Jeanie Berg eQHealth MNA Nov 3 2010

8/7/2019 Jeanie Berg eQHealth MNA Nov 3 2010

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ELECTRONIC HEALTH RECORDS

Meaningful Use Overview


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TRANSFORMING HEALTH CAREEHRs and the

HIT Regional Extension Center

2Confidential Proprietary to eQHealth Solutions

eQHEALTH Solutions, Inc.


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Selected as the Mississippi Regional Extension

Center

Offering health information technology consulting

services to Mississippi physicians in small group

practices that participate in Medicare or Medicaid.

eQHealth SolutionsFounded in 1986


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Regional Extension Centers

Offer Technical Assistance Guidance and information on best practice to support and

accelerate health care providers efforts to become meaningfulusers of Electronic Health Records

60 Regional Extension Centers, each serving a defined geographicarea.

Mississippi to work with 1000 providers to adopt, implement and useEHR systems in a meaningful way..

Regional Extension Center



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Since 2006, we have helped physician offices adoptEHR to their practices.

Knowledgeable of all components of certified health

information systems.

Knowledgeable about federal funding opportunities.

Work through all stages of the transformation from paperrecords to digital.

eQHealth Solutions and HealthInformation Technology


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ARRA has major funding allocated for HITimplementation under the following sections:

Section 4101: Medicare incentives for eligible professionals. Section 4102: Medicare incentives for hospitals. Section 4103: Implementation funding. Section 4201: Medicaid provider HIT adoption and operation

payments.

What is ARRA?American Recovery and Reinvestment Act (ARRA) 2009


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ARRA Funding


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Medicare

Up to $44,000 over thefirst five years.

MDs in a health provider

shortage area eligible for

10% more.

Medicaid

If 30%+ patients in apractice are Medicaid,practice is eligible for up

to $63,750 over the firstfive years. (20% forpediatricians)

Types of Incentives

Note: Physicians delivering care entirely in a hospital are ineligible.(anesthesiologist, pathologist & ED MDs)


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Medicare First Calendar Year in which the EP receives an IncentivePayment

CalendarYear

2011 2012 2013 2014 2015 &later

2011 $18,000

2012 $12,000 $18,000

2013 $8,000 $12,000 $15,000

2014 $4,000 $8,000 $12,000 $12,000

2015 $2,000 $4,000 $8,000 8,000 $0

2016 $2000 $4,000 $4,000 $0

Total $44,000 $44,000 $39,000 $24,000 $0


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Medicaid First Calendar Year in which the EP receives anIncentive Payment

Calendar

Year

2011 2012 2013 2014 2015 2016

2011 $21,250

2012 $8,500 $21,250

2013 $8,500 $8,500 $21,500

2014 $8,500 $8,500 $8,500 $21,500

2015 $8,500 $8,500 $8,500 $8,500 $21,500

2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,000

2017 $8,500 $8,500 $8,500 $8,500 $8,500

2018 $8,500 $8,500 $8,500 $8,500

2019 $8,500 $8,500 $8,500

2020 $8,500 $8,500

2021 $8,500

Total $63,750 $63,750 $63,750 $63,750 $63,750 $63,750


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Meet requirements in 2011 or 2012

$15,000 - $18,000 payments yr 1, $44,000 total by yr4

Declining payments through year 5

The later you meet requirements, the less you get No incentives after 2016 or for first adopters after 2014

Provider payments increase 10% in HPSA

Payment reduction if not adopted by 2015

Excludes hospital based eligible professionals Special rules for Medicare Advantage

Medicare Providers- Meaningful Use


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Medicare FFS Eligible professionals (EPs)

Eligible hospitals and critical access hospitals (CAHs)

Medicare Advantage (MA) MA EPs

MA-affiliated eligible hospital

Medicaid EPs

Eligible hospitals

Eligible Providers


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Eligible Professionals (EPs)

Doctor of Medicine or Osteopathy

Doctor of Dental Surgery or Dental Medicine

Doctor of Podiatric Medicine

Doctor of Optometry

Chiropractor

Eligible Hospitals

Acute Care Hospitals

Critical Access Hospitals (CAHs)

Medicare Eligible Providers


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Must demonstrate meaningful useby 2014.

Beginning 2015, Medicare Fee Schedules will bereduced by 1%.

Additional decreases to follow in 2016 and 2017 to 97%of the regular fee schedule.

