Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH

Michigan Medicaid EHR Incentive Program Update Jason Werner - MDCH

Program Timeline

Meaningful Use Timeline Meaningful Use Stages st year 0 0 03 04 05 06 07 08 09 00 0 0 AIU $,50 3 TBD TBD TBD TBD 0 AIU $,50 3 3 TBD TBD TBD 03 AIU $,50 3 3 TBD TBD 04 05 06 AIU or MU $,50 AIU or MU $,50 AIU or MU $,50 3 3 TBD 3 3 3

Registrations/Payments Incentive payments as of: 4-30-04 EP EH Year Total # Paid Total $ Paid Total # Paid Total $ Paid 0 AIU,409 $9,6,8 8 $63,00,08 0 AIU, $3,084,63 $8,946,349 0 MU 5 $4,4,357 43 $33,7,04 03 AIU 654 $3,557,50 5 $6,507,38 03 MU 54 $,47,668 3 $5,93,46 03 MU3 46 $376,835 35 $7,4,645 EP & EH Totals $7,570,65 $34,799,58 Grand Total $07,369,846

Stage Changes Stage Stage Eligible Professionals 3 Core Measures 5/0 Menu Measures Total of 0 Objectives Eligible Professionals 7 Core Measures 3/6 Menu Measures Total of 0 Objectives Eligible Hospitals and Critical Access Hospitals 4 Core Measures 5/0 Menu Measures Total of 9 Objectives Eligible Hospitals and Critical Access Hospitals 6 Core Measures 3/6 Menu Measures Total of 9 Objectives

Stage Overview By 04, all providers must use certified 04 EHR software 04 EHR certified technology supports MU in either Stage or For 04 only, 3 month reporting period for all. Reporting MU for the first payment year= any 90 days Reporting MU in any other payment year= quarterly

Medicare Payment Adjustment Beginning in 05 Affects any Medicare eligible professional or hospital that DOES NOT successfully demonstrate MU Eligible professional payment adjustments % payment adjustment, increasing % each year up to 5% total Hardship Exceptions An EP may qualify if they are unable to meet MU prior to the Medicare payment adjustment deadline.* *Further information available at www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/paymentadj_hardship.html

Proposed Changes in 04 Applicable only for 04 program year Comments are due on July, 04

Stage EP Core Objectives Core Objective Measure CPOE Use CPOE for more than 60% of medications, 30% of laboratory and 30% of radiology e-rx e-rx for more than 50% 3 Demographics Record demographics for more than 80% 4 Vital Signs Record vital signs for more than 80% 5 Smoking Status Record smoking status for more than 80% 6 CDS Interventions Implement 5 clinical decision support interventions and drug/drug and drug/allergy 7 Labs Incorporate lab results for more than 55% 8 Patient List Generate patient list by specific condition

Stage EP Core Objectives Core Objective Measure 9 Preventive Measures Use EHR to identify and provide reminders for preventive/follow up care for more than 0% of patients with two or more office visits in the last years 0 Patient Access Provide online access to health information for more than 50% with more than 5% actually accessing Visit Summaries Provide office visit summaries for more than 50% of office visits Education Resources Use EHR to identify and provide education resources for more than 0% of all unique patients 3 Secure Messages More than 5% of patients send secure messages to their EP

Stage EP Core Objectives Core Objective Measure 4 Medication Reconciliation Medication Reconciliation for more than 50% of transitions of care 5 Summary of Care Provide summary of care documents for more than 50% of transitions of care and referrals with 0% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR 6 Immunizations Successful ongoing transmission of immunization data 7 Security Analysis Conduct or review security analysis and incorporate in risk management process

Stage EP Menu Objectives Menu Objective Measure Imaging Results More than 0% of imaging results are accessible through CEHRT Family History Record Family History for more than 0% 3 Syndromic Surveillance Successful ongoing transmission of syndromic surveillance data 4 Cancer Successful ongoing transmission of cancer case information 5 Specialized Registry Successful ongoing transmission of data to specialized registry 6 Progress Notes Enter an electronic progress note for more than 30% of unique patients

Clinical Quality Measures CQM Changes in 04 Provider Prior to 04 04 and Beyond* EPs Complete 6 out of 44 3 Core or 3 Alternate core 3 Additional CQMs *Regardless of the stage of MU, all providers will complete this number of CQMs in 04 Complete 9 out of 64 Choose at least measure from 3 of 6 NQS domains

Questions? www.michiganhealthit.org