Meaningful Use: Core Measures Lori Hines Associate Vice President
EHR Incentive Programs Highlights <ul><li>Medicare EHR Incentive Program </li></ul><ul><ul><li>Requires demonstration of M...
EHR Incentive Programs Highlights <ul><li>Medicare EHR Incentive Program </li></ul><ul><ul><li>Payment adjustment in 2015 ...
EHR Incentive Programs Highlights <ul><li>Medicaid EHR Incentive Program </li></ul><ul><ul><li>First year: Adopt, implemen...
EHR Incentive Programs Highlights <ul><li>Medicaid EHR Incentive Program </li></ul><ul><ul><li>No payment adjustment </li>...
Requirements for Demonstration of Meaningful Use <ul><li>Must meet all 15 Core Measures* </li></ul><ul><li>* Some exclusio...
Requirements for Demonstration of Meaningful Use <ul><li>Must achieve compliance with 5 out of 10 Menu Set measures* </li>...
Core Measures Affecting Physician Workflow Routine
Record Vital Signs:  Core Measure #8 <ul><li>Record and chart changes in the following vital signs: </li></ul><ul><ul><li>...
Documentation of Vitals & Smoking Status
Record Smoking Status: Core Measure #9 <ul><li>For all patients 13 and older, assess smoking status </li></ul><ul><li>Stag...
CPOE: Core Measure #1 <ul><li>Use computerized provider order entry (CPOE) for medication orders  </li></ul><ul><li>Stage ...
Active Medication Allergy List: Core Measure #6 <ul><li>Maintain active medication allergy list; document allergies or doc...
Active Medication List: Core Measure #5 <ul><li>Maintain active medication list. Document medications patient is taking us...
Documentation of Active Medications
Drug Interaction Checks: Core Measure #2 <ul><li>Implement drug-drug and drug-allergy checks </li></ul><ul><li>Stage One T...
Documentation of Warning Override Reason
Electronic Prescribing:  Core Measure #4 <ul><li>Generate & transmit permissible prescriptions electronically (eRx) </li><...
e-Prescribing (eRx)
More Reasons to e-Prescribe! <ul><li>2012 Medicare Payment Adjustment </li></ul><ul><ul><li>1% Medicare Payment Adjustment...
More Reasons to e-Prescribe! <ul><li>2011 eRx Incentive </li></ul><ul><ul><li>Receive 1% bonus in 2012 if >=25 qualifying ...
Maintain Problem List: Core Measure #3 <ul><li>Maintain an up-to-date problem list of current and active diagnoses. Docume...
Documentation of Problems
Clinical Decision Support: Core Measure #11 <ul><li>Implement one clinical decision support rule relevant to specialty or ...
Clinical Decision Support Rules
Clinical Decision Support Preferences & Alerts
Clinical Summaries: Core Measure #13 <ul><li>Provide clinical summaries for patients for each office visit </li></ul><ul><...
Clinical Quality Measures:  Core Measure #10 <ul><li>Report ambulatory clinical quality measures (CQMs) to CMS in the mann...
Electronic Copy of Health Information: Core Measure #12 <ul><li>Provide patients with electronic copy of HI upon request <...
Other Core Measures
Record Demographics: Core Measure #7 <ul><li>Record all of the following demographics: Preferred language, Gender, Race, E...
Exchange of Clinical Data: Core Measure #14 <ul><li>Perform at least one test of certified EHR technology’s capacity to el...
Exchange of Clinical Data
Protect Electronic Health Info: Core Measure #15 <ul><li>Conduct or review a security risk analysis and implement security...
<ul><li>Interested in learning more about Meaningful Use? Visit  http://www.successehs.com/item/hitech-meaningful-use-cert...
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Meaningful Use: Core Measures

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This presentation provides an explanation of each Meaningful Use Core Measure and is required threshold , designed to help you put Meaningful Use Core Measures into practice.

