CareLogic Enterprise and Meaningful Use 2014

for Eligible ProfessionalsWhy all certified EHRs are not created equal.

CareLogic “User Centered Design” process

Final Rules

Technical requirements

Eligible Professional Measure specifications

User Input

DESIGN

Feedback

DESIGN

Feed

back

FeedbackDE

SIGN

DESIGNFeedback

PRODUCT

Stage 2 Core Measure 17:Use Secure Electronic Messaging (DIRECT)

Secure Electronic Messaging: other vendor

4

Log into Direct Messaging Application, type message , send

transmit

transmit

transmit

Move

outside the

EH

R

Secure Messaging: CareLogic

5

Send Direct Messages

from CareLogic

transmit

transmit

transmit

Stage 2 Core Measure 15:Summary of Care Record for each transition of care-HIE (C-CDA)

Exchanging and sharing secure clinical information -HIE (CCD)- other vendors

Generate a C-CDA in EHR

Download C-CDA to desktop and save Log into the DIRECT Portal

Upload C-CDA to DIRECT portal

transmit

transmittransm

it

Exchanging and sharing secure clinical information -HIE (CCD)- CareLogic

Generate a C-CDA in CareLogic (DIRECT capability incorporated within CareLogic)

transmit

transmit

transmit

Stage 2 Core 6 Clinical Decision Support Rules (CDSR)

and Clinical Quality Measures (CQMS)

Clinical Quality Measures

EP Selects NQFs that are relevant to his practice and population he serves.

Based on the NQFs selected, CareLogic tells you what you will need to gather data for that NQF.

The Agency maps what they use for each of these assessments during set up.

Clinical Decision Support Rules (CDSR) and CQMs -other vendors

Problem List

Medication List

Med Allergy List

Demographics

Laboratory tests & values/results

Vital Signs

CDSR

Clinical Decision Support Rules

Appraisal for alcohol

or chemical

Suicide Risk Assessment

PHQ-9

Smoking statusDepression Screen

Clinical Decision Support Rules (CDSR) and CQMS-Carelogic

Laboratory tests & values/results

Vital Signs

Demographics

Med Allergy List

CDSR CQMS

Medication List

Problem List

Smoking status

Appraisal for alcohol or chemical use

Suicide Risk Assessment

PHQ-9

Depression Screen

Managing Demographics for compliance

Managing Demographics for Compliance-other vendors

Race = AEthnicity= B

Smoking Status= CPrimary Language= D

Meaningful use

Race = PEthnicity= Q

Smoking Status= RPrimary Language= S

Race = WEthnicity= X

Smoking Status= YPrimary Language= Z

Federal

State

Fed values

state values

MU values

Managing Demographics for Compliance-CareLogic

RaceEthnicity

Smoking StatusPrimary Language

Meaningful use

Federal

StateCareLogic

Values mapped in background

www.MUforBH.commeaningfuluse@qualifacts.com

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Disclaimer

It is important that each individual take responsibility for understanding of the final rules and regulations of the Medicaid and Medicare EHR Incentive Programs. Qualifacts Systems, Inc. offers these presentations as a service and makes every effort to provide accurate information. We make no claim that our information is complete or contains no inaccuracies.

Under no circumstances shall anyone associated with Qualifacts Systems, Inc. be liable for any incidental, indirect, consequential or special damages or loss of any kind including those resulting from the expected incentives themselves.

Qualifacts Systems, Inc. in no way considers itself the ultimate authority or expert on the final rules and regulations of the Medicare and Medicaid EHR Incentive Programs and expects that each individual will consult the state-specific Medicaid EHR Incentive Program website for their specific states rules and/or the CMS website for the EHR Incentive Program Rules.

It is important that each Eligible Professional note that CMS views the EP as ultimately responsible for the numerator and denominator and their Medicaid Encounter volume as well as the data used for attestation on the measures of Meaningful Use. CMS has announced there will be audits. “There are numerous pre-payment edit checks built into the EHR Incentive Programs’ systems to detect inaccuracies in eligibility, reporting and payment. Post-payment audits will also be completed during the course of the EHR Incentive Programs.”