Updated Meaningful Use and Attestation Webinar
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Transcript of Updated Meaningful Use and Attestation Webinar
Meaningful Use WebinarMeet the updated requirements and attest successfully with Practice Fusion
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History
+ Meaningful Use program was created in 2009 from the HITECH Act as part of the American Reinvestment and Recovery Act
+ MU started in 2011, and was designed to have 3 stages
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Stage 1
Stage 2
Stage 3
Data capture and
sharing
Advanceclinical
processes
Improvedoutcomes
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Background
+ The Center for Medicare and Medicaid Services (CMS) recently finalized Stage 3 requirements
+ CMS decided to also change existing Stage 1 and Stage 2 requirements Didn’t align with Stage 3 Provider feedback and poor Stage 2 performance
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Top 5 Changes to MU
1) Every provider will have completed a 90-day reporting period for the 2015 reporting year.
2) All providers are now in Stage 2 of Meaningful Use — in 2015, providers that were previously in Stage 1 completed a “Modified Stage 2”.
3) The core and menu measures have been simplified into 10 “Objectives.”
4) The Stage 2 measures that required patient engagement have been greatly reduced.
5) Many data-entry measures have been eliminated.
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Eligible Professionals in the EHR Incentive Program
+ Eligibility Guidelines You qualify individually You practice in the outpatient setting You may only participate in one program
+ Medicare Receive Medicare Part B reimbursements
+ Medicaid Meet 30% patient volume threshold (20% for pediatricians) *Meet 30% “needy individual” patient volume
Medicare Medicaid
Doctors of medicine or osteopathy
Doctors of medicine or osteopathy
Doctors of dental surgery or dental medicine
Nurse practitioner
Doctor of podiatry Certified nurse-midwife
Doctor of optometry Dentist
Chiropractor *Physician assistant Furnishes services in a Federally Qualified Health Center or Rural Health Clinic lead by a physician assistant
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Reporting Periods
+ All providers in 2015 complete a 90 day reporting period+ Full year reporting periods resume in 2016+ Any first year Medicaid participant completes a 90 day reporting period+ A first year Medicare participant will complete a 90 day reporting period
in 2015 and 2016
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Modified Stages
+ Stage 2 providers remain in Stage 2 for 2015 and 2016
+ Stage 1 providers are in “Modified Stage 2” for 2015 and Stage 2 in 2016
+ All providers can choose to complete Stage 3 in 2017 or remain in Stage 2
+ Stage 3 is mandatory for all in 2018
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Objective 1: Protect Patient Health Information
Stage 2 Measure Practice Fusion WorkflowConduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1) and correct identified security deficiencies as part of the provider’s risk management process.
None, measure is completed outside of Practice Fusion.
*Please hold onto any documentation to prove you met this measure for 6 years*
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Objective 2: Clinical Decision Support
Stage 2 Measure Practice Fusion WorkflowMeasure 1: Implement 5 clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire reporting period.
Enable at least 5 CDS settings for the entire reporting period (linked from Meaningful Use dashboard).
Measure 2: Enable functionality for drug-drug and drug-allergy interaction checks for the entire reporting period.
Enable at least 1 drug interaction and drug allergy alert (severe) in settings (linked from Meaningful Use dashboard).
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Objective 3: Computerized Provider Order Entry (CPOE)
Stage 2 Measure Practice Fusion WorkflowUse computerized provider order entry (CPOE) to record the following items during your reporting period:Measure 1: More than 60% of medication orders
Record all medication orders in Practice Fusion.
Measure 2: More than 30% of lab orders
Record all lab orders in Practice Fusion.
Measure 3: More than 30% of radiology orders
Record all imaging orders in Practice Fusion.
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Objective 4: Electronic Prescribing
Stage 2 Measure
More than 50% of all permissible prescriptions written are queried for a drug formulary and transmitted electronically.
Practice Fusion Workflow
Use Practice Fusion to e-prescribe all medications.
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Objective 5: Health Information Exchange
Stage 2 Measure
Create and provide an electronic summary of care record for more than 10% of transitions to another setting or provider of care.
Practice Fusion Workflow
Create a clinical summary and attach it to your electronic referrals to a verified Practice Fusion provider or a provider with a Direct address.
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Objective 6: Patient-Specific Education
Stage 2 Measure Practice Fusion WorkflowProvide patient-specific education resources identified by the EHR for more than 10% of all unique patients with office visits seen during the reporting period.
Click the patient education button at the bottom of any diagnosis, medication, or lab and provide the education to the patient.
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Objective 7: Medication Reconciliation
Stage 2 Measure Practice Fusion WorkflowPerform medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into your care.
Reconcile the medication list of all new patients or patients coming from another setting or provider in the chart note.
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Objective 8: Patient Electronic Access (VDT)
Stage 2 Measure Practice Fusion WorkflowMeasure 1: Provide more than 50% of all unique patients seen during the reporting period timely access to view online, download, and transmit to a third party their health information.
Invite all patients to the patient portal within 4 business days of the date of service.
Measure 2: At least 1 patient seen by the provider during the reporting period views, downloads or transmits his or her health information to a third party during the reporting period.
Walk one patient through enrolling in Patient Fusion.
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Objective 9: Secure Messaging
Stage 2 Measure
Send a secure message using the electronic messaging function to at least 1 patient during the reporting period.
Practice Fusion Workflow
Enable secure messaging and send one patient a secure message.
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Objective 10: Public Health
Stage 2 Measure (Meet 2) Practice Fusion WorkflowMeasure 1: Immunization Registry ReportingThe provider is in active engagement with a immunization registry to submit immunization data.
Connect with your immunization registry in Practice Fusion’s settings and begin transmitting immunizations.
Measure 2: Syndromic Surveillance ReportingThe provider is in active engagement with a public health agency to submit syndromic surveillance data.
Export the syndromic surveillance file and upload it to your local public health registry, if they have interest in outpatient data.
Measure 3: Specialized Registry ReportingThe provider is in active engagement to submit data to a specialized registry.
None, this measure must be met outside of Practice Fusion currently.
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Objective 10 Public Health Exclusions
+ Immunization Registry Reporting Providers who administer immunizations should use Practice Fusion’s immunization
registry integration feature See the Knowledge Base article for more details on exclusion criteria
+ Syndromic Surveillance Reporting Exclusion: Is not in a category of providers from which ambulatory syndromic
surveillance data is collected by their jurisdiction's syndromic surveillance system Alternate Exclusion for 2015: If provider didn’t intend to attest to the menu measure
+ Specialized Registry Reporting Practice Fusion does not support (optional for certification) Providers may use electronic submission methods beyond the functions of CEHRT
to meet the requirements Alternate Exclusion for 2015: If provider didn’t intend to attest to the menu measure
+ Source: CMS FAQ
CQM Requirements in 2015
+ Requirement: Report at least 9 CQMs that relate to at least 3 National Quality Strategy (NQS) domains:
+ CMS selected 9 recommended CQMs for adult and pediatric populations Practice Fusion supports 9 recommended adult CQMs and
CQMs that cover all 6 NQS domains
Patient and Family Engagement Patient SafetyCare Coordination Population and Public HealthEfficient Use of Healthcare Resources Clinical Processes/Effectiveness
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Is Meaningful Use based on all patients?
+ You must record all patients you see, regardless of their insurance, in the outpatient setting for Meaningful Use.
+ If you see patients in the hospital, you do not need to include them in Practice Fusion for Meaningful Use.
+ At minimum, you must maintain more than 80% of your patients in the certified EHR for Meaningful Use.
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Deadlines
+ October 3, 2015 The last possible start date for a 90 day reporting period in 2015
+ January 4, 2016 Providers can begin attesting
+ February 29, 2016 Attestation deadline
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Attestation
+ The process of legally declaring you have achieved Meaningful Use by reporting information to CMS
+ You will report values for the following: Objectives and measures Clinical Quality Measures (CQMs)
+ Attestation is completed on the following websites: Medicare participants: CMS Registration and Attestation System Medicaid participants: State Medicaid program website
What is attestation?
+ Medicare Deadline to attest for 2015 reporting year: February 29, 2016
+ Medicaid State Medicaid program deadlines may differ You should attest before February 29, 2016
When is the deadline to attest?
