November 24th Public Health Reporting Options for 2015 · 2015-11-24 · Reporting Requirements –...

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Upcoming Webinars: November 24th Public Health Reporting Options for 2015 December 1st Completing the Security Risk Analysis December 8th A First Look at the MS State Level Registry – Prototype Preview December 15th Closing Out Program Year 2015 (Running Reports, Collecting data, Security Risk Analysis, Public Health Reporting deadlines

Tuesday 10:30 – 11:30

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Modified Stage 2 Meaningful Use

Public Health Reporting November 24, 2015

Nick Maisel,

EHR Program Coordinator

O f f i c e o f t h e G o v e r n o r | M i s s i s s i p p i D i v i s i o n o f M e d i c a i d

Webinar Agenda

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Overview of EHR Program Changes in 2015

Public Health Reporting Options

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Modified Stage 2 Objectives

Download the EHR TipSheet 2015

We will be talking from this TIP Sheet during the webinar today. You will need a copy in order to follow along.

Public Health Reporting Options

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Overview of EHR Program Changes in 2015

CMS recently released a final rule that specifies criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. The final rule’s provisions encompass 2015 through 2017 (Modified Stage 2) as well as Stage 3 in 2018 and beyond.

The CMS rule is live here: https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-25595.pdf

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Overview of EHR Program Changes in 2015

Major Changes that impact EHR Attestation for program year 2015: • Allowing a 90-day EHR Reporting Period for all first-time

and returning participants. • Eligible Hospitals and Critical Access Hospitals have been

moved from the Federal Fiscal Year to the Calendar Year for EHR reporting.

• CMS has transitioned Stage 1 to a Modified Stage 2 for the 2015 reporting period and beyond.

• The number of Meaningful Use Objectives for EPs and EHs have been reduced and require attesting to a single set of objectives and measures. This replaces the CORE and MENU objective structure of previous stages.

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Overview of EHR Program Changes in 2015

EHR Reporting Periods

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Overview of EHR Program Changes in 2015

EHR Certification

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Modified Stage 2 Objectives

Download the EHR TipSheet 2015

We will be talking from this TIP Sheet during the webinar today. You will need a copy in order to follow along.

Public Health Reporting Options

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Meaningful Use Stage 1 Meaningful Use Stage 2

AIU + MU1 + MU2 MU3 + MU4 and beyond

Participation years determine the MU Stage (for exclusions and alternate measure responses.

Public Health Reporting Options

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Modified Stage 2 Objectives

Meaningful Use Objectives and Measures

Everyone is in Modified

Stage 2 for 2015 -

2017

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Modified Stage 2 Objectives

Meaningful Use Objectives and Measures

Everyone is in Modified

Stage 2 for 2015 -

2017

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Reporting Requirements – Modified Stage 2

Modified Stage 2 Objectives

Meaningful Use Objectives and Measures

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Reporting Requirements – Modified Stage 2

Objective:

The Eligible Professional, Eligible Hospital or Critical Access Hospital is in active engagement with a public health agency to submit electronic health data from Certified Electronic Health Record Technology (CEHRT) except where prohibited by law and in accordance with applicable law and practice.

Public Health Reporting Options

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Reporting Requirements – Modified Stage 2

Active Engagement:

There are three levels of Active Engagement: 1. Registration 2. Testing 3. Production

Public Health Reporting Options

Mississippi will ask for supporting documentation as the evidence of your clinic’s current Level of Active Engagement.

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Reporting Requirements – Modified Stage 2

Active Engagement:

There are three levels of Active Engagement: Registration Completed Registration to Submit Data: the EP registered to submit data with the PHA to which the information is being collected; and the EP is awaiting an invitation from the PHA to begin testing and validation. Providers that have registered in previous years do not need to submit an additional registration to meet this requirement for each EHR reporting period.

Public Health Reporting Options

Mississippi will ask for supporting documentation as the evidence of your clinic’s current Level of Active Engagement.

