Meaningful Use

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Meaningful Use. Stage 2 Esthee Van Staden September 2014. Please join Sage Growth Partners in a detailed discussion of Stage 2 Meaningful Use and what your practice needs to accomplish in 2014. About Us . Founded in 2005 - PowerPoint PPT Presentation

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Meaningful Use

Meaningful Use

Stage 2Esthee Van StadenSeptember 2014Please join Sage Growth Partners in a detailed discussion of Stage 2 Meaningful Use and what your practice needs to accomplish in 2014.

3About UsFounded in 2005Provide Strategy, Business Optimization, Technology, and Marketing advice and executionNational footprint in Health CareCultivate opportunities to accelerate growth

4

4Meaningful Use

Meaningful Use Stages

Paul Tang, M.D., Vice Chair for Health IT. 1/8/2013Stage 4 is moving toward the learning health system, Tang said, for both professionals and patients, so that we make better and better use of data.

Stage IV Care Plans, Patient ParticipationNew Stage Announced

What Are Stage 2 Objectives of the EHR Incentive Programs? 17 Core MeasuresCQMs3Menu MeasuresStage 2 Meaningful Use

1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders 10. Incorporate clinical lab-test results into Certified EHR Technology as structured data.2. Generate and transmit permissible prescriptions electronically (eRx) 11. Generate lists of patients by specific conditions3. Record demographic information 12. Reminders for preventive/follow-up care and send these patients the reminders, per patient preference. 4. Record and chart changes in vital signs 13. Patient specific education resources and provide those resources to the patient. 5. Record smoking status for patients 13 years old or older 14. Perform medication reconciliation. 6. Use clinical decision support to improve performance on high-priority health conditions 15. Provide a summary care record for each transition of care or referral. 7. Provide patients the ability to view online, download and transmit their health information16. Capability to submit electronic data to immunization registries8. Provide clinical summaries for patients for each office visit17. Use secure electronic messaging to communicate with patients on relevant health information. 9. Protect electronic health information created or maintained by Certified EHR Technology Core Objectives for Eligible Professionals Record electronic notes in patient records Imaging results accessible through CEHRT Record patient family health history Identify and report cancer cases to a State cancer registry (for EPs only)Identify and report specific cases to a specialized registry (Other than a cancer registry)(for EPs only) Generate and transmit permissible discharge prescriptions electronically (eRx) (New for eligible hospitals and CAHs only) New Stage 2 menu objectives for Eligible Providers

Clinical quality measures (CQMs) are tools that help us measure and track the quality of healthcare services provided by eligible professionals (EPs). These measures are based on a providers ability to deliver high-quality care or relate to long term goals for health care quality.

CMS selected the recommended core set of CQMs for EPs based on several factors:

Clinical Quality Measures OverviewHealth OutcomesClinical ProcessesPatient SafetyEfficient use of Healthcare resourcesCare CoordinationPatient engagementsPopulation and Public HealthClinical Guidelines

Clinical quality measures, or CQMs, are tools that help us measure and track the quality of healthcare services provided by eligible professionals (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) within our health care system. These measures use a wide variety of data that are associated with a providers ability to deliver high-quality care or relate to long term goals for health care quality. CQMs measure many aspects of patient care including: health outcomes, clinical processes, patient safety, efficient use of healthcare resources, care coordination, patient engagements, population and public health, and clinical guidelines.Continuously measuring and reporting these CQMs helps to ensure that our health care system can deliver effective, safe, efficient, patient-centered, equitable, and timely care.Currently, in Stage 1 of meaningful use for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, CQMs are required as a core meaningful use objective. EPs, EHs and CAHs who wish to participate in the EHR Incentive Program must submit data from certified EHR Technology CQMs in order to receive an incentive payment in the EHR Incentive Program. In Stage 2, CQMs are no longer a core meaningful use objective; however, EPs, EHs and CAHs are still required to submit CQMs in order to successfully participate in the program.Beginning in 2014, all providers, regardless of whether they are in Stage 1 or Stage 2 of meaningful use, will be required to report on the 2014 CQMs finalized in the Stage 2 rule. CMS has also provided information on what to report in 2013 as well as how to begin the transition for reporting in 2014. In addition, beginning in 2014, all EPs and EHs beyond their first year of meaningful use will be required to submit CQMs electronically. To learn more about electronic reporting please visit the Electronic Reporting Specification page of the EHR Incentive Program.10EPs must report on 9 of the 64 approved CQMs

Recommend core CQMs encouraged but not required9 CQMs for the adult population9 CQMs for the pediatric populationNQF 0018 strongly encouraged since controlling blood pressure is high priority goal in many national health initiatives.

CQMs 2014 and BeyondHHS National Quality Strategy Domains (Minimum 3 of 6 must be represented)Patient SafetyCare CoordinationPopulation and Public HealthEfficient Use of Healthcare ResourcesPatient and Family EngagementClinical Processes/Effectiveness

11Meaningful Use Stage 2 2014

The Department of Health and Human Services published a final rule for Stage 2 meaningful use August 29 that offers hospitals and physicians flexibility for 2014.

The new rule allows eligible providers to use the 2011 Edition of certified EHR technology or a combination of 2011 and 2014 Edition for the 2014 Medicare and Medicaid EHR Incentive Programs.

Come 2015, all eligible providers will be required to use the 2014 Edition if certified EHR technology.Final rule for Stage 2 meaningful use August 29, 2014

2014 CEHRT Flexibility

Now What

CMS strongly advises that your practice continues to expedite your upgrades and Meaningful Use preparations to meet the 2014 requirements and timelines. Stage 2 of the Medicare and Medicaid

Electronic Health Record (EHR) Incentive Programs includes several objectives that require information to be shared with another party. Three of these objectivesClinical Summary, Patient Electronic Access, and Summary of Careoutline specific data elements needed to meet the objective. While some of the data elements are common between these three objectives, other data elements are individual to each objective.

Under the Stage 2 core objectives to provide patients the ability to view online, download and transmit their health information, more than 5 percent of patients seen by the EP view, download, or transmit to a third party their health information. Exchanging Information Electronically

Under the Stage 2 core objective to use secure electronic messaging to communicate with patients on relevant health information, a secure message must be sent using the electronic messaging function of Certified EHR Technology by more than 5 percent of unique patients seen by an EP during the EHR reporting period. Secure Messaging

Superscripts offersa simple solution where EPs cansign up and use their messaging service to meetthe MU requirement.

http://surescripts.com/products-and-services/clinical-network-services/basic-messagingWhat if my EMR doesnt have Secure Messaging

Questions?