen Figure 122 New External System User screen Figure 123 Operator Select screen Figure 124 New External System User screen Figure 125 Practice Partner Zoom screen Figure 126 View menu Figure 127 Select Note screen Figure 128 Radiology screen Figure 129 Special Features screen - Records 5 tab Figure 130 Family History screen Figure 131 Family History screen Figure 132 Family Member New screen Figure 133 Family History Problem New screen Figure 134 Diagnosis Code Select screen Figure 135 Family History Problem New screen Figure 136 Family History screen Figure 137 Negative Family History New screen Figure 138 Family History screen Figure 139 DefaultObjectivesList= setting Figure 140 EHR Performance Metrics Sign In screen Figure 141 EHR Performance Metrics Report screen Figure 142 EHR Performance Metrics Report screen - Stage Figure 143 Directory Path for Export Files screen Figure 144 EHR Performance Metrics report Figure 145 EHR Performance Metrics report Figure 146 EHR Performance Metrics report Figure 147 EHR Performance Metrics report August 2014 Configuration and End User Training xiii

14 List of Figures Figure 148 EHR Performance Metrics report - Print icon xiv Configuration and End User Training August 2014

15 Introduction - General Information and Resources This section provides general information and resources for Meaningful Use. Meaningful Use Stage 2 requirements This section provides the general requirements for the first year of Meaningful Use Stage 2, in 2014 and beyond as specified by CMS. Along with the descriptions, several valuable resources are included in the form of links to various CMS tip sheets. These links ensure that you always have the latest information released by CMS pertaining to the various objectives and timelines. IMPORTANT: All eligible providers (EPs) MUST upgrade to a 2014 certified version of their EHR to meet Stage 2 requirements for Meaningful Use in All Practice Partner customers must upgrade to v11 of the product to meet this requirement. All Medisoft Clinical customers must upgrade to v19 SP1 of the product to meet this requirement. All Lytec MD customers must upgrade to v2014 SP1 of the product to meet this requirement. EPS will not be able to attest for Stage 2 Meaningful Use with any versions of the EHRs other than the ones listed above. Reporting periods and payment adjustments All EPs who have attested for Stage 1 Meaningful Use for at least two years must move on to Stage 2 in All EPs will be attesting for a period of three months (or 90 days) in EPs attesting through Medicare must do so for a three-month period aligned with one of the fiscal quarters of 2014 (for example, January 1-March 31 or April 1-June 30 or July 1- September 30 or October 1-December 31). EPs attesting through Medicaid may do so for any 90-day reporting period throughout the year. They do not have to align their reporting period with a fiscal quarter. All EPs will be required to attest for a full calendar year in 2015 and EPs participating in the Medicare incentive program are required to attest every consecutive year, once they start attesting for Meaningful Use. - If they skip a year, they move on to the next phase the following year. For example, if an EP attests in 2012 for the first time (Stage 1 Year 1) but skips attestation in 2013 (which would otherwise have been Stage 1 Year 2), the EP still must move on to Stage 2 Year 1 in The EP will incur payment adjustments in 2015 for non-attestation in 2013 (in addition to not qualifying for the 2013 incentive monies). EPs who can only participate in the Medicaid EHR Incentive Program (for example, mid-level providers like nurse practitioners) and/or those who do not bill Medicare at all (for example, pediatricians) are not subject to these payment adjustments listed above. Medicaid Incentive policy is different in two respects. - First, the Medicaid program does not have payment adjustments (no penalties). August 2014 Configuration and End User Training 1

16 Stage 2 overview guides Introduction - General Information and Resources - Second, Medicaid providers are not required to participate in consecutive years of the Medicaid EHR Incentive Program. Thus, unlike Medicare providers, Medicaid providers who skip years of participation will resume their Meaningful Use progression where they left off. For example, if a Medicaid EP skips 2014 (which would otherwise be Stage 1 Year 2) and also skips 2015 but comes back to the Medicaid program in 2016, the EP would be required to demonstrate Stage 1 Year 2 in 2016 as if the EP had never left the Medicaid program for those two years. EPs who are eligible to participate in either Medicare or Medicaid incentive programs but choose to go through Medicaid will be subject to the Medicare payment adjustments if they choose to skip a year. For example, if a family practitioner, who attested through Medicaid for the first time in 2012 (Stage 1 Year 1) skips attestation in 2013 (what would otherwise be Stage 1 Year 2), he/she will incur Medicare payment adjustment in 2015 because the EP is considered to be Medicare-eligible. - However, the EP will not be subject to any Medicaid adjustments for non-attestation in The EP can continue in the Medicaid program and can demonstrate Stage 1 Year 2 in 2015 (or later). For more information on basic eligibility and payment schedules and adjustments, refer to the following tip sheets. Tip sheet Medicare EHR Incentive Program - Overview, Payment Schedules, General Rules and Regulations Medicaid EHR Incentive Program - Overview, Payment Schedules, General Rules and Regulations Payment Adjustment and Hardship Exception Rules Location https://www.cms.gov/regulations-and-guidance/ Legislation/EHRIncentivePrograms/Downloads/ MLN_MedicareEHRProgram_TipSheet_EP.pdf https://www.cms.gov/regulations-and-guidance/ Legislation/EHRIncentivePrograms/Downloads/ MLN_MedicaidEHRProgram_TipSheet_EP.pdf Guidance/Legislation/EHRIncentivePrograms/ Downloads/ PaymentAdj_HardshipExcepTipSheetforEP.p df Stage 2 overview guides The following table provides links to Stage 2 overview guides. Overview guide Stage 2 Final Correction to Rule Stage 2 Overview, general information and some FAQs Location https://www.federalregister.gov/articles/2012/10/ 23/ /medicare-and-medicaidprograms-electronic-health-record-incentiveprogram-stage-2-corrections Legislation/EHRIncentivePrograms/Downloads/ Stage2Overview_Tipsheet.pdf 2 Configuration and End User Training August 2014

