Meaningful Use Update
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- Loren Poole
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1 Meaningful Use Update
2 Overview US laws and regulations (we LOVE acronyms!) o ARRA o HITECH o MU Creation of some of the MU related Implementation Guides Lab related examples Certification procedures Testing tools
3 American Recovery and Reinvestment Act (ARRA) February 2009: ARRA includes Health Information Technology for Economic and Clinical Health Act (HITECH Act) to improve the use of Electronic Health Records (EHR) by providers and increase the quality of care in order to establish a foundation for health care reform ARRA mandated the creation of the Office of the National Coordinator for Health Information Technology (ONCHIT), or ONC for short, to oversee this 3
4 Goals: American Recovery and Reinvestment Act (ARRA) Create new jobs and save existing ones Spur economic activity and invest in longterm growth Foster unprecedented levels of accountability and transparency in government spending 4
5 HITECH Act and ONC The Office of the National Coordinator (ONC): Create incentive program for meaningful users of EHRs Adopt initial standards for EHR related data exchange Create Federal Advisory Groups: Health IT Policy Committee: Recommendation on policy framework to advance the meaningful use (MU) of health information technology (HIT) Health IT Standards Committee: Recommendation on standards to be used in implementation specifications and certification criteria 5
6 Meaningful Use (MU) Incentive payments to hospitals and providers using certified EHR technology based on CMS objectives, core and menu objectives across 5 domains to be implemented in stages Stage 1 data capture and sharing certification Stage 2 advanced clinical processes certification Stage 3 improved outcomes - in planning LINK: 6
7 Meaningful Use (MU) $44.7B estimated incentive payments Focuses on clinician behavior to improve care Eligible provides and hospitals must demonstrate being a meaningful user of EHR to receive payment A meaningful user must: Use a certified EHR product Meet core objectives and at least 5 menu objectives Report quality measures A voluntary program Adapted from Bill Brand HITECH and Meaningful Use slides 8/19/
8 Meaningful Use (MU) Examples of Core Objectives in stage 1 Computerized physician order entry (CPOE) Provide electronic copy of patient s health information, upon request Record demographics Maintain active medication list Record smoking status for patients 13 years or older Exchange key clinical information among providers of care and patient-authorized entities electronically Check drug-drug and drug-allergy interaction E-Prescribing (erx) Provide clinical summaries for patients for each office visit Adapted from Bill Brand HITECH and Meaningful Use slides 8/19/
9 Meaningful Use (MU) Examples of Menu Objectives in stage 1 Incorporate clinical lab test results as structured data Generate lists of patients by specific conditions Summarize care record for each transition of care/referral (core in stage 2) Send reminders to patients per patient preference for preventive/follow up care Submit electronic data to immunization registries/systems (core in stage 2) Provide electronic syndromic surveillance data to public health agencies (core in stage 2) Provide electronic submission of reportable lab results to public health agencies (core in stage 2) Adapted from Bill Brand HITECH and Meaningful Use slides 8/19/
10 Parties involved: Developers & Vendors Certification Overview Create Electronic Health Record (EHR) products to be tested and certified. Accredited Testing Laboratories (ATL): Test and certify products against the standards and certification criteria to provide assurance and maintain quality and consistency across certified products. ONC Authorized Certification Bodies (ONC-ACB): ONC-ACBs certify the tested products. ONC Certified Health IT Product List (CHPL): Identifies all Certified EHR Technology (CEHRT) Eligible Professionals (EPs) & Eligible Hospitals (EHs): Use CEHRT to meet MU requirements to qualify for incentive payments under the CMS EHR Incentive Programs. And indirectly Patients & General Public: Doctors have more accurate and complete information about an individual s health, enabling them to provide patients with the best possible care. For more information:
11 Certification Procedures
12 ATLs The National Voluntary Laboratory Accreditation Program (NVLAP) has been acknowledged by ONC, by regulation, as the Accreditation Body for Testing Laboratories in the ONC HIT Certification Program. In July 2012, NVLAP accredited the following test laboratories, as Accredited Testing Laboratories (ATLs), qualified to test EHR technology under the ONC HIT Certification Program: Drummond Group Certification Commission for Health Information Technology (CCHIT) ICSA Labs InfoGard Laboratories, Inc. SLI Global Solutions View more information on the NVLAP HIT Laboratory Accreditation Program (LAP).
