eclinicalworks meaningful use website april 2011
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© eClinicalWorks, Rev B, April 2011. All rights reserved
ECLINICALWORKS MEANINGFUL USE WEBSITE
A paper version of the eClinicalWorks Meaningful Use website.
©Copyright eClinicalWorks, LLC 2011, eClinicalWorks Meaningful Use Website 2
Contents
CONTENTS
MEANINGFUL USE WITH ECLINICALWORKSeClinicalWorks is Certified _____________________________________3What is Meaningful Use?_______________________________________3
Understanding the Rulings that Impact Meaningful Use ________________4At a Glance: Stage 1 Requirements for Eligible Providers ______________5Incentive Program Selection and Enrollment_________________________6What Does Meaningful Use Mean to You? ___________________________8
Meaningful Use Stage 1 Objectives_______________________________8Core Objectives __________________________________________________8Menu Set Objectives _____________________________________________10Clinical Quality Measures__________________________________________11
Industry Buzzwords _________________________________________14Meaningful Use Resource Center _______________________________17
Download Center & Website Material______________________________17Interview with eClinicalWorks CEO _____________________________18
A Meaningful Q&A with eClinicalWorks CEO, Girish Navani_____________18eClinicalWorks Meaningful Use Webcasts_________________________20
Prospective Customers _________________________________________20Existing Customers____________________________________________21
Trademarks ________________________________________________22
Meaningful Use with eClinicalWorks eClinicalWorks is Certified
MEANINGFUL USE WITH ECLINICALWORKS
eClinicalWorks is CertifiedeClinicalWorks EMR is ONC-ATCB 2011/2012 Complete EHR certified.
Are you considering purchasing an Electronic Health Record (EHR)?
Is your goal to attain Meaningful Use status in order to receive EHR incentive dollars?
Do you want to ensure that the EHR your purchase provides you the tools to improve health outcomes?
eClinicalWorks is one unified product company that provides you the tools to meet your Meaningful Use goals for Stage 1 and beyond.
On October 1st, eClinicalWorks was one of the leading EHR products to receive the 2011/2012 ONC-ATCB Complete EHR certification by the Certification Commission for Health Information Technology (CCHIT®), an ONC-ATCB, in accordance with the applicable Eligible Provider certification criteria adopted by the Secretary of Health and Human Services. The 2011/2012 criteria support the Stage 1 Meaningful Use measures required to qualify eligible providers and hospitals for funding under the American Recovery and Reinvestment Act (ARRA).
The certification was met with eClinicalWorks Version 8.0.48* with electronic prescribing and the eClinicalWorks Patient Portal activated.
The clinical quality measures to which eClinicalWorks has been certified include:
NQF 0421 Adult Weight Screening & Follow-Up
NQF 0013 Hypertension: Blood Pressure Measurement
NQF 0028 Tobacco Use Assessment and Cessation
NQF 0041 Influenza Immunization
NQF 0024 Weight Assessment and Counseling
NQF 0038 Childhood Immunization Status
NQF 0059 Diabetes: Hemoglobin A1c Poor Control
NQF 0064 Diabetes: LDL Management and Control
NQF 0061 Diabetes: BP Management
What is Meaningful Use?Meaningful Use became one of the most frequently used terms in the healthcare industry in 2009. On July 13, 2010, the Centers for Medicare and Medicaid (CMS) announced the final ruling for the EHR Incentive Program based upon Stage 1 of Meaningful Use. This phase of adoption is focused on healthcare professionals using certified EHR technology to improve health outcomes in the following areas:
*. certification number CC-1112-955447-1
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Meaningful Use with eClinicalWorks What is Meaningful Use?
Improve the quality of care, efficiencies and safety in treating patients
Reduce health disparities
Engage patients and families
Improve care coordination
Improve population and public health
Guarantee adequate privacy and security protection of PHI
Understanding the Rulings that Impact Meaningful Use1. Centers for Medicare and Medicaid - EHR Incentive Program
http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf
This ruling sets the guidelines for the incentive programs made available through the American Recovery and Reinvestment Act of 2009 (ARRA). It defines who is eligible for incentive dollars through these three programs:
Medicare Fee-for-Service (FFS) Program
Medicare Advantage Program
Medicaid Program
Within each of these programs there are guidelines set as to how providers are to use Electronic Health Record technology in order to qualify to receive the incentive dollars supporting their adoption of an EHR. This phase of Meaningful Use adoption is referred to as Stage 1. Providers will be required to report data to CMS that demonstrates their usage of an EHR system.
