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Meaningful Use Stage 2 Physician Office April, 2012 Credit Where - - PowerPoint PPT Presentation
Meaningful Use Stage 2 Physician Office April, 2012 Credit Where - - PowerPoint PPT Presentation
Meaningful Use Stage 2 Physician Office April, 2012 Credit Where Credit is Due Terms Contacts and Rules Randi Terry, rterry@mhc.net Joseph Cook, DO, jcook1@mhc.net Avoid side conversations Information available on
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Terms
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Contacts and Rules
- Randi Terry, rterry@mhc.net
- Joseph Cook, DO, jcook1@mhc.net
- Avoid side conversations
- Information available on
http://www.munsonhealthcare.org/meaningful use
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Observations:
1. Opportunity for comment before final rules 2. Increased complexity
- a. Increased percentages
- b. Increased difficulty
3. Changed denominators 4. Impossible to meet without a patient portal 5. Increased focus on quality measurements 6. Increased integration
Recommendations:
1. Submit comments and suggestions 2. Optimize current EHR functionality 3. Evaluate/implement a patient portal 4. Enhance skills with quality measurements/pay for performance 5. Carefully review "Final" rule when available
Our Observations
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- Centers for Medicare & Medicaid Services (CMS) affirms a delay for
2011 attesters
- Stage 1 requirements will be updated come 2013 (KMH and POMH)
- Medicaid definitions are loosened; more providers are eligible
- While the total number of objectives does not grow, Stage 2 measure
complexity increases significantly
- Information exchange will be key, but a health information exchange
(HIE) will not be necessary.
- Patients will need to act for providers to succeed
- Sharing of health data will force real-time, high-quality data capture
- More quality measures; CMS’ long term goals—electronic reporting
and alignment with other reporting programs—remain intact.
- The Office of the National Coordinator’s (ONC) sister rule proposes a
more flexible certification process and greater utilization of standards
- Payment adjustments begin in 2015
The Advisory Group – 10 Takeaways
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Public Comment
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Great Resources
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Years in Stage 1 and Stage 2
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Penalty
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EP – Who Qualifies
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Who Receives the Money
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Eligible - Medicaid
Munson did get audited and if interested stay at the end to learn more
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Stage 1 to Stage 2 Changes
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Next Set of Slides
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CPOE
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e-RX
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Demographics
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Vital Signs
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Smoking Status (The Advisory Group)
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Clinical Decision Support
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Lab Tests
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Patient Lists
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Patient Reminders
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View, Download and Transmit
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Clinical Summaries
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Patient-Specific Education Resources
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Secure Messaging
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Medication Reconciliation
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Summary of Care (AKA Transition of Care)
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10% Problem
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Transition of Care
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Immunization
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Privacy and Security Risk Analysis
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Accessible Images
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Family Health History
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Syndromic Surveillance
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Cancer Registries
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Specialized Registries
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Combined in Stage 2
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Excluded from Stage 2
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Group Reporting
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Radiologist, Pathologist, etc.
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Nice Summary
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CQM - From Stage 1 to Stage 2
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Quality Measures
List of all Quality Measures available
- n website (too many to hand out)
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Priorities
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Priorities
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CQM
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Quality Measures Options
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Medicare EP’s Before you Register
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Medicaid EP’s Before You Register
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- Structured Physician Notes
- Patient Communication Preference
- Record Care Plans
- HIE (Integration is extensive, but
requirement for HIE is gone)
Stage 2 - Items Excluded
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- Looking to see if you are an eligible provider
- Individual numbers (not proxy).
- Everything if you do work at hospital, but not
Urgent Care
- Inpatient is really encounters, not discharges
- Must include all ED work (many providers work at
several ED’s)
Munson Audit
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- Include ED, Inpatient and Long Term Care work.
- Include encounters (every time you see a patient and a bill is
generated).
- Will only audit if your number is more than 10% different
than there numbers
- Residents handling
- Proxy verses individual (they want you to proxy)
Munson Audit
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- Exclude ABW patients (for the state of Michigan)
- Define encounter
- Discharge Date (ED and Inpatient) and checkin date
(basically they want date of service).
- Exclude test patients
- Exclude zero charge patients.
- Maintain detail.
- EKG’s (if there is a bill) have to be counted
Munson Audit
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- Include MiChild (BCBS, Prefix ZYP, Group 31295)
- Charity care includes write off of any portion of bill
- Sliding scale can be used.
Munson Audit – RHC/FQHC
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- Any suggestions on how to find the data on the