Meaningful Use Are you ready? Jay Anders, MD, CMIO. Proprietary and Confidential. Goals. Acceleration of HIT adoption for savings of 0.3% between 2011 and 2019; greater than $60 billion in savings.
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Meaningful UseAre you ready?Jay Anders, MD, CMIO
Proprietary and Confidential
Acceleration of HIT adoption for savings of 0.3% between 2011 and 2019; greater than $60 billion in savings.
The CBO projects that without the stimulus, about 45% of hospitals and 65% of physicians will have adopted qualifying health IT in 2019.
CBO estimates the incentive will boost adoption rates to about 70% for hospitals and about 90% for physicians.
For informational purposes only, does not constitute legal or business advice
Stage 1: Meaningful Use criteria focus on electronically capturing health information in coded formats to track clinical conditions and communication of information for care coordination. Stage 1 also addresses clinical decision support tools to facilitate disease management and medication management.
Stage 2: Meaningful Use criteria will focus on expanding in the areas of disease management, clinical decision support, medication management, support for patient access to health information, care transitions, quality measurement, research, and bi-directional communication with public agencies.
Proof beyond attestation will be required.
Year 1: $21,250/Years 2-6: $8,500
Physicians, licensed to practice medicine including optometrists, podiatrists, DO’s and Chiropractors
Medicaid incentive includes nurse midwives, physician assistants, and nurse practitioners.
Physicians working in a hospital environment, including anesthesiologists, pathologists and emergency
The Office of the National Coordinator (ONC) within Health and Human Services (HHS) is now certifying ACTB (Ambulatory Certification and Testing Bodies. EHR products will be certified through those entities.
Incentives and Penalties
Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308 (a)(1) and implement security updates as necessary.
O- access controls s- integrity
p- emergency accesst- authentication
q- auto log-offu- encryption, general
r- audit logv- encryption, exchange
w- accounting of disclosures
Providers must receive verification of compliance.
Must implement internal policy and procedures to be fully compliant
Implement One(Originally five) clinical decision support rule relevant to the clinical quality metrics the Eligible Provider is responsible for managing.
Alerts can be used to accomplish this. The EHR alerts module must be able to create patient-specific alerts. Alert firing and responses are audited to provide data for Eligible Provider.
It is recommended that alerts be set for all providers within a practice to ease maintenance requirements.
More than 50% (Originally 80%) of patients who request an electronic copy of health information receive delivery within 3 business days(Originally 48) hrs including lab results, problems lists, med lists and allergies.
The EHR must allow patient information be exported to a CCD and provided electronically, and/or allows immunization records to be printed.
Clinical summaries (CCD) including problem list, medication list, allergies, procedures, immunizations and diagnostic test results provided for more than 50%(Originally 80%) of office visits within 3 business days.
Eligible Provider must also document that CCD was delivered.
Submit three quality measures
NQF 0013 Hypertension / Blood Pressure management
NCF 0028 Tobacco Use Assessment and Cessation counseling
PQRI 128 Adult Weight Screening
There are alternate measures if a particular provider has no patients that qualify.
Implement the ability to exchange clinical information electronically
Must complete one test of exchange with CCD format
Relates to Menu Set 170.304(i): Provide a summary of care for 50% of patients who transition to another provider or location of service
Generate at least one report listing patients of the Eligible Provider with a specific condition.
Report showing all patients within a HMI Category or ICD9 is available now.
Must be able to select, sort, retrieve and generate the list according to elements in problems, meds, demographics or lab test results.
Perform medication reconciliation for more than 50%(Originally 80%) of relevant patient encounters.
Use the EHR capabilities to document the required level of compliance. Best approach – Use med history from SureScripts and document that medication list was reviewed on every visit.
Insurance eligibility checked electronically for at least 80% of all patients seen by Eligible Provider.
Check eligibility using PM system and payor websites. Record eligibility in PM system to ensure that billing information is captured and Meaningful Use criteria levels are achieved.
At least 80% of all claims filed electronically by the Eligible Provider.
Use electronic submission functionality in the PM system and upload data to InteGreat EHR to ensure that required levels are achieved.
InteGreat EHR Roadmap for Meaningful Use