Click here to review the Meaningful Use Stage 1 Objectives and Measures and preview eClinicalWorks functionality supporting the objective.
Review the CMS EHR Incentive Program website for a detailed understanding of the program at: https://www.cms.gov/EHRIncentivePrograms/
Visit the eClinicalWorks Meaningful Use Resource Center for quick links to fact sheets produced by CMS.
2. Office of the National Coordinator - Health Information Technology: Initial Set of Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology
http://edocket.access.gpo.gov/2010/pdf/2010-17210.pdf
To support the success of Meaningful Use and the effective adoption of EHR technology, the ONC was tasked with establishing requirements for Electronic Health Record vendors. This ruling was released in coordination with the CMS EHR Incentive Program to ensure that vendors comply with minimum product capabilities and standards to support Stage 1 objectives and measures. EHR vendors are expected to enhance their products and make the required functionality available to providers.
3. Office of the National Coordinator – Temporary Certification Program for Health Information Technology
http://edocket.access.gpo.gov/2010/pdf/2010-14999.pdf
With standards in place for Meaningful Use, it is also necessary to qualify the EHR technologies that meet the criteria established. This builds further confidence for providers and patients that the technology being used to support their records is compliant.
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Meaningful Use with eClinicalWorks What is Meaningful Use?
The ruling established is the first phase of the certification program designed to accelerate the formation of ONC – Authorized Testing and Certification Bodies (ONC-ATCBs). The ONC-ATCBs will be responsible for testing and certifying EHR vendors.
In order for healthcare providers to achieve Meaningful Use, they must be using a product and version that is certified according to the Meaningful Use criteria.
Click here to see a list of ONC-ATCBs.
Click here to view the ONC Certified Health IT Product List.
Click here for details about the eClinicalWorks certification status.
At a Glance: Stage 1 Requirements for Eligible Providers
Stage 1 of Meaningful Use sets the foundation for healthcare providers using EHR technology, and serves as a launch point for building a healthcare network across the United States. There will be future rulings to define the requirements for Stage 2 (est. 2013) and Stage 3 (est. 2015).
For Stage 1, eligible professionals are required to meet 15 core objectives, and 5 out of 10 menu set objectives. With each objective, there is a threshold or measure that defines the minimum usage for each objective. With each stage of meaningful use, these thresholds will increase in addition to new objectives. Beginning with Stage 2 of meaningful use, the menu set objectives will all become core objectives, thus it is important to plan full adoption of these objectives as time progresses.
Eligible Professionals: 15 Core Objectives eClinicalWorks EHR Solution Link
(1) Computerized physician order entry (CPOE) of medications
Medication Orders in EMR and eClinicalMobile
Link
(2) e-Prescribing (eRX) EMR with e-Prescribing Activated
Link
(3) Report a total of 6 ambulatory clinical quality measures to CMS (Medicare EHR Incentive Program) or States (Medicaid EHR Incentive Program)
Data Capture in EMR Link
(4) Implement one clinical decision support rule Alerts and CDSS in EHR Link
(5) Provide patients with an electronic copy of their health information, upon request
Medical Record with CCD/CCR Share
Link
(6) Provide clinical summaries for patient for each office visit
Visit Summary and CCD/CCR Share
Link
(7) Drug-drug and drug-allergy interaction checks Progress Notes Link
(8) Record Demographics Patient Information Link
(9) Maintain an up-to-date problem list Progress Notes, Chart Panel Link
(10) Maintain the patient’s active medication list Progress Notes Link
(11) Maintain the patient’s active medication allergy list Progress Notes Link
(12) Record and chart changes in vital signs Progress Notes Link
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Meaningful Use with eClinicalWorks What is Meaningful Use?
Incentive Program Selection and Enrollment
This section of the eClinicalWorks Meaningful Use website provides an overview for eligible professionals (EPs). For a detailed review of all eligibility criteria, including Medicare Advantage and eligible hospitals, refer to the CMS EHR Incentive Program website: http://www.cms.gov/EHRIncentivePrograms/01_Overview.asp#TopOfPage.
