7. Meaningful Use

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Meeting the objectives of Meaningful Use is important for complying with government initiatives, but it is equally important for the practice to get the most practical use for their investment.

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7. Meaningful Use

  1. 1. Meaningful Use A.K.A. Incentives Use the arrow keys to advance to next slide or to reverse to the last slide.
  2. 2. Registering  To register you will be required to go to the CMS website.  If you are an EP, you must have an active National Provider Identifier (NPI) and have a National Plan and Provider Enumeration System (NPPES) web user account. Use your NPPES User ID and Password to log into this system.
  3. 3. Measure 1  More than 30 percent of all unique patients with active medications, seen by the EP, have at least one medication order entered using CPOE.  Measure 1 is achieved by using ePrescribing within eMedRec.  Meaningful Use Report – Item #4
  4. 4. Measure 2  Implement drug-drug and drug-allergy checks.  Measure 2 is achieved by using ePrescribing within eMedRec.  This is a Yes/No question on the attestation to be answered Yes.
  5. 5. Measure 3  More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that no problems are known) for the patient recorded as structured data.  Measure 3 is achieved by populating the patient Problem List within eMedRec.  Meaningful Use Report Item #15.
  6. 6. Measure 4  More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology.  Measure 4 is achieved by using ePrescribing within eMedRec.  Meaningful Use Report – Item #6.
  7. 7. Measure 5  More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.  Measure 5 is achieved by populating the patient Medication List within eMedRec. This is most efficiently achieved within the ePrescribing module.  Meaningful Use Report – Item #2.
  8. 8. Measure 6  More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data.  Version 7 of eMedRec includes a grid for adding Allergies to medications or other items directly in the Medication List via drop down lists. (The prior versions had allergies written free form in a text field.) The Allergies section of the Medication List will need to be updated for ALL patients.  Meaningful Use Report – Item #1.
  9. 9. Measure 7  Record ALL of the following demographics: (A) Preferred language (B) Gender (C) Race (D) Ethnicity (E) Date of birth  More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data. Each of the demographic items may be recorded in the Patient Add/Edit screen.  Meaningful Use Report – Item #12.
  10. 10. Measure 8  Record and chart changes in the following vital signs: (A) Height (B) Weight (C) Blood pressure (D) Calculate and display body mass index (BMI) (E) Plot and display growth charts for children 2-20 years, including BMI for more than 50 percent of all unique patients age 2 and over.  Each of these Vital Signs are recorded and calculated in the patient Vitals List within eMedRec.  Meaningful Use Report – Item #16.
  11. 11. Measure 9  More than 50 percent of all unique patients 13 years old or older, seen by the EP, have smoking status recorded as structured data.  Record the Smoking status in the Patient Social History by Editing the list and selecting a Status from the drop down.  Meaningful Use Report – Item #13.
  12. 12. Measure 10  Successfully report to CMS ambulatory clinical quality measures, selected by CMS, in the manner specified by CMS.  Reporting functionality is included in eMedRec V7 to report the rates of compliance with various measures.  This is a Yes/No question on the attestation that will be answered Yes.
  13. 13. Measure 11  Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule.  Compliance with this measure may be achieved by utilizing the Health Maintenance tool within eMedRec (configured for the practice specialty, if applicable).  Attest Yes if Health Maintenance is implemented.
  14. 14. Measure 12  Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request. More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days.  Electronic health record reports may be created in industry standard CCR (Continuity of Care Record) using the CCR tool.  If the practice has had no patient requests for electronic copies of their charts they are excluded from the measure.
  15. 15. Measure 13  Provide clinical summaries to patients for each office visit. Clinical summaries are to be provided to patients, for more than 50 percent of all office visits, within 3 business days.  The patient needs to be provided with a copy of the Office Visit Note, created within eMedRec, after the patient visit. A Clinical Summary Note or Form will be created for use by the practice.  Meaningful Use Report – Item #3.
  16. 16. Measure 14  Capability to exchange key clinical information (this information includes: problem list; medication list; medication allergies; and diagnostic test results), among providers of care and patient authorized entities electronically.  Use of the CCR Import and Export feature, described above, will enable this function.  This is a Yes/No question on the attestation which will be answered Yes.
  17. 17. Measure 15  Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process.  Holt Systems will conduct a security risk analysis with the practice IT team to assure compliance.  This is a Yes/No question on the attestation which will be answered Yes.

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