Preparing for attestation
+ Maintain more than 80% of your patient records in Practice Fusion during your reporting period
+ Confirm you achieved OR qualify for an exclusion to ALL the required measures:
+ Sign notes for all patients seen during your reporting period in order to see those visits reflected on the Meaningful Use Dashboard
Confirm you have achieved Meaningful Use
Modified Stage 2 Stage 210 Objectives 10 ObjectivesAt least 9 CQMs related to 3 NQS Domains
At least 9 CQMs related to 3 NQS Domains
+ Proof of information exchanges (e.g. email confirmation) for the following measures: Immunization registry data submission Syndromic surveillance data submission Specialized registry data submission
+ Security Risk Analysis + Documentation of any measure(s) for which you are not
using the Meaningful Use Dashboard
Documentation of Actions Completed Outside EHR
+ Keep screenshots of functionality or reports from Practice Fusion that are dated during your reporting period for the following measures: Drug Formulary Checks (part of the eRx workflow) Drug-drug and drug-allergy interaction checks Clinical Decision Support
+ These screenshots serve as additional supporting documentation in case of an audit
Screenshots for YES/NO measures
+ Prepare any documentation needed to prove that you qualify for an exclusion and save it for your records
+ The Meaningful Use Dashboard denominator values may show that you qualify for an exclusion to a particular measure E.g. The denominator value for eRx is less than 100
Save Documentation for Exclusions
+ The public health reporting measures are: Immunization registry data submission Syndromic surveillance data submission Specialized registry data submission
+ You must retain proof that you met or are excluded from the measures for the purposes of an audit The proof will come from the registry or PHA, not Practice
Fusion Review the CMS specified measure exclusions and CMS FAQ
Public Health Objective Documentation
Print out your Meaningful Use Dashboard Print out MU
Dashboard
+ Located on your Meaningful Use Dashboard: Reporting period start & end dates Practice Fusion’s CMS certification ID
+ From your own records: Your NPPES credentials Individual NPI number Tax Identification Number (TIN)
Other Items to Keep Handy
Attesting to CMS
+ Medicare: https://ehrincentives.cms.gov+ Medicaid: Contact your individual state Medicaid program
Go to the CMS or Medicaid Attestation Portal
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Begin your attestation
+ After logging in, proceed to the Attestation tab and select the “Attest” button
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Select your Public Health Reporting Measures
+ The Meaningful Use Objectives will be listed, and you will need to select which Public Health Reporting measures you are attesting to
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Review Objectives and Measures and Select Response
+ Answer if exclusion applies to you
+ Choosing “No” will allow entry of measure completion
Exclusions
+ Choose 2nd option if reporting values from the MU Dashboard This will be an option for some of the patient-based measures
Patient Records
+ Option 1: Electronic submission: January 1, 2016 – February 29th, 2016 Medicare EPs have the option to submit a full
year of data electronically to receive credit for the EHR Incentive Program and the Physician Quality Reporting System (PQRS) if using the PQRS EHR reporting mechanism.
+ Option 2: Manual submission Submitting CQMs manually allows you to
complete your attestation Manual submission via attestation only allows
you to receive credit for the EHR Incentive Program
Reporting Clinical Quality Measures
+ You will not receive an EHR Incentive payment until your attestation is complete and you have submitted your CQM values.
+ Providers may choose to submit CQMs manually and electronically
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Confirm you have completed all categories
+ Read the disclaimer and click on Agree or Disagree
+ If you choose Agree and you have met all Meaningful Use objectives and measures, you will receive the “Accepted Attestation” submission receipt
Confirm Your Submission
+ Keep your documentation for 6 years after you attest in case of an audit
+ Print your MU Dashboard on the day you attest+ Don’t wait until the last minute+ Contact the EHR Incentive Program hotline if you have
technical difficulty: 888.734.6433
Things to remember
Resources
Meaningful Use Center
• Practicefusion.com/meaningfuluse• Practicefusion.com/attest
Knowledge Base
• knowledgebase.practicefusion.com
Meaningful Use Dashboard
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Thanks for your attention and engagementQuestions?