Transcript Provider Meet and Greet Presentation

Electronic Health Record
Incentive Payment Program
Stage I
Meaningful Use Reporting
Agenda
• Welcome and Introductions
• Overview of Stage I Meaningful Use
performance measure requirements
• Navigating the MAPIR application
• Question and Answers
2
Introductions
• Thomas Novak, CMS Regional Officer, HITECH
• Kathy Rivard, Regional Extension Center (REC),
Quality Insights, Delaware
• Randy Farmer, Delaware Health Information
Network (DHIN), Provider Relations
• Provider Incentive Payment Team, Hewlett
Packard Enterprise Services (HPES) Delaware
3
Status of DHIN-EMR Interfaces
McKesson (Practice Partners & Horizon)
Elekta
Bizmatics/Prognosis
GE Healthcare (Centricity)
iKnowMed
MicroMD
Office Practicum (Connexin Software)
PhysiciansXpress
SequelMed
Varian
ADS
Allscripts (Including Eclipsys)
Cerner
GEMMS
InfoQuest
Med Plus - Care 360
NextGen
STI Computer Services
electronic Clinical Works (eCW)
4
EMR Interfaces
There are 208 Practices and 845 Providers with an available certified EHR Interface
Practices and Providers with
EMRs which are DHIN-certified
AllScript
Info
STI eCW NextGen Cerner GEMMS ADS
s Pro
Quest
Care
360
Totals
Providers
287
122
52
110
201
40
24
3
6
845
Practices
44
51
23
14
57
4
8
2
4
207
450
400
Potential Practice Impact*
61
350
60
300
49.6% (208 of 419) of Delaware
practices have an EMR that
has an interface with DHIN
250
some overlap between the “Negotiation” and “No Contract” Categories.
No Contract
Negotiations
64
200
Contract
Beta
Certified
150
100
*Due to inconsistent EHR product naming conventions, there may be
26
208
50
0
5
Submitting Immunization Information
New official process for submitting immunization information to DPH through DHIN
-More efficient
-More accurate
-Supports DHIN’s state chartered role as the community of health records
3 Ways To Submit Your Immunization Information
Typical Transport Method
DIRECT Secured Messaging
Org Type
Small Independent Practices
Secure File Transfer Protocol (SFTP)
Commercial Organizations (e.g.
Pharmacies) or Large Practices
Large Hospital Systems and
Organizations
Establishing An Interface
Go to www.dhin.org (Healthcare Providers/Division of Public
Health) for directions on establishing your process
6
Delaware Provider Incentive
Program Team
The “PIP” Team
Lead: Shawn Carter
Sharon Charles
Grace McGrath
Mary Randolph
Raymond Tieso
Email: [email protected]
Phone: 1-800-999-3371, option 0 then 3
7
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
What is Your Meaningful Use Path?
For Medicaid EPs:
Stage of Meaningful Use
1st Year
2011
2012
2013
2014
2015
2016
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
AIU
1
1
2
2
3
3
TBD
TBD
TBD
TBD
AIU
1
1
2
2
3
3
TBD
TBD
TBD
AIU
1
1
2
2
3
3
TBD
TBD
AIU
1
1
2
2
3
3
TBD
AIU
1
1
2
2
3
3
AIU
1
1
2
2
3
EHR Incentive Payments to Date
Program Year 1: $15,461, 955
• 366 Eligible Professionals
•
7 Eligible Hospitals
Program Year 2:
$361,250
• 28 Eligible Professionals
What is Meaningful Use?
1. The use of a certified EHR in a meaningful
manner, such as e-prescribing.
2. The use of certified EHR technology for
electronic exchange of health information to
improve quality of health care.
3. The use of certified EHR technology to
submit clinical quality and other measures.
EP Requirements for Stage I Meaningful Use
• 25 Measures for Eligible Professionals – 20 must
be met.
• 15 required Core Measures - exclusions may
apply.
• 5 out of 10 Menu Set Objective Measures – one
must be a Public Health measure, either
immunization reporting or labs, except where
prohibited.
