meaningful use in 2015: 6 things to do before the year’s end

7/21/2019 Meaningful Use in 2015: 6 things to do before the year’s end

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Good News!CMS has heard your call

These changes take

effect starting 2015

and continue through

2017.

Changes finally made to Meaningful Use

Stage 1 and 2.



How is ‘Modified Stage 2’ different?

03

Previous Stages

Full year reporting period

Complicated framework of “core” and

“menu” measures

Excessive data-entry measures in

reporting requirements

High performance threshold forPatient Engagement measures

90 Continuous days reportingperiod for 2015

Core and menu measures replacedwith 10 objectives

Eliminated redundant, duplicative, andtopped-out measures

Reduced performance threshold

Modified Stage 2



Stage 1 and Stage 2 Measures

Stage 1 Meaningful Use till 2014 (Core Measures)1 CPOE for Medications

2 Drug Interaction Checks

3 Maintain Problem List

4 Eprescribing

5 Active Medication List

6 Medication Allergy List

7 Record Demographics

8 Record Vital signs

9 Record Smoking Status

10 Clinical Decision Support

11 Patient Electronic Access

12 Clinical Summaries

13 Protect Electronic Health Information

Menu Measures

1 Drug Formulary Checks

2 Clinical Lab Test Results

3 Patient Lists4 Patient Reminders

5 Patient Education

6 Medication Reconciliation

7 Transition of Care Summary

Public Health Menu Measures

8 Immunization Registries Data Submission

9 Syndromic Surveillance Data Submission

Stage 2 Meaningful Use till 2014 (Core Measures)1 CPOE for Medication, Lab, Radiology Orders

2 Eprescribing


4 Record Vital Signs







11 Patient Lists

12 Patient Reminders

13 Patient Education


15 Summary of Care


17 Secure Electronic Messaging

Menu Measures


2 Electronic Notes

3 Imaging Results

4 Family Health History

5 Report Cancer Cases

6 Report Specific Cases

04



Stage 1 and Stage 2 Measures

Stage 1 Meaningful Use till 2014 (Core Measures)1 CPOE for Medications

2 Drug Interaction Checks

3 Maintain Problem List

4 Eprescribing

5 Active Medication List

6 Medication Allergy List


8 Record Vital signs






Menu Measures

1 Drug Formulary Checks


3 Patient Lists4 Patient Reminders

5 Patient Education


7 Transition of Care Summary

Public Health Menu Measures



Stage 2 Meaningful Use till 2014 (Core Measures)1 CPOE for Medication, Lab, Radiology Orders

2 Eprescribing


4 Record Vital Signs







11 Patient Lists

12 Patient Reminders

13 Patient Education


15 Summary of Care


17 Secure Electronic Messaging

Menu Measures


2 Electronic Notes

3 Imaging Results

4 Family Health History

5 Report Cancer Cases

6 Report Specific Cases

04



Modified Meaningful Use 2015 -2017

05

Objective 1: Protect Patient Health Information

Protect patient health information created or maintained by the certified EHR technology through the implementation of appropriatetechnical capabilities

Objective 2: Clinical Decision Support

t Implement clinical decision support interventions relevant to specialty or high clinical priority

Enable drug-drug and drug-allergy interactions

Objective 3: Computerized Provider Order Entry

t

Medication orders created by the EP should be recorded using computerized provider order entryLab orders created by the EP should be recorded using computerized provider order entryRadiology orders created by the EP should be recorded using computerized provider order entry

Objective 4: Electronic Prescribing

Prescriptions written by the EP should be transmitted electronically using certified EHR technology

Objective 5: Health Information Exchange

When transitioning a patient to another setting of care, or referring the patient, providers should create a Summary of Care record andelectronically transmit it using certified EHR techonology

S t a g e 1

E x c l u s i o

n



Modified Meaningful Use 2015 -2017

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Objective 6: Patient Specific Education

Provide patients with specific education resources that are identified by certified EHR technology

Objective 7: Medication Reconciliation

Perform Medication Reconciliation for patients transitioned into the care of the EP

Objective 8: Patient Electronic Access (VDT)

