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

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

Feb 08, 2024 231 likes •717 views

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

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Meaningful Use

101 for Physician Offices January 2012

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  • 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

Agenda

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What is an E.H.R Incentive Program

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Requirements

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Certified Package

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Penalties

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Medicare verses Medicaid

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Medicare and Medicaid Payment

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Medicare Eligibility

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Medicaid Eligibility

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PQRS, eRx, E.H.R.

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Registration

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Requirements of Meaningful Use

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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

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Core and Menu Items

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Core and Menu as it relates to Quality

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Core Objectives

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

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CPOE

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E-Prescribing (eRx)

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Demographics

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Vital Signs

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Clinical Decision Support

Examples: Mammogram for women over 40 Hemoglobin A1C blood test for Diabetic

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Electronic Copy of Health Information

Patient Portal

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Provide Clinical Summary

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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

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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

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Medium Projects

Additional information Provided

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Medium Projects

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Quality Measures

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Core Quality Measures

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Alternate Core Measures

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Additional Clinical Quality Measures

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Additional Quality Measures

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Things to Remember about Measures

Not the same as PQRI/PQRS

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Attesting

Guide provided in CD

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Attestation Calculator

Attestation Calculator provided on CD

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Resource Library

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

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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

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Education/Material Provided

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http://mymunson.org/showmuweb.asp

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Education/Material Provided

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http://www.munsonhealthcare.org/?id=813&sid=7

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Where is Michigan

MI

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Stages of Meaningful Use

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

Stage 2 and 3 Adjustments

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Requirement Hospital EP Clinical Documentation Physician, PA, NP Notes Electronic MAR Physician Notes Patient Portal Electronic ‘relevant information’ about hospital encounter Download relevant information about a clinical 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 Longitudinal care plan for pts with high-priority conditions List of care team members Longitudinal care plan for pts with high-priority conditions

Stage 2 & 3 Major New Criteria

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Glossary of Terms

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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

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