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Meaningful Use Stage 2 Presented by: Deb Anderson, HTS Consultant
HTS, a division of Mountain Pacific Quality Health Foundation
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HTS Who We Are
Stage 2 MU Overview – Learning Objectives
2014 CEHRT Certification
Stage 2 Overview of Objectives
Details - Providers
Detail - Hospitals
2014 CQM reporting
Payment Adjustments
Hardship Exemptions
Take Aways!
Q&A
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A division of Mountain Pacific Quality Health Foundation
The Regional Extension Center for MT/WY
Assist healthcare facilities with utilizing Health Information Technology (HIT) to improve health care, quality, efficiency and outcomes
Expertise in HIT, Meaningful Use, PQRS, PCMH, Project Management, LEAN and HIPAA Privacy and Security
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The ONC's Regional Extension Centers (RECs), serve as a support and resource center to assist providers in EHR implementation and Health IT needs.
One Year extension awarded to assist MU Stage 1 Year 1 clients
RECs "bridge the technology gap" and help providers navigate the EHR adoption process from vendor selection and workflow review to implementation and meaningful use.
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Learning Objectives (for Providers & Hospitals) ◦ Administrative and eligibility requirements and
changes for MU stage 2
Reporting periods
Reporting submission requirements
Penalties/deadlines details
◦ Software requirements for Stage 2
◦ Identify Threshold changes between MU Stage 1 and Stage 2 objectives
◦ Identify New Core and Menu Objectives
◦ 2014 CQMs
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** CMS has announced its intent to extend Stage 2 through 2016 and start Stage 3 in 2017.
◦ Medicare EPs and EHs in Stage 1 Year 2 or Stage 2 will select a three month reporting period, fixed to the quarter of the calendar year for the reporting of their MU objectives
EHs and CAHs use 2014 Federal Fiscal Quarters
EPs use 2014 Calendar Quarters
◦ Medicaid reporting periods do not need to be fixed to a quarter
◦ Medicare EPs using CQMs reporting for PQRS must report CQMs for full calendar year
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For 2014 attestation, all must attest with new 2014 version of E.H.R, regardless of stage of MU
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Most of the Menu Measures are now Core Measures
Some Measures are combined and some eliminated
Thresholds have been Raised
Some New Objectives, but most are in the Menu selection
A Menu Exclusion can not be used if you can meet any of the menu objectives
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1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders
2. Generate and transmit permissible prescriptions electronically (eRx)
3. Record demographic information
4. Record and chart changes in vital signs
5. Record smoking status for patients 13 years old or older
6. Use clinical decision support to improve performance on high-priority health conditions
7. Provide patients the ability to view online, download and transmit their health information
8. Provide clinical summaries for patients for each office visit
9. Protect electronic health information created or maintained by the Certified EHR Technology
10. Incorporate clinical lab-test results into Certified EHR Technology
11. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
12. Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care
13. Use certified EHR technology to identify patient-specific education resources
14. Perform medication reconciliation
15. Provide summary of care record for each transition of care or referral
16. Submit electronic data to immunization registries
17. Use secure electronic messaging to communicate with patients on relevant health information
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1. Submit electronic syndromic surveillance data to public health agencies
2. Record electronic notes in patient records
3. Imaging results accessible through CEHRT
4. Record patient family health history
5. Identify and report cancer cases to a State cancer registry
6. Identify and report specific cases to a specialized registry (other than a cancer registry)
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1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders
2. Record demographic information
3. Record and chart changes in vital signs
4. Record smoking status for patients 13 years old or older
5. Use clinical decision support to improve performance on high-priority health conditions
6. Provide patients the ability to view online, download and transmit their health information within 36 hours after discharge.
7. Protect electronic health information created or maintained by the Certified EHR Technology
8. Incorporate clinical lab-test results into Certified EHR Technology
9. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
10. Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate
11. Perform medication reconciliation
12. Provide summary of care record for each transition of care or referral 13. Submit electronic data to immunization registries
14. Submit electronic data on reportable lab results to public health agencies
15. Submit electronic syndromic surveillance data to public health agencies
16. Automatically track medications with an electronic Medication Administration Record (eMAR)
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1. Record whether a patient 65 years old or older has an advance directive
2. Record electronic notes in patient records
3. Imaging results accessible through CEHRT
4. Record patient family health history
5. Generate and transmit permissible discharge prescriptions electronically (eRx)
6. Provide structured electronic lab results to ambulatory providers
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Objective Stage 1 Stage 2 Measure Stage 1
Measure Stage 2
Demographics Core Core >50% >80%
Vital Signs Core Core >50% >80%
Smoking Status Core Core >50% >80%
Lab Results into EHR Menu Core >40% >55%
Patient Specific Education Menu Core >10% >10%
Medication Reconciliation Menu Core >50% >50%
Patient List by Condition Menu Core 1 List At least 1
Eligible Professionals Only
Clinical Summaries after Visit Menu Core >50% >50%
Patient Reminders Menu Core >20% >20%
CPOE – Use EHR for more than 30% of the MEDICATION
orders.