Reduced from 5% to 1 patient or more

Provide patients with timely access to view online, download, and transmit their health informationHealth Information is viewed online, downloaded, or transmitted by patients

Objective 9: Secure Messaging

Provide patients the capability to send and receive a secure electronic message with the EP

Objective 10: Public Health Reporting

Submit immunization data to an immunization registrySubmit syndromic surveillance data to a public health agency

Providers scheduled to be in Stage 1 in 2015 may claim an exclusion for these measures

Reduced from 5% to functionality fully enabled S t a g e 1

E x c l u s i o

n

S t a g e 1

E x c l u s i o

n

S t a g e 1

E x c l u s i o

n

S t a g e 1

E x c l u s i o

n



Attestation periods for the MedicareIncentive Program

Attestationyear

2015

2016

2017

2018

Modified Stage 2

90 days

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

Modified Stage 2

90 days

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

Modified Stage 2

90 days

Modified Stage 2

90 days

Modified Stage 2

90 days

_

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

Modified Stage 2

Full year

Modified Stage 2 or

Stage 3 Full year

Stage 3 Full

year

2011Adoption

2012Adoption

2013Adoption

2014Adoption

2015Adoption

2016Adoption



Whats your plan for MU Attestation?

08

MU modified Stage 2 final rule came out a week into the last possible 90-day reporting

period, not leaving enough time for practices to create a game plan.

How to prepare for Meaningful Use in this short time-frame?



6 things your practice must cover beforethe year’s end!



Choose the Reporting Period

The Final Rule from CMS states that all providers

will attest for a 90-day reporting period in 2015.

What stage or year you were previously in is

irrelevant.

Task no 1



Perform A Security RiskAnalysis

Must be conducted at least once before

attesting for MU.

Identify and correct security defencies.

Once done, you can attest to CMS that you have

conducted this analysis.

A copy of the document must be maintained

in case there is an MU audit.

Task no 2



Read the ExclusionsTask no 3

Objective Exclusion Alternate Exclusion

Objective 1: Protect Patient

Health Information

Objective 2: Clinical Decision

Support

Objective 3: Computerized Provider

Order Entry

Objective 4: Electronic

Prescribing

None

For Drug Interactions, any EP who writes fewer

than 100 medication orders during the EHR

reporting period.

Measure 1: Any EP who writes fewer than 100

medication orders during the EHR reporting

period.

Measure 2: Any EP who writes fewer than

100 laboratory orders during the EHR reporting

period.

Measure 3: Any EP who writes fewer than100 radiology orders during the EHR reporting

period.

Any EP who writes fewer than 100

Prescriptions

Stage 1 EPs may use "Alternate Measure"

which has a reduced threshold of 40%, as

opposed to 50%.

Stage 1 EPs may use "Alternate Measure" which

has a reduced threshold of implementing one

clinical decision support rule, as opposed to five

clinical decision support rules.

For Measure 1, Stage 1 EPs may use "Alternate

Measure" which has a reduced threshold of

30%, as opposed to 60%.

For Measures 2 and 3, Stage 1 EPs get an

exclusion since Stage 1 did not have an

equivalent core measure.

None

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Read the Exclusions


Objective 5: Health Information

Exchange

Objective 6: Patient Specific

Education

Objective 7: Medication

Reconciliation

Objective 8: Patient Electronic

Access (VDT)

Any EP who has fewer than 100

transitions of care or referrals

Stage 1 EPs get an exclusion since Stage

1 did not have an equivalent core measure.

Any EP who has no office visits during the

EHR reporting period

Any EP who was not the recipient of any

transitions of care during the EHR reporting

period.

Any EP who:

a. Neither orders nor creates any of the

information listed for inclusion as part of the

measures; or

b. Conducts 50 percent or more of his or her

patient encounters in a county that does not

have 50 percent or more of its housing units

with 4Mbps broadband availability.

For Measures 2, Stage 1 EPs get an exclusion

since Stage 1 did not have an equivalent core

measure.

Stage 1 EPs get an exclusion since Stage 1 did

not have an equivalent core measure.

