Mean anin ingful gful Use se 2015 5 Meas asures res 22 Oc - - PowerPoint PPT Presentation

Mean anin ingful gful Use se 2015 5 Meas asures res

22 Oc October 2015 11:00 am

Presented by: Sarah Leake MBA, CPEHR Co-Host: Susan Clarke HCISPP

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 Thank you for spending your valuable time

with us today.

 A copy of today’s presentation and the

webinar recording will be available on our

• website. A link to these resources will be

emailed to you following the presentation.

 We would greatly appreciate your providing

us feedback by completing the survey at the end of the webinar today.

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 The goal of this session is to review the 2015

Meaningful Use Requirements focusing on the changes.

 It will identify important considerations and actions

to take now.

 Review of MU measures, but detail in suggested

resources.

 Answers to submitted questions.

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 Mountain-Pacific holds the Centers for Medicare & Medicaid

Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contract for the states

• f Montana, Wyoming, Alaska and Hawaii, providing quality

improvement assistance.

 HTS, a department of MPQHF, has assisted 1480 providers

and 50 Critical Access Hospitals to reach Meaningful Use. We also assist healthcare facilities with utilizing Health Information Technology (HIT) to improve health care, quality, efficiency and outcomes.

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The presenter is not an attorney and the information provided is the presenter(s)’ opinion and should not be taken as legal advice. The information is presented for informational purposes only. Compliance with regulations can involve legal subject matter with serious

• consequences. The information contained in the webinar(s) and related

materials (including, but not limited to, recordings, handouts, and presentation documents) is not intended to constitute legal advice or the rendering of legal, consulting or other professional services of any kind. Users of the webinar(s) and webinar materials should not in any manner rely upon or construe the information as legal, or other professional advice. Users should seek the services of a competent legal or other professional before acting, or failing to act, based upon the information contained in the webinar(s) in order to ascertain what is may be best for the users individual needs.

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 Sarah Leake Sarah Leake, MBA, CPEHR QR/PR Specialist, MU, PQRS, PM

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 Meaningful Use for 2015 – Overview  Key Considerations  Actions to take now  Questions and Discussion

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 Restructured Stage 1 and Stage 2 Objectives and

Measures to align with Stage 3

 One set of Required Objectives  EHR Reporting Period Aligns with Calendar Year  2015 – any 90 consecutive days reporting  Modified 2 Patient Engagement objectives that

require “patient action”

 Removed duplicative, redundant and topped out

measures

 CQM reporting remains the same

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

CMS Final Rule encompasses EHR Incentive Programs in 2015 through 2017 called “Modified Stage 2” and Stage 3 in 2018



No longer the Stage/Year Concept

• 2015-2017 is Modif

ified ied Stage ge 2

 Alterna

nate te Excl clusions sions and Speci cifi ficatio cations ns are available for Providers scheduled for Stage 1 in

• 2015. Optional to use these

 Ex

Excl clusions usions are available for the Modified Stage 2 measures under certain quotas or circumstances

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(from EHR Incentive program 2015-2017 Tip Sheet)

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Goal to report to the MODIFIED STAGE 2

 Based on Calendar Year

• 2015 – continuous 90-day period
• 2016 – Full

ll Year r (if not first year of attestation)

• 2017 – full year (if Modified Stage 2) or

90 day period (if you choose Stage 3)

 EHR Technology Used

• 2015 use 2014 Certified Edition
• 2016 & 2017 – Choose 2014 or 2015 Certified

Edition

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

Patient Electronic Access

WAS >5% NOW “at least st 1 patient ent seen by the EP or Hospital” views, downloads or transmits his or her information.”

• This must be 1 patient for EACH PROVIDER



Secure Electronic Messaging (EP Only)

WAS >5% NOW “capability for patients to send and receive a secure electronic message with the EP was fully ly enable bled during ing the e EHR reporti ting period iod ” Y/N

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Criteria ria Provider der Hospital al/C /CAH Objectives 10 9 # Public Health Measures 2 3 CQMs (measures/domains) 9/3 16 Reporting Period continuous 90 day continuous 90 day

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Finalized!

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• 1. Protect

ct Patient ent Healt lth Informati

• rmation: Protect electronic health

information created or maintained by the CEHRT through the implementation of appropriate technical capabilities. Security Risk Analysis each Year

• 2. Clinica

nical l Decisi ision

• n Suppo

port t (CDS): ): Use clinical decision support rules to improve performance on high priority health

• conditions. Measure

sure 1: Implement fi five ve clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Measure sure 2: Enabled the functionality of Drug/Drug, Drug/Allergy checks for entire reporting period.