(13) Record smoking status for patients 13 years or older
Progress Notes Link
(14) Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
P2P and/or eEHX Link
(15) Protect electronic health information All Products Link
Eligible Professionals: 15 Core Objectives eClinicalWorks EHR Solution Link
Eligible Professionals: 10 Menu Set Objectives (must meet 5 with at least 1
public health objective selected)eClinicalWorks EHR
Solution Link
(1) Drug-formulary checks Medication ordering with e-Prescribing Activated
Link
(2) Document clinical lab test results as structured data Lab and Diagnostic – Lab interface optional
Link
(3) Generate lists of patients by specific conditions Registry Link
(4) Send reminders to patients per patient preference for preventive/follow-up care
Patient Information, Recall Letters, Patient Portal, eClinicalMessenger
Link
(5) Provide patients with timely electronic access to their health information
Patient Portal Link
(6) Use certified EHR technology to identify patient-specific education resources and provide to patient
EMR with partner patient education service implemented
Link
(7) Medication reconciliation Current Medications, Rx History, and Medication History Check via e-Prescribing
Link
(8) Summary of care record for each transition of care/referrals
CCD/CCR Share, P2P and/or eEHX
Link
(9) Capability to submit electronic data to immunization registries/systems (public health objective)
EMR with state immunization registry or IIS configured
Link
(10) Capability to provide electronic syndromic surveillance data to public health agencies (public health objective)
EMR, specific public health agencies to be announced
Link
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Meaningful Use with eClinicalWorks What is Meaningful Use?
* In addition to the above, to qualify for the Medicaid program, the EP must meet at least one of the following:
30% or more Medicaid patient volume (excluding CHIP patients)
A pediatrician with 20% or more Medicaid patient volume (excluding CHIP patients)
An EP that practices predominately in a FQHC or RHC with a minimum of 30% of patients being needy individuals
Eligible Professionals (EPs) by Incentive Program
Medicare Fee-For-Service Incentives up to $44,000
Medicaid* Incentives up to $63,750
Doctor of Medicine or Osteopathy Physicians
Doctor of Dental Surgery or Dental Medicine
Nurse Practitioners (NPs)
Doctor of Podiatric Medicine Physician Assistants (PAs) working in a Federally Qualified Health Center or Rural Health Clinic that is led by a PA
Doctor of Optometry Certified Nurse-Midwives (CNMs)
Chiropractor Dentists
Eligible providers must not be hospital-based. A provider is considered hospital-based if 90% or more of their services are performed in inpatient or emergency room settings.
An EP may participate in either the Medicare FFS or Medicaid program. The EP may switch between programs once during the course of the incentive program (following the first payment).
Important Facts and Timelines
Medicare Fee-For-Service Incentives up to $44,000*
Medicaid Incentives up to $63,750
Registration launches in January, 2011 States have the option to launch in January, 2011.
Must demonstrate meaningful use in the first year. Click here for more information.
Can qualify for payment for the first year if adopt, implement, upgrade, or demonstrate meaningful use in the first year. Subsequent years require demonstration of meaningful use.
Must demonstrate meaningful use for 90 days in the first year; subsequent years require 365 days.
By the second year, must demonstrate meaningful us for 90 days; subsequent years require 365 days.
Must begin participation by 2012 to be eligible to receive the maximum incentive dollars.
Must begin participation by 2016 to be eligible to receive the maximum incentive dollars
April 2011 – attestation begins The last year to begin participation is 2016.
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
* Health Provider Shortage Areas qualify for an additional $4,400.
What Does Meaningful Use Mean to You?
eClinicalWorks would like to gain a better sense of your views on Meaningful Use. We are in the process of building education programs, tools, and outreach mechanisms to support our clients, and your answers to a short survey will aid our thought process.
This survey can be completed by multiple providers (or a staff member on the behalf of their provider) in a practice or organization. Click here to give us your feedback regarding Meaningful Use and how if affects you and your practice. Please keep in mind, this survey is voluntary and completely anonymous.
Meaningful Use Stage 1 Objectives
Core Objectives
May 2011 – incentive payments begin 2021 is the last year that Medicaid will distribute an incentive payment.
February 28, 2012 – last day an EP may register and attest to receive an incentive payment for CY 2011
2016 is the last year incentive payments can be received
Eligible Professionals: 15 Core Objectives Measure eCW EHR
Solution
(1) Enable a user to electronically record, modify, and retrieve patient demographic data including preferred language, insurance type, gender, race, ethnicity, and date of birth. - 170.304(c)
More than 50% of all unique patients seen by the EP have demographics recorded as structured data.
Link
(2) Maintain the patient’s active medication list - 170.302(d)
More than 80% of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.
Link
(3) Maintain the patient’s active medication allergy list - 170.302(e)
More than 80% of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data.
Link
Important Facts and Timelines
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
(4) Record and chart changes in vital signs: Height Weight Blood pressure Calculate and display: BMI Plot and display growth charts
for children 2–20 years, including BMI. - 170.302(f)
For more than 50% of all unique patients age 2 and over seen by the EP, the height, weight and blood pressure are recorded as structured data.
