Meaningful Use 101 for Physician Offices January 2012 1 Agenda - PowerPoint PPT Presentation

Meaningful Use 101 for Physician Offices January 2012 1

Agenda • What is the E.H.R Incentive Program • Requirements to meet • How to participate – Eligible – Registration • What do we have to do – Certified package – Core and menu – Clinical Quality Measures • Attestation • Resources • Stage 2 and 3 2

What is an E.H.R Incentive Program 3

Requirements 4

Certified Package 5

Penalties 6

Medicare verses Medicaid 7

Medicare and Medicaid Payment 8

Medicare Eligibility 9

Medicaid Eligibility 10

PQRS, eRx, E.H.R. 11

Registration 12

Requirements of Meaningful Use 13

Exclusion Exclusions (examples): • CPOE eRx • Record and chart vital signs MICR • Smoking Status (< 13 years) Syndrome Surveillance • Electronic copy of information (if no one asks) • And others 14

Core and Menu Items 15

Core and Menu as it relates to Quality 16

Core Objectives 17 https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdf

CPOE 18

E-Prescribing (eRx) 19

Demographics 20

Vital Signs 21

Clinical Decision Support Examples: Mammogram for women over 40 Hemoglobin A1C blood test for Diabetic 22

Electronic Copy of Health Information Patient Portal 23

Provide Clinical Summary 24

Exchange Key Clinical Data (CCD/CCR) Can easily exchange with Munson (CCD or CCR) through data- exchange@mhc.net, instructions and sample letter on CD 25

Privacy and Security = Protect Long and short security risk analysis provided • Do not just check everything as met, document Sample Security and Privacy Policy provided 26

Medium Projects Additional information Provided 27

Medium Projects 28

Quality Measures 29

Core Quality Measures 30

Alternate Core Measures 31

Additional Clinical Quality Measures 32

Additional Quality Measures 33

Things to Remember about Measures Not the same as PQRI/PQRS 34

Attesting Guide provided in CD 35

Attestation Calculator Attestation Calculator provided on CD 36

Resource Library 37 Links provided in the EP Beginners Guide to Medicare meaningful Use.pdf (on CD), page 78

Other Resources • Randi Terry, rterry@mhc.net • Joseph Cook, DO, jcook1@mhc.net • MCEITA (mceita.org), Primary Care, Regional Extension Office • FAQs - (https://www.cms.gov/EHRIncentiveProgra ms/Downloads/FAQsRemediatedandRevise d.pdf 38

Education/Material Provided http://mymunson.org/showmuweb.asp 39

Education/Material Provided http://www.munsonhealthcare.org/?id=813&sid=7 40

Where is Michigan MI 41

Stages of Meaningful Use 42

Stage 2 and 3 Adjustments Requirements Stage 2 Stage 3 CPOE Increase to 60% 80% Include med, lab & rad orders eRX 50% med orders (EP & hospital 80% discharge) Clinical Quality TBD TBD Measures Clinical Decision Support Use CDS Rules on high priority Use CDS Rules to improve (CDS) conditions performance Patient lists Generate pt list for multiple parameters Use pt lists to manage high- priority patients HIE Connect to at least 3 external providers Connect to 30% of external in primary referral network or 1 HIE providers or 1 HIE Med Rec 80% 90% Other All Stage 1 menu items required Problem list, meds, allergy lists 43 are ‘up -to- date’

Stage 2 & 3 Major New Criteria Requirement Hospital EP Clinical Physician, PA, NP Notes Physician Notes Documentation Electronic MAR Electronic ‘relevant Patient Portal Download relevant information about a information’ about hospital clinical encounter encounter Download data from a longitudinal record 20% of patient use a web-based portal (30% in Stage 3) Use online patient messaging Continuity of Care List of care team members List of care team members Longitudinal care plan for pts Longitudinal care plan for pts with with high-priority conditions high-priority conditions 44

Glossary of Terms 45

Glossary of Terms • CCHIT - Certification Commission for Health Information Technology • CPOE - Computerized Provider Order Entry • EHR - Electronic Health Record; EMR: Electronic Medical Record • EP - Eligible Professional -- one of five types of professionals legally authorized to practice their profession under state law • HIE - Health Information Exchange • HIPAA - Health Insurance Portability & Accountability Act • HITECH - Health Information Technology for Economic and Clinical Health • MU - Meaningful Use, the term used in ARRA to describe a hospital or physician who demonstrates achievement of specific goals and therefore can earn Medicare and/or Medicaid incentive payments • ONC - Office of the National Coordinator • ONC-ATCB – Authorized Testing and Certification Bodies designated to perform testing and award certifications 46

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