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Meaningful Use: Core Measures

  1. 1. Meaningful Use: Core Measures Lori Hines Associate Vice President
  2. 2. EHR Incentive Programs Highlights <ul><li>Medicare EHR Incentive Program </li></ul><ul><ul><li>Requires demonstration of Meaningful Use of Certified EHR Technology beginning in Year One (90 day reporting period) </li></ul></ul><ul><ul><li>Up to $44,000 over five years </li></ul></ul>
  3. 3. EHR Incentive Programs Highlights <ul><li>Medicare EHR Incentive Program </li></ul><ul><ul><li>Payment adjustment in 2015 and after for EPs who do not successfully demonstrate MU </li></ul></ul><ul><ul><li>Participation can begin as early as 2011 </li></ul></ul>
  4. 4. EHR Incentive Programs Highlights <ul><li>Medicaid EHR Incentive Program </li></ul><ul><ul><li>First year: Adopt, implement, upgrade or demonstrate MU of certified EHR technology </li></ul></ul><ul><ul><li>Requires demonstration of Meaningful Use in subsequent years </li></ul></ul><ul><ul><li>Up to $63,750 over six years </li></ul></ul>
  5. 5. EHR Incentive Programs Highlights <ul><li>Medicaid EHR Incentive Program </li></ul><ul><ul><li>No payment adjustment </li></ul></ul><ul><ul><li>Program is voluntarily offered by individual states and may begin as early as 2011, depending upon the state </li></ul></ul>
  6. 6. Requirements for Demonstration of Meaningful Use <ul><li>Must meet all 15 Core Measures* </li></ul><ul><li>* Some exclusions are allowed for specific measures, reducing the number of required measures accordingly </li></ul>
  7. 7. Requirements for Demonstration of Meaningful Use <ul><li>Must achieve compliance with 5 out of 10 Menu Set measures* </li></ul><ul><ul><li>One of the five Menu Set measures must be related to Public Health (either Immunization Registry or Electronic Syndromic Surveillance) </li></ul></ul><ul><li>* Some exclusions are allowed for specific measures, reducing the number of required measures accordingly </li></ul>
  8. 8. Core Measures Affecting Physician Workflow Routine
  9. 9. Record Vital Signs: Core Measure #8 <ul><li>Record and chart changes in the following vital signs: </li></ul><ul><ul><li>Height, Weight, Blood Pressure </li></ul></ul><ul><ul><li>Calculate and display BMI </li></ul></ul><ul><li>Plot and display growth charts for children 2-20 years </li></ul><ul><li>Stage One Threshold: > 50% of unique patients >=2 years old </li></ul><ul><li>Exclusion: EP who sees no patients >=2 years old or who believes all three vitals have no relevance to their scope of practice </li></ul>
  10. 10. Documentation of Vitals & Smoking Status
  11. 11. Record Smoking Status: Core Measure #9 <ul><li>For all patients 13 and older, assess smoking status </li></ul><ul><li>Stage One Threshold: > 50% of patients 13 and older seen during the reporting period </li></ul><ul><li>Exclusion: EP who sees no patients >=13 years old </li></ul>
  12. 12. CPOE: Core Measure #1 <ul><li>Use computerized provider order entry (CPOE) for medication orders </li></ul><ul><li>Stage One Threshold: > 30% of unique patients seen during the reporting period </li></ul><ul><li>Exclusion: EP who writes fewer than 100 Rx’s during the reporting period </li></ul>
  13. 13. Active Medication Allergy List: Core Measure #6 <ul><li>Maintain active medication allergy list; document allergies or document “No Known Allergies” </li></ul><ul><li>Stage One Threshold: > 80% of unique patients seen during the reporting period </li></ul><ul><li>No exclusion </li></ul>
  14. 14. Active Medication List: Core Measure #5 <ul><li>Maintain active medication list. Document medications patient is taking using structured drug database or document “No Known Current Medications” </li></ul><ul><li>Stage One Threshold: > 80% of unique patients seen during the reporting period </li></ul><ul><li>No exclusion </li></ul>
  15. 15. Documentation of Active Medications