May be further reduced to 95% if the Secretarydetermines total adoption is below 75% in 2018.

What happens if one doesnt adopt EHR?Disincentives or penalties


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Eligible Professionals (EPs)

Physicians (Peds have special eligibility & payment rules)

Nurse Practitioners (NPs)

Certified Nurse-Midwives (CNMs)

Dentists

Physician Assistants (FQHC or RHC that is directed by a PA)

Eligible Hospitals

Acute Care Hospitals

Childrens Hospitals

Medicaid Eligible Providers


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The Medicaid EHR Incentive Program starts in 2011 andends in 2021

The latest that a Medicaid provider can initiate theprogram is 2016

A Medicaid provider can initiate the program under theAdopt, Implement and Upgrade bar but in their 2nd andsubsequent years, they must meet MU at the stage thatis in place, per rule-making (Stage 3 by 2015).

Medicaid Providers- Meaningful Use


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Medicaid Only: Adopt/Implement/ Upgrade (A/I/U)

First participation year only for Medicaid providers

AdoptedAcquired and Installed

Ex: Evidence of installation prior to incentive

ImplementedCommenced Utilization of Ex: Staff training, data entry of patient demographic information into

EHR

UpgradedExpanded

Upgraded to certified EHR technology or added new functionality to

meet the definition of certified EHR technology Must use certified EHR technology

No EHR reporting period

CMS EHR Incentives Program -Medicaid



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Eligibility: Practices Predominantly & Needy

Individuals

EP practicing predominantly in FQHC/RHC providingcare to needy individuals

Practicing predominantly is when FQHC/RHC is

the clinical location for over 50% of totalencounters over a period of 6 months in the mostrecent calendar year

Needy individuals: Medicaid or CHIP enrollees;

Patients furnished uncompensated care by theprovider; or furnished services at either no cost or

on a sliding scale.


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Notable Differences Between theMedicare & Medicaid EHR Programs

Medicare MedicaidFederal Government will implement (availablenationally)

Voluntary for States to implement (may not be anoption in every State)

Fee schedule reductions begin in 2015 forproviders that do not demonstrate MeaningfulUse

No Medicaid fee schedule reductions (butMedicare penalties still apply)

Must demonstrate meaningful use in Year 1 Adopt/Implement/Upgrade option for 1st

participation year

Maximum incentive is $44,000 for EPs (bonus forEPs in HPSAs)

Maximum incentive is $63,750 for EPs

MU definition will be common for Medicare States can adopt a more rigorous definition (basedon common definition) though hospitals only haveto meet the Medicare definition if they participatein both

Last year an EP may initiate program is 2014; Last

payment in program is 2016. Paymentadjustments begin in 2015

Last year an EP may initiate program is 2016; Last

payment in program is 2021

Payment years must be consecutive Payment years neednt be consecutive for EPs butmust be for EHs after 2016

Only physicians, subsection (d) hospitals andCAHs

5 types of EPs, acute care hospitals (includingCAHs) and childrens hospitals

19

Adapted from: CMS presentation July 20, 2010


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Use of a certified EHR product with e-Prescribingcapability.

EHR technology is connected for the electronicexchange of patient health information.

Complies with submission of reports on clinical quality

measures.

What does it take to receive the funding?Meaningful Use Demonstration


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Medicare

Up to $11 million using $2million as base paymentand a payment of $2,000

for each dischargebetween the 1,150 and23,000 dischargesannually.

Medicaid

For those with more than10% Medicaid patients,incentives to bedetermined by the samecalculation as Medicare,but weighted for the firstfour years, rather thanfollowing descending

payments.

What about the hospitals?

C


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Conceptual Approach toMeaningful Use

DataCaptureandSharing

AdvancedClinical

Processes

Improved

Outcomes


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Stage 1

Capture data in coded format.

Stage 2

Expand exchange of information in the most structured

format possible.

Stage 3

Focus on CDS for high priority conditions, patient

self management, and access to comprehensive

data.