Stage 1 EPs get an exclusion since Stage 1 did

not have an equivalent core measure.



Read the Exclusions


Objective 9: Secure

Messaging

Objective 10: Public Health

Reporting

Any EP who has no office visits during the EHR

reporting period, or any EP who conducts 50

percent or more of his or her patient encounters

in a county that does not have 50 percent or

more of its housing units with 4Mbps broadband

availability according to the latest information

available from the FCC on the first day of theEHR reporting period.

Stage 1 EPs get an exclusion since

Stage 1 did not have an equivalent

core measure.

Measure Option 1 – Immunization

Registry Reporting:

• Does not administer any immunizations during

the EHR reporting period;• Operates in a jurisdiction for which no

immunization registry or immunization

information system is capable of accepting

• Operates in a jurisdiction where no

immunization registry or immunization

information system has declared readiness to

receive immunization data from the EP at the

start of the EHR reporting period.

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Stage 1 EPs need to meet 1 measure only

Stage 2 EPs only need to do Measure 1,

since they can claim an exclusion for

Measure 2 because Stage 2 did not

have an equivalent core measure.



Read the Exclusions


Objective 10: Public Health

Reporting

Measure Option 2 – Syndromic Surveillance

Reporting:

• Is not in a category of providers from which

ambulatory syndromic surveillance data is

collected by their jurisdiction's syndromic

surveillance system;• Operates in a jurisdiction for which no public

health agency is capable of receiving electronic

syndromic surveillance data

• Operates in a jurisdiction where no public

health agency has declared readiness to

receive syndromic surveillance data

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Read the Exclusions

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Make sure you have an interface with your state registry. Contact

your vendor in case you don’t.

Your EHR should be capable to extract this report. Identify a Public

Health Agency near you to submit this report.

*Stage 1: Submit one of these measures

*Stage 2: Required to submit just Measure 1, since they can claim an exclusion for Measure 2, because Stage 2

did not have an equivalent core measure

Syndromic Surveillance Reporting

Contact your Public Health Agency

Measures:

Task no 4

Immunization registry



Create your Audit Folder

17

Required Documentation:

KPI Screenshot CQM Screenshots Security Risk Analysis

Document

Public Health Registration/

Enrollment Request Email

Medicaid Patient Volume

Report

(In case of Medicaid)

Task no 5



Pre & Post-Payment Audits

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To be considered for an exception, an eligible professional or eligible hospital

must complete a Hardship Exception application along with proof of the

hardship.

Hardship Exceptions to Avoid Medicare

Payment Adjustments

If approved, the hardship exception is valid for 1 payment year only. A new

application must be submitted if the hardship continues for the following

payment year.

Task no 6



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EPs must demonstrate that they are in an area without sufficient internet access or face insurmountable barriers toobtaining infrastructure.

Infrastructure:

Newly practicing EPs who would not have had time to become meaningful users can apply for a 2-year limited exception

to payment adjustments.

New Eligible Professionals:

Examples may include a natural disaster or other unforeseeable barrier.Unforeseen Circumstances:

- Lack of face-to-face or telemedicine interaction with patient.- Lack of follow-up need with patients.

Patient Interaction:

Lack of control over availability of CEHRT for more than 50% of patient encounters.Practice at Multiple Locations:

An EP that has a primary specialty listed in PECOS as anesthesiology, radiology or pathology 6 months prior to thefirst day of the payment adjustments that would otherwise apply.

PECOS Specialties:

Hardship Exceptions

Eligible professionals can apply for hardship exceptions in the following categories:



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Check your NPPES logins and make sure that they are working. (To reset the

password please call 1-800-465-3203)

Registration Information (Bonus point)

Visit the Registration Tab to ensure your information is accurate, such as the

Payee selection and email address.

Task no 7



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CureMD Meaningful Use resources

CureMD Meaningful Use DashboardMeaningful Use Resource Center



Session

Q A&



Request a demo to see how CureMD can

facilitate your practice for

Meaningful Use

Get in touch with our MU experts

at 718-213-4870

[email protected]

Need Help?



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Thank you!Look out for our email, containing the webinar

recording!

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