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• 3. Computerized

mputerized Provi vider der Order Entry y (CPOE OE): ): Use computerized provider order entry for medicati ication, , labor

• rat

atory, , and d radiolo

• logy

gy orders ers directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines. Measures: asures: More than 60% medication, 30% laboratory and 30% radiology created using CPOE

• 4. Elect

ctro roni nic c Prescribi ibing: g: (EPs) Generate and transmit permissible prescriptions electronically (eRx); (Eligib gible le hos

• spit

pitals als/CAHs) /CAHs) Generate and transmit permissible discharge prescriptions electronically (eRx). Measure: asure: EPs >50%, Hospitals and CAHs >10%

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• 5. Health

th Informati

• rmation Excha

hange: ge: The EP, eligible hospital or CAH who transitio sitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summa mmary y care recor

• rd

d for each transition of care or referral. Measure: asure: 1) use CEHRT to create a summary of care record; and (2) electronically transmit such summary to a receiving provider for more than 10 percent of transitions of care and referrals

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• 6. Patient

nt Specific c Educati tion

• n: Use clinically relevant information from

CEHRT to identify patient specific education resources and provide those resources to the patient. Measur ure: >10 percent t of all unique patients with office visits seen by the EP, or admitted to the EH, IP or ER are provided education

• 7. Medicati

ation

• n Reconci

ncilia iati tion:

• n: The EP, eligible hospital, or CAH who

receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation. Measur ure: Medication reconciliation is performed for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23).

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• 8. Patient

ent Elect ectron ronic ic Acces cess: (EPs) Provide patients the ability to view online, download, and transmit their health information within 4 busines iness days of the information being available to the EP. (Eligib gible le hospitals spitals/CAHs) CAHs) Provide patients the ability to view online, download, and transmit their health information within 36 hours urs of hospital discharge. Meas asure ure 1: 50% of unique patients must have access to online health information. Measure asure 2: at least one patient seen by the provider or discharged from IP or ER during the reporting period views, downloads or transmits health information. **2017 will be >5% of unique patients seen by EP

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• 9. Secu

cure e Electron ctronic ic Messag agin ing g (EPs only): Use secure electronic messaging to communicate with patients on relevant health

• information. Measure:

sure: 2015 – capability is fully enabled during the entire reporting period) 2016 – a secure message was sent by provider for at least 1 patient 2017 - a secure message was sent for >5% patients seen

• 10. Public

ic Healt lth h and Clinica nical l Data Repor porti ting: g: The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT, except where prohibited and in accordance with applicable law and practice. (more explanation on next page)

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

Providers choose 2 2 of 3 m 3 measures res, Hospitals need 3 o 3 of 4 4 measure ures



Registries to choose from:

1. Immunization registry 2. Syndromic surveillance reporting 3. Specialty registry reporting 4. Electronic reportable lab (hospital only)



Active Engagement with Public Health reporting

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

2015 MU requirement is to report CQMs for 90 Days, No Threshold

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Reporti rting Options Provi vider der Hospita tal/C /CAH Reporting Measure Requirements 9 measures/ 3 domains 16 Measures Continuous 90 day period when you attest MU MU Full year through PQRS electronically MU, PQRS NA 1Q, 2Q, 3Q Electronically QualityNet NA MU, IQR, OQR

 For an EHR reporting period in 2015, an

eligible hospital or CAH must attest by Febru ruar ary y 29 29, 20 2016 16 . .

 Despite the change to a 90-day EHR

reporting period in 2015, providers wil ill l not be able le to a attest to meaningful use for an EHR reporting period in 2015 prio ior to Ja Januar ary y 4, 4, 201 2016. 6.

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 Confirm Providers that are Eligible for MU

• Confirm Program

 Can no Longer switch between programs  Medicare, (if first year) has no incentive but can receive penalty in 2016 and 2017 if not reporting in 2015

• Confirm Practice Location(s)

 Must combine num/den  Y/N must be met at each location

 Ensure Providers are Registered and Active in

CMS EHR Registration Site (NLR) and State Level Registries (SLR) for Medicaid

• May need to activate in Pecos (this can take time!)

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 Verify your EHR technology is Certified to

2014 Edition

• Certified Health IT Product List (CHPL) website here

 Make sure these are Configured and ON

• CPOE
• Drug/Drug, Drug/Allergy Interaction checks **
• FIVE Clinical Decision Support Rules **
• Health Information Exchange for Summary of Care

Transition

• Patient Portal **
• Direct Messaging (EP) **

** DOCUMENT these are Configured

from Day 1 or Now.

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 Coordinate and complete a Security Risk Analysis -

within the 90 Day reporting period

 Must begin active engagement with a Public Health

Agency no later than 60 days from the start date of the reporting period

• If 90 Day start is Oct 1, 2015 need to contact the State

Registries by Nov 29, 2015

• “Registration of Intent” with DPHHS
• Active engagement can be completing registration to start

conversation, then receiving and retaining the acknowledgment of your registration

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http://dphhs.mt.gov/publichealth/meaningfuluse.aspx http://wyomingincentive.wyo.gov/registration-intent

 Identify >30% Medicaid patient volume for

90-365 days in qualifying period

•  Document

 Note:

• First year still can be AIU but,

,

• if provider is dual eligible, Medicare payment

adjustment will apply

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 Run your MU and CQM reports for the

“Modified Stage 2” and CQMs from 2014 Certified EHR

• For all locations a provider practices in (they need

to be combined)

 Monitor and Verify accuracy of MU

reports/data

 Determine the MU Gap for each provider

 Identify Measures not met, investigate reason and

modify workflows

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 With

th the new w rules es do you still pick k either her OBS, , IP and swing ng bed or ER for your ur patien ent popul ulation ation? I don’t see anything specific cific and I do see that seve veral al of the objec ectiv ives es state e “discharged from the Inpatient and ER. “ - We have ve fo foun und no chan hange ge in the method hod for selectin cting g your patien ent populat pulatio ion. n. The he objectiv ectives es state IP or ED for eve very measure. asure.