A Phased, Incremental Approach



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Stage 1 Meaningful Use Criteria

25 objectives and measures for eligible professionals (EP)

15 are required, up to 5 of the remaining 10 may be

differed to Stage 2 8 require attestation; 17 require data submission

In 2012, clinical quality metrics will be reported

electronically

To meet certain objectives/measures, 80% of patients seenduring the reporting period must have records in thecertified EHR technology

Key Provisions



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Patient Summary Record

Problem List - ICD9/SNOMED, ICD10/SNOMED

Medications - RxNorm mapping, RxNorm

Allergies - None, UNII

Vital Signs - None, CDA Template

Unit of Measure, None, UCUM

EHR Usage: Captured Data


Ali i C ifi i d


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Aligning Certification andStandards

Source: Farzad Mostashari, ONC Presentation to HIT Policy Committee January 13, 2010

Meaningful UseObjectives

E-Rx

Provide PatientSummary Record

Electronically

Submit Data toImmunizationRegistries

Certification Criteria

Capability to E-Rx must

be included

Capability to

electronically transmit apatient summary record

must be included

Capability to

electronically transmitimmunization data mustbe included

Standards

NCPDP SCRIPT

8.1/10.6 must be used

Continuity of CareDocument (CCD) orContinuity of Care Record(CCR) must be used plusvocabulary standards

HL7 2.5.1 or HL7 2.3.1

andCVX Code Set


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The Stage 1 meaningful use criteria focus on Electronically capturing health information in a

structured format

Using that information to track key clinical

conditions and communicating that informationfor care coordination purposes

Implementing clinical decision support tools to

facilitate disease and medication management

Using EHRs to engage patients and families and

reporting clinical quality measures and public

health information.

Progression of Stages



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Stage 1 (2011 and 2012) To meet certain objectives/measures, 80% of patients must have

records in the certified EHR technology

EPs have to report on 20 of 25 MU objectives

Eligible hospitals have to report on 19 of 24 MU objectives

Reporting Period90 days for first year; one year subsequently

Meaningful Use: Basic Overview ofFinal Rule



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Core Criteria

Providers must complete each of the core criteriaunless unable to due to scope of practice,population served or number in the denominator.For example:

Chiropractor and ePrescribing CAH and no patients have requested electronic access

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Meaningful Use Criteria


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Organized according to the Health OutcomesPolicy Priorities:1

Improving quality, safety, efficiency, and reducing

health disparities

Engage patients and families in their health care Improve care coordination

Improve population and public health

Ensure adequate privacy and security protections

for personal health information Divided into Core Criteria and Menu Criteria

Meaningful Use CriteriaHow were the core objectives selected?



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EPs15 Core Objectives

1. Computerized physician order entry (CPOE)2. E-Prescribing (eRx)3. Report ambulatory clinical quality measures to CMS/States4. Implement one clinical decision support rule

5. Provide patients with an electronic copy of their health information, upon request6. Provide clinical summaries for patients for each office visit7. Drug-drug and drug-allergy interaction checks8. Record demographics9. Maintain an up-to-date problem list of current and active diagnoses10. Maintain active medication list11. Maintain active medication allergy list12. Record and chart changes in vital signs13. Record smoking status for patients 13 years or older14. Capability to exchange key clinical information among providers of care and patient-

authorized entities electronically15. Protect electronic health information

Meaningful Use: Core Set ObjectivesEligible Professionals


C


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Core: Improve quality, safety, efficiency andreduce health disparities

Objective Ambulatory Measure Hospital Measure (ED or IP)

CPOE3

(Lic HC Prof)>30% of patients with oneCPOE med order (n/d EHR)1

>30% of patients with oneCPOE med order (n/d EHR) 1

Drug (D-A, D-D) Interactions

Turned on (y/n) Turned on (y/n)

ePrescribe3 >40% of permissible scripts(n/d EHR)1

-

Demographics >80% of patients seen:language, gender, race,ethnicity, DOB (n/d all)2

>80% of patients seen:language, gender, race,ethnicity, DOB, date andcause of death (n/d all)2

Problem List >80% of patients seen atleast one or none as

structured data(n/d all)2

>80% of patients seen atleast one or none as



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Core: Improve quality, safety,efficiency and reduce health

disparities cont.Objective Ambulatory Measure Hospital Measure (ED or IP)

Med List >80% of patients seen atleast one or none as




Med Allergies >80% of patients seen atleast one or none as




Vitals >50% of patients 2yo

seen: height, weight, BP,BMI, & for age 2-20: growthcharts w/BMI (n/d EHR)1

>50% of patients 2yo seen:

height, weight, BP, BMI, & forage 2-20: growth chartsw/BMI (n/d EHR)1

Core Impro e q alit safet


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Core: Improve quality, safety,efficiency and reduce health

disparities cont.Objective Ambulatory Measure Hospital Measure (ED or IP)