CPOE – 3 Measures based on orders created. 60% MEDICATION orders 30% LAB orders 30% RADIOLOGY orders
Exclusion for EP: Any EP who writes fewer than 100 medication, radiology, or
laboratory orders during the EHR reporting period.
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Scope Expanded
Stage 1
Stage 2
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Stage 1
Stage 2 Stage 1 Measures combined into
One Stage 2 Core Measure
View, Download and Transmit to Third Party within 4 days. (EP) View, Download and Transmit to Third Party within 36 hours. (EH)
NEW Core
Measure
2 Measures, >50% of unique patients have information available online >5% unique patients download or transmit their information.
Objective EP EH Measure
Timely Electronic Access to Health Information
n/a Menu >10%
Electronic Copy of Health Information
Core >50%
Electronic Copy of Discharge Instructions
n/a Core >50%
The following information must be available to satisfy the objective and measure:
Patient Name
Admit and discharge date and location.
Reason for hospitalization.
Care team including the attending of record as well as other providers of care.
Procedures performed during admission.
Current and past problem list.
Current medication list and medication history.
Current medication allergy list and medication allergy history.
Vital signs at discharge.
Laboratory test results (available at time of discharge).
Summary of care record for transitions of care or referrals to another provider.
Care plan field(s), including goals and instructions.
Discharge instructions for patient.
Demographics maintained by hospital (sex, race, ethnicity, date of birth, preferred language).
Smoking status.
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Exclusions: Any EP or Hospital who:
(2) Conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude only the second measure.
Any EP who:
(1) Neither orders nor creates any of the information listed for inclusion as part of both measures, except for "Patient name" and "Provider's name and office contact information, may exclude both measures.
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Summary of Care record for each Transition of Care
Core 3 Measures >50% patients referred to another setting of care are provided a Summary of Care record >10% referrals are Electronic >At least one successful test to a different EHR developer than sender or with a CMS-designated test EHR.
Stage 1
Stage 2 Promote use of HIE for patient care.
New Requirements.
EP EH Measure
Measure 1: Summary of Care can be Electronic or Paper directly to
provider or the patient
Not counted if Provider has access to the Record in EHR System
The fields MUST be present with: Current problem list, Current medication list, and Current medication allergy list
Exclusion: Provider of care that transfers a patient to another setting or refers a patient to another provider <10 times during the EHR reporting period.
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Measure 2:
A summary of care record for more than 10% of such transitions and referrals must be sent either (a) electronically transmitted using CEHRT to a recipient or (b) where the recipient receives the summary of care record via exchange consistent with governance mechanism ONC establishes for Health Information exchange.
Measure 3: Yes/No
Conducts one or more successful electronic exchanges of summary of care document, as part of which is counted in "measure 2"
or
Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period.
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CHANGE IN REPORTING…
Clinical Quality Measures are now incorporated into the definition of a meaningful user rather than part of Core Set Measures. To meet Stage 2 Meaningful Use status:
• 16 of 29 CQMs required for EH/CAH • 9 of 64 Measures for EP
More details to follow.
Through 2013
2014
Objective EP EH Measure
Calculate and Transmit CMS Quality Measures
Core Hospitals or
CAH – 15 EP - 6
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Stage 1
Stage 2
EP EH
All Core for EH
One Core, one Menu for EP
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Eligible Providers, Hospitals or CAHS must attest YES to meeting one of
the following criteria under the umbrella of ongoing submission: 1 Ongoing submission was already achieved for an EHR reporting
period in a prior year and continues throughout the current EHR reporting period.
2 Registration with the public health agency or other body to whom the information is being submitted of intent to initiate ongoing submission was made by the deadline (within 60 days of the start of the EHR reporting period) and ongoing submission was achieved.
3 Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is still engaged in testing and validation of ongoing electronic submission.
