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Welcome!

How to Interpret andPlan for the

2014 CMS CEHRT RulePresented by:Kay Jackson(978) 805-3104Kay.Jackson@iatric.com

Cindy Paul(978) 674-5927Cindy.Paul@iatric.com

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•Email amanda.howell@iatric.com

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Our Presenters

Kay JacksonManager, Software Certification, Compliance Application SoftwareIatric Systems, Inc. Kay.Jackson@iatric.com

Cindy PaulConsultantProfessional ServicesIatric Systems, Inc. Cindy.Paul@iatric.com

Agenda

Flexibility Plan 2014 and what we know

Mickey Waters, IT Director at Conway Medical Center – Why he chose to take advantage of the rule

Lyndel Mead, RN, MSN, Clinical Informatics Coordinator at Peterson Regional Medical Center – Why he chose not to take advantage of the rule

Making the best decision for your organization

Q & A

Sources

• September 2014 eHealth Vendor Workgroup webcast 9/11/14

• CMS and ONC Provider Webcast 9/16/14 at 2:30 ET

What is the Flexibility RuleAccording to CMS

Source: September 2014 eHealth Vendor Workgroup Webcast 9/11/4

CEHRT Systems Available For use in 2014

Source: September 2014 eHealth Vendor Workgroup Webcast 9/11/4

What We Have HeardFrom CMS

• The CMS Final Ruling expanded on the definition of “availability” to include whether a provider is able to “fully implement” the 2014 version. “Full implementation” as described in the new Final Rule includes such items as: • staff training• system testing and workflow revisions• update and integration • software patches or workflow changes

• To me that is a liberal, and most welcome, CMS interpretation.

http://meaningfuluseaudits.com/new-rules-meaningfuluse

Final Flexibility Rule

• A provider's ability to fully implement all of the functionality of 2014 Edition CEHRT may be limited by the availability and timing of product installation, deployment of new processes and workflows, and employee training

• Page 16 Final Rule

Final Extension Rule

Updated Meaningful Use Timeline

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Final Rule

Useful CMS Resources

ONC Project Tracking Website

What Has CMS Said?Some Tips

• CMS states that the attestation site will be ready by October• This could be mid October

• When we attest how do we notify CMS we are taking advantage of the Rule?• You must swear to a specific statement

during attestation

• How should we document why we took advantage of the Rule?• Document your reasons – bring in help

• What should we do to prepare for audit?• Document, Document, Document

Effective 10/1/14Eligible Hospitals

• Full 365 days reporting period regardless of Stage

• If you were to be Stage 2 Year 1 in 2014 and you take advantage of the Rule — you will be Stage 2 Year 2 in 2015 (10/1/14 to 9/30/15 and Stage 2 Year 3 in 2016 (10/1/15-9/30/16)

• Ready on 10/1/16 for Stage 3

2014 Edition Release 2

• Under the new rule, ONC will not require EHR vendors or providers to update or recertify their systems; however, it gives vendors the opportunity to make changes to their products

http://www.healthit.gov/facas/sites/faca/files/HITSC_2014-R2-EHR-certification-final-rule-ONC-factsheet_2014-09-10.pdf

Conway Medical CenterNot Attesting for Stage 2

• Mickey Waters, IT Director• South Carolina • MEDITECH MAGIC• 210 Beds

Peterson Regional Medical CenterAttesting for Stage 2

• Lyndel Mead RN, MSN, Clinical Informatics Coordinator

• Kerrville, TX• MEDITECH 6x• 124 beds

Making the Best Decision for Your Organization

• Make a strategic decision based on your needs

• The right decision is multi-faceted, with several layers

• Consider the workflow of your hospital

• Use technology available to you now

• Use the resources and CMS websites provided on this webcast

• You don’t have to decide alone!

Help from Professional Services

Iatric Systems offers Consulting Services to assist! Professional services will:

•Work with your team to make the BEST Strategic decision

•Guide you in decision making, based on the resources you have available today

•Help with documentation of why you chose to take the Flexibility Rule

•Help ensure you have documented all the “layers” in case you are audited

Q & A

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