17 Introduction - General Information and Resources Stage 2 objectives Overview guide Official CMS Stage 2 guide for details about the objectives, the requirements, and associated payments and adjustments Stage 2 Toolkit - a collection of various Stage 2 tip sheets Changes between Stage 1 and Stage 2 Objectives Location Legislation/EHRIncentivePrograms/Downloads/ Stage2_Guide_EPs_9_23_13.pdf Legislation/EHRIncentivePrograms/Downloads/ Stage2_Toolkit_EHR_0313.pdf Legislation/EHRIncentivePrograms/Downloads/ Stage1vsStage2CompTablesforEP.pdf Stage 2 objectives The following table lists all the Stage 2 objectives with the CMS descriptions and a link to the official CMS tip sheet. Each link displays the CMS document that lists the description, requirements, exclusions, and other details for the objective. Objective Description CMS tip sheet Core #1 - CPOE Core #2 - Electronic Prescribing Core #3 - Record the Demographic s Use Computerized Provider 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. Generate and transmit permissible prescriptions electronically (erx). Record the following demographics: preferred language sex race ethnicity date of birth Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_1_CPOE_Medicatio norders.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_2_ePrescribing.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_3_RecordingDemogr aphics.pdf August 2014 Configuration and End User Training 3

18 Stage 2 objectives Introduction - General Information and Resources Objective Description CMS tip sheet Core #4 - Vital Signs Core # 5 - Smoking Status Core #6 - Clinical Decision Support Rule Core # 7 - Patient Portal Core #8 - Clinical Summary Core #9 - Security & Risks Analysis Core #10 - Structured Lab Data Core #11 - Patient Lists Record and chart changes in the following vital signs: height/length and weight (no age limit) blood pressure (ages 3 and over) calculate and display body mass index (BMI) plot and display growth charts for patients 0-20 years, including BMI Record smoking status for patients 13 years old or older. Use clinical decision support to improve performance on high-priority health conditions. 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. Provide clinical summaries for patients for each office visit. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Incorporate clinical lab test results into certified EHR technology as structured data. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_4_RecordVitalSigns. pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_5_RecordSmokingSt atus.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_6_ClinicalDecisionS upport.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_7_PatientElectronic Access.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_8_ClinicalSummarie s.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_9_ProtectElectronic HealthInfo.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_10_ClinicalLabTestR esults.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_11_PatientLists.pdf 4 Configuration and End User Training August 2014

19 Introduction - General Information and Resources Stage 2 objectives Objective Description CMS tip sheet Core #12 - Patient Reminders Core #13 - Patient Education Core #14 - Medication Reconciliatio n Core #15 - Summary of Care Record Core #16 - Immunization Data Submission to State Registry Core #17 - Secure Electronic Messaging Menu #1 - Syndromic Surveillance Data Submission Menu #2 - Record Electronic Notes Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care and send these patients the reminders, per patient preference. Use clinically relevant information from certified EHR technology to identify patient-specific education resources and provide those resources to the patient. The EP who receives a patient from another setting of care or provider or care, or believes an encounter is relevant should perform medication reconciliation. The EP who transitions his/her patient to another setting of care or provider of care, or who refers his/her patient to another provider of care should provide a summary care record for each transition of care or referral. Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice. Use secure electronic messaging to communicate with patients on relevant health information. Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice. Record electronic notes in patient records. Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_12_PreventiveCare. pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_13_PatientSpecificE dres.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_14_MedicationReco nciliation.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_15_SummaryCare.p df Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_16_ImmunizationRe gistriesdatasubmission.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPCore_17_UseSecureElectr onicmessaging.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_1_SyndromicSurveil lancedatasub.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_2_ElectronicNotes. pdf August 2014 Configuration and End User Training 5

20 Registration Introduction - General Information and Resources Objective Description CMS tip sheet Menu #3 - Imaging Results Menu #4 - Family History as Structured Data Menu #5 - Identify and Report Cancer Cases to Central Cancer Registry Menu #6 - Identify and Report Specific Cases to a Specialized Registry Registration Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. Record patient family health history as structured data. 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. 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. Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_3_ImagingResults.p df Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_4_FamilyHealthHist ory.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_5_ReportCancerCa ses.pdf Guidance/Legislation/ EHRIncentivePrograms/downloads/ Stage2_EPMenu_6_ReportSpecificCa ses.pdf All EPs must register via the https://ehrincentives.cms.gov/hitech/login.action webpage prior to their first attestation. Refer to the CMS user guides for more information. User guide Medicare Attestation - Registration User Guide Medicaid Attestation - Registration User Guide Location Legislation/EHRIncentivePrograms/Downloads/ EHRMedicareEP_RegistrationUserGuide.pdf Legislation/EHRIncentivePrograms/Downloads/ EHRMedicaidEP_RegistrationUserGuide.pdf To find the Product Registration or CHPL number for the certified version of the EHR used (needed during attestation): 1. Go to 6 Configuration and End User Training August 2014

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