Link
(5) Record smoking status for patients 13 years old or older. - 170.302(g)
More than 50% of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data.
Link
(6) Maintain an up-to-date problem list of current and active diagnoses based on ICD–9–CM or SNOMED CT®. - 170.302(c)
More than 80% of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data.
Link
(7) Computerized physician order entry (CPOE) of medications. - 170.304(a)
More than 30% of unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE.
Link
(8) Drug-drug and drug-allergy interaction checks. - 170.302(a)
The EP has enabled this functionality for the entire EHR reporting period.
Link
(9) Generate and transmit permissible prescriptions electronically (eRx). - 170.304(b)
More than 40% of all permissible prescriptions written by the EP are transmitted electronically.
Link
(10) Implement one clinical decision support rule. - 170.304(e)
Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance for that rule.
Link
(11) Capability to exchange key clinical information among providers of care and patient-authorized entities electronically. - 170.304(i)
Performed at least one test to electronically exchange key clinical information.
Link
(12) Provide clinical summaries for patient for each office visit. - 170.304(h)
Clinical summaries provided to patients for more than 50% of all office visits within three business days.
Link
(13) Provide patients with an electronic copy of their health information, upon request. - 170.304(f)
More than 50% of all patients of the EP who request an electronic copy of their health information are provided it within three business days.
Link
Eligible Professionals: 15 Core Objectives Measure eCW EHR
Solution
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
Menu Set Objectives
(14) Report a total of 6 ambulatory clinical quality measures to CMS (Medicare EHR Incentive Program) or States (Medicaid EHR Incentive Program). - 170.304(j)
For 2011, provide aggregate numerator, denominator, and exclusions through attestation as discussed in section II(A)(3) of this final ruleFor 2012, electronically submit the clinical quality measures as discussed in section II(A)(3) of this final rule
Link
(15) Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. - 170.302 (o)-(w)
Conduct or review a security risk analysis per 45 CFR 164.308 (a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process
Link
Eligible Professionals: 10 Menu Set Objectives (must meet 5 with at least 1 public health
objective selected)Measure eCW EHR
Solution
(1) Medication reconciliation - 170.302(j)
The EP performs medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the care of the EP.
Link
(2) Drug-formulary checks - 170.302(b)
The EP has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period.
Link
(3) Use certified EHR technology to identify patient-specific education resources and provide to patient - 170.302(m)
More than 10% of all unique patients seen by the EP are provided patient-specific education resources.
Link
(4) Summary of care record for each transition of care/referrals - 170.304(i)
The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50% of transitions of care and referrals.
Link
(5) Document clinical lab test results as structured data - 170.302(h)
More than 40% of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data.
Link
Eligible Professionals: 15 Core Objectives Measure eCW EHR
Solution
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
Clinical Quality Measures
(6) Provide patients with timely electronic access to their health information. - 170.304(g)
More than 10% of all unique patients seen by the EP are provided timely (available to the patient within four business days of being updated in the certified EHR technology) electronic access to their health information subject to the EP’s discretion to withhold certain information.
Link
(7) Send reminders to patients per patient preference for preventive/follow up care - 170.304(d)
More than 20% of all unique patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period.
Link
(8) Generate lists of patients by specific conditions - 170.302(i)
Generate at least one report listing patients of the EP with a specific condition.
Link
(9) Capability to submit electronic data to immunization registries/systems (public health objective) - 170.302(k)
Performed at least one test to submit electronic data to immunization registries and follow up submission if the test is successful where accepted and required.
Link
(10) Capability to provide electronic syndromic surveillance data to public health agencies (public health objective) - 170.302(l)
Performed at least one test to provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful where accepted and required.