EP Requirements for Stage I Meaningful Use
• 38 Clinical Quality Measures
– EPs must report on 6 total clinical quality
measures
– 3 required core measures (substituting alternate
core measures when necessary)
– and 3 additional measures selected from the list
of 38 CQMs
EH Requirements for Stage I Meaningful Use
• 24 Measures for Eligible Hospitals – to qualify
for an incentive payment, 19 of the 24 must
be met.
• 14 Core Measures must be chosen
• 5 measures may be selected from the list of 10
Menu Set measures
EH Requirements for Stage I Meaningful Use
• Eligible Hospitals must report on all 15 of their
clinical quality measures
14
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
Q&A’s
Q.
A.
Will the requirements for Stage 1 Meaningful Use (MU) change?
CMS: Requirements for stage 1 MU will not change for 2012. While the Final Regulations primarily
addressed Stage 2 requirements, there were several revisions to the Stage 1 requirements starting in
2013, including the Stage 1 objectives for computerized physician order entry (CPOE), electronic
prescribing, and recording and charting vital signs. The Final Regulations also specify that beginning in
2014, meeting an exclusion for a Stage 1 menu set objective does not count toward the number of
menu set objectives that EPs must satisfy if there are other menu objectives they can meet. These
changes and their effective dates are summarized in the Table 4 of the Final Regulations
(http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf). There have been updates made
for stage 2. These updates will be released in the stage 2 final rule. The updates for State 2 have been
released in the Stage Final Rule (http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf).
Q.
A.
How do I get my EHR vendor to include the tracked measures that the practice gathers?
REC: Your certified EHR system should be able to track the measures gathered if they are entered into
the EHR system. Certification assures that the EHR technology providers adopt includes the capabilities
they will need to participate in the Medicare and Medicaid EHR Incentive Programs. Use of certified
EHR technology is a core requirement for health care providers to achieve meaningful use and become
eligible for incentive payments under the Medicare and Medicaid EHR Incentive Programs.
Q.
A.
Is Practice Fusion a part of the DHIN interface?
DHIN: Practice Fusion is a part of the DHIN interface. Please contact the DHIN for more information:
Phone: (302) 678-0220; Fax: (302) 645-0398; Email: [email protected]
Q&A’s
Q.
A.
How does an EHR vendor get approved for DHIN – EMR interface?
DHIN: Contact the DHIN directly for information at: Phone: (302) 678-0220;
Fax: (302) 645-0398; Email: [email protected]
Q.
Does an Eligible Professional have to meet 30% patient volume for Stage 1
Meaningful Use?
Yes, Eligible Professionals (EP) are required to meet 30% patient volume. EPs
must follow the same eligibility requirements for MU as for AIU.
A.
Q.
A.
What is the process for an EHR vendor to be certified?
ONC: Testing and certification can be completed through the ONC, where
specific standards and criteria must be met. Contact the ONC for more
information:
http://healthit.hhs.gov/portal/server.pt?open=512&objID=2885&parentna
me=CommunityPage&parentid=72&mode=2&in_hi_userid=12059&cached=
true
Q&A’s
Q.
A.
Q.
A.
Can a provider change from a Medicare Incentive Payment to a
Medicaid Incentive Payment? How can that be done?
Providers can make one (1) program change. The change must be made
after the provider has been paid by Medicare. In order to make the one
(1) time change, the EP must update the R&A record before applying
with Medicaid in the MAPIR Repository.
Is a new individual provider in a group eligible to apply as part of the
group?
Yes. Whatever is true at the time of attestation is true. If the provider
was part of the group and group volume at the time of attestation, it is
valid even if the provider is new to the group.
Q&A’s
Q. If a provider leaves a group after attestation, is the group
permitted to include patient volume from that provider and
submit for payment during the time the provider was with the
group?
A. Yes. Whatever is true at the time of attestation is true. If the
provider was part of the group and group volume at the time of
attestation, it is valid even if the provider leaves the group
afterwards.
Contact Information
Delaware Regional Extension Center
www.dehitrec.org
Centers for Medicare & Medicaid Services
www.cms.gov
Office of the National Coordinator
www.healthit.hhs.gov
Delaware Provider Incentive Program
email: [email protected]
Delaware Medical Assistance Program
www.dmap.state.de.us
1-866-475-9669 ext. 4010
1-202-690-7151
1-800-999-3371, option 0
then 3
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© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.