IRIS Reports for Sponsored Projects Date Presenter Name Presenter Phone Number Presenter E-mail.
Presenter
description
Transcript of Presenter
![Page 1: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/1.jpg)
Presenter
James S. Dunnick, SESEDN LLC.
Credentials:
MD. FACC.
CHCQM.
CPC.
Contact Information:
![Page 2: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/2.jpg)
SESEDN LLC
Disclaimer:
1. Do NOT assume I am correct, I make mistakes.
2. Read and self educate.
3. CPT books, government manuals, online resources.
4. Obtain teaching, from more than one source.
5. Auditors opinions will vary. States will vary.
6. Rules change.
7. This is meant as general and initial information only.
8. Always the responsibility of the client to verify the accuracy of information.
![Page 3: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/3.jpg)
Meaningful Use Stage 1 and 2
Stage 1 2011-2012
Data capture and sharing
Stage 2 2014
Advance clinical processes
Stage 3 2016
Improved outcomes
![Page 4: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/4.jpg)
Meaningful Use Delay?
On May 20, the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued a proposed rule that may delay implementation of 2014 edition Certified Electronic Health Record Technology (CEHRT).
LA Healthcare Quality Forum. June 2014
![Page 5: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/5.jpg)
Meaningful Use Delay?
“If it is finalized, it could mean that some EPs will be able to attest to Meaningful Use this year using 2011 CEHRT or a mix of 2011 and 2014 technology,” she said. “It may also allow some EPs to attest this year by meeting the 2013 or 2014 Stage 1 measures even if those providers were scheduled to start Stage 2 this year.”
Nadine Robin, Health IT Program Manager for the Louisiana Health Information Technology (LHIT) Resource Center.
![Page 6: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/6.jpg)
Meaningful Use Delay?
• The proposal, if approved, would be valid only for the 2014 reporting year. In 2015, all EPs will still be required to report using the 2014 Edition CERHT.
![Page 7: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/7.jpg)
Meaningful Use Delay?
• CMS admitted problems with EHR technology and implementation and late Tuesday……………
![Page 8: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/8.jpg)
Meaningful Use Delay?
• CMS admitted problems with EHR technology and implementation and late Tuesday formalized its decision to extend Stage 2 of the program for an additional year--through 2016--and to put off the start of Stage 3 until 2017
![Page 9: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/9.jpg)
Meaningful Use Delay?
• CMS MAKES IT OFFICIAL: MU DEADLINES PUSHED BACK TO 2016, 2017:
![Page 10: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/10.jpg)
Meaningful Use Delay?
• The proposal, if (now) approved, would be valid only for the 2014 reporting year. In 2015, all EPs will still be required to report using the 2014 Edition CERHT.
![Page 11: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/11.jpg)
For 2014 only
“For Medicaid providers only eligible to receive Medicaid EHR incentives, the 3-month reporting period is not fixed, where providers do not have the same alignment needs.”
![Page 12: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/12.jpg)
For 2014 only
For Medicare providers, this 3-month reporting period is fixed to the quarter of either the fiscal (for eligible hospitals and CAHs) or calendar (for EPs) year in order to align with existing CMS quality measurement programs, such as the Physician Quality Reporting System (PQRS) and Hospital Inpatient Quality Reporting (IQR).
![Page 13: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/13.jpg)
Meaningful Use
Eligible Professionals (EP)
Eligible Hospitals (EH)
Eligible Critical Access Hospitals (CAH)
![Page 14: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/14.jpg)
Meaningful Use
• Eligible Professionals (EP)
• Eligible Hospitals (EH)
• Eligible Critical Access Hospitals (CAH)
• Stage 1 and Stage 2
• Definitions 2013 or 2014
• CERHT 2011 or 2014
![Page 15: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/15.jpg)
Meaningful Use
• Eligible Professionals (EP)
• Eligible Hospitals (EH)
• Eligible Critical Access Hospitals (CAH)
• Stage 1 and Stage 2
• Definitions 2013 or 2014
• CERHT 2011 or 2014
• Core objectives
• Menu objectives
• Clinical quality measures
• National quality strategy domains
![Page 16: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/16.jpg)
2013 EP Stage 1
Eligible professionals must meet:
• 13 required core objectives
• 5 menu objectives from a list of 10
• Total of 18 objectives
• CMShttp://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2013Definition_Stage1_MeaningfulUse.html
![Page 17: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/17.jpg)
Meaningful use EP Stage 1
Although some Stage 1 objectives were either combined or eliminated, most of the Stage 1 objectives are now core objectives under the Stage 2 criteria
![Page 18: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/18.jpg)
Meaningful Use
For many of these Stage 2 objectives:
• The threshold has been raised
The expectation is higher
“We expect that providers…. will be able to demonstrate meaningful use…. for an even larger portion of their patient populations.”
![Page 19: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/19.jpg)
Meaningful Use
Group Practices Can Now Register for Group Practice Reporting Option for 2014 PQRS Participation
• Eligible professionals (EPs) who wish to participate in the 2014 PQRS program as a group practice can now
register for the group practice reporting option (GPRO).
• When your group is ready to register, you can access the PV- PQRS Registration System at https://portal.cms.gov.
