HL7 Interfaces & what they mean for Meaningful Use. Feb. 18, 2015
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1 HL7 Interfaces & what they mean for Meaningful Use Feb. 18, 2015
2 PRESENTERS Carolina Velasquez Phil Anderson
3 OVERVIEW What Is Meaningful Use? Eligible professionals vs Critical Access Hospitals Incentive Payouts Meaningful Use Timeline Meaningful Use Stage 1 & 2 MU2 Objectives Clinical Quality Measures What is HL7? In-depth HL7 to MU2 measures Interface Demo Conclusion Questions
4 WHAT IS MEANINGFUL USE? Meaningful use sets specific objectives that eligible professionals (EPs) and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs. There are two EHR Incentive Programs. CMS oversees the Medicare EHR Incentive Program, and the state Medicaid agencies manage the Medicaid EHR Incentive Program. In order to achieve meaningful use, CMS requires that all the products being used for attestation meet 100% of the CMS required criteria.
5 ELIGIBLE PROFESSIONALS VS CRITICAL ACCESS HOSPITALS (CAH) EPs Medicare or Medicaid Calendar Year Hospitals Medicare &/or Medicaid Fiscal Year
6 POLL #1
7 INCENTIVE PAYOUTS
8 MEANINGFUL USE TIMELINE
9 MEANINGFUL USE STAGE 1 Core Measures, Menu Measures, and Clinical Quality Measures (CQMs) Most organizations have already completed this step If you re starting attestation, you ll have to start with Stage 1.
10 MEANINGFUL USE STAGE 2 New Measures More CQMs to choose from Higher thresholds, refined criteria
11 MU2 CORE OBJECTIVES
12 MU2 MENU OBJECTIVES
13 CLINICAL QUALITY MEASURES What are they? Why are they important? Must include at least 1 CQM from 3 of the 6 National Quality Strategy (NQS) domains 1. Patient and Family Engagement 2. Patient Safety 3. Care Coordination 4. Population/Public Health 5. Efficient Use of Healthcare Resources 6. Clinical Process/Effectiveness
14 POLL #2
15 ONC-CERTIFIED EHR SOFTWARE Is my interface engine ONC-certified?
16 WHAT IS HL7? Health Level 7 Provide standards for interoperability Improve Care Delivery Optimize Workflow Reduce Ambiguity Enhance Knowledge Transfer
17 HL7 VERSION 2.X (V2) Widely used 95% of US healthcare organizations Impossible to have reliable conformance tests International More than 35 countries Flexible Additional time analyzing and planning interface implementations Backwards compatible
18 HL7 V2 SAMPLE MESSAGE MSH ^~\& ALLSCRIPTS FTDLABH EPIC ORU^R01 P 2.3 PID ^^^^IHSMRN TEST^PATIENT M PV1 O FTDFFMKR ORC RE OBR NA^SODIUM^FDTLAB ^PATEL^AIYUB^AIYU B^^^^^^^^^PNPI F OBX 1 NM NA^SODIUM^FDTCOMP 140 mmol/l H
19 HL7 V3 CDA CCD RIM Meaningful Use
20 HL7 V3 Reference Information Model (RIM) V3 CDA CCD
21 HL7 V3 Based on the Reference Information Model (RIM) XML Syntax Designed for Universal Application
22 RIM XML CANNOT BE USED ALONE CORNER STONE OF THE V3 DEVELOPMENT SIX CORE CLASSES Act Act_Relationship Participation Role Role_link Entity 2011 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
23 RIM REFERENCE INFORMATION MODEL 2011 Health Level Seven International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office.
24 CDA Document Standard Can include text, images, sounds and other multimedia content Examples: CCD, Consult Note, DI Report, Discharge Summary
25 CDA SIX CHARACTERISTICS Persistence Stewardship Authentication Wholeness Context Human Readability
26 CDC PUBLIC HEALTH INFORMATION NETWORK (PHIN) Develop and disseminate requirements standards Monitor the information exchange capabilities Develop methods to validate, test, and certify electronic messages MQF Message Quality Framework
27 POLL #3
28 HL7 V3/CDA MEASURES Objective EH EP HL7 *Clinical Decision Support Core Core V3 Provide patients ability to view online, download and transmit information Core Core CDA/CCD *V2 Provide Summary of care record Core Core CDA/CCD Cancer Registry Reporting Menu CDA
29 HL7 V2 MEASURES Objective EH EP HL7 Demographics Core Core ADT Clinical Lab-Test Results Core Core ORU Reportable Laboratory Results Core ORU Immunization Information Core Core VXU Syndromic Surveillance Core Menu ADT Imaging Result Menu Menu ORU/MDM Secure Messaging Core MDM Electronic Lab Results to Ambulatory Providers Menu ORU/ORM
30 DEMO Outbound Immunization Interface
31 CONCLUSION The Break Down EP 41% Core and 66% Menu EH 50% Core and 33% Menu V2-65% No more incentive payments for Medicare, but prove Meaningful Use to avoid penalties.
32 RESOURCES Guidance/Legislation/EHRIncentivePrograms/
33 QUESTIONS?
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