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Meaningful Use Update2015-2017 Notice of Proposed Rules

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Overview of Proposed Rules

CMS and ONC recently released notices of proposed rulemaking (NPRMs) for the EHR Incentive Programs and the Certification program

Released March 20, 2015

�Stage 3 of Meaningful Use NPRM – Specifies the Stage 3 requirements for eligible professionals, eligible hospitals, and critical access hospitals in the EHR Incentive Programs

� EHR Technology Certified to the 2015 Edition NPRM – Outlines the certification and standards to help providers meet the proposed Stage 3 requirements with EHR technology certified to the 2015 Edition

Released April 10, 2015

� Modifications to Meaningful Use in 2015-2017 NPRM – Proposes revised requirements for eligible professionals, eligible hospitals, and critical access hospitals participating in the EHR Incentive Programs in years 2015 through 2017

Goals of Proposed Provisions

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Modifications to Meaningful Use: 2015 - 2017 NPRMEE1

Proposed Changes to Participation Timeline

Slide 5

EE1 Adjusted formattingEldrina Easterly, 8/13/2015

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Alignment of Meaningful Use NPRMs

The Stage 1 and 2 Modification NPRM reconciles measures to align criteria for 2015 to 2017

with Stage 3 to:

• Prepare providers to report Stage 3 criteria in 2018

• Reduce provider burden and create a single set of sustainable objectives that promote

best practices for patients

• Enable providers to focus on objectives which support advanced use of health IT, such as:

� health information exchange

� consumer engagement

� public health reporting

For New Participants

Year 2015

• Propose to allow providers to attest to an EHR reporting period of any continuous 90-day

period within calendar year

Year 2016

• First-time participants may use EHR reporting period of any continuous 90-day period

between January 1, 2016 and December 31, 2016

• All returning participants must use EHR reporting period of full calendar year

(January 1, 2015 through December 31, 2016)

Year 2017

• All providers, both new or existing, must use EHR reporting period of one full calendar

year as defined in Stage 3 proposed rule

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EHR Certification

• No proposed changes to individual certification requirements for objectives and measures

of meaningful use for EHR reporting period in 2015 through 2017 under proposed rule

• Proposing providers continue to use 2014 Edition certification criteria for EHR reporting

period in 2015 and subsequent years until transition to 2015 Edition certification criteria is

required for EHR reporting period in 2018

Note: Providers may upgrade early to technology certified to the 2015 Edition for EHR reporting period prior to 2018 as outlined in Stage 3 proposed rule

Reporting in 2015 and 2016

2015 Only

• Stage 1 providers only may use alternate exclusions and specifications

In 2016

• All EPs will report on 9 objectives 2 public health measures

• All EHs will report on 8 objectives and 3 public health measures

• Modifications to patient action and public health objectives

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Changes from Stage 1 for EPs

Changes from Stage 1 for EHs

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Changes from Stage 2 for EPs

Changes from Stage 2 for EHs

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Changes to Patient Action Objectives

Changes to Public Health Objectives

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Clinical Quality Measures

Attestation Timelines

• Attestation systems won’t be ready until January 1, 2016 at earliest

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Possible Delay of Stage 3

MU Related Resources and Initiatives

• Arkansas DMS grant to AFMC for free MU assistance for outpatient Medicaid EP’s

• Also covers security risk assessment and Medicaid attestation assistance for 25 critical access and small rural hospitals

• SHARE Health Information Exchange (see overview courtesy of OHIT)

• ADH public health registries update

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CMS Help DesksEHR Information Center Help Desk

–(888) 734-6433 / TTY: (888) 734-6563

–Hours of operation: Monday-Friday 8:30 a.m. –4:30 p.m. in all time zones (except on Federal holidays)

NPPES Help Desk

–Visit https://nppes.cms.hhs.gov/NPPES/Welcome.do

–(800) 465-3203 -TTY (800) 692-2326

PECOS Help Desk

–Visithttps://pecos.cms.hhs.gov/

–(866)484-8049 / TTY (866)523-4759

Identification & Access Management System (I&A) Help Desk

–PECOS External User Services (EUS) Help Desk Phone: 1-866-484-8049

–TTY 1-866-523-4759

–E-mail: EUSSupport@cgi.com

For more information visit afmc.org/healthit

or call 501-212-8616

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SHARE OVERVIEW

August 2015

Hospitals31 Total Sites

18 Live13 Implementing

Provider Practices486 Total Sites

310 Live176 Implementing

Live Sites = Data feed(s) in production and/or VHR/SM training

completed

Implementing = Participation and Pricing agreement(s) in place

and/or technical/operational activities underway

*As of July 30, 2015

WHO SHARES

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• Meet some Meaningful Use (MU) Objectives including: Immunization

Reporting, Electronic Lab Reporting and Syndromic Surveillance,

• Meet MU Objectives for Transitions of Care,

• Assist 134 PCMH clinics with event notifications as required by the Arkansas

Medicaid PCMH Initiative,

• Use SHARE to connect/interface with non-owned hospitals,

• Use SHARE as part of your Community Integrated Network to connect with

owned and non-owned clinics,

• Reduce the risk of hospital readmissions and Medicare penalties,

• Become a referral partner for Long Term and Post-Acute Care, Home Health

and Behavioral Health Providers; OHIT is recent awardee of $2.6M by ONC to

connect these providers,

• Get access to over 2,000 provider Secure Messaging addresses via a HISP to

HISP connection with SHARE.

VALUE OF SHARE

� Secure Messaging – including HISP services

� Facilitates Transitions of Care MU with Direct Messaging

� Query based exchange utilizing SHARE’s virtual health record (VHR)

� Interfaced Exchange

� Enables facilities to send and receive information directly into their

EMR systems

� Based on EMR capabilities

� Public Health Functionality

� Immunization Registry reporting

� Electronic Lab Results (ELR) delivery

� Syndromic Surveillance

� Disease Registry reporting (in development with ADH)

WHO SHARESSHARE SERVICES