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MU Stage 3- Did the CMS fnally get itright?

© CureMD Healthcare

7/23/2019 MU Stage 3- Did the CMS Finally Get It Right

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Meaningul Use stage 3 Strategy

• Stage 3 o Meaningul Use is expected to e

the fnal stage! "t incorporates #a$or portionso the prior stages as %ell as introduces#any ne% challenges! &hat else does this3''-page docu#ent entail and its fne print?

• CureMD in(estigates to #a)e it si#ple oryou

•  *he March +'th announce#ent o the

proposed Meaningul Use Stage 3 rule y theCenters or Medicare , Medicaid Ser(icesCMS. is still eing dissected/ analy0ed/ andreanaly0ed y healthcare experts

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• &hile %e can spend our ti#e going through3''-page long docu#ents/ physicians#ight not fnd it the easiest thing to read!1or your con(enience/ %e ha(e co#piled a

list o things you should )no% aoutMeaningul Use stage 3! 2ou can also readthe co#plete proposed rule here

• Remember

  CMS is open to pulic co##ents and %ille ta)ing your eedac) eore fnali0ingthe rule in the third uarter o this year!

 *his eedac) period %ill end May +4/ +'56

Meaningul Use stage 3 Strategy

7/23/2019 MU Stage 3- Did the CMS Finally Get It Right

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ean ng u se stageStrategy1. Reporting in 2017 isn’t compulsory –

Phew! – "nstead o +'57/ the co#pulsion or all pro(iders

to report or Stage 3 %ould e +'58

 – "n +'57/ pro(iders expected to #o(e ro# Stage

+ to Stage 3 could choose to stay on Stage +9 and#a)e the :#ore con(enient; transition in +'58

 – *o attest to Stage 3/ you %ill reuire a +'56 <=Ccertifed >H

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Meaningul Use stage 3 Strategy

2. Every provier must ttest to "tge# in 201$ – %o trining wheels &or%ew Proviers – "rrespecti(e o your frst year o reporting/ you

%ill ha(e to attest to MU Stage 3 in+'58! @roup practices %ill eneft ro# thischange as they %ill ha(e to ocus on a singleset o #easures or e(eryone

 – Ho%e(er/ critics are o the (ie% that startuppractices or people using the >H technologyor the frst ti#e %ill fnd it diAcult

 – *hey %ill ha(e to ad$ust their %or)Bo%s orsuch ad(anced le(el o reporting ro# the get

go

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Meaningul Use stage 3 Strategy

#. 'ou must report &or one whole

clenr yer unless you re (eici EP – )n&ir much* – Starting ro# +'57/ all pro(iders %ill report

according to a ull calendar year period!

 – *his step is eing ta)en to align MU closer toother CMS uality-reporting initiati(es such asthe hysician uality eporting Syste# S.

 – "n the past CMS has shortened reporting

periods ased on pro(ider eedac) and %ouldproaly e doing the sa#e this year due tothe poor i#ple#entation rates o MU Stage +

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Meaningul Use stage 3 Strategy

 – Eut eyond that/ %e highly dout there %oulde any urther Bexiility! *here %ill not e a 4'-day reporting period or ne% pro(ider-registrants o the MU progra# either

 – *he only exe#ption/ %hich is garnering a lot o

criticis# ro# so#e uarters/ is that Medicaid>ligile roessionals >s. and hospitals canreport or 4' days in their frst year

 – &e agree %ith this criticis# and thin) that the

playing feld should e le(eled or all ne%entrants into the progra#! &e %ould defnitelyli)e to get your eedac) on this

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Meaningul Use stage 3 Strategy

+. Eight speci,c ob-ectives but higherthreshols – /nteroperbility nPtient Enggement returns with bng –

 *he nu#er o specifc o$ecti(es ha(e eenreduced to eight so that pro(iders #axi#i0etheir attention to%ards the Fad(anced usageGo >Hs

 –

atient engage#ent and interoperaility arethe areas o #axi#u# ocus9 Stage 3 %illreuire an excess o 36 o patients to esent a secure #essage (ia the pro(ider;s >H/or in response to a secure #essage sent y the

or#er

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Meaningul Use stage 3 Strategy

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Meaningul Use stage 3 Strategy

 – More than +6 o patients %ho (isit an > orare discharged y a hospital. #ustelectronically otain their health inor#ation isanother addition that #any %ill fnd diAcult toi#ple#ent/ gi(en the lo% le(els o patient

engage#ent electronically. at #ost practices – Iter this/ you #ight %ant to read Ho% to

Succeed %ith atient ortals or Meaningul UseStage +

 – *here is so#e fne-print though! Contained%ithin #any o the o$ecti(es are #ultiple#easures

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Meaningul Use stage 3 Strategy

 – Depending on %hich option one chooses/ and%hether you are a pro(ider or a hospital/ thetotal nu#er o MU #easures could range ro#56 to +'/ and that;s =<* "=CJUD"=@the clinical uality #easures

 – &hich ha(e al%ays een li)e a MU #enu all otheir o%n/ and %hich are no% going to edeter#ined through a diKerent process and%on;t e defned until later in +'56

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Meaningul Use stage 3 Strategy

. (ening&ul )se conclues t "tge# but the mission continues – &hile the MU progra# %ill conclude %ith Stage

3/ the CMS expects technology and uality careto i#pro(e %ith ti#e

 – So a signifcant proportion o healthcareexperts including #ysel are o the (ie% thatCMS %ill uild on the ase set y the MUprogra# through other go(ern#ent-ac)ed

uality and technology progra#s in the uture

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Meaningul Use stage 3 Strategy

•  ur two cents – &e thin) that or a frst drat/ the CMS is

defnitely on the right trac)! *hey;(e addressedand rectifed #any o the issues that pro(idersaced in the earlier stages o the progra#9

ho%e(er/ they #ight ha(e een too a#itiousin certain areas

 – I year long reporting period or exa#ple/ isas)ing physicians too #uch! *his data helps to

i#pro(e healthcare in US/ agreed – Eut seriously can;t a suset o this inor#ation

e enough to #onitor disease patterns?

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Meaningul Use stage 3 Strategy

 – " a clinician has 5+ #inutes to see a patient/e e#pathetic/ docu#ent the entire (isit %ithsuAcient granularity to $ustiy an "CD-5' code/achie(e 5L' uality #easures/ ne(er co##it#alpractice/ and roadly co##unicate a#ong

the care tea#/ – "t;s not clear ho% the pro(ider has ti#e to

peror# a Fclinical inor#ation reconciliationGthat includes not only #edications and

allergies/ ut also prole# lists 8' percent othe ti#e

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Meaningul Use stage 3 Strategy

 – Maye %e need to reduce patient (olu#es to5' per day? Maye %e need #ore scries ortea#-ased care? Ind %ho is going to pay orall that increased eKort in an era %ith decliningrei#urse#entspay#ent reor#?

 – Eoiling the 1rog/ each incre#ental proposal istolerale/ ut the collecti(e urden is #a)ingpractice i#possile

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ead #ore on log!cure#d!co#

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• httpNlog!cure#d!co##u-stage-3-did-the-c#s-fnally-get-it-right

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