CHCANYS NYS HCCN eCWWebinar HCCN/eCW... · 2016-06-02 · Modified Stage 2 Pocket Guide ......

CHCANYS NYS HCCNeCWWebinar

Medicaid Eligible ProviderModified Stage 2 Meaningful Use

Using eCW

Stephanie Rose, HCNNY

March 17, 2016

Agenda

3/17/16 HEALTH CENTER NETWORK OF NEW YORK 2

1. Medicaid Meaningful Use Quick Review

2. Modified Stage 2 for 2016 ‐2017

3. Next Steps

4. Meaningful Use Q & A

5. UDS Updates

Medicaid Meaningful Use Quick Review

3/17/2016 3HEALTH CENTER NETWORK OF NEW YORK

Medicaid Incentive Payment


Incentives paid over 6 participation years No Medicaid penalty for missing a yearPayments◦ $21,250 for Year 1 for Adopt, Implement Upgrade (AIU)◦ $8,500 for Years 2‐6 for Meaningful Use

Important Dates2016 – last year to start receiving incentive payments2021 – last year to receive a payment

Medicaid Meaningful UseEligible Providers


Physicians (M.D. and D.O.)

Nurse Practitioners

Certified Nurse Midwives

Dentists

Physician Assistants◦ Only if they practice in a FQHC or RHC that is led by a Physician Assistant

Modifications for 2016‐2017


No change to Medicaid AIU and Payment Year 2 (90 days)

All EPs move to single set of objectives called Modified Stage 2

Removes measures that are redundant or topped out, lessens patient engagement thresholds

Clinical Quality Reporting is still required

Final Rule10/16/15

Clinical Quality Measures


Domains

Engagement

Safety

Population Health

Care Coordination

Efficiency

Effectiveness

You still need to submit 9 CQMS across 3 domains.

Medicare is moving to eCQMs but states have the option on how providers will submit.

Modified Stage 22016‐201710 OBJECTIVES



*2014 and 2015 Special Reporting Year 90 days for all providers

Measures No Longer Required for Attestation


Record Demographics*

Record Allergies**

Record Problems**

Record Vital Signs*

Structured Lab Results*

Record Smoking Status*

Clinical Summaries/ Visit Summary

Patient ListElectronic NotesImaging ResultsFamily Health HistorySummary of care any methodSummary of care test with another EHR

*required to be included on the summary of care if available**Must be included on all summary of care documents


Modified Stage 2 Pocket GuideProtect ePHI CDSS CPOE Electronic

PrescribingHIE

Conduct or review a security risk analysis and address security including encryption

Implement 5 CDSS Rules associated with 4 or more CQMS

and

Enable drug/drug and drug/allergy checking

>60% of medication Orders entered using CPOE

>30% of lab orders entered using CPOE

>30% of radiology orders entered using CPOE

>50% of permissible prescriptions are queried for a drug formulary and transmitted electronically

>10% of transitions of care/referrals include a summary of care document created by the CEHRT and is exchanged electronically

Patient Education Medication Reconciliation

Electronic Access Secure Messaging

Public Health /Clinical Data

Registry Reporting

>10% of patients receive patient specific education resources identified by the EHR

>50% of transitions of care have the medications reconciled

>50% of unique patients seen by the EP are provided online access to view, download and transmit (VDT) within 4 business days;

2016: 1 patient VDT

2017: >5% VDT

2016: At least one patient was sent a secure message

2017: >5% of patients was sent a secure message.

Active Engagement for 2 out of 3 registries

• Immunization Registry (1x)

• Syndromic Registry (1x)

• Specialized Registry (2x)

Modified Stage 2Protect ePHI


Objective: Protect e‐health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities

Measure:◦ Conduct or review a security risk analysis, including addressing the security (to include encryption) of ePHI created or maintained in CEHRT.

◦ Implement security updates as necessary and correct identified security deficiencies

You must conduct or update your security risk assessment during the payment year. Needs to be documented annually for audits. Risk Assessment tool(s) available:https://www.healthit.gov/providers-professionals/security-risk-assessment-tool

eCW Features


Security attributes by role or user

RX Security

P.S.A.C

Confidential Progress Notes

Confidential Patient Accounts

Authentication Settings

Admin Logs

User Security Points to Consider


Do you have a process/policy to review all of the eCWusers’ security?

• Is access to eCW appropriate for their job • Do they have only the access they need for their job

Do end users share user names and passwords?

