Goals

1. Meaningful Use Performance Measures ReportCarmen LandMeaningful Use National Team Business Analyst Data Networks Corporation contractor for US Indian Health Service

2. Goals At the end of this session, participants should be able to: Run MU Performance Measure Report for EPs Understand how to use the Summary Report for MU attestation requirements

3. What is Meaningful Use? Meaningful Use is using certified EHR technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and families in their health care Improve care coordination Improve population and public health All the while maintaining privacy and security

4. What it Means to Demonstrate MU • Note: Reporting on Clinical Quality Measures meets one of the Performance Measures

5. Eligible Providers Performance Measures - Core

6. Eligible Providers Performance Measures – Core (cont.)

7. Eligible Providers Performance Measures - Core (cont.)

8. Eligible Providers PerformanceMeasures - Menu

9. Eligible Providers Performance Measures – Menu (cont.)

10. Eligible Providers Performance Measures – Menu (cont.)

11. RPMS Roll and Scroll Select IHS Kernel Option: CORE Select IHS Core Option: PCC (Patient Care Component) Selection Patient Care Component Option: ARP (PCC Management Reports) Select PCC Management Reports Option: MUR (Meaningful Use Performance reports)

12. Establish Meaningful Use ‘Clean Date’ (MUCD) MUCD was created to allow sites to see EHR order check parameter settings related to MU PM Drug Interaction Checks, which are set incorrectly. Sites should use the data to correct any discrepancies. The MU PM Report will fail one or more of its core elements until the parameters are set properly. When site is configured correctly, the MU ‘Clean Date’ will be set equal to that day’s date. Running the option again doesn’t reset the date. The initial clean date’ remains the same.

13. Establish Meaningful Use ‘Clean Date’ (MUCD) Ten Order Checks to be enabled and set to mandatory: Allergy-Contrast Media Interaction Allergy-Drug Interaction Critical Drug Interaction Dangerous Meds for Patients >64 Estimated Creatinine Clearance Glucophage-Contrast Media Glucophage-Lab Results No Allergy Assessment Allergy Unassessible Renal Functions Over Age 65

14. Establish Meaningful Use ‘Clean Date’ (MUCD)

15. Stage 1 MU Performance Report • MU PM Report does not verify CMS Medicare or Medicaid EHR Incentive Program participation eligibility. • Important: this report can indicate Meaningful Use has been achieved by an EP or facility that is not eligible (or not yet registered) to participate in the program. • Please speak to your Area Meaningful Use Coordinator for guidance in determining eligibility.

16. Full or Summary Report Selection • May generate full report or summary report. • Full report includes the cover page and details on each Performance Measure along with corresponding logic. • Full report also includes a summary report. • Summary report does not include programming logic. • Both reports display previous and current performance results as well as Stage 1 targets.

17. Report Period Selection • May run report for full year or a 90-day period • Both coincide with CMS program parameters • The MU program for EPs runs on a calendar year • Report can be run for any date; however, MU cannot be achieved with the RPMS EHR prior to its date of certification and installation. • Example:if the certified version of RPMS EHR is installed at your site on July 27th, users may run this report for periods prior to this date, but MU can only be achieved on performance for a period that begins on or after July 28th.

18. Calculating Previous Period Option for 90-Day Report Period If user chooses to include previous period data, calculate data from the period immediately preceding the selected 90-day report period in the previous step. If user selects June 1, 2011 – August 31, 2011, report will also display March 1, 2011 – May 31, 2011. If user chooses not to include previous period, report will reflect “N/A” in the reports output.

19. Provider Selection IP: Individual Provider User is prompted to enter provider name Full or summary report generated for designated provider SEL: Selected Providers User is prompted to enter multiple provider names Full or summary report generated for each provider TAX: Provider Taxonomy List User is prompted for the taxonomy list name Full or summary report generated for each provider on the list

20. Output Selection Choose from the following output selections: P Print Report on Printer or Screen D Create Delimited output file (for use in Excel) B Both a Printed Report and Delimited File At the “Device” prompt, specify the device to print/display the report. Bug in deliminated report: exclusion column is returning inconsistent results

21. Summary Report for MU Attestation Requirements Summary report for each measure: # of instances in Denominator and Numerator where measure was applicable, include exceptions. Must use EHR to calculate measure - no manual calculations. CMS currently does not have the capability to receive data electronically for all measures, and so is only requiring attestation in the meantime.