Smoking >50% of patients 13yo seen,record status as structured data(n/d EHR)1

>50% of patients 13yoseen, record status asstructured data(n/d EHR)1

DecisionSupport

1 CDS rule relevant to thespecialty specific quality metricwith the ability to track

compliance(y/n)

1 CDS rule relevant to a highpriority hospital condition withthe ability to track compliance

(y/n)

Quality

Reporting

Report ambulatory quality

measures to CMS or states2011: Attestnumerator/denominator2012: Electronic submission

Report hospital clinical quality

measures to CMS or states2011: Attestnumerator/denominator2012: Electronic submission


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Clinical Decision Support System

CDSS are interactive computer programs, which are designedto assist physicians and other health professionals withdecision making tasks. (example - CPOE, Diagnosis)


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Core: Engage Patients and Familiesin Their Health Care

Provide patients and families with timely access to data,knowledge, and tools to make informed decisions and tomanage their health


eHealthsummary

>50% of patients whorequest it (incl: test results,prob list, med list, medallergies) w/i 3 businessdays (n/d EHR)1

>50% of patients who requestit (incl: test results, prob list,med list, med allergies, d/csummary, procedures) w/i 3business days (n/d EHR)1

eDischarge

Instructions

- >50% of patients who request

it at discharge (n/d EHR)1

Visit summaries >50% of patients seen getvisit summary within 3business days (n/d EHR)1

-

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Core: Improve Care Coordination

Exchange meaningful clinical information among professionalhealth care teams

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Objective Ambulatory Measure Hospital Measure (ED & IP)

Exchange withproviders1 Capability of electronicexchange of keyinformation (Ex: prob list,med list, allergies, testresults2). One test permeasurement period (y/n)

Capability of electronicexchange of key information(Ex: d/c summary,procedures prob list, med list,allergies, test results). Onetest per measurement period

(y/n)

Core: Privacy and security for


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Core: Privacy and security forpersonal health information

Ensure privacy and security protections for confidentialinformation through operating policies, procedures, andtechnologies and compliance with applicable law.

Provide transparency of data sharing to patient.Signed Business Agreement

Objective Ambulatory Measure Hospital Measure

Protect Patient

Personal HealthInformation

Conduct or review a

security risk analysis per45 CFR 164.308 (a)(1)and correct deficiencies(y/n)

Conduct or review a

security risk analysis per45 CFR 164.308 (a)(1)and correct deficiencies(y/n)

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Eligible Professionals

Drug-formulary checks Incorporate clinical lab test results as structured data Generate lists of patients by specific conditions

Send reminders to patients per patient preference for preventive/follow up care Provide patients with timely electronic access to their health information Use certified EHR technology to identify patient-specific education resources

and provide to patient, if appropriate Medication reconciliation Summary of care record for each transition of care/referrals Capability to submit electronic data to immunization registries/systems* Capability to provide electronic syndromic surveillance data to public health

agencies*

*At least 1 public health objective must be selected

Meaningful Use: Menu Set ObjectivesEligible Professionals



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Menu: Engage Patients and Familiesin Their Health Care

Provide patients and families with timely access to data,knowledge, and tools to make informed decisions and tomanage their health


eResults >10% patients seen withelectronic access to lab results,prob lists, med list, medallergies w/i 4 business days ofit being updated in the EHR(n/d all)

-

Patient Ed >10% patients seen provided with ed resources identified

with the EHR(n/d all)

>10% patients seen provided withed resources identified with the

EHR(n/d all)

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Menu: Improve quality safety


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Menu: Improve quality, safety,efficiency and reduce health

disparitiesObjective Ambulatory Measure Hospital Measure (ED or IP)

Formularies Implement drug formulary checks

with at least one internal or

external formulary (y/n)

Implement drug formulary checks

with at least one internal or

external formulary (y/n)

Advanced

Directives

- >50% of 65yo admitted indicate

advanced directive recorded(n/dEHR non ED)

Lab Results >40% of labs with numeric or +/-result in chart as structured data(n/d EHR)

>40% of labs with numeric or +/-result in chart as structured data(n/d EHR)

Patient Lists3 Generate at least one pt lists basedon a specific condition (y/n)

Generate at least one pt lists basedon a specific condition (y/n)

Reminders >20% of pts 65 or 5yo sentreminders for follow up care (n/dEHR)

-


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Menu: Improve Care Coordination