Do you have a process to verify that only active employees have access? Frequency Responsibility

Patient Security Access Control (P.S.A.C)


Restrict access to patient’s records with sensitive information

Restricted Not Restricted

Progress Note Demographics

Can hide patients in lookup window

Appointments

Telephone Encounter Message

Print Label

Referrals

Processing Letters

Billing

P.S.A.C. Notes


Create Groups or categories of security

Give Security to users for each PSAC Group Can predetermine secure visits based on Provider, Facility, and Visit TypeCan have confidential note by ICD CodeClick the Confidential Note button on the progress note billing window and select the group.

P.S.A.C. Patients


Restrict access to specific patientsCan hide information from unauthorized users Can allow PSAC Break Glass (can view after confirming thneed and typing why you are accessing)

File, PSAC Settings, Check Hide PSAC Patients

Authentication Settings


File/Settings/Authentication Settings

• Session Time out• Login attempts before locking

out• Password length and complexity• Restrict recycling the same

password• Frequency to change the

password

Admin Logs


Admin band/Admin Logs Icon

Modified Stage 2 Measure Computerized Order Entry (CPOE)


Objective:

Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional that can enter orders into the medical record per state, local, and professional guidelines.

Modified Stage 2 MeasureCPOE Measures


1. >60% of Medication orders entered using CPOE by licensed healthcare professional ◦ Exclusion: provider writes less than 100 medication orders in the

reporting period

2. >30% of Lab orders entered using CPOE by licensed healthcare professional • Exclusion: provider writes less than 100 lab orders in the

reporting period

3. >30% of Radiology orders entered using CPOE by a licensed healthcare professional• Exclusion: Provider writes less than 100 radiology orders in the

reporting period

Modified Stage 2 Measure Computerized Order Entry (CPOE)


eCW Numerator: Order created by an Eligible Provider or a member of their staff during the reporting period.

eCW Denominator: Order entered by a Licensed Healthcare Professional or Credentialed Medical Assistant.

Update Staff in eCW


Admin>Staff


Use eCW Treatment Window to Order Medication, Labs and DI

Modified Stage 2 MeasureClinical Decision Support (CDS)


Objective: Use clinical decision support to improve performance on high‐priority health conditions

Measure:1. Implement 5 CDS rules associated to 4 or more CQMs

for the entire EHR reporting period◦ If there are no relevant clinical quality measures they must be related to

high‐priority health conditions

2. Enable drug/drug, drug/allergy checking for the entire EHR reporting period

◦ Exclusion ‐ Provider who writes fewer than 100 medication orders during the EHR reporting period

Clinical Decision Support‐Part 1


Feature Audit Documentation

CDSS Alerts EMR/CDSS/Measure Configuration

Registry Alerts Registry band/Registry icon/Run a query

Classic Alerts EMR/Alerts

Clinical Decision Support‐Part 2


Drug Interaction Checking available in Current Meds and Treatment

Modified Stage 2 Measure Electronic Prescribing


Objective: Generate and transmit permissible prescriptions electronically (eRx)

◦ Exclusions: ◦ Any EP that writes less than 100 permissible prescriptions during the reporting period

◦ Does not have a pharmacy within their organization and no pharmacy that accepts electronic prescriptions within 10 miles of the practice location.

ePrescribing

Measure:

More than 50% of all permissible prescriptions, or all prescriptions, written by the EP are queried for a drug formulary and transmitted electronically using CEHRT.

RX eligibility must be verified for all patients prior to ePrescribing, including self‐pay patients, every time a prescription is sent.


Denominator

Prescriptions included in the denominator that have been printed, faxed or transmitted electronically:Progress Note ‐ Treatment Telephone/Web Encounter – RX TabTelephone/Web Encounter – Virtual Visit Treatment

Note: Only counts once if medication is re‐printed, re‐faxed or re‐transmitted or printed and also transmitted. Non‐permissible/controlled medications


Numerator

Prescriptions included in the denominator if they have been queried for a drug formulary and transmitted using ePrescription.


ePrescribe


Treatment/Send RX/ePrescribe RX

Common Send/ePrescribe RX

Formulary CheckingFrom eClinicalWorks, check prescription eligibility using any of these methods:

Running Rx Eligibility for All Scheduled Patients – Check a batch of patients at one time; for example all the patients with appointments that day.

Running Rx Eligibility as a Scheduled Batch Job – Set up the eligibility check as a scheduled job.