4 Registration of intent to initiate ongoing submission was made by the deadline and the EP or hospital is awaiting invitation to begin testing and validation
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a) The EP or EH operations in an area where no PHA is capable of receiving _______ in the specific E.H.R standards
b) The EP or EH operates in an area where no PHA provides timely information on capability to receive _______ .
c) The EP or EH operates in an area where no PHA that is capable of accepting specific EHR standards is unable to enroll new participants at the start of E.H.R reporting period
________ is replaced by electronic reportable lab results /immunization registries /electronic syndromic surveillance data
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Immunization (EP and EH) The Provider, eligible hospital or CAH does not
administer any of the immunizations to any of the populations for which data is collected by their jurisdiction's immunization registry or immunization information system during the EHR reporting period
Syndromic Surveillance Any eligible hospital or CAH that does not have an
emergency or urgent care department. (EH only)
The EP is not in a category of providers that collects ambulatory syndromic surveillance information on their patients. (EP only)
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http://www.dphhs.mt.gov/publichealth/meaningfuluse/index.shtml
Registration of Intent http://www.dphhs.mt.gov/publichealth/meaningfuluse/application.shtml
Contacts: Electronic Laboratory Reporting (ELR) Stacey Anderson, NBS Coordinator/Epidemiologist, Montana DPHHS [email protected] 406-444-3012 (direct) Syndromic Surveillance Joel Merriman, Syndromic Surveillance/HAI Coordinator, Montana DPHHS [email protected] 406-444-0274 (direct) Immunizations Deb Belleau, Immunization Data Exchange Coordinator Communicable Disease Control & Prevention Bureau, DPHHS [email protected] (406) 444-5952 Cancer Registry Laura Williamson, Epidemiologist and Program Manager [email protected] (406) 444-0064
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The Wyoming Department of Health is currently accepting Letters of Intent to participate in all Public Health Measures.
Please contact Linda Cramer for further information and next steps for on-boarding.
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Linda Cramer HIT Manager Wyoming Dept. of Health - Medicaid (o) 307.777.5414 (c) 307.214.5722 [email protected]
In Stage 1, eligible professionals must conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a) (1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process.
In Stage 2, eligible professionals need to meet the same security risk analysis requirements as Stage 1, but must also address the encryption/security of data at rest.
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A Security Risk Analysis needs to be conducted during each reporting period for Stage 1 and Stage 2
Show progress on Risk Management Plan
Address encryption/security of the data at rest.
Ability to produce an electronic EHR audit log for specified time and ability to sort for periodic monitoring and required action.
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Objective NEW!
Electronic Medication Administration Record (eMAR) [EH only]
NEW Core!
>10%
Secure Messaging [EP only]
NEW Core!
>5%
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Exclusion: Any hospital or CAH with an average daily inpatient census of fewer than 10 patients
Exclusion: 1) Provider has no office visits during the reporting period. 2) Broadband limitations in area of practice.
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Objective: Record electronic notes in patient records.
Measure: Enter at least one electronic progress note for >30% of unique patients. The text must be searchable and may contain drawings and other content.
Exclusions: None
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Objective: Imaging results are accessible through Certified EHR Technology
Measure: >10% of all tests whose result is one or more images ordered are accessible.
Exclusions: ◦ EP - Any EP who orders less than 100 tests whose result is
an image during the EHR reporting period; or any EP who has no access to electronic imaging results at the start of the EHR reporting period.
◦ EH - None
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Notes: No limitations on the resolution of the image. Native storage is not required by the objective and measure. Images and imaging results scanned into the CEHRT may count.
Objective: Record patient family health history as structured data.
Measure >20% of all unique patients seen by the EP or Hospital during the EHR reporting period have a structured data entry for one or more first-degree relatives.
Exclusions: An EP who has no office visits
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Objective: Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice.
Measure: Successful ongoing submission of cancer case information from CEHRT to a public health central cancer registry for the entire EHR reporting period.
Exclusions: The EP does not diagnose or directly treat
cancer;
◦ PLUS … (Same as the Other Public Health Measures)
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Objective: Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice.
Measure: Successful ongoing submission of specific case information from CEHRT to a specialized registry for the entire EHR reporting period.
Exclusions: 1) The EP does not diagnose or directly treat any disease
associated with a specialized registry sponsored by a national specialty society for which the EP is eligible, or the public health agencies in their jurisdiction;
PLUS … (Same as the Other Public Health Measures)
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Objective: Generate and transmit permissible discharge prescriptions electronically (eRx).
