meaningful use stage 2: deep dive
TRANSCRIPT
This event is live as of XYZ
Meaningful Use Stage 2:Deep Dive
Casey JohnsonProduct Marketing
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Meaningful Use is designed to create infrastructure that supports reform
Stage 1:Data capture and sharing
Stage 2:
Advanced processes
Stage 3:
Improved outcomes
Hundreds of thousands of providers participated in Meaningful Use Stage 1
As of August 2014
490,952 MU-registered caregivers
Over
$25 billion in incentive paymentsJune 2014 EHR Registration and Payment Report
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Attested in 2011 or 2012?
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Must meet Stage 2 MU in 2015
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Stage 2 has more core measures, fewer menu measures, and higher thresholds
Stage 1 Stage 2
5 of 9
Menu
13 Core
Higher thresholds
3 of 6 Menu
17 Core
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Almost all of the Stage 1 measures appear in Stage 2
• CPOE• Demographics• Vitals• Smoking Status• Structured Labs• Patient Lists• Preventive Reminders• Clinical Summary• Patient Education• Medication Reconciliation• Immunizations• Syndromic Surveillance• Security Analysis
Retained Stage 1 Measures Consolidated Stage 1 Measures
• eRxo eRx, Drug Formulary
• Interventionso Clinical Decision Support,
Drug/Drug, Drug/Allergy• Patient Access
o Timely Access, E-Copy of Health Information
• Summary of Careo Summary of Care,
Problems, Medications, Medication Allergies, Exchange Clinical Information
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Stage 2 introduces six new measures
Imaging Results
(Menu)
Secure Messages
(Core)
Family History
(Menu)
Specialized Registry
(Menu)
Cancer Cases(Menu)
Progress Notes
(Menu)
In 2015, you must be on a 2014 Certified EHR
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The MU reporting periods were changed to allow time for upgrades
*Only for providers who are beyond their first year of MU
Meaningful Use Start
Year
Reporting Period by Stage of Meaningful Use
2011 2012 2013 2014 2015 2016
2011 1 1 1 2 2 2
90 days Full year Full Year Quarter Full Year
2012 1 1 2* 2 2
90 Days Full Year Quarter Full Year
2013 1 1* 2 2
90 Days Quarter Full Year Full Year
2014 1 1 2
Full Year Full Year
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Only 15% of professionals eligible for Stage 2 have attested.
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47% of those attestations were “hardship exemptions”.
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But beware… the penalties can really add up
Year eRx PQRSMeaningful
Use Total2015 -2.0% -1.5% -1.0% -4.5%
2016 -2.0% -2.0% -2.0% -6%
2017 -2.0% -2.0% -3.0% -7%
2018 -2.0% -2.0% up to -5% up to -9%
2019 -2.0% -2.0% up to -5% up to -9%
Overview of penalties
Preparing for Stage 2 MU
1 Upgrade (or replace?) your EHR
2 Perform at Stage 2 thresholds
3 Create a patient engagement strategy
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Step #1: Upgrade to the 2014 certified version of your EHR
Understand your vendor’s 2014 certification approach
2013 20142Q 3Q 4Q 1Q 2Q 3Q 4Q
Upgrade EHRPracticeStage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
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Step #1: Upgrade to the 2014 certified version of your EHR
• athenaClinicals certified as a 2014 Edition Complete EHR on June 21, 2013
• 2014 certified version of athenaClinicals released to all practices at once
• athenaClinicals physicians will begin practicing Stage 2 MU on October 1, 2013
2013 20142Q 3Q 4Q 1Q 2Q 3Q 4Q
Upgrade EHRPracticeStage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
Perform Stage 2
MU
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Ask a few key questions ofyour EHR vendor
Is your vendor able to deploy the 2014 Certified Edition to all clients at once?1Will your vendor certify as a Complete EHR or a Modular EHR?2Does the vendor provide MU support and training as part of the regular pricing without additional fees?3Do they provide the required interfaces for free and without interruption? How many connections? When will they be available? 4
How can I switch if 2015 requires full-year reporting?
