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Meaningful Use and the EHR Incentive Program NIHB Annual Consumer Conference.

Date post: 01-Apr-2015
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Meaningful Use and the EHR Incentive Program NIHB Annual Consumer Conference
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Meaningful Use and the EHR Incentive Program NIHB Annual Consumer Conference Slide 2 EHR Incentive Program The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals (EPs), eligible hospitals (EHs) and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Slide 3 Eligibility Certified EHR Meaningful Use Measures Clinical Quality Measures Meaningful Use Slide 4 Provider Eligibility Slide 5 Eligibility Certified EHR Meaningful Use Measures Clinical Quality Measures Meaningful Use Slide 6 Certified RPMS EHR Requirements Name SpacePackage or ApplicationVersionPatchRelease Date AGPatient Registration7.1912/3/10 APCLExport3.02711/10/10 APSPPharmacy MOD-ePrescribing (eRx)7.010104/29/11 BGPClinical Reporting System (CRS)11.036/22/11 BJMDC321.016/24/11 BJPCPCC Mgmt Reporting2.066/2/11 BMCReferred Care Information System (RCIS)4.075/12/11 BQIiCare2.13/11/11 BRNRelease of Information (ROI)2.034/13/11 BYIMImmunization Exchange Message2.0012/24/11 BGOElectronic Health Record (EHR)1.186/10/11 LRLab5.21027 or 372 or 33412/07/10 PXRMEHR Reminders1.510074/13/10 BPHRPersonal Health Record (PHR)1.06/22/11 Central Ensemble2009.1.6921.0.104142011 GuardianEdge/ Symantec8.03/31/11 IPSEC (Windows)2010 VanDyke (AIX)2010 WinHasher1.62011 Universal Client -Continuity of Care Record (CCR)*1.04/27/11 Slide 7 Eligibility Certified EHR Meaningful Use Measures Clinical Quality Measures Meaningful Use Slide 8 Meaningful Use Measures Yes/No Measures Implement drug-drug and drug-allergy checks Generate at least one report listing patients with a specific condition Measures with Targets Record smoking status for more than 50% of patients Provide patient-specific education resources for more than 10% of patients Slide 9 Meaningful Use Measures EP Core Set Measures (15)EH Core Set Measures (14) Provide clinical summaries for office visits ePrescribing Provide electronic copy of discharge instructions upon request Use CPOE for medication orders Implement drug-drug and drug-allergy checks Record demographics Record smoking status Maintain up-to-date problem list, medication list, medication allergy list Record and chart changes in vital signs Implement one clinical decision support rule Report clinical quality measures Protect electronic health information (security risk analysis) Provide patients an electronic copy of health info upon request Capability to electronically exchange key clinical information (perform test) Slide 10 Meaningful Use Measures EP Menu Set Measures (10)EH Menu Set Measures (10) Send reminders to patients Provide patients with timely electronic access to their health information Record advance directives Submit electronic data on reportable lab results to public health agencies Implement drug formulary checks Incorporate clinical lab test results into certified EHR Generate lists of patients by specific conditions Provide summary of care records for patients referred to other providers/facilities Use certified EHR to identify and provide patient-specific education resources Perform medication reconciliation for patients referred to the EP/EH Submit electronic data to immunization registries Submit electronic syndromic surveillance data to public health agencies Slide 11 Eligibility Certified EHR Meaningful Use Measures Clinical Quality Measures Meaningful Use Slide 12 Clinical Quality Measures: EPs Core/Alternate Core Set (6) Hypertension Tobacco Use Assessment/Cessation Intervention Adult Weight Screening/Follow-up Weight Assessment/Counseling for Children Adult Influenza Immunization Childhood Immunization Additional Measures (38) Breast Cancer Screening; Cervical Cancer Screening; Colorectal Cancer Screening Slide 13 Clinical Quality Measures: EHs Emergency Department (2) Median time from ED arrival to ED departure for admitted patients; median time from admit decision time to ED departure time for admitted patients Stroke (7) Anticoagulation for A-fib/flutter, discharge on statins, stroke education, etc. Venous Thromboembolism (6) Anticoagulation