Measure >10% of hospital discharge medication orders for permissible prescriptions (for new, changed, and refilled prescriptions) are queried for a drug formulary and transmitted electronically using certified EHR technology.
Exclusions: Does not have an internal pharmacy that can accept electronic prescriptions and is not located within 10 miles of any pharmacy that accepts electronic prescriptions at the start of their EHR reporting period.
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Objective: Provide structured electronic lab
results to ambulatory providers.
Measure: Hospital labs send structured electronic
clinical lab results to the ordering provider >20% of electronic lab orders received.
Exclusions: None
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Core Objective Measure Stage 2 Change
1. CPOE Use CPOE for more than 60% of
medication, 30% of laboratory, and
30% of radiology
Up from 30% of just
medication orders
2. E-Rx E-Rx for more than 50% Up from 40%
Drug/formulary checks
folded into this measure from
Stage 1 menu item
3. Demographics Record demographics for more than
80%
Up from 50%
4. Vital Signs Record vital signs for more than 80% Up from 50%
5. Smoking Status Record smoking status for more than
80%
Up from 50%
EPs must meet all 17 core objectives:
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Core Objective Measure Stage 2 Change
6. Clinical Decision
Support
Implement 5 clinical decision support
interventions + drug/drug and
drug/allergy
Up from one CDSI rule
Must be linked to at least 4
Clinical Quality Measures
(CQMs)
Drug/drug and
drug/allergy folded into
this measure
10. Labs Incorporate lab results for more than
55%
Up from 40% and no longer
a menu item
11. Patient List Generate patient list by specific
condition
No longer a menu item
EPs must meet all 17 core objectives:
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Core
Objective
Measure Stage 2 Change
12.
Reminders
Use EHR to identify and
provide reminders for
preventive/follow-up care
for more than 10% of
patients with two or more
office visits in the last 2
years
No longer a menu item, but down from 20%
and does not include the entire patient
database
7. Patient
Online
Access also
known as
View,
Download
and Transmit
Provide online access to
health information for more
than 50% with more than 5%
actually accessing
No longer a menu item and up from 10% on
part #1. Replaces electronic access and
electronic copy of medical record. Must give
URL, login/password and instruction info to
patient
Part #2 is new and requires patient action to
meet the measure and additional software.
Exclusion for providers in areas with limited
Internet access.
EPs must meet all 17 core objectives:
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Core Objective Measure Stage 2 Change
8. Clinical
Summaries
Provide office visit
summaries for more than
50% of office visits within
1 business day
Down from three business days, percent
is the same (50%)
13. Patient
Education
Use EHR to identify and
provide education
resources more than 10%
No longer a menu item
17. Secure
Messaging
More than 5% of patients
send secure messages to
their EP
New for Stage 2
Requires patient action to meet the
measure
14. Medication
Reconciliation
Medication reconciliation
at more than 50% of
transitions of care
No longer a menu item
EPs must meet all 17 core objectives:
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Core Objective Measure Stage 2 Change
15. Summary of
Care
Provide summary of care document
for more than 50% of transitions of
care and referrals with 10% sent
electronically and at least one sent
to a recipient with a different EHR
vendor or successfully testing with
CMS Randomizer
No longer a menu item
10% sent electronically is a new
requirement - at least one sent
to a recipient with a different
EHR vendor
16. Immunizations Successful ongoing transmission of
immunization data
No longer a menu item
Requires more than just a test
to meet this measure
9. Security Risk
Analysis
Conduct or review security analysis
and incorporate in risk
management process
EPs must meet all 17 core objectives:
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Menu Objective Measure Stage 2 Change
3. Imaging Results More than 20% of imaging results
are accessible through Certified EHR
Technology
New for Stage 2
4. Family History Record family health history for
more than 20%
New for Stage 2
1. Syndromic
Surveillance
Successful ongoing transmission of
syndromic surveillance data
Requires more than just a test
to meet this measure
EPs must select 3 out of 6 menu objectives:
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Menu Objective Measure Stage 2 Change
5. Cancer Registry Successful ongoing transmission of
cancer case information
New for Stage 2
6. Specialized
Registry
Successful ongoing transmission of
data to a specialized registry
New for Stage 2 (does not
include cancer registry,
immunization or syndromic
registries)
2. Electronic Notes Enter an electronic progress note for
more than 30% of unique patients
New for Stage 2 – any
searchable note – can be
dictated just not scanned
EPs must select 3 out of 6 menu objectives:
Resources on CMS EHR Incentive Program Site Stage 2 Meaningful Use Specification Sheet Table of Contents for
Eligible Professionals (October 2012)
ALL Stage 2 EHR Meaningful Use Specification Sheets for Eligible Professionals (October 2012)
Stage 2 Overview Tipsheet (August 2012)
Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals (August 2012)
Pocket Guide http://www.advisory.com/~/media/Advisory-
com/Research/ITSC/Resources/2012/MU-Pocket-Guide-3-1-13.pdf
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Core Objective Measure Stage 2 Change
1. CPOE Use CPOE for more than 60% of
medication, 30% of laboratory, and
30% of radiology
Up from 30% of just
medication orders
2. Demographics Record demographics for more
than 80%
Up from 50%
3. Vital Signs Record vital signs for more than
80%. Blood pressure for age 3 and
over and ht/wt for all ages.
