by Rakesh

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MEANINGFUL USE

Agenda

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What is meaningful use?CMS incentive program.Benefits.Legislation.Stages of meaningful use.Barriers.Penalties

EHR

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Electronic health information about patients that is capable of being shared across different health care settings.

EHR can provide many benefits for providers and their patients, but the benefits depend on how they're used.

What is meaningful use?

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Set of standards by the CMS Incentive Programs that governs the use of electronic health records

and Allows eligible providers and hospitals to earn

incentive payments by meeting specific criteria.

The Medicare & Medicaid EHR Incentive Program

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Provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs).

Can receive up to $44,000 (Medicare, 2011 through 2016)$63,750 (Medicaid, 2011 through 2021)

Maximum incentive payment - participation by 2012.

Goal

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To promote the spread of electronic health records to improve health care in the United States.

Benefits

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Complete and accurate information:provide the best possible care.Providers will know more about their

patients.Better access to information:

diagnose health problems earlier.Information can be shared among hospitals.

Patient empowerment:Patients role.Records can be shared securely to their

families.

Legislation

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HITECH Act

HHS

Programs to improve health care quality

Promotion of health IT like EHR

Authority

To establish

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Incentive Program for EHR: Issued by CMS, define the minimum requirements that providers must meet through their use of certified EHR technology in order to qualify for the payment.

Standards and Certification Criteria for EHR: Issued by ONC, defines the technical capabilities for certified EHR technology.

Stages of meaningful use

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Stage-1 (2011-2012)

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Details the requirements for the use of requirements for the use of EHR systems by hospitals and eligible health care professionals.

MU criteria for eligible professionals15 core objectives (mandatory)5 out of 10 from menu set objectives(choice)

MU criteria for eligible hospitals14 core objectives (mandatory)5 out of 10 from menu set objectives (choice)

Core Requirements (mandatory)

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Use computerized order entry for medication orders. Implement drug-drug, drug-allergy checks. Generate and transmit permissible prescriptions electronically. Record demographics. Maintain an up-to-date problem list of current and active diagnoses. Maintain active medication list. Maintain active medication allergy list. Record and chart changes in vital signs. Record smoking status for patients 13 years old or older. Implement one clinical decision support rule. Report ambulatory quality measures to CMS or the States. Provide patients with an electronic copy of their health information

upon request. Provide clinical summaries to patients for each office visit. Capability to exchange key clinical information electronically among

providers and patient authorized entities. Protect electronic health information (privacy & security)

Menu Requirements (optional)

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Implement drug-formulary checks. Incorporate clinical lab-test results into certified EHR as structured data. Generate lists of patients by specific conditions to use for quality

improvement, reduction of disparities, research, and outreach. Send reminders to patients per patient preference for preventive/

follow-up care Provide patients with timely electronic access to their health information

(including lab results, problem list, medication lists, allergies) Use certified EHR to identify patient-specific education resources and

provide to patient if appropriate. Perform medication reconciliation as relevant Provide summary care record for transitions in care or referrals. Capability to submit electronic data to immunization registries and

actual submission. Capability to provide electronic syndromic surveillance data to public

health agencies and actual transmission.

Stage-2 (2014)

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Released in August 2012.Some stage-1 menu list items will move to

the stage 2 core list.MU criteria for eligible professionals

17 core objectives (mandatory)3 out of 6 from menu set objectives(choice)

MU criteria for eligible hospitals16 core objectives (mandatory)3 out of 6 from menu set objectives

(choice)

Stage-3 (2016)

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Objectives has not yet defined.

Likely to follow the same format as its predecessors.

Milestone Timeline

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Barriers to adoption

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Start-up costs

Maintenance costs

Training costs

Penalties

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Medicare:No payments after 2014.1% to 5% penalty of Medicare

reimbursement after 2015.Medicaid:

There are no penalties.

THANK YOU

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