  16. 16. Drug Interaction Checks: Core Measure #2 <ul><li>Implement drug-drug and drug-allergy checks </li></ul><ul><li>Stage One Threshold: By attestation (EP has this functionality for the entire reporting period) </li></ul><ul><li>No Exclusion </li></ul>
  17. 17. Documentation of Warning Override Reason
  18. 18. Electronic Prescribing: Core Measure #4 <ul><li>Generate & transmit permissible prescriptions electronically (eRx) </li></ul><ul><ul><li>Contact SuccessEHS Support to enroll if you’re not already eRx’ing </li></ul></ul><ul><li>Stage One Threshold: > 40% of permissible prescriptions written during reporting period are transmitted electronically </li></ul><ul><li>Exclusion: EP who writes <100 Rx during reporting period </li></ul>
  19. 19. e-Prescribing (eRx)
  20. 20. More Reasons to e-Prescribe! <ul><li>2012 Medicare Payment Adjustment </li></ul><ul><ul><li>1% Medicare Payment Adjustment for physicians reimbursed under PFS unless National Claims History database receives 10 qualifying encounters with G8553 (or single hardship code) between January 1, 2011 & June 30, 2011! </li></ul></ul>
  21. 21. More Reasons to e-Prescribe! <ul><li>2011 eRx Incentive </li></ul><ul><ul><li>Receive 1% bonus in 2012 if >=25 qualifying encounters with G8553 verified in NCH database for DOS 1/1/2011 – 12/31/2011 </li></ul></ul>
  22. 22. Maintain Problem List: Core Measure #3 <ul><li>Maintain an up-to-date problem list of current and active diagnoses. Document problems (or “No Known Problems”) as structured data </li></ul><ul><li>Stage One Threshold: > 80% of unique patients seen during the reporting period </li></ul><ul><li>No Exclusion </li></ul>
  23. 23. Documentation of Problems
  24. 24. Clinical Decision Support: Core Measure #11 <ul><li>Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule </li></ul><ul><li>Stage One Threshold: Attestation </li></ul><ul><li>No Exclusion </li></ul>
  25. 25. Clinical Decision Support Rules
  26. 26. Clinical Decision Support Preferences & Alerts
  27. 27. Clinical Summaries: Core Measure #13 <ul><li>Provide clinical summaries for patients for each office visit </li></ul><ul><li>Stage One Threshold: > 50% of all office visits (provided within three business days) </li></ul><ul><li>Exclusion: EP who has no office visits during EHR reporting period. </li></ul>
  28. 28. Clinical Quality Measures: Core Measure #10 <ul><li>Report ambulatory clinical quality measures (CQMs) to CMS in the manner specified by CMS to meet the measure </li></ul><ul><li>Stage One Threshold: Attestation </li></ul><ul><li>No Exclusion </li></ul>
  29. 29. Electronic Copy of Health Information: Core Measure #12 <ul><li>Provide patients with electronic copy of HI upon request </li></ul><ul><li>Stage One Threshold: < 50% of all patients requesting electronic copy receive it within 3 business days </li></ul><ul><li>Exclusion: Any EP that has no requests for electronic copy during the entire reporting period. </li></ul>
  30. 30. Other Core Measures
  31. 31. Record Demographics: Core Measure #7 <ul><li>Record all of the following demographics: Preferred language, Gender, Race, Ethnicity, DOB </li></ul><ul><li>Stage One Threshold: < 50% of all unique patients seen during the reporting period </li></ul><ul><li>No Exclusion </li></ul>
  32. 32. Exchange of Clinical Data: Core Measure #14 <ul><li>Perform at least one test of certified EHR technology’s capacity to electronically exchange key clinical information </li></ul><ul><li>Stage One Threshold: by attestation </li></ul><ul><li>No Exclusion </li></ul>
  33. 33. Exchange of Clinical Data
  34. 34.
  35. 35. Protect Electronic Health Info: Core Measure #15 <ul><li>Conduct or review a security risk analysis and implement security updates/correct deficiencies as necessary </li></ul><ul><li>Stage One Threshold: by attestation </li></ul><ul><li>No Exclusion </li></ul>
  36. 36. <ul><li>Interested in learning more about Meaningful Use? Visit http://www.successehs.com/item/hitech-meaningful-use-certified-systems/registering-for-meaningful-use.htm for more information. </li></ul>

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