Up from 50%
4. Smoking Status Record smoking status for more
than 80%
Up from 50%
Hospitals must meet all 16 core objectives:
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Core Objective Measure Stage 2 Change
5. Clinical Decision
Support
Implement 5 clinical decision
support interventions + drug/drug
and drug/allergy
Up from one CDSI rule
Must be linked to 4 Clinical
Quality Measures (CQMs)
Drug/drug and drug/allergy
folded into this measure
8. Labs Incorporate lab results for more
than 55%
Up from 40%
No longer a Menu objective
9. Patient List Generate patient list by specific
condition
No longer a Menu objective
16. eMAR eMAR is implemented and used for
more than 10% of medication
orders
New for Stage 2
Hospitals EPs must meet all 16 core objectives:
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Core Objective Measure Stage 2 Change
6. Patient Access Provide electronic access to
health information for more
than 50% of patients within 36
hrs of request and more than
5% view, download or transmit
their health information.
No Longer a Menu objective.
Added 5% view, download and
transmit.
10. Patient
Education
Use EHR to identify and
provide education resources
for more than 10% of patients
No Longer a Menu objective
Hospitals must meet all 16 core objectives:
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Core Objective Measure Stage 2 Change
11. Medication
Reconciliation
Medication reconciliation at
more than 50% of transitions
of care
No Longer a Menu objective
12. Summary of
Care
Provide summary of care
document for more than 50%
of transitions of care and
referrals. with 10% sent
electronically using CEHRT or
sent thru NwHIN or ONC
governance mechanism
No longer a menu item
10% sent electronically is a new
requirement.
Hospitals must meet all 16 core objectives:
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Core Objective Measure Stage 2 Change
13. Immunizations Successful ongoing
transmission of immunization
data
No longer a menu item
Requires more than just a test to
meet this measure
14. Reportable Labs Successful ongoing
submission of reportable
laboratory results
No longer a menu item
Requires more than just a test to
meet this measure
15. Syndromic
Surveillance
Successful ongoing
submission of electronic
syndromic surveillance data
No longer a menu item
Requires more than just a test to
meet this measure
7. Security Risk
Analysis
Conduct or review security
analysis and incorporate in
risk management process
Address the encryption/security of
data at rest.
Hospitals must meet all 16 core objectives:
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Menu Objective Measure Stage 2 Change
2. Progress Notes Enter an electronic progress
note for more than 30% of
unique patients
New for Stage 2
5. E-Rx More than 10% electronic
prescribing (eRx) of discharge
medication orders
New for Stage 2
3. Imaging Results More than 20% of imaging
results are accessible through
Certified EHR Technology
New for Stage 2
Hospitals must select 3 out of 6 menu objectives:
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Menu Objective Measure Stage 2 Change
4. Family History Record family health history
for more than 20%
New for Stage 2
1. Advanced
Directives
Record advanced directives for
more than 50% of patients 65
years or older
6. Structured
Electronic Labs
Provide structured electronic
lab results to EPs for more
than 20%
New for Stage 2
Hospitals must select 3 out of 6 menu objectives:
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In 2014, EPs must report on 9 of the 64 approved CQMs ◦ Recommended core CQMs - encouraged but not
required 9 CQMs for the adult population
9 CQMs for the pediatric population
◦ Selected CQMs must cover at least 3 of the National Quality Strategy domains
Eligible Hospitals and CAHs must report on 16 of 29 approved CQMs ◦ Selected CQMs must cover at least 3 of the National
Quality Strategy domains
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Patient and Family Engagement
Patient Safety
Care Coordination
Population and Public Health
Efficient Use of Healthcare Resources
Clinical Processes/Effectiveness
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http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/EP_MeasuresTable_Posting_CQMs.pdf http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/2014_CQM_EH_FinalRule.pdf
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Eligible professionals can apply for hardship exceptions in the following categories: ◦ Infrastructure: Eligible professionals must demonstrate that they are in an
area without sufficient internet access or face insurmountable barriers to obtaining infrastructure (e.g., lack of broadband).