Link
NQF Measure Number and PQRI Implementation
NumberClinical Quality Measure Title
Core Measures (Reporting on all three measures required)
NQF 0421PQRI 128
Adult Weight Screening and Follow up
NQF 0028 Preventive Care and Screening Measure Pair:1. Tobacco Use Assessment,2. Tobacco Cessation Intervention
NQF 0013 Hypertension: Blood Pressure Measurement
Alternative Core Measures (Substitute one for every Core Measure where denominator is 0)
NQF 0024 Weight Assessment and Counseling for Children and Adolescents
Eligible Professionals: 10 Menu Set Objectives (must meet 5 with at least 1 public health
objective selected)Measure eCW EHR
Solution
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
NQF0041PQRI 110
Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older
NQF 0038 Childhood Immunization Status
Additional Measures (Choose any three, in addition to the Core Measures)
NQF 0059PQRI 1
Diabetes: Hemoglobin A1c Poor Control
NQF 0064PQRI 2
Diabetes: Low Density Lipoprotein (LDL)Management and control
NQF 0061PQRI 3
Diabetes: Blood Pressure Management
NQF 0081PQRI 5
Heart Failure (HF): Angiotensin-ConvertingEnzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LSVD)
NQF 0070PQRI 7
Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction
NQF 0043PQRI 111
Pneumonia Vaccination Status for Older Adults
NQF 0031PQRI 112
Breast Cancer Screening Description
NQF 0034PQRI 113
Colorectal Cancer Screening Description
NQF 0067PQRI 6
Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD
NQF 0083PQRI 8
Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)
NQF 0105PQRI 9
Anti-depressant medication management:1. Effective Acute Phase Treatment2. Effective Continuation Phase Treatment
NQF 0086PQRI 12
PQRI 12 Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation
NQF 0088PQRI 18
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
NQF 0089PQRI 19
Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care
NQF Measure Number and PQRI Implementation
NumberClinical Quality Measure Title
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Meaningful Use with eClinicalWorks Meaningful Use Stage 1 Objectives
NQF 0047PQRI 53
Asthma Pharmacologic Therapy
NQF 0001PQRI 64
Asthma Assessment
NQF 0002PQRI 66
Appropriate Testing for Children with Pharyngitis
NQF 0387PQRI 71
Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer
NQF 0385PQRI 72
Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients
NQF 0389PQRI 102
Prostate Cancer: Avoidance of Overuse ofBone Scan for Staging Low Risk Prostate Cancer Patients
NQF 0027PQRI 115
Smoking and Tobacco Use Cessation, Medical assistance:1. Advising Smokers and Tobacco Users to Quit2. Discussing Smoking and Tobacco Use Cessation
Medications3. Discussing Smoking and Tobacco Use Cessation
Strategies
NQF 0055PQRI 117
Diabetes: Eye Exam
NQF 0062PQRI 119
Diabetes: Urine Screening
NQF 0056PQRI 163
Diabetes: Foot Exam
NQF 0074PQRI 197
Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL Cholesterol
NQF 0084PQRI 200
Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation
NQF 0073PQRI 20
Ischemic Vascular Disease (IVD): Blood Pressure Management
NQF 0068PQRI 204
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic
NQF 0004 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment:1. Initiation2. Engagement
NQF Measure Number and PQRI Implementation
NumberClinical Quality Measure Title
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Meaningful Use with eClinicalWorks Industry Buzzwords
Industry BuzzwordsAmerican Recovery and Reinvestment Act (ARRA) of 2009 and Health Information Technology for Economic and Clinical Health Act (HITECH Act)
This act was signed into law by President Obama on February 17, 2009 and encompasses the Health Information Technology for Economic and Clinical Health Act (HITECH Act). The HITECH Act objective is to provide reimbursement incentives for eligible professionals and hospitals who can demonstrate the meaningful use of electronic health records (EHR); to establish standards, implementation specifications, and certification criteria for EHRs; protecting privacy and security of health information.
Clinical Decision Support
In the NPRM for the Electronic Health Record Incentive Program, CMS proposes clinical decision support to be defined as health information technology functionality that builds upon the foundation of an EHR to provide persons involved in care processes with general and person specific information, intelligently filtered and organized, at appropriate times, to enhance health and health care.
Clinical Quality Measures
Clinical Quality Measures are defined in the CMS NPRM for the Electronic Health Record Incentive Program to consist of measures of processes, experience, and/or outcomes of patient care, observations or treatment that relate to one or more quality aims for health care such as effective, safe, efficient, patient centered, equitable, and timely care.
Complete EHR
A Complete EHR is EHR technology that meets all applicable certification criteria for meaningful.
NQF 0012 Prenatal Care: Screening for Human Immunodeficiency Virus (HIV)
NQF 0014 Prenatal Care: Anti-D Immune Globulin
NQF 0018 Controlling High Blood Pressure
NQF 0032 Cervical Cancer Screening
NQF 0033 Chlamydia Screening for Women
NQF 0036 Use of Appropriate Medications for Asthma
NQF 0075 Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control
NQF 0575 Diabetes: Hemoglobin A1c Control (<8.0%)
NQF 0052 Low Back Pain: Use of Imaging Studies
NQF Measure Number and PQRI Implementation
NumberClinical Quality Measure Title
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Meaningful Use with eClinicalWorks Industry Buzzwords
Continuity of Care Document (CCD)
CCD is a standard created by HL7 Clinical Document Architecture for the use of exchanging patient health summary records and contains data that is defined by ASTM Continuity of Care Record (CCR).
