Meaningful Use. Transition of Care March 2015
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1 Meaningful Use Transition of Care March 2015
2 Another Change (NOT Stage 3)
3 Regulations
4 When Transition of Care Transition in Transition Out Medication Reconciliation Requirement Summary of Care Document Requirement
5 What is a Transition of Care
6 What is a Transition of Care Ran by MCEITA, no useful feedback from CMS/ONC MU hotline
7 What is NOT a Transition of Care
8 Summary of Care Data Requirements
9 CCDA From GloStreams * New in Final Rule i State has option to make required for Medicaid
10 CCDA From ecw
11 CCDA From Next Gen Longitudinal verses encounter CCDA
12 Table of Content (Interactive) * New in Final Rule i State has option to make required for Medicaid
13 Summary of Care Technical Piece Only sending to those that do not have access to Munson Healthcare Cerner (Powerchart/Firstnet). May be applicable if multiple locations This of this as medical grade . Direct Everyone is using this (that we can tell).
14 Department of Defense
15 Summary of Care Direct s Only
16 Test between EHRs (Summary or Care, CCDA Test in ecw) Suggest waiting until ecw is Direct Trust Certified
17 Testing with Munson
18 Additional Items Transition of Care/Summary of Care/CCDA must be sent (not just a referral note - federal government) Most are using as referral. In some cases, this is more work. For Referrals, additional information needed: Signed order Additional forms Insurance information
19 Referral from GloStreams (NOT CCDA)
20 Addresses Built
21 MMC Department
22 MMC Referrals
23 In Progress (DO NOT USE) In progress, but not tested and trained Advanced Wound Care and Advanced Wound Center/Hyperbaric Oxygen Therapy Agility PT (Cadillac and Grayling, Roscommon, Prudenville), Various s. PT (POMH and KMH) not up installed but coming Munson Oncology (Medical and Radiation)
24 The REAL Benefit - Receiving
25 The REAL Benefit - Receiving
26 The REAL Benefit - Receiving
27 TEST, TEST, TEST before live Figure out who you transition your patients to Contact them and find out what their address is What other forms are needed Do a test, or two, or three.
28 Miscellaneous ecw uses P2P Sending outside of P2P, difficult. Becoming direct Trust Certified in April, 2015 Forms at MMC: Next Gen: uses Next Gen Share and that is working in production mode. John Rokos can test with you if interested (MMC) MMC Oncology addresses are set up but not yet tested Sending to physician or sending to practice
29 Miscellaneous CMS/ONC hotline says it must happen BEFORE the patient arrives at their new location Federal Regulations do not specify Trinity says within the reporting period Must understand your software and how it defines a Transition of Care (aka, denominator)
30 Stage 3 (Advisory Group)
31 Stage 3 (CHIME Table) From CHIME: Officials from the Department of Health and Human Services (HHS) unveiled their vision for MU Stage 3, including changes that support "efforts to increase simplicity and flexibility in the program while driving interoperability and a focus on patient outcomes in the meaningful use program," CMS said. The proposed MU rule would establish a single reporting period for all providers based on the calendar year and require all hospitals to meet 18 measures across 8 objective areas and all eligible professionals to meet 17 measures across the same objective areas. Stage 3 will begin in 2017, but the proposed rule allows most providers the option to wait until 2018 to move from Stage 2 to Stage 3. Below is a snapshot of proposed objectives for Stage 3: Protect ephi Perform a security risk analysis erx > 80% > 25% of hospital discharges medication orders query drug formulary Clinical Decision Support 5 CDS alerts Enabled drug/drug; drug/allergy interaction CPOE 80% medication orders 60% lab orders 60% diagnostic Patient Electronic Access to Health Information Provide access w/in 24 hours (can be through API) > 35% Education resources Coordination of Care through Patient Engagement (meet 2 of 3) > 25% View, Download or Transmit or > 25% use API to access their information > 35% use secure messaging > 15% PGHD is incorporated Health Information Exchange (2 of 3) > 50% of ToC transmit electronic summary of care record (SoCR) > 40% of ToC recipients incorporate SoCR into their EHR > 80% of ToC perform "clinical information reconciliation" Public Health 6 measures; EPs choose 3 of measures 1-5; EHs choose 4 of measures 1-6
32 Questions
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