Exchange meaningful clinical information among professionalhealth care teams

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Medicationreconciliation >50% of transitions of care1

ora relevant encounter2 (n/dEHR)3

>50% of transitions of care1

ora relevant encounter2 (n/dEHR)3

Summarycare record

>50% of referrals andtransitions of care1 (n/d EHR)3

>50% of referrals andtransitions of care1 (n/d EHR)3


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Menu: Improve Population and PublicHealth1

Communicate with public health agencies

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ImmunizationRecords2

1 test of submission to stateimmunization registry (unless no

registries are capable) withcontinued submission ifsuccessful (y/n)

1 test of submission to stateimmunization registry (unless no

registries are capable) withcontinued submission ifsuccessful (y/n)

ReportableLabs2

- 1 test of submission to publichealth (unless no ph agency iscapable) with continuedsubmission if successful (y/n)

SyndromicSurveillance2

1 test of submission to publichealth (unless no ph agency iscapable) with continuedsubmission if successful (y/n)

1 test of submission to publichealth (unless no ph agency iscapable) with continuedsubmission if successful (y/n)


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Providers and hospitals may defer up to 5 of the menucriteria until stage 2

- At least one of the criteria from population and publichealth must be included in order to qualify as ameaningful user

- States can seek CMS prior approval to require 4 MUcriteria be core for their Medicaid providers:- Generate lists of patients by specific conditions for qualityimprovement, reduction of disparities, research, oroutreach (can specify particular conditions)

- Reporting to immunization registries, reportable lab results,and syndromic surveillance (can specify for their providershow to test the data submission and to which specificdestination)

Menu Criteria


C Q


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Core, Alternate Core, and Additional CQM setsfor Eps EPs must report on 3 required core CQM, and if the denominator

of 1 or more of the required core measures is 0, then EPs are

required to report results for up to 3 alternate core measures

EPs also must select 3 additional CQM from a set of 38 CQM(other than the core/alternate core measures)

In sum, EPs must report on 6 total measures: 3 required core

measures (substituting alternate core measures wherenecessary) and 3 additional measures

Clinical Quality Measures- EPs


Cli i l Q li M (CQM)


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2011EPs, eligible hospitals, and CAHs seeking todemonstrate Meaningful Use are required to submitaggregate CQM numerator, denominator, and exclusiondata to CMS or the States by attestation.

2012EPs, eligible hospitals, and CAHs seeking todemonstrate Meaningful Use are required toelectronically submit aggregate CQM numerator,

denominator, and exclusion data to CMS or the States.

Clinical Quality Measures (CQM)Overview


M i f l U D i


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Two types of percentage-based measures are includedto address the burden of demonstrating MU

1. Denominator is all patients seen or admitted during the EHR

reporting period The denominator is all patients regardless of whether their records

are kept using certified EHR technology

2. Denominator is actions or subsets of patients seen or admittedduring the EHR reporting period

The denominator only includes patients, or actions taken on behalfof those patients, whose records are kept using certified EHRtechnology

Meaningful Use: Denominators


CQM C S f EP


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CQM: Core Set for EPs


NQF Measure Number & PQRI

Implementation NumberClinical Quality Measure Title

NQF 0013 Hypertension: Blood Pressure MeasurementNQF 0028 Preventive Careand Screening Measure Pair:

a) Tobacco Use Assessment, b) Tobacco

Cessation Intervention

NQF 0421

PQRI 128

Adult Weight Screening and Follow-up

CQM Alt t C S t f EP


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CQM: Alternate Core Set for EPs


NQF Measure Number & PQRI

Implementation NumberClinical Quality Measure Title

NQF 0024 Weight Assessment and Counseling for

Children and AdolescentsNQF0041

PQRI 110

Preventive Care and Screening:

InfluenzaImmunization for Patients 50 Years

Old or Older

NQF 0038 Childhood Immunization Status

CQM Additi l S t f EP


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CQM: Additional Set for EPs


1. Diabetes: Hemoglobin A1c Poor Control

2. Diabetes: Low Density Lipoprotein (LDL) Management and Control3. Diabetes: Blood Pressure Management4. Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker

(ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)5. Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction

(MI)6. Pneumonia Vaccination Status for Older Adults7. Breast Cancer Screening8. Colorectal Cancer Screening9. Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD10. Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)11. Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b)Effective

Continuation Phase Treatment12. Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation13. Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity

of Retinopathy14. Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

15. Asthma Pharmacologic Therapy16. Asthma Assessment.17. Appropriate Testing for Children with Pharyngitis18. Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone

Receptor (ER/PR) Positive Breast Cancer19. Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients

CQM Additi l S t f EP td


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CQM: Additional Set for EPs, contd


20. Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients21. Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco Users toQuit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing Smoking andTobacco Use Cessation Strategies

22. Diabetes: Eye Exam23. Diabetes: Urine Screening24. Diabetes: Foot Exam25. Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol26. Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation

27. Ischemic Vascular Disease (IVD): Blood Pressure Management28. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic29. Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b)

Engagement30. Prenatal Care: Screening for Human Immunodeficiency Virus (HIV)31. Prenatal Care: Anti-D Immune Globulin32. Controlling High Blood Pressure33. Cervical Cancer Screening

34. Chlamydia Screening for Women35. Use of Appropriate Medications for Asthma36. Low Back Pain: Use of Imaging Studies37. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control38. Diabetes: Hemoglobin A1c Control (


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10 Menu SetObjectives

15 CoreObjectives

44ClinicalQuality

Measures

PQRI/NQFMeasures

Stage 1: Reporting Requirements

8/5/2010 VITL 52

CMS/State

3 core

3 additional

or 3

alternate

1 must bepublic health

measure

State can

move 4 frommenu to

core

Hypertension

Tobacco useAdult weight

Alternate: ChildrenWeight

Flu Immunization > 50yrs

Children Immunization

P i f th St


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Progression of the Stages:

The Stage 2 meaningful use criteria will focus on More rigorous expectations for health information exchange

More demanding requirements for e-prescribing andincorporating structured laboratory results

The expectation that providers will electronically transmit patientcare summaries to support transitions in care across unaffiliatedproviders, settings and EHR systems

Increasingly robust expectations for health information exchangeto support and make real the goal that information follows the

patient.

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P j t d St 2 M


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Projected Stage 2 Measures

Inclusion of the proposed measures in the NPRM thathave electronic specifications specified

Additional pediatrics measures such as completed growth charts, electronic prescriptions with

weight-based dosing support and documentation of newborn

screening

Long-term care measures.

Additional obstetrics measures.

Dental care/oral health measures.

Additional behavioral/mental health and substanceabuse measures

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P i f th St


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Progression of the Stages:

The Stage 3 meaningful use criteria will focus on Promoting improvements in quality, safety and efficiency leading

to improved health outcomes

Focusing on decision support for national high priority conditions

Patient access to self management tools Access to comprehensive patient data through robust, patient-

centered health information exchange

Improving population health.

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In Review


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In Review

Incentives are available for both eligible hospitals andproviders who meaningfully use an EHRThe final rules are more readily achievable than were the

rules in the NPRM (proposed rules)Eligibility for incentives use will require demonstration of

meaningful use of certified technologyCriteria for meaningful use will become more demanding

over timeFirst measures of quality and then demonstration of quality

will be required to be considered for incentives orpayment increases

Begin identifying the criteria and measures you will reporton now

Begin evaluating your workflow now

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Resources:


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Resources:

Regional Extension Assistance Center for HealthInformation Technology (eQHealth solutions)

http://www.eqhs.org

Meaningful Use information on the Health and

Human Services web site: http://healthit.hhs.gov/meaningfuluse

Meaningful Use on the CMS web site:

https://www.cms.gov/EHRIncentivePrograms/35_Meaningful_Us

e.asp

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Contact Information
http://www.khareach.org/http://healthit.hhs.gov/meaningfulusehttps://www.cms.gov/EHRIncentivePrograms/35_Meaningful_Use.asphttps://www.cms.gov/EHRIncentivePrograms/35_Meaningful_Use.asphttps://www.cms.gov/EHRIncentivePrograms/35_Meaningful_Use.asphttps://www.cms.gov/EHRIncentivePrograms/35_Meaningful_Use.asphttp://healthit.hhs.gov/meaningfulusehttp://www.khareach.org/


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Chris Williams, MPH, CPEHR/CPHITHIT/EHR Southern Regional LeadeQHealth [email protected](225) 938-8905

Jeanie Berg, BSN, RN, CPEHR, CPHITHIT/EHR Central Regional Team LeadereQHealth [email protected](318) 347-6454

Contact Information

Thank You
mailto:[email protected]:[email protected]:[email protected]:[email protected]

Jeanie Berg eQHealth MNA Nov 3 2010

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