Continuity of Care Record (CCR)
The ASTM Continuity of Care Record is a standard specification developed for the electronic sharing of patient health summary records.
Critical Access Hospitals (CAHs)
CAHs are described in detail according to the proposed ruling by CMS on our Meaningful Use home page. Click here to read more.
EHR Modules
An EHR Module is any service, component, or combination of modules that meets at least one of the certification criterion for meaningful use.
Electronic Health Record (EHR)
The definition of an EHR according to the Health Information and Management Systems Society (HIMSS) is a longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter - as well as supporting other care-related activities directly or indirectly via interface - including evidence-based decision support, quality management, and outcomes reporting.
Certified EHR
Certified EHR Technology means a Complete EHR or a combination of EHR modules that meets the requirements indicated in the IFR for the initial set of standards, implementation specifications, and certification criteria for electronic health record Technology, and has been tested and certified in accordance with the certification program established by the National Coordinator as having met all applicable certification criteria adopted by the Secretary of HHS. Note that the notice for proposed rulemaking for organizations to conduct certification of EHR technology has not been released.
Eligible Hospitals
Eligible hospitals are described in detail according to the proposed ruling by CMS on our Meaningful Use home page. Click here to read more.
Eligible Professionals (EPs)
EPs are described in detail according to the proposed ruling by CMS on our Meaningful Use home page. Click here to read more.
Health Information Exchange (HIE)
As defined by HIMSS, Health Information Exchange (HIE) is commonly used interchangeably with RHIO. Typically, an HIE is a project or initiative focused around electronic data exchange between two or more organizations or stakeholders. These parties have agreed upon use of common technology and applied standards to support participation in the specific HIE initiative. The central purpose of a typical HIE is to foster the electronic
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Meaningful Use with eClinicalWorks Industry Buzzwords
exchange of health-related information between these parties. This exchange may include clinical, administrative, and financial data across a medical and or business trading area. HIEs may or may not be represented through a legal business entity or a formal business agreement between the participating parties.
Health Information Technical Policy Committee
One of two committees developed through the ARRA responsible for advising the National Coordinator on the creation of national standards and certification criteria for certified EHR technology and the demonstration of meaningful use.
Health Information Technology Standards Committee
One of two committees developed through the ARRA responsible for advising the National Coordinator on the creation of national standards and certification criteria for certified EHR technology and the demonstration of meaningful use.
Interim Final Rule (IFR)
An interim final rule adds, changes, or deletes regulatory text and contains a request for comments. The subsequent final rule may make changes to the text of the interim final rule.
Interoperability
The definition of interoperability according to the Health Information and Management Systems Society (HIMSS) as it applies to the health care industry, interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities.
Logical Observation Identifiers Names and Codes (LOINC)
The purpose of LOINC® is to facilitate the exchange and pooling of clinical results for clinical care, outcomes management, and research by providing a set of universal codes and names to identify laboratory and other clinical observations.
Meaningful EHR User
CMS has provided the proposed definitions for an eligible professional or hospital who demonstrates the usage of an EHR according to the objectives set forth in the rulemaking. Congress indicates three overarching requirements: use of a certified EHR in a meaningful manner; the EHR is connected to allow for the electronic exchange of health information for improving the quality of patient care; and the submission of clinical quality measures.
Notice of Proposed Rule Making (NPRM)
An NPRM is a proposed rule which must be put forth before a final rule can be published. It represents the plan or intention for the rule and solicits public comment. After the public comments are reviewed, and any modifications to the proposed rule are made, a final rule is then published. The final rule is then codified in the Code of Federal Regulations.
Office of the National Coordinator for Health Information Technology (ONC or ONCHIT)
ONC is the primary Federal entity responsible for coordinating the nationwide efforts to implement and use health information technology and to promote the electronic exchange of health information. ONC is formally a part of the Office of the Secretary of the U.S. Department of Health and Human Services (HHS).
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Meaningful Use with eClinicalWorks Meaningful Use Resource Center
The National Coordinator position was created in 2004 through an Executive Order, and then followed by a legislative mandate in 2009 as part of the HITECH Act. The National Coordinator position is held by David Blumenthal, M.D., M.P.P.
Stage 1
Stage 1 is the criteria documented in the IFR that begins in 2011 and 2012, and continues to be applicable for all payment years until update by future rule making. Stage 1 criteria can be reviewed in depth within the "Meaningful Stage 1 Criteria" section of our website.
