All EHR's Are Not Created Equal
17
Enterprise and Meaningful Use 2014 for Eligible Professionals Why all certified EHRs are not created equal.
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Transcript of All EHR's Are Not Created Equal
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
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.”
