Meaningful Use

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Transcript Meaningful Use



Stage 2

Esthee Van Staden September 2014

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Sage Growth Partners

in a detailed discussion of Stage 2 Meaningful Use and what your practice needs to accomplish in 2014.

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…  Founded in 2005  Provide Strategy, Business Optimization, Technology, and Marketing advice and execution  National footprint in Health Care  Cultivate opportunities to accelerate growth 3




Meaningful Use Stages

New Stage Announced Stage IV – Care Plans, Patient Participation Paul Tang, M.D., Vice Chair for Health IT. 1/8/2013 “Stage 4 is moving toward the learning health system,” Tang said, “for both professionals and patients, so that we make better and better use of data.”

What Are Stage 2 Objectives of the EHR Incentive Programs?

17 Core Measures 3 Menu Measures CQM’s Stage 2 Meaningful Use

Core Objectives for Eligible Professionals

1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders 10. Incorporate clinical lab-test results into Certified EHR Technology as structured data.

2. Generate and transmit permissible prescriptions electronically (eRx) 3. Record demographic information 4. Record and chart changes in vital signs 5. Record smoking status for patients 13 years old or older 6. Use clinical decision support to improve performance on high-priority health conditions 7. Provide patients the ability to view online, download and transmit their health information 8. Provide clinical summaries for patients for each office visit 9. Protect electronic health information created or maintained by Certified EHR Technology 11. Generate lists of patients by specific conditions 12. Reminders for preventive/follow-up care and send these patients the reminders, per patient preference. 13. Patient specific education resources and provide those resources to the patient. 14. Perform medication reconciliation. 15. Provide a summary care record for each transition of care or referral. 16. Capability to submit electronic data to immunization registries 17. Use secure electronic messaging to communicate with patients on relevant health information.

New Stage 2 menu objectives for Eligible Providers

1. Record electronic notes in patient records 2. Imaging results accessible through CEHRT 3. Record patient family health history 4. Identify and report cancer cases to a State cancer registry (for EPs only) 5. Identify and report specific cases to a specialized registry (Other than a cancer registry)(for EPs only) 6. Generate and transmit permissible discharge prescriptions electronically (eRx) (New for eligible hospitals and CAHs only)

Clinical Quality Measures – Overview

Clinical quality measures (CQMs) are tools that help us measure and track the quality of healthcare services provided by eligible professionals (EPs). These measures are based on a provider’s ability to deliver high-quality care or relate to long term goals for health care quality.

CMS selected the recommended core set of CQMs for EPs based on several factors:

    Health Outcomes Clinical Processes Patient Safety Efficient use of Healthcare resources  Care Coordination   Patient engagements Population and Public Health  Clinical Guidelines

CQMs – 2014 and Beyond

EPs must report on 9 of the 64 approved CQMs

Recommend core CQMs – encouraged but not required   

9 CQMs for the adult population 9 CQMs for the pediatric population NQF 0018 strongly encouraged since controlling blood pressure is high priority goal in many national health initiatives.

HHS National Quality Strategy Domains (Minimum 3 of 6 must be represented) 

Patient Safety

Care Coordination

Population and Public Health

Patient and Family Engagement

Efficient Use of Healthcare Resources

Clinical Processes/Effectiveness

Meaningful Use Stage 2


Final rule for Stage 2 meaningful use August 29, 2014

The Department of Health and Human Services published a final rule for Stage 2 meaningful use August 29 that offers hospitals and physicians flexibility for 2014. The new rule allows eligible providers to use the 2011 Edition of certified Incentive Programs.

EHR technology or a combination of 2011 and 2014 Edition for the 2014 Medicare and Medicaid EHR Come 2015, all eligible providers will be required to use the 2014 Edition if certified EHR technology.

2014 CEHRT Flexibility

Now What……

CMS strongly advises that your practice continues to expedite your upgrades and Meaningful Use preparations to meet the 2014 requirements and timelines. Stage 2 of the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs includes several objectives that require information to be shared with another party. Three of these objectives— Clinical Summary, Patient Electronic Access, and Summary of Care—outline specific data elements needed to meet the objective. While some of the data elements are common between these three objectives, other data elements are individual to each objective.

Exchanging Information Electronically

Under the Stage 2 core objectives to provide patients the ability to view online, download and transmit their health information,

more than 5 percent

of patients seen by the EP view, download, or transmit to a third party their health information.

Secure Messaging

Under the

Stage 2 core objective

to use secure electronic messaging to communicate with patients on relevant health information, a secure message must be

sent using the electronic messaging

function of Certified EHR Technology by more than 5 percent of unique patients seen by an EP during the EHR reporting period.

What if my EMR doesn’t have Secure Messaging




offers a simple solution where EP’s can sign up and use their messaging service to meet the MU requirement.