CMS 2014 CEHRT Flexibility

JoAnne HawkinsMeaningful Use Sr. Healthcare Policy

AnalystDNC (Contractor) for Indian Health Service

2014 CEHRT Flexibility Rule

• Certified EHR Flexibility• Demonstration of MU

• Performance Measures & Clinical Quality Measures

• AIU• Stage 3 Delay

Certified EHR Flexibility

• 2011 CEHRT• EPs and EHs can utilize 2011 CEHRT to demonstrate

MU in FY/CY 2014 by meeting Stage 1, 2013 performance measures and CQMs.

• 2011 and 2014 Combined CEHRT• EPs and EHs can utilize a combination of 2011 and

2014 CEHRT to demonstrate MU with either Stage 1, 2013 performance measures and CQMs or Stage 1, 2014

• 2014 CEHRT• EPs and EHs can utilize 2014 CEHRT to demonstrate

MU in FY/CY 2014 by meeting either Stage 1, 2014 or Stage 2 performance measures and CQMs.

2014 Participation options

If EP/EH was scheduled to demonstrate:

2011 CEHRTCombination of

2011 & 2014 CEHRT

2014 CEHRT

Stage 1 Stage 1, 2013Stage 1, 2013

Or Stage 1, 2014

Stage 1, 2014

Stage 2 Stage 1, 2013

Stage 1, 2013Or

Stage 1, 2014*Or

Stage 2

Stage 1, 2014*Or

Stage 2

• * If EP/EH unable to fully implement 2014 CEHRT

Demonstrating MU - EP

Eligible Professionals

Stage 1, 2013 Stage 1, 2014 Stage 2

13 Core Objectives 13 Core Objectives 17 Core Objectives

5 of 10 Menu Set 5 of 9 Menu Set 3 of 6 Menu Objectives

CQMs3 core/alternate core

3 additional measures

9 CQMS (3 across 6 domains)

9 CQMs (3 across 6 domains)

Demonstrating MU - EH

Eligible Hospitals

Stage 1, 2013 Stage 1, 2014 Stage 2

12 Core Objectives 11 Core Objectives 16 Core Objectives

5 of 10 Menu Set 5 of 10 Menu Set 3 of 6 Menu Objectives

15 CQMs16 CQMs (3 across 6

domains)16 CQMs (3 across 6

domains)

Reports

• Performance Measure Reports• Stage 1, 2013 Report Updates

• APCM v1.0 p4• CPOE

• Patient Reminders

• Clinical Quality Measures• Clinical Reporting System (CRS), Version 14.1 Patch 1,

(RPMS namespace: BGP)

• Allows reporting for user defined date range

AIU

• AIU can only be for Adopting, Implementing or Upgrading to 2014 CEHRT.

Certification Status

• Infogard certified 2014 RPMS EHR (BCER v2.0) on August 22nd

• Certification numbers

• Ambulatory: 1314E01PJHPUEAL• Inpatient: 1314E01PJHPQEA1

• Posted on CHPL: http://oncchpl.force.com/ehrcert/ehrproductsearch

Stage 3 delay

• Stage 3 will be delayed until FY/CY 2017

First Payment Year

Stage of Meaningful Use

2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

2011 1 1 1 1 or 2* 2 2 3 3 TBD TBD TBD

2012   1 1 1or 2* 2 2 3 3 TBD TBD TBD

2013     1 1* 2 2 3 3 TBD TBD TBD

2014       1* 1 2 2 3 3 TBD TBD

2015         1 1 2 2 3 3 TBD

2016           1 1 2 2 3 3

2017             1 1 2 2 3

Timeline considerations

Eligible Hospitals

FY 14 FY 15

Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15

Q 1 Q 2 Q 3 Q 4 Q 1 Q2

2011 CEHRT 10/1 - 2014 CEHRT

Eligible Professionals

CY 14 CY 15

Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15

Q 1 Q 2 Q 3 Q4 Q1

2011 CEHRT 1/1 -2014 CEHRT

IHS MU Contact Information

Contact Title E-Mail Phone

Chris Lamer MU Project Lead, IHS Chris.Lamer@ihs.gov (615) 669-2747

Luther Alexander MU Project Manager, DNC Luther.Alexander@ihs.gov (443) 418-5352

JoAnne HawkinsMU Healthcare Policy Analyst, DNC

JoAnne.Hawkins@ihs.gov (505) 767-6600, ext. 1525

Lisa MeadowsMU Natl. Consultant, DNC (OK, NAS, ABER, BEM)

Lisa.Meadows@ihs.gov (505) 767-6600, ext. 1528

Valerie VillanuevaMU Natl. Consultant, DNC (NAV, PHX, TUC, ABQ)

Valerie.Villanueva@ihs.gov (505) 767-6600, ext. 1456

Amy PadillaMU Natl. Consultant, DNC (CA, POR, AK, BIL)

Amy.Padilla@ihs.gov (505) 767-6600, ext. 1527

Coleen MaddyMU Communications Specialist , DNC

Coleen.Maddy@ihs.gov (505) 767-6600, ext. 1233

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Questions?

MeaningfulUseTeam@ihs.gov

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