![Page 20: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/20.jpg)
EHR Reporting Options for Eligible Professionals
in 2014 Include:
Eligible Professionals in 2014 Include:
• Options that only apply for the EHR Incentive Program
• Option 1: Attest to CQMs through the EHR Registration & Attestation System
• Option 2: eReport CQMs through Physician Quality Reporting System (PQRS) Portal
![Page 21: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/21.jpg)
EHR Reporting Options for Eligible Professionals
in 2014 Include:• Options that Align with Other Quality
Programs
• Option 3: Report individual eligible professionals’ CQMs through PQRS Portal
• Option 4: Report group’s CQMs through PQRS Portal
• Option 5: Report group’s CQMs through Pioneer ACO participation or Comprehensive Primary Care
Initiative participation
![Page 22: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/22.jpg)
Stage 2 Core and Menu Objectives
Eligible ProfessionalsEligible professionals must meet:
• 17 core objectives
• 3 menu objectives that they select from a total list of 6
Total of 20
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
![Page 23: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/23.jpg)
2014 Clinical Quality Measures
• Eligible professionals who demonstrate 2014 clinical quality measures (CQMs) will need to report 9 measures, and eligible hospitals will need to report 16. CQMs may be reported electronically, or via attestation.
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2014_ClinicalQualityMeasures.html
![Page 24: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/24.jpg)
Stage 2 Core and Menu Objectives
Eligible ProfessionalsEligible professionals must meet:
• 17 core objectives
• 3 menu objectives that they select from a total list of 6
• Eligible professionals who demonstrate 2014 clinical quality measures (CQMs) will need to report 9 measures
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
![Page 25: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/25.jpg)
National Quality Strategy Domains
• There is also a new requirement in 2014 that the quality measures selected must cover at least 3 of the 6 available National Quality Strategy (NQS) domains,
which represent the Department of Health and
Human Services’ NQS priorities for health care quality improvement.
![Page 26: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/26.jpg)
Clinical Quality Measures
• The 6 NQS domains are:1. Patient and Family Engagement2. Patient Safety3. Care Coordination4. Population/Public Health5. Efficient Use of Healthcare Resources6. Clinical Process/Effectiveness
![Page 27: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/27.jpg)
Stage 2 Core and Menu Objectives
Eligible ProfessionalsTotal 20?
Eligible professionals must meet:
• 17 core objectives
• 3 menu objectives that they select from a total list of 6
• Eligible professionals who demonstrate 2014 clinical quality measures (CQMs) will need to report 9 measures. Which must cover 3 of 6 NQS domains.
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
![Page 28: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/28.jpg)
Stage 2 Core and Menu Objectives
Eligible Professionals
• 17 core objectives
• 3 of 6 menu objectives
• 9 CQMs (to include 3 of 6 NQS domains)
Total: 17 + 3 + 9 = 29
![Page 29: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/29.jpg)
Stage 2 Core and Menu Objectives
Eligible Professionals
• 17 core objectives
• 3 of 6 menu objectives
• 9 CQMs (to include 3 of 6 NQS domains)
Total: 17 + 3 + 9 = 29*
![Page 30: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/30.jpg)
Report on all 17 Core Objectives:
1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders
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
![Page 31: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/31.jpg)
Report on all 17 Core Objectives:
6. Use clinical decision support to improve performance on high-priority health condition
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 the Certified EHR Technology
10. Incorporate clinical lab-test results into Certified EHR Technology
![Page 32: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/32.jpg)
Report on all 17 Core Objectives:
11. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
12. Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care
13. Use certified EHR technology to identify patient-specific education resources
![Page 33: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/33.jpg)
Report on all 17 Core Objectives:
14. Perform medication reconciliation
15. Provide summary of care record for each transition of care or referral
16. Submit electronic data to immunization registries
17. Use secure electronic messaging to communicate with patients on relevant health information
![Page 34: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/34.jpg)
Report on 3 of 6 Menu Objectives:
1. Submit electronic syndromic surveillance data to public health agencies
2. Record electronic notes in patient records
3. Imaging results accessible through CEHRT
4. Record patient family health history
5. Identify and report cancer cases to a State cancer registry
6. Identify and report specific cases to a specialized registry (other than a cancer registry)
![Page 35: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/35.jpg)
Final Rule
II. Summary of Errors.
A. Summary of Errors in the Preamble
On page 54,041 in our response…..
• https://www.federalregister.gov/articles/2012/10/23/2012-25975/medicare-and-medicaid-programs-electronic-health-record-incentive-program-stage-2-corrections
![Page 36: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/36.jpg)
Final Rule
• ACTION: Final Rule; Correction.
• SUMMARY: This document corrects technical errors and typographical errors in the final rule entitled “Medicare and Medicaid Programs; Electronic Health Record Incentive Program—Stage 2”
![Page 37: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/37.jpg)
Meaningful Use EP Stage 2, 2014
1. Wow
2. Build a team
Providers - MD/DO/NPP
Ancillary staff
Administration - hospital and office
IT3. Consultants help - state help
![Page 38: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/38.jpg)
Stage 2 EP 2014 Meaningful Use
SESEDN LLC:
• James S. Dunnick, MD. FACC. CHCQM. CPC.
Hometown Health University:
• Kathy Whitmire, Managing Director
• Mark Renfro, HomeTown Health HIT Director
Reimbursement Solutions Group
• Jesus F. Ruiz, CPA
![Page 39: Presenter](https://reader035.fdocuments.net/reader035/viewer/2022062723/56813e82550346895da8b240/html5/thumbnails/39.jpg)
Presenter
James S. Dunnick, SESEDN LLC.
Credentials:
MD. FACC.
CHCQM.
CPC.
Contact Information: