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Meaningful use stage-2
 

Meaningful use stage-2

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    Meaningful use stage-2 Meaningful use stage-2 Presentation Transcript

    • First Look atMeaningful U Stage ul Use
    • verall requirements EPs must meet or qualify for an exclusion to 17 core objectives and ne of 5 menu objectives. (Stage 1 was 15/5 of 10) Eligible hospitals and Critical Access Hospitals must meet or qua Acc for an exclusion to 16 core objecti ectives and 2 of 4 menu objectives. (Stage 1 was 14/5 of 10) EPs to report 12 CQMs (Stage 1 was 6) Eligible hospitals and CAHs to report 24 CQMs (Stage 1 was 15) Alignment with other Quality Measurement initiatives
    • proving quality, safety, efficiency, andducing health disparitiesMore than 60 percent (Stage 1 was 30%) of medication, laboratory, a as 3 adiology orders created by the EP o authorized providers of the eli P orhospitals or CAHs inpatient or emergency department (POS 21 or 2 emeduring the EHR reporting period are recorded using CPOE.More than 65 percent (Stage 1 was 40%) of all permissible prescripti as 4written by the EP are compared to a least one drug formulary and atransmitted electronically using Certified EHR Technology.More than 80 percent (Stage 1 was 50%) of all unique patients seen b as 5EP or admitted to the eligible hospit spitals or CAHs inpatient or emergdepartment (POS 21 or 23) have demographics recorded as structure demdata.
    • proving quality, safety, efficiency, andducing health disparities More than 80 percent (Stage 1 was 50%) of all unique patients seen by the as 5 EP or admitted to the eligible hospi ospitals or CAHs inpatient or emergency department (POS 21 or 23) have blood pressure (for patients age 3 and over blo only) and height/length and weigh (for all ages) recorded as structured ight data More than 80 percent (Stage 1 was 50%) of all unique patients 13 years old as 5 or older seen by the EP or admitted to the eligible hospitals or CAHs inpatient or emergency departmen (POS 21 or 23) have smoking status ent recorded as structured data Implement 5 clinical decision support interventions (Stage 1 was one) related to 5 or more clinical quality measures at a relevant point in patient lity care for the entire EHR reporting period. The EP, eligible hospital or CAH has enabled and implemented the functionality for drug-drug and drug allergy interaction checks for the drug drug- entire EHR reporting period. (Stage 1 required implementation)
    • mproving quality, safety, efficiency, ty, sand reducing health disparities More than 55 percent (Stage 1 was 40%, menu set) of all clinical lab tests results 40% ordered by the EP or by authorized pro providers of the eligible hospital or CAH for patients admitted to its inpatient or emergency department (POS 21 or 23 during r em the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in Certified EHR Technology as structured data Generate at least one report listing patients of the EP, eligible hospital or CAH pat with a specific condition. (Stage 1 was same) More than 10 percent of all unique patients who have had an office visit with the pat EP within the 24 months prior to the beginning of the EHR reporting period were he b sent a reminder, per patient preference (Stage 1 was 20%, menu set) More than 10 percent of medication orders created by authorized providers of the n or eligible hospitals or CAHs inpatient or emergency department (POS 21 or 23) nt o during the EHR reporting period are tracked using eMAR. (New)
    • gage patients and families in theiralth careMore than 50 percent of all unique patients seen by the EP during the EHR reporting p ntsare provided timely (within 4 business days after the information is available to the EP) aysonline access to their health information subject to the EPs discretion to withhold cert suinformation (Stage 1 was 10%, menu set)More than 10 percent of all unique patients seen by the EP during the EHR reporting pe nts(or their authorized representatives) view, download , or transmit to a third party their w, dhealth information (New)More than 50 percent of all patients who are discharged from the inpatient or emergencdepartment (POS 21 or 23) of an eligible hospital or CAH have their information availab hosonline within 36 hours of discharge (Stage 1 was 10%, menu set)More than 10 percent of all patients who are discharged from the inpatient or emergencdepartment (POS 21 or 23) of an eligible hospital or CAH view, download or transmit to hosthird party their information during the reporting period (New)
    • Engage patients and familiesin their health care Clinical summaries provided to patients within 24 hours for more d than 50 percent of office visits. (Stage 1 was 3 days) Patient-specific education reso esources identified by Certified EHR Technology are provided to patients for more than 10 percent of pat all office visits by the EP. More than 10 percent of all unique patients admitted to the eligibl hospitals or CAHs inpatient or gible emergency departments (POS 21 or 23) are provided patient patient- specific education resources identified by Certified EHR Technology (Stage 1 was menu set) A secure message was sent using the electronic messaging function of Certified EHR Tech echnology by more than 10 percent of unique patients seen during the EHR reporting period (New)
    • mprove Care Coordination The EP, eligible hospital or CAH performs medication reconciliation for more than 65 percent of transitions of care in which the patient is transitioned into the care of the EP or admitted to the eligible hospitals or CAHs inpatient or emergency departmartment (POS 21 or 23). (Stage 1 was 50% menu set) The EP, eligible hospital, or CAH that transitions or refers their patient to at another setting of care or provider of care provides a summary of care record c for more than 65 percent of transition of care and referrals. (Stage 1 was ions 50%, menu set) The EP, eligible hospital, or CAH that transitions or refers their patient to at another setting of care or provider of care electronically transmits a summary of care record using certified EHR technology to a recipient with fied no organizational affiliation and using a different Certified EHR Technology sing vendor than the sender for more than 10 percent of transitions of care and an
    • prove Population and Publicealth Hospital and EP - Successful ong ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immun unization information system for t entire EHR reporting period (Sta 1 was a single test, menu set) Stage Hospital - Successful ongoing submission of electronic reportable sub laboratory results from Certified EHR Technology to public healt ied agencies for the entire EHR repor porting period as authorized. (Stag was a single test, menu set) Hospital - Successful ongoing submission of electronic syndromic sub surveillance data from Certified E ed EHR Technology to a public heal agency for the entire EHR reporti period (Stage 1 was a single te orting menu set)
    • Ensure adequate privacy and securityprotections for personal health nformation Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1), including addressing the encryption/security of data at rest in accordance with requirements under 45 CFR 164.312 (a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the providers risk management process. (added data at rest)
    • Menu Set - Improving quality, safety,efficiency, and reducin health disparities ucing More than 50 percent of all unique patients 65 years old or older admitted to the eligible hospitals or CAHs inpatient departm artment (POS 21) during the EHR reporting period have an indication of an advance dire irective status recorded as structured data. (Stage 1 was advance directive indicator only) More than 40 percent of all scans and tests whose result is an image ordered by the EP ts w or by an authorized provider of the eligible hospital or CAH for patients admitted to its le h inpatient or emergency department (POS 21 and 23) during the EHR reporting period are accessible through Certified EHR Technology (New) More than 20 percent of all unique patients seen by the EP or admitted to the eligible ts s hospital or CAHs inpatient or emergency de department (POS 21 or 23) during the EHR reporting period have a structured data entry for one or more first degree relatives first- (New) More than 10 percent of hospital discharge medication orders for permissible prescriptions (for new or changed prescriptions) are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology (New)
    • enu Set - Improve Population and ve Pblic Health EP - Successful ongoing submission of electronic syndromic surveillance data from Certified E ed EHR Technology to a public heal agency for the entire EHR reporti period (Stage 1 was a single te orting Successful ongoing submission of cancer case information from no Certified EHR Technology to a cancer registry for the entire EHR ca reporting period (New) Successful ongoing submission of specific case information from no Certified EHR Technology to a specialized registry for the entire E sp reporting period (New)
    • uality Measures for Eligibleofessionals ption 1a - EPs would report 12 clinical quality measures from those listed in Table 8, including at least 1 measure from romhe 6 domains: Patient and Family Engagement. Patient Safety. Care Coordination. Population and Public Health. Efficient Use of Healthcare Resources. Clinical Process/Effectiveness. ption 1b- EPs would report 11 "core" clinical quality measure listed in Table 6 plus 1 "menu" clinical quality measure uresption 2: Submit and satisfactorily report clinical quality mea measures under the Physician Quality Reporting Systems EHeporting Option."able 6 is based upon analysis of several factors that include: conditions that contribute the most to Medicare and Med de:eneficiaries morbidity and mortality; conditions that repres resent national public/population health priorities; conditioommon to health disparities; those conditions that dispropooportionately drive healthcare costs that could improve withuality measurement; measures that would enable CMS, Stat and the provider community to measure quality of car tates,imensions with a stronger focus on parsimonious measurem rement; and those measures that include patient and/or carengagement.able 8 lists all of the clinical quality measures that we are considering for EPs to report for the EHR Incentive Program coneginning with CY 2014.
    • uality Measures for Hospitalsequires eligible hospitals and CAHs to report 24 clinical quality measuresom a menu of 49 clinical quality measur including at least 1 clinical quality sures, easure from each of the 6 domains: Clinical Process/Effectiveness. Patient Safety. Care Coordination. Efficient Use of Healthcare Resources Patient & Family Engagement. Population & Public Health.he measures in Table 9 are based on statutory requirements, the HITPCs commendations, alignment with other CMS and national hospital quality easurement programs such as the Joint Commission, the Medicare Hospital int Cnpatient Quality Reporting Program and Hospital Value Value-Based Purchasing