Meaningful Use Stage 1Dental

September 18, 2014

22

Meaningful Use

33

Meaningful Use

�A 6-year, provider-specific incentive program to support your effort to use technology in your practice.

2014 2015 2016 2017 2018 2019

AIU $21,250

MU 1 90-days $8,500

MU I 365-days $8,500

MU 2 365-days $8,500

MU 2 365-days $8,500

MU 3 $8,500

44

Meaningful Use

55

Meaningful Use AIU

� Adopt

� Implement

� Upgrade

66

Meaningful Use Core Measures

� CPOE� Drug Interaction Checks

� Problem List� eRx� Med List� Allergy List� Demographics� Vital Signs� Smoking Status� Clinical Decision Support

� Patient Portal� Clinical Summaries� HIPAA Security Risk Assessment

Stage 1

77

Demographics

� Preferred language

�Gender

� Race

� Ethnicity

�Date of birth

88

Clinical Decision Support

�At least 1 rule relevant to specialty or high clinical priority

� To provide persons involved in care processes with general and person-specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care

99

Vitals*

� For all patients age 3+

a. Height and weight, and blood pressure

b. Height and weight

c. Blood pressure

d. None of the above

1010

Smoking

� For all patients age 13+

� Smoking Status

�Don’t forget: Tobacco Cessation Counseling

1111

Allergies and Medications

�Allergy List

�Active Med List

�CPOE*

�Drug Interaction Checks

� Permissible Prescriptions

1212

Problem List

�Maintain an up-to-date problem list of current and active diagnoses using ICD-9 or SNOMED-CT® as a basis for the entry of structured data into certified EHR technology.

1313

Clinical Summaries

�An after-visit summary that provides a patient with relevant and actionable information and instructions containing:

Patient name / provider’s office contact information / date and location ofvisit / updated medication list / updated vitals / reason(s) for visit /procedures and other instructions based on clinical discussions that tookplace during the office visit / updated problem list / immunizations ormedications administered during visit / summary of topics covered orconsidered during the visit / time and location of next appointment ortesting, if scheduled or a recommended appointment time if not scheduled/ other appointments and tests that the patient needs to schedule withcontact information / recommended patient decision aids / laboratory andother diagnostic test orders / test and laboratory results (if received before24 hours after visit) / symptoms

1414

Patient Portal

� Provide patients the ability to electronically view, download and transmit their health information

1515

HIPAA

�Conduct or review a security risk assessment and implement security updates as necessary and correct security deficiencies as part of a risk management process.

1616

Meaningful Use MenuMeasures

� Drug Formulary Checks

� Lab Results� Patient Lists� Patient Reminders� Patient Education� Medication Reconciliation

� Transition of Care Summary

� Immunization Registry Submission

� SyndromicSurveillance Submission

Stage 1

Choose 5

1717

Meaningful Use: The Recipe

1818

Drug Formulary Checks*

� Implement drug formulary checks

1919

Clinical Lab Test Results*

� Incorporate lab test results into the EHR as structured, reportable data

2020

Patient Lists

�Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach

2121

Patient Reminders

� Use clinically relevant information to identify patients (65 years old) who should receive reminders for preventative / follow-up care and send these patients reminders per patient preference

2222

Patient-specific Education

� Use clinically relevant information from the EHR to identify patient-specific education resources and provide those resources to the patient.

2323

Medication Reconciliation

� Perform medication reconciliation when:

1. You receive a patient from another setting of care

2. You receive a patient from another provider of care

3. You believe an encounter is relevant and med rec is appropriate

2424

Transition of Care Summary*

� Provide a summary of care record when:

1. Referring a patient

2. Transitioning a patient to another provider or care setting

What is in the Care Summary?

Patient name and

demographics

Vital signs Medication list

Transitioning provider’s name

and contact information

Encounter diagnosis Medication allergy list

Care Team, including PCP Smoking status Procedures

Care plan, including goals and

instructions

Functional status Lab test results

Problem list Immunizations

2525

Immunization Registry*

� Electronic submission capabilities of patient immunizations to the Wisconsin Immunization Registry (WIR)

�Or Syndromic Surveillance*

2626

Clinical Quality Measures (CQMs)

� Patient and Family Engagement

� Patient Safety� Care Coordination� Population / Public Health

� Efficient Use of Healthcare Resources

� Clinical Process / Effectiveness

Stage 1

Choose 9

from 6 domains

2727

Recommended CQMs for Adults� Controlling High Blood Pressure

� Use of High Risk Medications in the Elderly

� Tobacco Use: Screening and Cessation Intervention

� Use of Imaging for Low Back Pain

� Screening for Clinical Depression and Follow-up Plan

� Documentation of Current Medications in the Medical Record

� BMI Screening and Follow-up

� Receipt of Specialist Report

� Functional status assessment for complex chronic conditions

2828

Other Recommended CQMs

�Children who have Dental Decay or Cavities

�Depression Utilization of the PHQ-9 Tool

2929

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