Meaningful Use: The Extra Mile. Presented by Matt Anderson AVP Business Analysis

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1 Meaningful Use: The Extra Mile Presented by Matt Anderson AVP Business Analysis

2 What is Meaningful Use? Using Certified Electronic Health Record Technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination Maintain privacy and security of patient health information It is anticipated that compliance with Meaningful Use will result in: Better clinical outcomes Improved population health outcomes Increased transparency and efficiency Empowered individuals

3 Industry Facts & Figures Over $24 Billion paid out 55-60% of Providers have achieved Meaningful Use Best adoption in California, Texas, Florida and New York

4 CureMD Facts & Figures Millions paid in Incentives to CureMD Providers 99% of Providers that signed up for MU Consultation have successfully received incentives

5 Medicare Incentive Program

6 Medicaid Incentive Program

7 Penalties 1% penalty in 2015 if you did not attest till Q Penalties will go up to 5% Start reporting now Hardship Exemption deadline extended till November 30 th

8 Meaningful Use Road Map

9 Stage 2 Full year of reporting > Appeal has been forwarded to Congress New Measures Higher Thresholds Patient Engagement Interoperability

10 Core Measures 1. CPOE for Medication, Laboratory and Radiology Orders 2. e-prescribing 3. Record Demographics 4. Record Vital Signs 5. Record Smoking Status 6. Clinical Decision Support Rule 7. Patient Electronic Access 8. Clinical Summaries 9. Protect Electronic Health Information

11 Core Measures 10. Clinical Lab-Test Results 11. Patient Lists 12. Preventive Care 13. Patient-Specific Education Resources 14. Medication Reconciliation 15. Summary of Care 16. Immunization Registries Data Submission 17. Secure Electronic Messaging

12 ONC Analysis Which are the toughest measures?

13 Patient Engagement Important focus of MU Stage 2 Patient Electronic Access > 50% of patients must have access to their electronic health information > 5% of patients must view their health information online Secure Electronic Messaging > 5% of patients must send secure messages to their EP

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15 Preventive Care Objective: Send Clinical Reminders to 10% of your Established Patients Reminders must be clinical in nature and must be for care the patient is not scheduled to receive Use Clinical Parameters in the Patient Search report to identify patients and send reminders. Reminders will be sent per the patient s communication preference ( , Patient Portal, Letter).

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17 Summary of Care Objective: For Outgoing Referrals, the EP should provide a Summary of Care record. The measure has 3 parts: 1. 50% of patients are provided a Summary of Care record when being referred. 2. For 10% of patients, a Summary of Care record is electronically transmitted to the appropriate provider via Direct Messaging. 3. At least 1 Summary of Care record must be sent to a provider using a different EHR vendor Exclusion: Any EP who has less than 100 Outgoing Referrals in the Reporting Period.

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19 Immunization Registries Data Submission Objective: Ongoing Submission to an Immunization Registry Exclusions: > EP does not administer any immunizations > There is no immunization registry capable of accepting the data Enroll with your state, and setup an interface through CureMD Ongoing submission of data In Stage 1, it was a menu measure and only one test of submission was needed

20 Medication Reconciliation Objective: EP should perform Medication Reconciliation for patients that come from another setting of care or provider of care For New Patients > Record the patient s updated Medication List and check the Medication Reconciliation Performed checkbox For Incoming Referrals where a Summary of Care record was provided > Perform Medication Reconciliation

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23 CPOE The measure has 3 parts: > Use CPOE for 60% of Medication Orders > Use CPOE for 30% of Lab Orders > Use CPOE for 30% of Radiology Orders Exclusion: Any EP who writes fewer than 100 orders of any type will get the appropriate exclusion Compared to Stage 1, higher thresholds and addition of Radiology and Lab orders

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25 Menu Measures 1. Syndromic Surveillance Data Submission 2. Electronic Notes Record Electronic Progress Notes for 30% of Patients 3. Imaging Results 10% of Radiology Results should have attached images 4. Family Health History Record Family History for 20% of Patients

26 Clinical Quality Measures Track the quality of health care services provided by EP Report 9 Clinical Quality Measures to CMS You get credit even if you report 0 in the denominator

27 How can CureMD help you? ACO MU Measures Performance KPI and Reports Real time reports on your progress View patients not complying with HEDIS any measure / 5 Star / MAP Measures Overall Compliance Tracking

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29 Stage 3

30 MU Registration ACO Measures MU Consulting > Process Consulting and Walk Through Initial Assessment & Recommended Plan > Analyze Current Processes / Workflow > Determine the fastest path to Meaningful Use HEDIS / 5 Star / MAP Measures MU Training > Training on MU Compliance Progress Tracking > Bi-Weekly Progress Review Meeting MU Attestation > Process Consulting and Walk Through

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