Meaningful Use. 101 for Physician Offices January 2012

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1 Meaningful Use 101 for Physician Offices January

2 Agenda What is the E.H.R Incentive Program Requirements to meet How to participate Eligible Registration What do we have to do Certified package Core and menu Clinical Quality Measures Attestation Resources Stage 2 and 3 2

3 What is an E.H.R Incentive Program 3

4 Requirements 4

5 Certified Package 5

6 Penalties 6

7 Medicare verses Medicaid 7

8 Medicare and Medicaid Payment 8

9 Medicare Eligibility 9

10 Medicaid Eligibility 10

11 PQRS, erx, E.H.R. 11

12 Registration 12

13 Requirements of Meaningful Use 13

14 Exclusion Exclusions (examples): CPOE erx Record and chart vital signs MICR Smoking Status (< 13 years) Syndrome Surveillance Electronic copy of information (if no one asks) And others 14

15 Core and Menu Items 15

16 Core and Menu as it relates to Quality 16

17 Core Objectives 17

18 CPOE 18

19 E-Prescribing (erx) 19

20 Demographics 20

21 Vital Signs 21

22 Clinical Decision Support Examples: Mammogram for women over 40 Hemoglobin A1C blood test for Diabetic 22

23 Electronic Copy of Health Information Patient Portal 23

24 Provide Clinical Summary 24

25 Exchange Key Clinical Data (CCD/CCR) Can easily exchange with Munson (CCD or CCR) through instructions and sample letter on CD 25

26 Privacy and Security = Protect Long and short security risk analysis provided Do not just check everything as met, document Sample Security and Privacy Policy provided 26

27 Medium Projects Additional information Provided 27

28 Medium Projects 28

29 Quality Measures 29

30 Core Quality Measures 30

31 Alternate Core Measures 31

32 Additional Clinical Quality Measures 32

33 Additional Quality Measures 33

34 Things to Remember about Measures Not the same as PQRI/PQRS 34

35 Attesting Guide provided in CD 35

36 Attestation Calculator Attestation Calculator provided on CD 36

37 Resource Library Links provided in the EP Beginners Guide to Medicare meaningful Use.pdf (on CD), page 78 37

38 Other Resources Randi Terry, Joseph Cook, DO, MCEITA (mceita.org), Primary Care, Regional Extension Office FAQs - ( ms/downloads/faqsremediatedandrevise d.pdf 38

39 Education/Material Provided 39

40 Education/Material Provided 40

41 Where is Michigan MI 41

42 Stages of Meaningful Use 42

43 Stage 2 and 3 Adjustments Requirements Stage 2 Stage 3 CPOE Increase to 60% Include med, lab & rad orders erx Clinical Quality Measures Clinical Decision Support (CDS) 50% med orders (EP & hospital discharge) TBD Use CDS Rules on high priority conditions 80% 80% TBD Use CDS Rules to improve performance Patient lists Generate pt list for multiple parameters Use pt lists to manage highpriority patients HIE Connect to at least 3 external providers in primary referral network or 1 HIE Connect to 30% of external providers or 1 HIE Med Rec 80% 90% Other All Stage 1 menu items required Problem list, meds, allergy lists 43 are up-to-date

44 Stage 2 & 3 Major New Criteria Requirement Hospital EP Clinical Documentation Patient Portal Physician, PA, NP Notes Electronic MAR Electronic relevant information about hospital encounter Physician Notes Download relevant information about a clinical encounter Download data from a longitudinal record 20% of patient use a web-based portal (30% in Stage 3) Use online patient messaging Continuity of Care List of care team members Longitudinal care plan for pts with high-priority conditions List of care team members Longitudinal care plan for pts with high-priority conditions 44

45 Glossary of Terms 45

46 Glossary of Terms CCHIT - Certification Commission for Health Information Technology CPOE - Computerized Provider Order Entry EHR - Electronic Health Record; EMR: Electronic Medical Record EP - Eligible Professional -- one of five types of professionals legally authorized to practice their profession under state law HIE - Health Information Exchange HIPAA - Health Insurance Portability & Accountability Act HITECH - Health Information Technology for Economic and Clinical Health MU - Meaningful Use, the term used in ARRA to describe a hospital or physician who demonstrates achievement of specific goals and therefore can earn Medicare and/or Medicaid incentive payments ONC - Office of the National Coordinator ONC-ATCB Authorized Testing and Certification Bodies designated to perform testing and award certifications 46

47 47

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