 How

• w could

uld you prove ve th that t Secu cure e Messag agin ing g was tu turned ed on durin ing g the entire ire repor

• rtin

ing g period?

• d? -

Gather ther docu cumen enta tati tion/ n/ screen eenshot shots that you u may have ve regardin ding Go-Liv Live e prior to or

• n

n Oct 1

 What

hat are requirem irements nts for succ cces essf sful ully ly attesti ting to Public ic Healt alth h Measures sures? ? Please se see slide e 27

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 If an EP, eligibl

ible hospital spital or Critica ical l Acces cess s Hospit ital al (CAH) H) is unable nable to effect ectiv ively ely plan n for a repor

• rtin

ing g period

• d in 2015

15 due to the timing ing of the public icat atio ion of the 201 015 through

• ugh 201

017 Modif difica icatio tions s fi final al rule, e, can n th they apply y fo for a hardshi dship p except ceptio ion? Yes, if a provider is unable to meet the requirements of meaningful

use for an EHR reporting period in 2015 for reasons related to the timing of the publication of the final rule, a provider may apply for a hardship exception under the "extreme and uncontrollable" circumstances category. Each hardship exception application will be reviewed on a case-by-case basis, as required by law.

 In the past, CMS has considered these applications seriously and, in

fact, has approved over 85% of hardship exemptions. Hardship applications will be available in early 2016 on https://www.cms.gov/EHRIncentivePrograms

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De

Determin mine e if provide ders s prac actice ice in more than an one locati ation

Cal

alculate culate an and do d document t Medi dicaid aid Eligibility gibility

Confirm

irm EHR versi sion is s 201 014

De

Determin mine e Stag age of MU for eac ach provide der

Ve

Verify fy EP regist stration ation info in PECOS, OS, NL NLR an and d SLR if Medi dicaid aid

Verify

fy EHR configur uration ations s an and f d functio ionality ality

“Actively Engage” for the Public Health Measures

(2 for EPs s or 3 3 for Hosp spital al/CAH CAH)

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De

Determin mine e MU Gap ap

Monitor

r MU performance ance an and a d adj djust st workflo lows ws

Choose

se MU reportin ing period

Tak

ake sc screensh shots s neede ded d for CMS Audi dit

Perfor

• rm

m or Up Upda date Securit rity y Risk sk Ass ssess ssment

Meet MU Attest

st

Final

alize ize CMS MU Audi dit folde der do documentatio tation

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Register for our upcoming webinars and check out the resources used today: www.he

healt lthtechn htechnologys

• gyservi

ervice.c ce.com

• m

HTS HOSTED D PUBLIC WEBINARS: RS:

 Wedne

nesday ay, , Nov 4 1-2pm MDT *MU 2015 Step by Step to Attestation

 Wedne

nesday ay, , Dec 16 2-3pm m MDT *Patient Engagement OTHERS ERS WEBINARS RS OF INTEREST: REST:

 Tuesday,

ay, Nov 3, 1 1-2pm m MDT *Unleashing the Power of Data (QualityNet eUniversity))

 Thur

ursda day, y, Nov 19, 11:30a 0am-12 12:30p 30pm m MDT *2015 PQRS Reporting Requirements (QualityNet eUniversity))

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 Quality

lity Reporting ing Program Assistanc tance *PQRS & Value-Based Modifier for Providers, HIQR for Hospitals

 Meaningful

ningful Use *Avoiding payment adjustments *Stage 1 and Stage 2 assistance for EH or EPs

 *2015 Meaningful Use Requirements  Secur

curity ty Risk Assessments ments *Basic or Comprehensive SRAs

 HIT Consul

sulting ting and Project ct Manageme ment *Assistance with interfaces, HIE, etc.

 Combine

ned Services ces *Year long assistance with Meaningful Use, PQRS/IQR and ICD-10 HTS services and pricing can be found on our website:

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www.healthtechnologyservice.com

 2015 EHR CMS Link https://www.cms.gov/Regulations-and-

Guidance/Legislation/EHRIncentivePrograms/2015ProgramRequirem ents.html

 CMS 10/8/2015 Webinar: EHR Incentive Programs Final Rule

Overview and What You Need to Know for 2015

• PDF Presentation
• Webinar Recording

 EHR for Eligible Professionals: What You Need to Know for 2015 Tip

sheet

 EHR for Eligible Hospitals and CAHs: What You Need to Know for

2015 Tipsheet

 EHR Incentive Programs in 2015-2017 Overview Fact Sheet  FAQ Page Top Questions https://questions.cms.gov/

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