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CMS 2014 CEHRT Flexibility
JoAnne HawkinsMeaningful Use Sr. Healthcare Policy
AnalystDNC (Contractor) for Indian Health Service
2014 CEHRT Flexibility Rule
• Certified EHR Flexibility• Demonstration of MU
• Performance Measures & Clinical Quality Measures
• AIU• Stage 3 Delay
Certified EHR Flexibility
• 2011 CEHRT• EPs and EHs can utilize 2011 CEHRT to demonstrate
MU in FY/CY 2014 by meeting Stage 1, 2013 performance measures and CQMs.
• 2011 and 2014 Combined CEHRT• EPs and EHs can utilize a combination of 2011 and
2014 CEHRT to demonstrate MU with either Stage 1, 2013 performance measures and CQMs or Stage 1, 2014
• 2014 CEHRT• EPs and EHs can utilize 2014 CEHRT to demonstrate
MU in FY/CY 2014 by meeting either Stage 1, 2014 or Stage 2 performance measures and CQMs.
2014 Participation options
If EP/EH was scheduled to demonstrate:
2011 CEHRTCombination of
2011 & 2014 CEHRT
2014 CEHRT
Stage 1 Stage 1, 2013Stage 1, 2013
Or Stage 1, 2014
Stage 1, 2014
Stage 2 Stage 1, 2013
Stage 1, 2013Or
Stage 1, 2014*Or
Stage 2
Stage 1, 2014*Or
Stage 2
• * If EP/EH unable to fully implement 2014 CEHRT
Demonstrating MU - EP
Eligible Professionals
Stage 1, 2013 Stage 1, 2014 Stage 2
13 Core Objectives 13 Core Objectives 17 Core Objectives
5 of 10 Menu Set 5 of 9 Menu Set 3 of 6 Menu Objectives
CQMs3 core/alternate core
3 additional measures
9 CQMS (3 across 6 domains)
9 CQMs (3 across 6 domains)
Demonstrating MU - EH
Eligible Hospitals
Stage 1, 2013 Stage 1, 2014 Stage 2
12 Core Objectives 11 Core Objectives 16 Core Objectives
5 of 10 Menu Set 5 of 10 Menu Set 3 of 6 Menu Objectives
15 CQMs16 CQMs (3 across 6
domains)16 CQMs (3 across 6
domains)
Reports
• Performance Measure Reports• Stage 1, 2013 Report Updates
• APCM v1.0 p4• CPOE
• Patient Reminders
• Clinical Quality Measures• Clinical Reporting System (CRS), Version 14.1 Patch 1,
(RPMS namespace: BGP)
• Allows reporting for user defined date range
AIU
• AIU can only be for Adopting, Implementing or Upgrading to 2014 CEHRT.
Certification Status
• Infogard certified 2014 RPMS EHR (BCER v2.0) on August 22nd
• Certification numbers
• Ambulatory: 1314E01PJHPUEAL• Inpatient: 1314E01PJHPQEA1
• Posted on CHPL: http://oncchpl.force.com/ehrcert/ehrproductsearch
Stage 3 delay
• Stage 3 will be delayed until FY/CY 2017
First Payment Year
Stage of Meaningful Use
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
2011 1 1 1 1 or 2* 2 2 3 3 TBD TBD TBD
2012 1 1 1or 2* 2 2 3 3 TBD TBD TBD
2013 1 1* 2 2 3 3 TBD TBD TBD
2014 1* 1 2 2 3 3 TBD TBD
2015 1 1 2 2 3 3 TBD
2016 1 1 2 2 3 3
2017 1 1 2 2 3
Timeline considerations
Eligible Hospitals
FY 14 FY 15
Oct-13 Nov-13 Dec-13 Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15
Q 1 Q 2 Q 3 Q 4 Q 1 Q2
2011 CEHRT 10/1 - 2014 CEHRT
Eligible Professionals
CY 14 CY 15
Jan-14 Feb-14 Mar-14 Apr-14 May-14 Jun-14 Jul-14 Aug-14 Sep-14 Oct-14 Nov-14 Dec-14 Jan-15
Q 1 Q 2 Q 3 Q4 Q1
2011 CEHRT 1/1 -2014 CEHRT
IHS MU Contact Information
Contact Title E-Mail Phone
Chris Lamer MU Project Lead, IHS [email protected] (615) 669-2747
Luther Alexander MU Project Manager, DNC [email protected] (443) 418-5352
JoAnne HawkinsMU Healthcare Policy Analyst, DNC
[email protected] (505) 767-6600, ext. 1525
Lisa MeadowsMU Natl. Consultant, DNC (OK, NAS, ABER, BEM)
[email protected] (505) 767-6600, ext. 1528
Valerie VillanuevaMU Natl. Consultant, DNC (NAV, PHX, TUC, ABQ)
[email protected] (505) 767-6600, ext. 1456
Amy PadillaMU Natl. Consultant, DNC (CA, POR, AK, BIL)
[email protected] (505) 767-6600, ext. 1527
Coleen MaddyMU Communications Specialist , DNC
[email protected] (505) 767-6600, ext. 1233
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