13 ONC-ACBs In July 2012, ANSI accredited the following certification bodies, which then applied to ONC for authorization at to certify EHR technologies in the ONC HIT Certification Program. ONC has authorized the following certification bodies to serve as ONC- ACBs in the ONC HIT Certification Program: Drummond Group ICSA Labs InfoGard Laboratories, Inc. ONC-ACBs are required by regulation to renew their ONC-ACB status every three years.
14 Certification Goal: Make THE LIST! Link:
15 ONC-Briefs from 2014 From Swain M, Charles D, Furukawa MF. Health Information Exchange among U.S. Non-federal Acute Care Hospitals: ONC Data Brief, no 17 Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
16 ONC-Briefs from 2014 From Swain M, Charles D, Furukawa MF. Health Information Exchange among U.S. Non-federal Acute Care Hospitals: ONC Data Brief, no 17 Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
17 ONC-Briefs from 2014 From Swain M, Charles D, Furukawa MF. Health Information Exchange among U.S. Non-federal Acute Care Hospitals: ONC Data Brief, no 17 Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
18 ONC-Briefs from 2014 From: Swain M, Charles D, Furukawa MF. Health Information Exchange among U.S. Non-federal Acute Care Hospitals: ONC Data Brief, no 17 Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
19 ONC-Briefs from 2014 From: Charles D, Gabriel M, Furukawa MF. Adoption of Electronic Health Record Systems among U.S. Non-federal Acute Care Hospitals: , ONC Data Brief, no. 16. Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
20 ONC-Briefs from 2014 From: Charles D, Gabriel M, Furukawa MF. Adoption of Electronic Health Record Systems among U.S. Non-federal Acute Care Hospitals: , ONC Data Brief, no. 16. Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
21 ONC-Briefs from 2014 From: Charles D, Gabriel M, Furukawa MF. Adoption of Electronic Health Record Systems among U.S. Non-federal Acute Care Hospitals: , ONC Data Brief, no. 16. Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
22 ONC-Briefs from 2014 From: Charles D, Gabriel M, Furukawa MF. Adoption of Electronic Health Record Systems among U.S. Non-federal Acute Care Hospitals: , ONC Data Brief, no. 16. Washington, DC: Office of the National Coordinator for Health Information Technology. May 2014
23 ONC-Briefs from 2014 From: Office of the National Coordinator for Health Information Technology. U.S. Hospital Adoption of Computerized Capabilities to Meet Meaningful Use Stage 2 Objectives, Health IT Quick-Stat, no. 23, April 2014
24 ONC-Briefs from 2014 From:Office of the National Coordinator for Health Information Technology. Hospitals Receiving Incentive Payments for Electronic Health Record Adoption or Meaningful Use, Health IT Quick-Stat, no. 18. February 2014
25 ONC-Briefs from 2014 From: Swain M, Patel V. Health Information Exchange among Clinical Laboratories. ONC Data Brief, no 14. Washington, DC: Office of the National Coordinator for Health Information Technology. February 2014
26 ONC-Briefs from 2014 From: Swain M, Patel V. Health Information Exchange among Clinical Laboratories. ONC Data Brief, no 14. Washington, DC: Office of the National Coordinator for Health Information Technology. February 2014
27 ONC-Briefs from 2014 From: Swain M, Patel V. Health Information Exchange among Clinical Laboratories. ONC Data Brief, no 14. Washington, DC: Office of the National Coordinator for Health Information Technology. February 2014
28 ONC-Briefs from 2014 From: Swain M, Patel V. Health Information Exchange among Clinical Laboratories. ONC Data Brief, no 14. Washington, DC: Office of the National Coordinator for Health Information Technology. February 2014
29 ONC-Briefs from 2014 From: Swain M, Patel V. Patient Access to Test Results among Clinical Laboratories. ONC Data Brief, no 13. Washington, DC: Office of the National Coordinator for Health Information Technology. February 2014
30 MU 2014 certification All EHR-S must now be 2014 certified Attesting Providers need to provide 90 days of transaction for each quarter
31 NPRM for voluntary 2015 certification New concept Idea is to trial certification standards Comment period ended April 28 th, 2014 Hear of quite a lot of push back
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