meaningful use stage 2 - get real health · with stage 1 and stage 2 meaningful use objectives and...

Meaningful Use Stage 2

Meeting Meaningful Use Stage 2 with InstantPHRTM

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Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM

© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013

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Meaningful Use Overview

We are at the forefront of the patient engagement era.

The American Recovery and Reinvestment Act of 2009

included the Health Information Technology for Economic

and Clinical Health (HITECH) Act, which gives the

Department of Health & Human Services (HHS) the authority

to establish programs to improve healthcare quality, safety,

and efficiency through the promotion of health IT, including

electronic health records and private and secure electronic

health information exchange (HIE). In order to accomplish

these goals, the Centers for Medicare & Medicaid Services

(CMS) and the Office of the National Coordinator for Health

Information Technology (ONC) established Meaningful Use

(MU), which uses a combination of financial incentives and

penalties to encourage healthcare providers to comply with

recommended standards. MU Stage 1 laid the foundation

for EHR technology, and in Stage 2, we are seeing more

of a push to focus on improving clinical outcomes.

MU Stage 2 has led to an increased focus on consumer

engagement, including requirements that providers meet

consumer uptake percentages.

InstantPHRTM was developed to enable healthcare providers

to deliver high quality patient care. The product’s ONC

2014 Edition Modular EHR Certification designates that

the software is capable of supporting healthcare providers

with Stage 1 and Stage 2 Meaningful Use objectives and

measures. Meaningful Use requires the utilization of ONC

Certified Health IT products.

The last year to begin participation in the Medicare EHR

Incentive Program is 2014 with the last payments disbursed

in 2016, and the last year to begin participation in the

Medicaid EHR Incentive Program is 2016 with the last

payments disbursed in 2021. With $27 billion available for

incentive payments from CMS, eligible professionals (EPs)

can receive up to $44,000 in Medicare payments and

$63,750 in Medicaid payments. Hospitals can potentially

qualify for incentive payments of $2 million or more.

InstantPHRTM MU Summary

Get Real Health’s InstantPHRTM is an ONC 2014 Edition

Modular Certified EHR Technology (CEHRT) that meets both

ambulatory and inpatient criteria for:

170.314(a) Clinical

170.314(a)(15) Patient-specific education resources

170.314(d) Privacy and Security

170.314(d)(1) Authentication, access control, and authorization

170.314(d)(5) Automatic log-off

170.314(d)(8) Integrity

170.314(e) Patient Engagement

170.314(e)(1) View, download and transmit to 3rd party

170.314(e)(3) Secure messaging (Ambulatory only)

170.314(g) Utilization

170.314(g)(1) Automated numerator recording

170.314(g)(4) Quality management system

InstantPHRTM provides EPs and hospitals with an ONC 2014

Edition CEHRT to fulfill core patient-centric objectives

and measures. Additionally, InstantPHRTM is a certified

technology for automated numerator recording. This feature

enables EPs and hospitals to accurately track and report

percentage-based objectives.



The chart below depicts the correlation between Stage 2 objectives and measures that are required criteria for 2014 Edition

EHR certification.

Eligible Professionals

Core Measure 7

Stage 2 Objective Stage 2 Measure 2014 Edition EHR

Certification Criteria

Provide patients the ability to view,

download, and transmit their health

information within 4 business days

of the information being available to

the EP.

Measure 1: More than 50 percent of

all unique patients seen by the EP

during the EHR reporting period

are provided timely (available to

the patient within 4 business days

after the information is available

to the EP) online access to their

health information.

Measure 2: More than 5 percent of

all unique patients seen by the EP

during the EHR reporting period (or

their authorized representatives)

view, download, or transmit to a third

party their health information.

170.314(e)(1) View, download and

transmit to 3rd party.

Core Measure 13



Use clinically relevant information

from Certified EHR Technology to

identify patient-specific education

resources and provide those

resources to the patient.

Patient-specific education resources

identified by Certified EHR

Technology are provided to more

than 10 percent of all unique patients

with office visits seen by the EP

during the EHR reporting period.