overlap therapy, discharge instructions, etc. Slide 14 1 Medicare Incentive Program Requirements and Amounts for EPs who begin in 2011 or 2012 YearRequirementIncentive 2Demonstrate MU for full calendar year$12,000 3Demonstrate MU for full calendar year$8,000 4Demonstrate MU for full calendar year$4,000 5Demonstrate MU for full calendar year$2,000 Demonstrate MU for 90-day period$18,000 Slide 15 Medicare Incentive Payments Payment Year First Year EP Demonstrates MU 20112012201320142015 CY 2011$18,000 CY 2012$12,000$18,000 CY 2013$8,000$12,000$15,000 CY 2014$4,000$8,000$12,000 CY 2015$2,000$4,000$8,000 $0 CY 2016$2,000$4,000 $0 Total$44,000 $39,000$24,000$0 Slide 16 Medicaid Incentive Payments Requirements and Amounts for EPs YearRequirementIncentive 2 1 Adopt/Implement/Upgrade to certified EHR technology $21,250 Demonstrate MU for 90-day period$8,500 3Demonstrate MU for full calendar year$8,500 4Demonstrate MU for full calendar year$8,500 5Demonstrate MU for full calendar year$8,500 6Demonstrate MU for full calendar year$8,500 Slide 17 EHR Incentive Program Registration www.cms.gov/ehrincentiveprograms/ Slide 18 EHR Incentive Program Registration Slide 19 Medicare EPs: Register with CMS Medicaid EPs: Register with CMS Register with state Medicaid program Hospitals: Register as dual-eligible With CMS for Medicare With state Medicaid program for Medicaid Certified EHR is not required for registration! Slide 20 Regional Extension Center The RECs will support and serve health care providers to help them quickly become adept and meaningful users of EHRs. RECs are designed to make sure that primary care clinicians get the help they need to use EHRs. Provide training and support services to assist providers in adopting EHRs Offer information and guidance to help with EHR implementation Provide technical assistance Slide 21 REC vs Incentive Program Support providers and hospitals in achieving MU Reward providers and hospitals for achieving MU Regional Extension CenterEHR Incentive Program EHR certification ruleMeaningful use rule Slide 22 Eligible Providers Physicians (MDs and DOs) Family Practice General Practice Internal Medicine Obstetrics and Gynecology Pediatrics Adolescent Medicine Geriatrics Physician Assistants Nurse Practitioners Certified Nurse Midwives Alaska CHA/Ps Regional Extension CenterEHR Incentive Program Medicare EPs Physicians (MDs and DOs) Dentists Podiatrists Optometrists Chiropractors Medicaid EPs Physicians (MDs and DOs) Dentists Certified Nurse Midwives Nurse Practitioners Physician Assistants* Slide 23 Provider Responsibilities Completing Milestone = REC Funding Demonstrating MU = Incentive Payment Register with CMS/State Achieve MU Attest/submit each year Sign up with REC Go live with certified EHR Achieve MU Regional Extension CenterEHR Incentive Program Slide 24 Regional Extension CenterEHR Incentive Program ONCCMS NIHB AI/AN RECEPs/EHs 1. Provider signs up with NIHB AI/AN REC 2. Provider goes live with certified EHR 3. Provider achieves meaningful use IHS $$$$$$$$ Slide 25 NIHB REC M1: Sign Up http://nihb.org/rec/rec.php Slide 26 NIHB REC M2: Go Live Slide 27 NIHB REC M3: Achieve MU Medicare EPs Provide CMS Attestation ID Medicaid EPs and others Provide attestation data from RPMS-EHR reports Slide 28 Things to Do Now Sign up with the NIHB REC Designate a Meaningful Use Coordinator Install RPMS EHR patches and other required software applications for certification Review MU Measures and redesign workflows Register for EHR Incentive Program (pending launch of State program for Medicaid EPs/EHs) Slide 29 2011 Timeline Hospitals Medicare: Last 90-day period within FY 2011 to demonstrate MU is July 1 Sept 30, 2011 Medicaid: Check with state about deadlines Providers Medicare: Last 90-day period within CY 2011 to demonstrate MU is Oct 1 Dec 31, 2011 Medicaid: Check with state about deadlines Slide 30 Resources www.usetinc.net/ehr Resources Frequently Asked Questions www.cms.gov/ehrincentiveprograms/ EHR Incentive Program Eligibility, Registration Status of State Medicaid Programs Frequently Asked Questions www.ihs.gov/meaningfuluse/ Resources MU Listserv RPMS-EHR Certification Info Slide 31 Contact Vicki French United South and Eastern Tribes 615-467-1578 [email protected] [email protected]


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