Mean anin ingful gful Use se 2015 5 Meas asures res 22 Oc - PowerPoint PPT Presentation

Mean anin ingful gful Use se 2015 5 Meas asures res 22 Oc October 2015 11:00 am Presented by: Sarah Leake MBA, CPEHR Co-Host: Susan Clarke HCISPP 1

 Thank you for spending your valuable time with us today.  A copy of today’s presentation and the webinar recording will be available on our website. A link to these resources will be emailed to you following the presentation.  We would greatly appreciate your providing us feedback by completing the survey at the end of the webinar today. 2

 The goal of this session is to review the 2015 Meaningful Use Requirements focusing on the changes.  It will identify important considerations and actions to take now.  Review of MU measures, but detail in suggested resources.  Answers to submitted questions. 3

 Mountain-Pacific holds the Centers for Medicare & Medicaid Services (CMS) Quality Innovation Network-Quality Improvement Organization (QIN-QIO) contract for the states of Montana, Wyoming, Alaska and Hawaii, providing quality improvement assistance.  HTS, a department of MPQHF, has assisted 1480 providers and 50 Critical Access Hospitals to reach Meaningful Use. We also assist healthcare facilities with utilizing Health Information Technology (HIT) to improve health care, quality, efficiency and outcomes. 4

The presenter is not an attorney and the information provided is the presenter(s)’ opinion and should not be taken as legal advice. The information is presented for informational purposes only. Compliance with regulations can involve legal subject matter with serious consequences. The information contained in the webinar(s) and related materials (including, but not limited to, recordings, handouts, and presentation documents) is not intended to constitute legal advice or the rendering of legal, consulting or other professional services of any kind. Users of the webinar(s) and webinar materials should not in any manner rely upon or construe the information as legal, or other professional advice. Users should seek the services of a competent legal or other professional before acting, or failing to act, based upon the information contained in the webinar(s) in order to ascertain what is may be best for the users individual needs. 5

 Sarah Leake Sarah Leake, MBA, CPEHR QR/PR Specialist, MU, PQRS, PM 6

 Meaningful Use for 2015 – Overview  Key Considerations  Actions to take now  Questions and Discussion 7

 Restructured Stage 1 and Stage 2 Objectives and Measures to align with Stage 3  One set of Required Objectives  EHR Reporting Period Aligns with Calendar Year  2015 – any 90 consecutive days reporting  Modified 2 Patient Engagement objectives that require “patient action”  Removed duplicative, redundant and topped out measures  CQM reporting remains the same 8

CMS Final Rule encompasses EHR Incentive  Programs in 2015 through 2017 called “ Modified Stage 2 ” and Stage 3 in 2018 No longer the Stage/Year Concept  2015-2017 is Modif ified ied Stage ge 2 ◦  Alterna nate te Excl clusions sions and Speci cifi ficatio cations ns are available for Providers scheduled for Stage 1 in 2015. Optional to use these  Ex Excl clusions usions are available for the Modified Stage 2 measures under certain quotas or circumstances 9

(from EHR Incentive program 2015-2017 Tip Sheet) 10

Goal to report to the MODIFIED STAGE 2 11

 Based on Calendar Year ◦ 2015 – continuous 90-day period ◦ 2016 – Full ll Year r (if not first year of attestation) ◦ 2017 – full year (if Modified Stage 2) or 90 day period (if you choose Stage 3)  EHR Technology Used ◦ 2015 use 2014 Certified Edition ◦ 2016 & 2017 – Choose 2014 or 2015 Certified Edition 12

Patient Electronic Access  WAS >5% NOW “ at least st 1 patient ent seen by the EP or Hospital” views, downloads or transmits his or her information.” This must be 1 patient for EACH PROVIDER ◦ Secure Electronic Messaging (EP Only)  WAS >5% NOW “capability for patients to send and receive a secure electronic message with the EP was fully ly enable bled during ing the e EHR reporti ting period iod ” Y/N 13

Criteria ria Provider der Hospital al/C /CAH Objectives 10 9 # Public Health Measures 2 3 CQMs (measures/domains) 9/3 16 continuous continuous Reporting Period 90 day 90 day 14

Finalized! 15

1. Protect ct Patient ent Healt lth Informati ormation: Protect electronic health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities. Security Risk Analysis each Year 2. Clinica nical l Decisi ision on Suppo port t (CDS): ): Use clinical decision support rules to improve performance on high priority health conditions. Measure sure 1: Implement fi five ve clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Measure sure 2: Enabled the functionality of Drug/Drug, Drug/Allergy checks for entire reporting period. 16

3. Computerized mputerized Provi vider der Order Entry y (CPOE OE): ): Use computerized provider order entry for medicati ication, , labor orat atory, , and d radiolo ology gy orders ers directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines. Measures: asures: More than 60% medication, 30% laboratory and 30% radiology created using CPOE 4. Elect ctro roni nic c Prescribi ibing: g: (EPs) Generate and transmit permissible prescriptions electronically (eRx); (Eligib gible le hos ospit pitals als/CAHs) /CAHs) Generate and transmit permissible discharge prescriptions electronically (eRx). Measure: asure: EPs >50%, Hospitals and CAHs >10% 17

5. Health th Informati ormation Excha hange: ge: The EP, eligible hospital or CAH who transitio sitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summa mmary y care recor ord d for each transition of care or referral. Measure: asure: 1) use CEHRT to create a summary of care record; and (2) electronically transmit such summary to a receiving provider for more than 10 percent of transitions of care and referrals 18

6. Patient nt Specific c Educati tion on: Use clinically relevant information from CEHRT to identify patient specific education resources and provide those resources to the patient. Measur ure: >10 percent t of all unique patients with office visits seen by the EP, or admitted to the EH, IP or ER are provided education 7. Medicati ation on Reconci ncilia iati tion: on: The EP, eligible hospital, or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation. Measur ure: Medication reconciliation is performed for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23). 19

8. Patient ent Elect ectron ronic ic Acces cess: (EPs) Provide patients the ability to view online, download, and transmit their health information within 4 busines iness days of the information being available to the EP. (Eligib gible le hospitals spitals/CAHs) CAHs) Provide patients the ability to view online, download, and transmit their health information within 36 hours urs of hospital discharge. Meas asure ure 1: 50% of unique patients must have access to online health information. Measure asure 2: at least one patient seen by the provider or discharged from IP or ER during the reporting period views, downloads or transmits health information. **2017 will be >5% of unique patients seen by EP 20

9. Secu cure e Electron ctronic ic Messag agin ing g (EPs only): Use secure electronic messaging to communicate with patients on relevant health information. Measure: sure: 2015 – capability is fully enabled during the entire reporting period) 2016 – a secure message was sent by provider for at least 1 patient 2017 - a secure message was sent for >5% patients seen 10. Public ic Healt lth h and Clinica nical l Data Repor porti ting: g: The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT, except where prohibited and in accordance with applicable law and practice. (more explanation on next page) 21

Providers choose 2 2 of 3 m 3 measures res, Hospitals need  3 o 3 of 4 4 measure ures Registries to choose from:  1. Immunization registry 2. Syndromic surveillance reporting 3. Specialty registry reporting 4. Electronic reportable lab (hospital only) Active Engagement with Public Health reporting  22

2015 MU requirement is to report CQMs for 90  Days, No Threshold Reporti rting Options Provi vider der Hospita tal/C /CAH 9 measures/ Reporting Measure Requirements 16 Measures 3 domains Continuous 90 day period when you MU MU attest Full year through PQRS electronically MU, PQRS NA 1Q, 2Q, 3Q Electronically QualityNet NA MU, IQR, OQR 23