Stage 2
Stage 2 criteria are an expanded set of goals for meaningful use to apply in 2013 and 2014. The criteria are to be proposed for rulemaking by end of 2011.
Stage 3
Stage 3 criteria are an expanded set of goals for meaningful use to apply in 2015. The criteria are to be proposed for rulemaking by end of 2013.
Structured Data
Structured data are data that have specified data type and response categories within an electronic record or file. Structured data allows for the retrieval and exchange of data to be accurate.
Meaningful Use Resource Center
Download Center & Website Material
Centers for Medicare and Medicaid (CMS)
Centers for Medicare and Medicaid - EHR Incentive Program Final Rule
Medicare and Medicaid EHR Incentive Programs Official Web Site
Tip Sheet: Medicare EHR Incentive Program, PQRI and e-Prescribing Comparison
Tip Sheet: Medicare EHR Incentive Payments for Eligible Professionals
Flow Chart – Determine Eligibility for Medicare and Medicaid Electronic Health Record Incentive Programs
EHR Eligible Profession Medicare or Medicaid Decision Tool
Office of the National Coordinator (ONC)
Standards and Certification Criteria for Electronic Health Records Final Rule
Certification Program for EHRs
NIST – Meaningful Use EHR Certification Test Scripts
HITECH Programs
Privacy and Security
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Meaningful Use with eClinicalWorks Interview with eClinicalWorks CEO
Miscellaneous
Life as a Healthcare CIO Blog – Stay up to date with HIT activities through the eyes of Dr. John Halamka
Health IT Buzz Blog
Federal Advisory Committee Blog
Interview with eClinicalWorks CEO
A Meaningful Q&A with eClinicalWorks CEO, Girish Navani
Our Meaningful Use Team had a chance to meet face to face with Girish Kumar Navani, CEO of eClinicalWorks, to hear his thoughts on meaningful use. We wanted to know his current position and long-term vision for eClinicalWorks in light of the wide-sweeping requirements for meaningful use within the medical industry.
MU Team: How would you describe meaningful use in a single sentence?
Girish: I define it as a minimum set of criteria for health information technology to facilitate decision support, interoperability and to measure the outcome of chronic care or preventive care.
MU Team: How do you feel meaningful use will affect the health care industry, and do you feel can it improve quality of care provided to patients?
Girish: I think that it will create the awareness required for some level of consistency regarding to the use of health information technology. That consistency will lead to interoperability, which should result in better decision making and a reduction in errors and could take us one step closer to reducing the overall cost of healthcare delivery.
MU Team: In what ways do you feel the EHR market will be impacted by meaningful use?
Girish: Meaningful use on its own will probably create a "measuring stick" that every EHR will have to comply with, however that is not going to be the most difficult part of the change. Meaningful use will require every end user to become educated on and proficient with the details of meaningful use, which in the end will be the responsibility of the EHR vendor. Meaningful use will raise the bar for every vendor to provide more service, more education and more training.
MU Team: What is eCW doing to ensure that each product meets meaningful use for each phase (2011, 2013, 2015)?
Girish: There are two parts to this answer: Primarily, we're doing what is required by the letter of the law, which is to make sure our product and our training covers each and every aspect as defined in the final ruling. In addition, we're going above and beyond what is required to what we believe is our responsibility, which is to provide free educational webinars, free online assessment tools and resources to come on-site if customers so desire to help facilitate our physicians and end user to meet the criteria for meaningful use.
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Meaningful Use with eClinicalWorks Interview with eClinicalWorks CEO
MU Team: Do you feel that eClinicalWorks products are ready for Meaningful Use?
Girish: The answer is yes, but that’s a much shorter question that is looking at a much simpler problem. Meaningful use extends far beyond just products. It’s going to reach to the processes and the company. So, the better question to answer is, “Is eClinicalWorks - the company - ready to prepare and guide its customers to meaningful use?” That answer is yes.
We have lived through this type of implementation before in many nationally visible projects such as PCIP (Primary Care Information Project) in New York City. In that example, we successfully demonstrated that over the last two years, we have been able to deploy 2000 doctors while using the product that would currently meet the guidelines of meaningful use. And there are many more examples.
We also spent a lot of time last year preparing ourselves to be ready so that all 950-plus employees of eCW can and will help our customers with the questions that come up as a result of this initiative in healthcare technology. We are not just prepared; we are ready make meaningful use a core part of our strategy over the next five years.
MU Team: How do think meaningful use will affect the sales and growth of eClinicalWorks?