170.314(a)(15) Patient-specific

education resources

Core Measure 17



Use secure electronic messaging

to communicate with patients on

relevant health information.

A secure message was sent using

the electronic messaging function of

CEHRT by more than 5 percent of

unique patients (or their authorized

representatives) seen by the EP

during the EHR reporting period.

170.314(e)(3) Secure messaging

(Ambulatory only)

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Eligible Hospitals/Critical Access Hospitals

Core Measure 6



Provide patients the ability to

view online, download, and

transmit information about a

hospital admission.

Measure 1: More than 50 percent

of all unique patients discharged

from the inpatient or emergency

departments of the eligible hospital

or CAH (POS 21 or 23) during the

EHR reporting period have their

information available online within

36 hours of discharge.

Measure 2: More than 5 percent of all

unique patients (or their authorized

representatives) who are discharged

from the inpatient or emergency

department (POS 21 or 23) of

an eligible hospital or CAH view,

download or transmit to a third party

their information during the EHR

reporting period.

170.314(e)(1) View, download and

transmit to 3rd party.

Core Measure 10



Use clinically relevant information

from Certified EHR Technology to

identify patient-specific education

resources and provide those

resources to the patient.

More than 10 percent of all unique

patients admitted to the eligible

hospital’s or CAH’s inpatient or

emergency departments (POS 21

or 23) are provided patient-specific

education resources identified by

Certified EHR Technology.

170.314(a)(15) Patient-specific

education resources.

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InstantPHR’s Automated Numerator Recording

InstantPHRTM is a certified technology for automated

numerator recording. This feature enables EPs and hospitals

to accurately track percentage-based objectives by

providing the number of unique patients who have used the

patient portal to:

1. View, download and/or transmit their health information

2. Securely message their provider

3. View educational material

CMS Definitions of Unique Patient for EP

Reporting Purposes

If a patient is seen by an EP more than once during the

EHR reporting period, then for purposes of measurement,

that patient is only counted once in the denominator for

the measure. All the measures relying on the term ‘‘unique

patient’’ relate to what is contained in the patient’s medical

record. Not all of this information will need to be updated or

even be needed by the provider at every patient encounter.

This is especially true for patients whose encounter

frequency is such that they would see the same provider

multiple times in the same EHR reporting period.

CMS Definitions of Unique Patient for EH

and CAH’s Reporting Purposes

If a patient is admitted to an eligible hospital’s or CAH’s

inpatient or emergency department (POS 21 or 23)

more than once during the EHR reporting period, then

for purposes of measurement that patient is only counted

once in the denominator for the measure. All the measures

relying on the term ‘‘unique patient’’ relate to what is

contained in the patient’s medical record. Not all of this

information will need to be updated or even be needed by

the provider at every patient encounter. This is especially

true for patients whose encounter frequency is such that

they would see the same provider multiple times in the

same EHR reporting period.

Using InstantPHR’s Automated Numerator

Recording Reports Assists with Attestation

InstantPHR’s automated numerator site enables providers

to easily run reports to track unique patients that have

used the patient portal to engage in Core Meaningful Use

patient engagement objectives. The reporting site is linked

to specific EPs’ and hospitals’ instance of InstantPHRTM

upon purchase. Users are able choose a reporting period by

selecting desired dates and MU2 objective(s). For hospitals

that are attesting for inpatient and ambulatory incentives,

reports are run separately as the criteria has different

requirements. InstantPHR’s numerator recording, provides

a downloadable CSV file.

Note: EPs, EHs, and CAHs will be required to provide

the denominator when attesting for Meaningful Use.

This is not provided by InstantPHRTM as the platform will

only have access to data related to the patient portal,

not the full patient population.

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Additional Resources

CMS EHR Incentive Program:

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html

Meaningful Use Stage 2:

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html

Meeting Stage 1 with the 2014 Edition Criteria:

http://www.healthit.gov/sites/default/files/meaningfulusetablesseries1_110112.pdf

Providers & Professionals Information on EHRs:

http://www.healthit.gov/providers-professionals

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