Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH

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1 Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH

2 Program Timeline

3 Meaningful Use Timeline Meaningful Use Stages st year AIU $,50 3 TBD TBD TBD TBD 0 AIU $, TBD TBD TBD 03 AIU $, TBD TBD AIU or MU $,50 AIU or MU $,50 AIU or MU $, TBD 3 3 3

4 Registrations/Payments Incentive payments as of: EP EH Year Total # Paid Total $ Paid Total # Paid Total $ Paid 0 AIU,409 $9,6,8 8 $63,00,08 0 AIU, $3,084,63 $8,946,349 0 MU 5 $4,4, $33,7,04 03 AIU 654 $3,557,50 5 $6,507,38 03 MU 54 $,47,668 3 $5,93,46 03 MU3 46 $376, $7,4,645 EP & EH Totals $7,570,65 $34,799,58 Grand Total $07,369,846

5 Stage Changes Stage Stage Eligible Professionals 3 Core Measures 5/0 Menu Measures Total of 0 Objectives Eligible Professionals 7 Core Measures 3/6 Menu Measures Total of 0 Objectives Eligible Hospitals and Critical Access Hospitals 4 Core Measures 5/0 Menu Measures Total of 9 Objectives Eligible Hospitals and Critical Access Hospitals 6 Core Measures 3/6 Menu Measures Total of 9 Objectives

6 Stage Overview By 04, all providers must use certified 04 EHR software 04 EHR certified technology supports MU in either Stage or For 04 only, 3 month reporting period for all. Reporting MU for the first payment year= any 90 days Reporting MU in any other payment year= quarterly

7 Medicare Payment Adjustment Beginning in 05 Affects any Medicare eligible professional or hospital that DOES NOT successfully demonstrate MU Eligible professional payment adjustments % payment adjustment, increasing % each year up to 5% total Hardship Exceptions An EP may qualify if they are unable to meet MU prior to the Medicare payment adjustment deadline.* *Further information available at

8 Proposed Changes in 04 Applicable only for 04 program year Comments are due on July, 04

9 Stage EP Core Objectives Core Objective Measure CPOE Use CPOE for more than 60% of medications, 30% of laboratory and 30% of radiology e-rx e-rx for more than 50% 3 Demographics Record demographics for more than 80% 4 Vital Signs Record vital signs for more than 80% 5 Smoking Status Record smoking status for more than 80% 6 CDS Interventions Implement 5 clinical decision support interventions and drug/drug and drug/allergy 7 Labs Incorporate lab results for more than 55% 8 Patient List Generate patient list by specific condition

10 Stage EP Core Objectives Core Objective Measure 9 Preventive Measures Use EHR to identify and provide reminders for preventive/follow up care for more than 0% of patients with two or more office visits in the last years 0 Patient Access Provide online access to health information for more than 50% with more than 5% actually accessing Visit Summaries Provide office visit summaries for more than 50% of office visits Education Resources Use EHR to identify and provide education resources for more than 0% of all unique patients 3 Secure Messages More than 5% of patients send secure messages to their EP

11 Stage EP Core Objectives Core Objective Measure 4 Medication Reconciliation Medication Reconciliation for more than 50% of transitions of care 5 Summary of Care Provide summary of care documents for more than 50% of transitions of care and referrals with 0% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR 6 Immunizations Successful ongoing transmission of immunization data 7 Security Analysis Conduct or review security analysis and incorporate in risk management process

12 Stage EP Menu Objectives Menu Objective Measure Imaging Results More than 0% of imaging results are accessible through CEHRT Family History Record Family History for more than 0% 3 Syndromic Surveillance Successful ongoing transmission of syndromic surveillance data 4 Cancer Successful ongoing transmission of cancer case information 5 Specialized Registry Successful ongoing transmission of data to specialized registry 6 Progress Notes Enter an electronic progress note for more than 30% of unique patients

13 Clinical Quality Measures CQM Changes in 04 Provider Prior to and Beyond* EPs Complete 6 out of 44 3 Core or 3 Alternate core 3 Additional CQMs *Regardless of the stage of MU, all providers will complete this number of CQMs in 04 Complete 9 out of 64 Choose at least measure from 3 of 6 NQS domains

14 Questions?

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