Running Rx Eligibility for an Individual Patient – Check eligibility on a patient‐by‐patient basis. This functionality is available from the Appointment window, the Treatment window, and a Telephone Encounter.

Check prescription eligibility within the 24 hours before a prescription is written.


Individual Patient Check of Formulary Options

Progress Note/Treatment

Appointment Window

Telephone/Web Encounter

eRefill


E Jelly Bean


Telephone Encounter or Progress Note Treatment ‐ Send RX screen


Telephone Encounter – RX Tab


Challenges

eCW has not been able to provide any mechanism to retrospectively research this measure

eCW Chat has indicated to some health centers that they are only counting formulary that has been run and set (matched to an insurance). ◦ Confirmed with eCW MU team that for MU Numerator you just have to run the Rx Eligibility Check and prescribe within 72 hours. You do not have to set the formulary.

◦ Be sure that providers manually check Rx Eligibility for Telephone Encounters and Walk In Appointments


Group Discussion


Are your providers having trouble getting credit for this measure now that it requires they check the formulary?

Are you using the eCW Automation features?

What’s working well for you?

Modified Stage 2 Measure HIE/Summary of Care


Objective: The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral

Measure: >10% of transitions of care/referrals include a summary of care document created by the CEHRT and transmitted electronically◦ Numerator: Number of transitions of care/referrals where a summary of care was created using CEHRT and exchanged electronically

◦ Denominator: Number of transitions of care/referrals during the reporting period where the EP was the referring/transferring provider

◦ Exclusion: Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the reporting period

HIE/Summary of Care

eCW Numerator: Referral was transmitted through the P2P Portal with a medical summary (CCR/CCD) and Progress Notes attached

eCW Denominator: Referral was printed, faxed, or transmitted electronically using P2P during the reporting period.

Note: Referrals are only counted for a provider if they are listed as the Referral From provider.


“Transmit Electronically” ‐ FAQ


An FAQ available from (CMS FAQ 9064) clarifies “transmit electronically” to include using:

1. CEHRT Direct capability2. CEHRT SOAP‐based transport3. CEHRT to create a summary of care (C‐CDA) and

electronic transmission accomplished through eHealth Exchange that enables electronic transmission of summary care record to its intended recipient

Automate Attaching the Summary


Be sure the check the box on File/Practice Defaults/Front office tab to attach the Medical Summary and Progress Note for outgoing referrals.

When a referral is created from the Progress Note (not the hub) the two items will be attached by default.

MAQ Dashboard


You can exclude outgoing referrals and/or fax consult to providers within the same eClinical sent from within the database from the denominator.

Configuration Settings/Practice Settings Tab

Options to Send ElectronicallyP2P (Free) Check referring providers to see if they are part of Join The Network (JTN) Contact your top referral providers and get them to JTN

HISP‐HISP (Fee for Direct Trust Bundle) Contact eCW to connect eCW HISP to the RHIO (HISP) Part of the Direct Trust Bundle and uses DigiCert RHIO will need to exchange address books

RHIO Only Summary of care MUST come from CEHRT (eCW or if RHIO is certified

as CEHRT) Must use DIRECT protocol Organization or RHIO will need to provide a report for the numerator

since MAQ Dashboard can not capture this


Activate Practice Providers for P2P


Admin Band/eCW P2P AdminRegisterEdit Settings

Sending Electronic Referral


Search for providers that have a “p” or “d” icon next to their name from the referral screen. Recommend using the filters.

Select “Send”

Referral Jelly Bean Task


Referring Providers‐JoinTheNetwork


Free for external (referring providers)

Referring Providers that use eCWProvider signs up for P2P in their eCW system

Referring Providers that DO NOT use eCWRequest an eCW Direct Address through:http://www.jointhenetwork.comAccess their referrals through a secure portal You can also send a courtesy fax copy to them

Group Discussion


Who is using P2P currently?

How have you been able to get referring providers to “JoinTheNetwork”?

What are your plans going forward to implement this feature?

Modified Stage 2 Measure Patient Education


Objective: Use clinically relevant information from CEHRT to identify patient‐specific education resources and provide those resources to the patient.Measure: >10% of patients seen by the EP during the reporting period receive patient specific education resources identified by CEHRT◦ Numerator: Number of patients who were provided patient‐specific education resources identified by the CEHRT

◦ Denominator: Number of unique patients with office visits seen by the EP during the reporting period

◦ Exclusion: Any EP who has no office visits during the reporting period

Note: CMS FAQ 8231 – Education resources are supposed to be given in the same year of the reporting period

Patient Education NumeratoreCW Denominator: Patient had an outpatient appointment with a valid CPT code with an Eligible Professional during the Reporting Period.

eCW Numerator: At least one piece of education printed or published RX Education Education ‐ Print or publish to portalOrder Set – Patient Education PDF or Web Reference Order Common Send – For Patients

Note: Custom education and structured does not count for Modified Stage 2. Move these items to an Order Set.