Girish: eClinicalWorks and its management team have demonstrated exponential growth over the last 10 years, and eCW has been a successful, profitable private company. We are confident that we can continue this success for the next 10 years with or without the stimulus funds.
We do believe that the stimulus will create an additional catalyst for growth, and companies that are prepared will end up doing well in this market. However, it requires a decade-long commitment and a proven track record of successful implementations, a product ready for rapid implementation and a company agile and nimble enough to turn on a dime to meet the ever-changing criteria of healthcare information technology. We believe that we are better positioned than any other to meet that challenge.
MU Team: With the anticipation that many physicians are in the market to possibly purchase an EMR, what are you doing to ensure that our customers will be implemented and trained within a timely manner?
Girish: The business plan for eCW has always a requirement to grow exponentially year after year, both in terms of its customer care departments and its customer implementation departments. We’ve grown from a five-person company in 1999 to being one of the larger companies in healthcare IT with 950 employees today. Seventy percent of that staff works in areas such as training, implementation and support. We’ve invested in the departments that are required to meet the increasing demand that we have to manage.
We have been proactively studying the impact of the potential increase in the volume of business. So, combining the company’s resources with a product suited for rapid deployment, we expect to actually lower the bar it takes to implement a customer. We currently recommend 12 weeks as a standard implementation process; however, we are prepared as a company to take customers from contract signing to go-live in an even shorter period of time.
MU Team: Do you plan to offer specialized training for practices to ensure that they meet meaningful use?
Girish: eClinicalWorks and every other vendor must take on the responsibility of preparing their customers to meet the requirements of meaningful use. Meaningful use cannot be achieved unless various different outlets such as training, webinars, user forums and user conferences are orchestrated. By merely developing software, you cannot expect that users
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Meaningful Use with eClinicalWorks eClinicalWorks Meaningful Use Webcasts
will meet meaningful use on their own. They will need the support and staffing from eClinicalWorks to help them through the process.
MU Team: If readers were to take away one piece of information from this interview, what would you want them to remember?
Girish: We have been implementing customers at a very rapid rate and we have a 99% success rate with EMR adoption. These are our core competencies. This "new world" of meaningful use is actually going to allow us to shine because we’ve spent the last decade perfecting a successful EHR system that begins with a rapid deployment.
eClinicalWorks Meaningful Use Webcasts Are you interested in learning more about meaningful use?
Do you want to know what eClinicalWorks is doing to guide practices to becoming meaningful users?
Do you want to learn more about the CMS Meaningful Use Incentives program?
If you answered Yes to any of these questions, then please join us for our eClinicalWorks Meaningful Use Webcast.
What is a Webcast?
Our webcasts consist of audio and presented information. To attend the webcast you must register for the session, log in to the session from your computer and use your telephone or computer speakers to hear the audio. You may ask questions by typing into the question panel, and our moderator will reply.
What will be discussed in the eClinicalWorks Meaningful Use Webcast?
During this webcast:
We will take you through a brief history of the American Recovery and Reinvestment Act (ARRA) and will spend time reviewing the various proposed guidelines and incentives surrounding meaningful use.
We will review the products that eClinicalWorks offers, and preview the tools and services to support your efforts in becoming a meaningful user.
Prospective Customers
If you are a prospective customer and want to learn more about meaningful use, then please take some time to fill out this form so we can learn more about you and your practice. A member of our Meaningful Use team will contact you shortly with date/time of our webcast.
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Meaningful Use with eClinicalWorks eClinicalWorks Meaningful Use Webcasts
Existing Customers
We encourage you to attend one of our upcoming webcasts, which will provide you the overview of meaningful use. Watch for upcoming sessions through our newsletter, or download the recording from our Customer Care Portal.
If you are familiar with meaningful use, and are ready to evaluate your product usage in accordance to the meaningful use objectives, then please attend the Becoming a Meaningful User training session conducted by our Webinar team. Register for the session through the online webinar schedule.
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APPENDIX A: NOTICES
TrademarkseClinicalWorks®
eClinicalWorks is a registered trademark of eClinicalWorks, LLC. All other trademarks or service marks contained herein are the property of their respective owners.
eClinicalMobile®
eClinicalMobile is a registered trademark of eClinicalWorks, LLC.
CCHIT®
CCHIT is a registered trademark of the Certification Commission for Health Information Technology.
SNOMED CT®
SNOMED and SNOMED CT are registered trademarks of the IHTSDO.
LOINC®
LOINC is a registered United States trademark of Regenstrief Institute, Inc.