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Check In Intake Exam Sign-Off Checkout Fulfilled Outside of atheanaNet
Security Plan (free self-service support of intensive
consultation for additional fee)
Fulfilled outside of 5-Stages
Demographics CPOE E-Copy of Health Info Patient Lists
Timely Access(Communicator
)eRx Clinical
Summaries Send Care Reminders
Patient Education Fulfilled by Core athenahealth Service
Clinical Quality MeasuresSummary of
Care Transitions
Immunization Registry TestSyndromic Surveillance
(HIE department)
Vitals Up-to-Date Problems Exchange Clinical Data Test
Drug-Drug InteractionsSmoking
Drug FormularyActive Meds
Clinical Decision Support ToolsActive Allergies
Structured Lab ResultsMed Rec
Step #2: Evaluate your current workflow to maximize performance…
Criteria Integrated within athenahealth’s 5 Stage Patient Workflow
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…and increase your Stage 1 performance to meet the Stage 2
thresholds
Objective MeasureThresholds
Stage 1 Final
Stage 2 Final
CPOE Use CPOE for medication, lab, and radiology orders 30% meds
60% meds,30% labs & radiology
eRx Generate and transmit permissible prescriptions electronically 40% 50%
Demographics Record demographics 50% 80%
Vitals Record and chart changes in vital signs 50% 80%
Smoking Status Record smoking status for patients 13 years or older 50% 80%
InterventionsImplement CDS interventions at the point of care; enable drug/drug and drug allergy interaction checks
One Five
Structured Labs Incorporate lab results as structured data 40% 55%
Patient Lists Generate lists of patients by specific conditions One One
Preventive Reminders
Send reminders for preventative/follow-up care
20% patients, >65 years or <5 years
10% unique patients
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Performance on Meaningful Use Stage 2 Behavioral measures
Covering period: Q1 2014
100% 89%
99%
99%
99%
100%
99%
95%
80%
1. CPOE for Medication, Laboratory, and Radiology Orders
2. E-prescribing (eRx)
3. Record Demographics
4. Record Vital Signs
5. Record Smoking Status
6. Clinical Decision Support Rule
7. Patient Electronic Access
8. Clinical Summaries
9. Protect Electronic Health Information (N/A)
10. Clinical Lab Test Results
11. Patient Lists (N/A)
12. Preventive Care Reminders
13. Patient-Specific Education Resources
14. Medication Reconciliation
15. Summary of Care
16. Immunization Registry Data Submission
17. Use Secure Electronic Messaging
75%
92%
99%
89%
90%
33%
98%Providers who satisfied required 3 of 6 menu measures:
If provider is failing MU Patient Engagement measures, auto-launch registration upon check-in
Three new workflows to register the patient when in-office
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Performance on Meaningful Use Stage 2 Behavioral measures
As of 12/31/2014
100%
100%
100%
100%
100%
99%
99%
1. CPOE for Medication, Laboratory, and Radiology Orders
2. E-prescribing (eRx)
3. Record Demographics
4. Record Vital Signs
5. Record Smoking Status
6. Clinical Decision Support Rule
7. Patient Electronic Access
8. Clinical Summaries
9. Protect Electronic Health Information (N/A)
10. Clinical Lab Test Results
11. Patient Lists (N/A)
12. Preventive Care Reminders
13. Patient-Specific Education Resources
14. Medication Reconciliation
15. Summary of Care
16. Immunization Registry Data Submission
17. Use Secure Electronic Messaging99%
100%
Providers who satisfied required 3 of 6 menu measures:
100%
100%
100%
100%
100%
100%
100%
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Step #3: Create a patient engagement strategy that leverages technology
© National eHealth Collaborativehttp://www.nationalehealth.org/stages-patient-engagement-framework
• Clinical Summary• Patient Education
• NEW! Patient Access• NEW! Secure
Messaging
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Step #3: Create a patient engagement strategy that leverages technology
© National eHealth Collaborativehttp://www.nationalehealth.org/stages-patient-engagement-framework
• Implement a patient portal solution that allows patients to fully engage with their demographic, financial, and health information
• Market your patient portal solution by highlighting the benefits to your patients
• Make sure your patient portal is (or will be) 2014 MU certified!
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Our approach to Stage 2 Meaningful Use
Software Knowledge Service• athenaClinicals received
2014 Edition MU certification on 6/21/13
• All athenahealth clients using a 2014 Edition MU certified EHR today
• Any software changes to support MU will be pushed to all clients immediately
• Centrally monitor the performance of every provider within your practice to tell them if they are ahead or behind in meeting MU criteria
• Identify insights based on high and low performers nationwide and roll out to network
• Coach on Meaningful Use program performance with intervention for poor performance
• Take on the technical work required to satisfy health information exchange measures
• Management of registration and attestation with CMS
• Incentive payment tracking and processing
US Patent # 7,720,70
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Our approach to Stage 2 Meaningful Use
Software Knowledge Service• athenaClinicals received
2014 Edition MU certification on 6/21/13
• All athenahealth clients using a 2014 Edition MU certified EHR today
• Any software changes to support MU will be pushed to all clients immediately
• Centrally monitor the performance of every provider within your practice to tell them if they are ahead or behind in meeting MU criteria
• Identify insights based on high and low performers nationwide and roll out to network
• Coach on Meaningful Use program performance with intervention for poor performance
• Take on the technical work required to satisfy health information exchange measures
• Management of registration and attestation with CMS
• Incentive payment tracking and processing
US Patent # 7,720,70
1
31
Our approach to Stage 2 Meaningful Use
Software Knowledge Service• athenaClinicals received
2014 Edition MU certification on 6/21/13
• All athenahealth clients using a 2014 Edition MU certified EHR today
• Any software changes to support MU will be pushed to all clients immediately
• Centrally monitor the performance of every provider within your practice to tell them if they are ahead or behind in meeting MU criteria
• Identify insights based on high and low performers nationwide and roll out to network
• Coach on Meaningful Use program performance with intervention for poor performance
• Take on the technical work required to satisfy health information exchange measures
• Management of registration and attestation with CMS
• Incentive payment tracking and processing
US Patent # 7,720,70
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75.7% of our providers attested to MU Stage
2 (through December 2014)
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athenahealth’s award-winning services can help you thrive through
change
33“2013 Best in KLAS Awards: Software & Services,” January, 2014. © 2014 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
#1 Overall
Software Vendor
#1 Overall
Physician Practice Vendor
#1 PatientPortal
#1 Practice
Management System(1-10, 11-75 physicians)
#2 EHR
(1-10, 11-75 physicians)
2013 Best in KLAS
• 59,000+ providers on athenaNet®
• Clients ranging from 1 to 5,000+ providers
• 50 states and 104 medical specialties• $11.7 billion in client collections per year• Acquired Epocrates March, 2013
And we were also ranked as the most likely to keep up with regulations
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© 2014 KLAS Enterprises, LLC. All rights reserved. www.KLASresearch.com
How confident are you in your RCM vendor’s ability to keep up with regulatory and government demands?
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0% athenahealth Kareo NextGen Cerner eClinicalWorks
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5
2
112
5
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2
2
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Prel
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Dat
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ConfidentVery Confident Unsure
UnconfidentVery Unconfident
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As the largest cloud-based network of physicians, we can serve you better.
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