Patient Education


Use Patient Education if you have purchased from eCW or RX Education

Order Patient Education


Add PDF or web reference to Patient Education. Clinical staff check the box and Order it. You can also print from OS as well or from Common Send.

Modified Stage 2 Measure Medication Reconciliation


Objective: The Eligible Provider who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation.

Measure: >50% of transitions of care in which the patient is transitioned into the care of the Eligible Provider has medication reconciled.

Exclusion: Provider who did not have an transitions of care during the reporting period.

Modified Stage 2 Measure Medication Reconciliation


eCW Denominator: Patient had an appointment with the Transition of Care Checkbox checked on the appointment screen or Progress Note Chief Complaints.

eCW Denominator: Patient has their medication reconciled and marked as verified.

Note: Telephone Encounters are not counted as appointments.

Medication Reconciliation Denominator

Patients with an appointment with the Transition of care box checked during the reporting period.

Resource Schedule Appointment Window

Progress Note – Chief Complaints


Medication Reconciliation Numerator

Verified check box checked for Current Medications


Modified Stage 2 Measure Electronic Access Measures


Objective: Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.

Measure 1 of 2 (Access): >50% of unique patients seen by the EP during the reporting period are provided online access to view, download and transmit within 4 business days.

Modified Stage 2 Measure Electronic Access Measures


◦ eCW Numerator: The number of patients who have been web‐enabled any time before, during or within 4 business days of the appointment OR Patient is unwilling to disclose their email address.

◦ eCW Denominator: Number of unique patients that have an outpatient appointment with a valid CPT code with an eligible professional during the reporting period.


Web Enable Patient

Update Demographics Additional Info Screen email field as Not Provided and Will Not Disclose

Modified Stage 2 Measure Electronic Access: Measure 2 of 2

Numerator: The number of patients (or patient‐authorized representative) who view, download, or transmit to a third party their health information.

Denominator: Number of unique patients seen by the Eligible Provider during the EHR Reporting Period.

Exclusions:1. Any EP who doesn’t order or create any information listed for

inclusion on the portal2. Conducts > 50% of patient encounters in a county that does not

have 50% or more of its housing units with 4MBPS broadband on the first day of the EHR reporting period


Modified Stage 2 Measure Electronic Access: Measure 2 of 2


Measure 2 of 2 (View, Download, Transmit):◦ 2016 : At least one patient seen by the EP during the reporting period (or patient‐authorized representative) views, downloads or transmits to a third party his or her health information during the EHR reporting period

◦ 2017: >5% of unique patients see by the EP during the reporting period views, downloads, or transmits their health information during the reporting period.

20161 patient 2017

>5% Stage 3‐2018+>10%

View, Download, Transmit ‐ VDT

Numerator:

One of the following:Patient logs onto the patient portalPatient downloads the PHR or Visit Summary from Request PHR buttonTransmitted health information – Personal Health Share, Share button


Electronic Access: Portal Requirements


Information required to be available on the portal include:• Patient Name• Provider’s Name• Current and past problem list• Procedures• Current medication list and history• Current medication allergy list and history• Vitals (height, weight, blood pressure, BMI, growth charts)• Smoking Status• Demographics• Care plan goals and instructions• Care team members, including PCP of record

Modified Stage 2 Measure Secure Messaging


Objective: Use secure electronic messaging to communicate with patients on relevant health information

Measure:◦ 2016: At least 1 patient seen by the EP during the EHR reporting period was sent a secure message.

◦ 2017: >5% of unique patients seen by the EP during the reporting period was sent a secure message.

Modified Stage 2 Measure Secure Messaging


eCW Numerator: The number of patients that were sent a message to the patient portal, or in response to a portal message sent by the patient.

eCW Denominator: Number of unique patients that had an outpatient appointment with a valid CPT with the Eligible Provider during the EHR Reporting Period.

Options to send Secure Message


Send Secure message for lab results, preventive medicine or follow up to the patient portal, campaigns or Healow.