◦ New Eligible Professionals: Newly practicing eligible professionals who would not have had time to become meaningful users can apply for a 2-year limited exception to payment adjustments. Thus eligible professionals who begin practice in calendar year 2015 would receive an exception to the penalties in 2015 and 2016, but would have to begin demonstrating meaningful use in calendar year 2016 to avoid payment adjustments in 2017.
◦ Unforeseen Circumstances: Examples may include a natural disaster or other unforeseeable barrier.
◦ Patient Interaction: Lack of face-to-face or telemedicine interaction with patient
Lack of follow-up need with patients
◦ Practice at Multiple Locations: Lack of control over availability of CEHRT for more than 50% of patient encounters
◦ 2014 EHR Vendor Issues: The eligible professional’s EHR vendor was unable to obtain 2014 certification or the eligible professional was unable to implement meaningful use due to 2014 EHR certification delays.
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Montana (2 counties)
Wyoming (no counties)
http://www.qhs.org/janda/inner.php?PageID=76
http://www.broadbandmap.gov/rank/all/county/montana/percent-household-units/speed-download-greater-than-3mbps-upload-greater-than-0.768mbps/ascending
2014 MU (must be on 2014 version of EHR) ◦ To avoid 2015 Medicare penalties:
Last day to start 3 month reporting period = 7/1/14
Last day of 3 month reporting period = 9/30/14
Attestation must be submitted by = 10/1/14
◦ Will not avoid 2015 Medicare penalties
Last day to start 3 month reporting period = 10/1/14
Last day of 3 month reporting period = 12/31/14
Attestation must be submitted by = 2/28/15
That’s 1 day!
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2014 MU (must be on 2014 version of EHR) Last day to start 3 month reporting period = 10/1/14
Last day of 3 month reporting period = 12/31/14
Attestation must be submitted by = 2/28/15
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NO Medicare EHR Incentives will be available for EPs who do not start reporting Meaningful Use in 2014
AIU is not Meaningful Use
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Payment adjustment & Hardship Exemption Tip Sheets for EPs: ◦ http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Downloads/PaymentAdj_HardshipExcepTipSheetforEP.pdf
Payment adjustment & Hardship Exemption
Tip Sheets for Hospitals and CAHs ◦ http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Downloads/PaymentAdj_HardshipExcepTipsheetforHospitals.pdf
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Stage 2 Meaningful Use requirements are emphasizing patient engagement and advanced clinical processes
VDT requirements start in 2014 regardless of MU Stage
There are only a few NEW measures in Stage 2
Public Health Reporting measures become more critical in Stage 2
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All Providers and Hospitals must be on a 2014 certified version for 2014 attestation, regardless of stage of Meaningful Use
2014 attestation is a 3 month period – tied to a quarter (Except Stage 1 Year 1)
In order to avoid the 2015 Medicare payment adjustment the first time participating EP must attest no later than Oct 1, 2014 which means they must begin their 90 day EHR reporting period no later than July 1, 2014
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Upcoming Webinars:
2014 Free Public Webinars
(registration is required) Wednesday, June 18, 1-2 pm (MST) - EHR and Patient Safety
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Upcoming Webinars: 2014 Subscriber Webinars
Wednesday, May 28, 1-2 pm (MST) - Ask the Experts - Open FAQ Meaningful Use Wednesday, June 11, 1-2 pm (MST) - Secure Messaging and Patient Portal Requirements Wednesday, July 9, 1-2 pm (MST) - Quality Reporting from the EHR (PQRS) Wednesday, July 30, 1-2 pm (MST) - Public Health Reporting
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Deb Anderson
Health Technology Consultant
307-772-1096
www.htsrec.com
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Heath Technology Services http://www.htsrec.com/
EHR incentive Program Website: http://www.cms.gov/EHRIncentivePrograms/
General Info on CQMs:
• http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/ClinicalQualityMeasures.html
CQM Tipsheet:
• http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalQualityMeasuresTipsheet.pdf
Payment Adjustment and Hardship tipsheet: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/PaymentAdj_HardshipExcepTipSheetforEP.pdf
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/PaymentAdj_HardshipExcepTipsheetforHospitals.pdf
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