* Flexibility Plan 2014 and what we know * Mickey Waters, IT Director at Conway Medical Center – Why he chose to take advantage of the rule * Lyndel Mead, RN, MSN, Clinical Informatics Coordinator at Peterson Regional Medical Center – Why he chose not to take advantage of the rule * Making the best decision for your organization * How to get personalized, expert MU advice

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Welcome!
How to Interpret and
Plan for the
2014 CMS CEHRT Rule
Presented by:
Kay Jackson
(978) 805-3104
Kay.Jackson@iatric.com
Cindy Paul
(978) 674-5927
Cindy.Paul@iatric.com

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3. Our Presenters
Kay Jackson
Manager, Software
Certification, Compliance
Application Software
Iatric Systems, Inc.
Kay.Jackson@iatric.com
Cindy Paul
Consultant
Professional Services
Iatric Systems, Inc.
Cindy.Paul@iatric.com

4. Agenda
 Flexibility Plan 2014 and what we know
 Mickey Waters, IT Director at Conway Medical Center –
Why he chose to take advantage of the rule
 Lyndel Mead, RN, MSN, Clinical Informatics Coordinator
at Peterson Regional Medical Center – Why he chose not
to take advantage of the rule
 Making the best decision for your organization
 Q & A

5. Sources
• September 2014 eHealth Vendor
Workgroup webcast 9/11/14
• CMS and ONC Provider Webcast
9/16/14 at 2:30 ET

6. What is the Flexibility Rule
According to CMS
Source: September 2014 eHealth Vendor Workgroup Webcast 9/11/4

7. Branzell went on to state: "Now the very future of meaningful use is in question.
The new rule allows eligible providers to use the 2011 Edition of certified EHR technology or a combination of
2011 and 2014 Edition for the 2014 Medicare CEHRT and Medicaid Systems EHR Incentive Programs.
Available
Come 2015, all eligible providers will be required to use the 2014 Edition of For certified use EHR in technology.
2014
Source: September 2014 eHealth Vendor Workgroup Webcast 9/11/4
By bending the rule a little, more providers would be able to participate and meet important meaningful use
objectives such as drug interaction and drug allergy checks, providing clinical summaries to patients, electronic
prescribing, reporting on key public health data and reporting on quality measures, HHS officials noted in a news

8. What We Have Heard
From CMS
• The CMS Final Ruling expanded on the definition
of “availability” to include whether a provider is
able to “fully implement” the 2014 version. “Full
implementation” as described in the new Final
Rule includes such items as:
• staff training
• system testing and workflow revisions
• update and integration
• software patches or workflow changes
• To me that is a liberal, and most welcome, CMS
interpretation.
http://meaningfuluseaudits.com/new-rules-meaningfuluse

9. Final Flexibility Rule
• A provider's ability to fully implement all
of the functionality of 2014 Edition
CEHRT may be limited by the availability
and timing of product installation,
deployment of new processes and
workflows, and employee training
• Page 16 Final Rule

10. Final Extension Rule

11. Updated Meaningful Use
Timeline

12. Final Rule

13. Final Rule

14. Final Rule

15. Final Rule

16. Final Rule

17. Final Rule

18. Final Rule

19. Final Rule

20. Final Rule

21. Final Rule

22. Useful CMS Resources

23. ONC Project Tracking
Website

24. What Has CMS Said?
Some Tips
• CMS states that the attestation site will
be ready by October
• This could be mid October
• When we attest how do we notify CMS
we are taking advantage of the Rule?
• You must swear to a specific statement
during attestation
• How should we document why we took
advantage of the Rule?
• Document your reasons – bring in help
• What should we do to prepare for audit?
• Document, Document, Document

25. Effective 10/1/14
Eligible Hospitals
• Full 365 days reporting period regardless of
Stage
• If you were to be Stage 2 Year 1 in 2014
and you take advantage of the Rule — you
will be Stage 2 Year 2 in 2015 (10/1/14 to
9/30/15 and Stage 2 Year 3 in 2016
(10/1/15-9/30/16)
• Ready on 10/1/16 for Stage 3

26. 2014 Edition Release 2
• Under the new rule, ONC will not
require EHR vendors or providers to update
or recertify their systems; however, it gives
vendors the opportunity to make changes
to their products
http://www.healthit.gov/facas/sites/faca/files/HITSC_2014-R2-EHR-certification-
final-rule-ONC-factsheet_2014-09-10.pdf

27. Conway Medical Center
Not Attesting for Stage 2
• Mickey Waters, IT Director
• South Carolina
• MEDITECH MAGIC
• 210 Beds

28. Peterson Regional Medical Center
Attesting for Stage 2
• Lyndel Mead RN, MSN, Clinical
Informatics Coordinator
• Kerrville, TX
• MEDITECH 6x
• 124 beds

29. Making the Best Decision
for Your Organization
• Make a strategic decision based on your
needs
• The right decision is multi-faceted, with
several layers
• Consider the workflow of your hospital
• Use technology available to you now
• Use the resources and CMS websites
provided on this webcast
• You don’t have to decide alone!

30. Help from Professional
Services
Iatric Systems offers Consulting Services
to assist! Professional services will:
•Work with your team to make the BEST
Strategic decision
•Guide you in decision making, based on the
resources you have available today
•Help with documentation of why you chose to
take the Flexibility Rule
•Help ensure you have documented all the
“layers” in case you are audited

31. Q & A

32. Professional Services
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