meaningful use stage 2 - healthinsight · 2015-05-12 · stage 2 •when – as early as 2014 for...
TRANSCRIPT
Meaningful Use Stage 2
David H. Smith, MBA
Cheryl Simpkiss, MS, EP
This material was prepared by HealthInsight, the Medicare Quality Improvement Organization for Nevada and Utah, under contract with the Centers for Medicare & Medicaid
Services (CMS), an agency of the U.S. Department of Health and Human Services. The contents presented do not necessarily reflect CMS policy. 10SOW-UT-2013-PO-68
This material was prepared by HealthInsight as part of our work as the Regional Extension Center for Nevada and Utah, under grant #90RC0033/01 from the Office of the
National Coordinator, Department of Health and Human Services.
Objectives
• Avoiding losses – understand timelines for remaining federal incentives and potential penalties
• Preparation for transition to Stage 2 requirements - comparison of Stage 1 & Stage 2
• Recommendations to successfully transition to improved clinical care
• Surviving audits – what you should know to be prepared
Stage 1
• Coloring in the lines.
Picture What is Possible
• Stage 1 ½ Clinics (Cheryl Simpkiss)
• LDL Challenge
– Objective
– What was accomplished
– Use of Lists/Reminders/Education/Referrals
1st Poll Question
• How many of you have providers in more
than one stage of meaningful use starting
next year?
• Yes/no
You Have Resources Available
• CMS
– Table of Contents
– Meaningful Use Stage 2 Toolkit
– Stage 2 Guide
• HealthInsight – Regional Extension Center
– Services to help you prepare and achieve MU
• Changes
– Review of changes
Stage 2 Table of Contents
• 17 Core
• 3/6 Menu
• http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/
Downloads/Stage2_MeaningfulUseSpecSheet_
TableContents_EPs.pdf
Stage 2 Toolkit
• http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentiveProgra
ms/Downloads/Stage2_Toolkit_EHR_0313.
• Most useful documents
– Table of Contents
– Stage 1 and 2 comparison
Stage 2 Guide
• Link
• An Eligible Professional’s Guide to Stage 2
of the EHR Incentive Programs
2nd Poll Question
• How many of you plan to purchase software
or upgrades to support Stage 2 of
meaningful use such as patient portal or
upgrades to existing software and/or
hardware?
• Yes/no
Stage 2
• When – as early as 2014 for those who
started meaningful use by 2012.
• 2014 – regardless of stage, 90 days of
meaningful use.
– Quarter-based for Medicare
– Any 90 days for Medicaid
(90 day method used to help clinics implement systems)
17 Core
• Challenges in Core – CPOE to include lab and radiology orders
– Provide patients ability to view online, download and transmit records
– Lab tests are now required
– Patient lists now required
– Reminders now required
– Patient education now required
– Medication reconciliation required
– Electronic referrals now required
– Ongoing Immunization registry submission now required
– Secure messaging now required
6 of 3 Menu
• Challenges in Menu
– Electronic notes now required
– Imaging results now required
– Family health data must be structured
– Cancer registry reporting an option
– Other registry reporting an option (Parkinsons)
*Avoiding Losses
• Timelines for remaining incentives and
potential penalties
– Perform in 2014
– Avoid Loss in 2015
*Preparation for Transition
• What you need to buy
• Talk to your vendor
– How will they meet interoperability standards
• Will providers have nwhin or Direct email
addresses?
• Will providers require connection to exchange of
some kind?
• Will you need to purchase a portal?
• Stage 2 upgrade? (2014) Install a stage 2 system
next.
*Recommendations for a
Successful Transition
• Recommendations
– Learn to use List, Reminders and CDS with
CQMs now.
– Enroll your patients on your portal.
– Get your providers direct exchange email
addresses (or your medical records
department).
3rd Poll Question
• How many of you plan to start meaningful
use Stage 2 next year?
• Yes/no
Audit Information Please review the following recommendations for audit support. We recommend that you capture all of the included
information to show that your provider has attained meaningful use. If you do not capture all of the included
information according to standards for meaningful use attainment and get audited, there is a possibility you may have to
return your incentive.
Clinic ____________________________________ Date____________________ Signature_________________________________
☐ All Providers in my organization have been given notice of this process and policy and understand that they may be held personally liable for any lack of documentation to prove their participation in and attainment of meaningful use. _________________________________________________________________________________________________
Core Measures 1: CPOE for Medications: ☐ Exclusion claimed. Reason: ___________________________
☐ Audit Documentation: Report used to obtain the numerator and denominator OR to document reason for exclusion
☐ EP reported using ALL patient records
☐ EP reported using only patient records maintained in the certified EHR 2: Drug Interaction Check
☐ Audit Documentation: Screenshot from EHR of settings showing active drug-drug and drug-allergy checking, for the entire reporting period if possible, or an interaction alert audit report. 3: Maintain Problem List
☐ Audit Documentation: Report used to obtain the numerator and denominator
4: e-Prescribing (eRx): ☐ Exclusion claimed. Reason:______________________________________
☐ Audit Documentation: Report used to obtain the numerator and denominator OR to document reason for exclusion
☐ EP reported using ALL patient records
☐ EP reported using only patient records maintained in the certified EHR 5: Active Medication List
☐ Audit Documentation: Report used to obtain the numerator and denominator 6: Medication Allergy List
☐ Audit Documentation: Report used to obtain the numerator and denominator 7: Demographics
☐ Audit Documentation: Report used to obtain the numerator and denominator
8: Vital Signs ☐ Exclusion claimed. Reason: ________________________________________
☐ Audit Documentation: Report used to obtain the numerator and denominator OR to document reason for exclusion
☐ EP reported using ALL patient records
☐ EP reported using only patient records maintained in the certified EHR
9: Smoking Status: ☐ Exclusion claimed. Reason: ______________________________________
☐ Audit Documentation: Report used to obtain the numerator and denominator
☐ EP reported using ALL patient records
☐ EP reported using only patient records maintained in the certified EHR 10: Clinical Quality Measures (CQM)
☐ Attach list of core or alternate core CQM submitted
☐ Attach list of three additional CQMs selected
☐ Audit Documentation: Report used to obtain the numerator and denominator for each CQM
11: Clinical Decision Support Rule
☐ Audit Documentation: Screenshot from EHR showing use of a clinical decision support rule
12: Electronic Copy of Health Information: ☐ Exclusion claimed. Reason: ____________________________
*Surviving Audits
1. Document
2. Use a List
3. Store your proof
4. Over-document
requests for proof.
In Summary
• Avoiding losses – understand timelines for remaining federal incentives and potential penalties
• Preparation for transition to Stage 2 requirements – know what’s coming
• Recommendations to successfully transition to improved clinical care – start doing all Menu requirements
• Surviving audits – document
