Meaningful Use Stage 1Basic Concepts and Requirements Dr. Jose I. Delgado, Taino Consultants Inc.
What is Meaningful Use• Established by the Health Information Technology for Economic and Clinical Health (HITECH) Act of 2009• Defines the use of electronic health records (EHR)• Requirement before an organization may request payments under the EHR incentive program
Requirements• Eligible Professional – Providers eligible for incentives• Certified EHR• Meaningful Use – Three Stages• Specific Program – Medicare – Medicaid
Eligible ProvidersMedicare Medicaid• Doctor of medicine • Physicians• Doctor of osteopathy • Dentists• Doctor of dental surgery • Certified nurse midwives• Doctor of dental medicine • Nurse practitioners• Doctor of podiatric medicine • Physicians assistants (in rural• Doctor of optometry health clinic or FQHC led by a• Chiropractor physician assistant)
Certified Electronic Health Record• EHR that is certified specifically for the EHR Incentive Programs• Must have met CMS and the Office of the National Coordinator for Health Information Technology (ONC) established standards• Must be on the Certified Health IT Product List (CHPL) – http://healthit.hhs.gov/chpl
Meaningful Use Stages Stage 1 Stage 2 Stage 3 2011-2012 2014 2016 Data Capture and Advance Clinical Improved Outcomes Sharing ProcessesUsing the information to track Disease management, clinical Focusing on decision supportkey clinical conditions decision support for national high priority conditionsCommunicating captured Quality measurement Achieving improvements ininformation for care quality, safety and efficiencycoordination purposesReporting of clinical quality Support for patient access to Access to comprehensivemeasures and public health their health information patient datainformationCapturing health information Bi-directional communication Patient access to self-in a coded format with public health agencies management tools *Not all Inclusive.
Medicare vs MedicaidMedicare MedicaidStarts in calendar year 2011 Starts in calendar year 2011Up to $44,000 over five years Up to $63,750 over six yearsMaximum of $18,000 on the first based on up to 85% of state-year if EP bills Medicare $24,000 or calculated global average costs formore. EHRFor maximum reimbursement 1st 1st yr cost no later than 2016year cost no later than 2012No payments made after 2015 No payments made after 2021 or more than 5 yearsPenalties start in 2015 (1%) and No Medicaid penalty for failure toincreases by 1% every year until demonstrate Meaningful Use2019 with a max of 5%.
Other Issues to Consider• Core Measure number 12 – Responsibilities for both the HIPAA Privacy Rule and other applicable laws • Read about HIPAA Privacy Rule, HITECH, Omnibus Rule• Core Measure number 15 – Security Risk Analysis • perform a security review and correct any potential vulnerabilities
Reminders• Meaningful use requirements go beyond the implementation of a certified EHR.• Meaningful use is not for all healthcare professionals.• EPs may only choose Medicare or Medicaid incentives.
Recommendations• Familiarize yourself with the requirements• Select which program is more convenient to you• Look for professional assistance• Change operational practices to meet the requirements
Summary• Meaningful Use defines the use on Electronic Health Records• Meaningful use must be met in order to receive financial incentives• Failure to meet Meaningful use requirements may result in Medicare penalties by 2015