Exclusion


Exclusion: Conducts > 50% of patient encounters in a county that does not have 50% or more of its housing units with 4MBPS broadband on the first day of the EHR reporting period


Check the broadband download speed in your county through the National Broadband Map.

1. Select Geography◦ Rank within a State◦ Click County◦ Select State

2. Select Metric◦ Click "Speed" ◦ Click Generate the List

3. Select "Manage metrics" ◦ click "% housing units"

Public Health


The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.

Completed Registration

Testing and Validation Production

Active Engagement

Public Health – Active Engagement


Providers that fail to respond within 30 calendar days to PHA requests for action on two (2) separate occasions will not meet the public health measure for which action was requested

Public Health – 3 Measure Options


• Must be Actively Engaged in 2 out of 3 registries to meet the measure. • Must start Active Engagement within 60 days of the start of the reporting

period.• Some exclusions may apply but don’t count as meeting the measure.

• Immunization Registry

Use only 1 registry

• Syndromic Registry

Use only 1 registry

• Specialized Registry

Use up to 2 registries

Modified Stage 2 MeasureImmunization Registry Reporting


The Eligible Provider is in active engagement with a public health agency to submit immunization data. ◦ Maximum of 1 immunization registry can be used

Exclusions: ◦ Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction’s immunization registry or immunization information system.

◦ No immunization registry is capable of accepting the standards required at the start of the reporting period.

◦ No immunization registry has declared readiness.

Modified Stage 2 Measure Syndromic Surveillance Reporting


The Eligible Provider is in active engagement with a public health agency to submit syndromic surveillances data.

Exclusions: ◦ Is not in a category of providers from which syndromic surveillance data is collected by their jurisdiction’s syndromic surveillance system;

◦ Operates in a jurisdiction for which no public health agency is capableof receiving electronic syndromic surveillance data from EPs in the specific standards at the start of the reporting period; or

◦ Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data at the start of the reporting period.

Modified Stage 2 Measure Specialized Registry Reporting


The EP, eligible hospital, or CAH is in active engagement to submit data to a specialized registry. Includes cancer case reporting. Can count the measure up to two times.

Exclusions:◦ Does not diagnose or treat any disease or condition associated with or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period;

◦ Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

◦ Operates in a jurisdiction where no specialized registry for which the EP, eligible hospital, or CAH is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period

How can I use a Specialized Registry?


1•Confirm data supplied to the registry is collected in the CEHRT

2

•Verify the registry publically broadcasts they are a “specialized registry” for MU and has an onboarding process that matches “Active Engagement”

•Document you are in one of the 3 Active Engagement Steps

3•Submit data electronical from CEHRT or via electronic file upload based on the requirements of the registry.

Specialized registries could include, but are not limited to: birth defects registries, chronic disease registries, traumatic injury registries, and registries focused on healthcare associated infections. (Does not have to be within state health departments)http://www.cdc.gov/ehrmeaningfuluse/specialized_registry.html

Additional Considerations

• Broadly defined• No Certification requirements• Cancer case reporting requires

CEHRT standards• Registry needs to document

provider’s “active engagement”• Actively engage within 60 days

after the start of the reporting period

• Hand-entered data into web-based portal does not qualify

CHCANYS CPCI – Specialized Registry


Providers utilizing CPCI for the entire reporting period (90 day or 1 year) can attest for a Specialized Registry in 2016.

Providers or organizations on behalf of their providers can submit an Excel file to request an audit letter for payment year 2016 after the provider has completed the reporting period. CHCANYS will confirm that the provider has been on CPCI for the entire reporting period and provide letter to support an audit.

For more information:CHCANYS Informatics Data WarehouseContact Amy Tammam ‐ [email protected]

New CMS FAQ 14397


FAQ #14397 (New): What should a provider do in 2016 if they did not previously intend to report to a public health reporting measure that was previously a menu measure in Stage 2 and they do not have the necessary software in CEHRT or the interface the registry requires available in their health IT systems?

In the 2015 EHR Incentive Programs Final Rule, we stated that we did not intend for providers to be inadvertently penalized for changes to their systems or reporting made necessary by the provisions of that regulation. This included alternate exclusions for providers for certain measures in 2016, which might require the acquisition of additional technologies they did not previously have for measures they did not previously intend to include in their activities for meaningful use (80 FR 62945). Therefore, in order that providers are not held accountable to obtain and implement new or additional systems, we will allow providers to claim an alternate exclusion from certain public health reporting measures in 2016 if they did not previously intend to report to the Stage 2 menu measures

We will allow Alternate Exclusions for the Public Health Reporting Objective in 2016 as follows:

EPs scheduled to be in Stage 1 and Stage 2: Must attest to at least 2 measures from the Public Health Reporting Objective Measures 1‐3

• May claim an Alternate Exclusion for Measure 2 and Measure 3 (Syndromic Surveillance and Specialized Registry Reporting).

• An Alternate Exclusion may only be claimed for up to two measures, then the provider must either attest to or meet the exclusion requirements for the remaining measure described in 495.22 (e)(10)(i)(C).

Public Health Exclusions


Is there a Public Health registry available in your jurisdiction?

• Does it exist?

Is the provider in a category of

providers which they accept data

• Do they want your data?

Does the treat or provide that type of treatment?

• Do you create that type of data?

Register your Intent w/i 60 days or active submission

Yes

Yes

Yes

If any of the answers is “No”, you can claim the exclusion.

Specialized Registry Only – See if FAQ 14397 and 14401 apply

Public Health Example ‐ 1


Dental Provider using eClinicalWorks as their CEHRT working in Albany.

Public Health Measure

Registry Available?

Category of Provider they

accept data from

Provide that type of treatment

Attestation

Immunization Yes‐NYSIIS Yes‐Healthcare provider

No Exclusion

Syndromic No Exclusion

Specialized NYSCR(Cancer)

CPCI

Yes

Do they send data to CPCI?

No – don’t definitively diagnosis or directly treat cancer

Exclusion or Alt Excl

?

Public Health Example ‐ 2


Family Practice Provider using eClinicalWorks as their CEHRT working in Albany.

Public Health Measure

Registry Available?

Category of Provider they accept data from

Provide that type of

treatment

Attestation

Immunization Yes‐NYSIIS Yes‐Healthcare provider Yes Yes ‐ Register intent w/MURPH

Syndromic No Exclusion

Specialized CPCI

NYSCR(Cancer)

Yes‐sending data to CPCI for entire reporting period

Yes

Yes

Yes

Yes‐get audit letter

Alt Exclusion


QUESTIONS?

UDS Updates2016 CHANGES


PAL 2016 – Proposed Changes


1. Sexual Orientation and Gender Identity (SO/GI)2. Staffing and Utilization Tables ◦ include QI Staff on Table 5 and 8A◦ Community Health Workers on Table 5 and 8A◦ Dental Therapists on Table 5

3. Selected Diagnoses and Services Rendered updated to ICD10 codes

4. Quality of Care Measures Tables 6B and 7 revised to use CMS eCQM

5. Telehealth capacity and use question in Appendix D6. Medication Assisted Treatment (MAT) question in

Appendix D

eCQM AlignmentUDS Quality Measure eCQM

Childhood Immunizations CMS117

Cervical Cancer Screening CMS124

Tobacco Use Screening and Cessation CMS138

Asthma Pharmacological Therapy CMS126

Depression Screening and Follow‐up CMS2

Hypertension CMS165

Diabetes CMS122

Weight assessment and counseling for children and adolescents CMS155

Adult weight screening and follow up CMS69

Ischemic vascular disease: Use of Asprin or other Antithrombotic CMS164

Colorectal Cancer Screening CMS130

Dental Sealants CMS277



QUESTIONS?

We appreciate your feedback! Please take survey using the link below

3/17/16

HTTPS://WWW.SURVEYMONKEY.COM/R/RQFVGCQ

86HEALTH CENTER NETWORK OF NEW YORK

Additional Information


Audits


Medicaid and Medicare are required to conduct audits. They can deny or recoup payments!

•Provider Level•Verifies information•Compares to DOH data

Pre‐payment

• Provider level• Back end data audit• More intense after AIU attestation

Post‐Payment

Next Steps


1. Review performance data2. Collect audit documentation for evidence3. Focus on:Sending referrals electronicallyIdentify Public Health or Specialized Registry reporting optionsEnable drug formulary checking and see if your EHR can run it automaticallyIncrease patient portal enrollment and utilizationImport C‐CDA (summary of care) from the RHIO on new patients if available to prepare for Stage 3See what options your EHR vendor has to import patient reported data to prepare for Stage 3

Resources


CMS.Gov EHR Incentive Program

EHR Incentive Program‐Stage 3 and Modifications to Meaningful Use in 2015 Through 2017 Final Rule

2015 Edition Certification Criteria Final Rule

HIMSS Article on MU Payment Adjustments


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