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Reporting Requirements – Modified Stage 2

Active Engagement:

There are three levels of Active Engagement: Registration

Public Health Reporting Options

http://msdh.ms.gov/msdhsite/_static/31,0,136.html http://www.ms-hin.ms.gov

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Reporting Requirements – Modified Stage 2

Active Engagement:

There are three levels of Active Engagement: Testing and Validation: the EP is in the process of testing and validation of the electronic submission of data. Providers must respond to requests from the PHA within 30 days; failure to respond twice within an EHR reporting period would result in the provider not meeting the measure.

Public Health Reporting Options

Mississippi will ask for supporting documentation as the evidence of your clinic’s current Level of Active Engagement.

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Reporting Requirements – Modified Stage 2

Active Engagement:

There are three levels of Active Engagement: Production: the EP has completed testing and validation of the electronic submission and is electronically submitting production data to the PHA.

Public Health Reporting Options

Mississippi will ask for supporting documentation as the evidence of your clinic’s current Level of Active Engagement.

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Reporting Requirements – Modified Stage 2

Measure Option 1:

Immunization Registry Reporting Modified Stage 2 and Alternate Specification (stage 1) Evidence of Current Level Of Engagement Registration Testing Production Refer to TipSheet

Public Health Reporting Options

Allowable Exclusion: Does not administer any immunizations during the EHR reporting period.

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Reporting Requirements – Modified Stage 2

Measure Option 2: Syndromic Surveillance Reporting Modified Stage 2 and Alternate Specification (stage 1) This measure has a limited scope of application. EP clinics, that are connected to an already on-boarded hospital and both are using the same EHR, may submit Syndromic Surveillance data if being captured at the clinic level Refer to TipSheet

Public Health Reporting Options

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Reporting Requirements – Modified Stage 2

Measure Option 3:

Meaningful Use Objectives and Measures

Specialized Registry Reporting Modified Stage 2 and Alternate Specification (stage 1) Evidence of Current Level Of Engagement Registration Testing Production Specialized Registries may be local, state or national. Refer to TipSheet

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Reporting Requirements – Modified Stage 2

Measure Option 3:

Meaningful Use Objectives and Measures

Specialized Registry Reporting Modified Stage 2 and Alternate Specification (stage 1) Evidence of Current Level Of Engagement Registration Testing Production Specialized Registries may be local, state or national. Refer to TipSheet

Claim any of the exclusions in 2015

to meet this measure

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Reporting Requirements – Modified Stage 2

Measure Option 3:

Meaningful Use Objectives and Measures

Specialized Registry Reporting Modified Stage 2 and Alternate Specification (stage 1) Evidence of Current Level Of Engagement Registration Testing Production Specialized Registries may be local, state or national. Refer to TipSheet On the Horizon……

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Reporting Requirements – Modified Stage 2

Preparing to Attest for Program Year 2015

Meaningful Use Objectives and Measures

• Select the 90-day EHR reporting period that will be used during attestation.

• Using your 2014 CEHRT Software, pull your Meaningful Use Summary reports for your providers.

• Complete the Security Risk Analysis before 12/31/2015.

• Complete Public Health Registration before 12/31/2015.

• Confirm the Stage your providers are scheduled to report for 2015. (previously – 2 years of MU = Stage 1. AIU is not included in this count)

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Reporting Requirements – Modified Stage 2

MS State Level Registry Availability

Currently, the MS SLR is developing new attestation screens and functionality that reflect the new CMS-mandated changes impacting 2015-2017. The MS SLR should be available to receive EHR Attestations for program year 2015 for AIU and Meaningful Use beginning in May, 2016. There will be a 60-day attestation window once the MS SLR re-opens.

Please check our website for updates and availability. https://msehrpip.wordpress.com

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Upcoming Webinars: November 24th Public Health Reporting Options for 2015 December 1st Completing the Security Risk Analysis December 8th A First Look at the MS State Level Registry – Prototype Preview December 15th Closing Out Program Year 2015 (Running Reports, Collecting data, Security Risk Analysis, Public Health Reporting deadlines

Tuesday 10:30 – 11:30

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Questions?

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nick.maisel@medicaid.ms.gov

Unofficial MS EHR resource website: http://msehrpip.wordpress.com

Get on our mailing list: ms-ehr@medicaid.ms.gov or use the Contact Us form on our website