IHS Meaningful Use Stage 1

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Overview of the IHS MU project

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  • IHS Meaningful Use Stage 1

    1. 1. Update onMeaningful Use Chris Lamer
    2. 2. Overview• Certification• Timeline• Reporting Requirements• Personal Health Record
    3. 3. PH Agencies Reports EPI Center Insurance Pa#ent Record Other health care  Companies systems Pa#ent Care Personal Health RecordUse Standards and Interoperability to achieve 1. Complete and accurate informa#on 2. BeEer access to informa#on 3. Pa#ent empowerment
    4. 4. CIOAnalysts PMO CTO Area MU  REC Fed Lead Coordinator • NIHB PM • USETCer7fica7on  MU Field  MU Core Team EHR Deployment Team Team
    5. 5. Certification
    6. 6. Required Installs
    7. 7. Knowing you have it all1 2 BCER National Site Tracker (BNP)
    8. 8. What about Stage 2?
    9. 9. Stage 2• Increased expectations on reporting – CPOE stage 1: 30% 2: 60% 3: 90% – Smoking 1: 50% 2: 80% 3: 90% – Med Rec 1: 50% 2: 80% 3: 90%• Access data within 36 hours (PHR) – Stage 2: 20% use PHR 3: 30% use PHR• Secure messaging• BCMA• Additional order checks (age, pregnancy, lactation)• Patient preferences on communication medium• Increased HIE connectivity
    10. 10. Stage 3• Electronic self management tools• Exchange data with PHRs• Report experience of care• Upload and incorporate PHR data into RPMS –Remote monitoring –Surveys –Assessments
    11. 11. Timeline
    12. 12. Timeline 2011 2013 2015Data Capture and Sharing Advanced Clinical Processes Improved Outcomes
    13. 13. CMS EHR Incentive Program TimelineJan. 1, 2011 Reporting year began for EPsJan. 3, 2011 Registration began for the Medicare Incentive Program Registration began for 11 State Medicaid Incentive ProgramsApril 2011 Attestation for the Medicare EHR Incentive Program began.Spring-Summer 2011 Registration began for additional statesJuly 3, 2011 Eligible Hospitals LAST day to begin their 90-day reporting period for the Medicare Incentive ProgramSept.30, 2011 Last day of the federal fiscal year & Reporting year for Eligible HospitalsOct. 3, 2011 Eligible Professionals LAST day to begin their 90-day reporting period for the Medicare Incentive Program.Nov. 30, 2011 Eligible Hospitals LAST day to register and attest to receive an Incentive Payment for fiscal year 2011Dec. 31, 2011 Last day of calendar year & reporting year for Eligible ProfessionalsFeb. 29, 2012 Eligible Professionals LAST day to register and attest to receive an Incentive Payment for calendar year 2011
    14. 14. Eligible Hospitals Medicare Medicaid• Year 1 of Stage 1: • Year 1: adopt, implement, or upgrade (AIU) to a certified EHR. adopt, implement, or upgrade (AIU) to a certified EHR • Year 2 (Stage 1): demonstrate MU for a 90 day consecutive AND demonstrate MU for a 90 day consecutive period. period.• Year 2+: demonstrate MU for the entire year. • Year 3 (Stage 1) +: demonstrate MU for the entire year. Eligible Professionals Medicare Medicaid• Year 1 of Stage 1: • Year 1: adopt, implement, or upgrade (AIU) to a certified EHR. adopt, implement, or upgrade (AIU) to a certified EHR • Year 2 (Stage 1): demonstrate MU for a 90 day consecutive AND demonstrate MU for a 90 day consecutive period. period.• Year 2+: demonstrate MU for the entire year. • Year 3 (Stage 1) +: demonstrate MU for the entire year.
    15. 15. Reporting Requirements
    16. 16. Reports• Performance Reports ‣ PCC Management Reports ‣ Currently available• Continuous Quality Measurement ‣ CRS Reports ‣ Some EP measures available ‣ Rest will be out in September• Patient Volume Report ‣ Available in August
    17. 17. Stage 1 Reporting Requirements Measures Hospital Eligible Provider • 19 total Performance • 20 total Performance Measures Measures • 14 core performance • 15 core performancePerformance Measures measures* measures* • 5 performance • 5 performance measures measures out of 10 out of 10 from menu set* from menu set* • 6 total Clinical Quality • 15 Clinical Quality MeasuresClinical Quality Measures Measures • 3 core or alternate core • 3 out of 41 from menu set * Most measures require achievement of a performance target
    18. 18. Other Resources• MU Cheat Sheets for Performance Measures –What is needed to meet each measure• EHR MU Guide –How to document to meet each measure• CQM Definitions –Available in the CRS MU Performance Measure List and Definitions document
    19. 19. Personal Health Record• An electronic record of individually identifiable health information on an individual that can be drawn from multiple sources and that is managed, shared, and controlled by or primarily for the individual
    20. 20. Driving Forces Meaningful Use Healthy PeoplePresident’s Execu#ve Order
    21. 21. Sample Screenshots
    22. 22. “Blue-Button”
    23. 23. Sample Screenshots
    24. 24. Status• PHR application has been deployed nationally • Not functional until configured and patients are given access to their records • Dependent upon: 1. Completion of BIA setup
    25. 25. Brief OverviewHealth Information Exchange James Garcia
    26. 26. Components of the MPI HIE C32 The Master The HIE will The C32 Patient feed patient repositoryIndex or MPI demographic has been enables data to the developed medical Nationwide as part of records to Health the HIE for Information health Network summary
    27. 27. Meaningful Use and the• As part of meeting Meaningful Use requirements, the electronic exchange of health information is one criteria.• This requirement is met by the sharing of summary HITSP-C32 compliant documents which include the following data elements: - Encounters - Immunizations - Results - Conditions or Problems - Allergies and Adverse Reactions - Vitals Signs
    28. 28. Testing C32
    29. 29. How the C32 helps meet C32 comes in two parts for Phase 1 MU  First, • The C32 must be installed and configured to work with EHR Patch 8 so that C32 documents may be printed or displayed using the C32 button within EHR.  Second, • Within the first 90 days of installation of the C32, a test send of a C32 document for a real patient must be performed • A URL will be provided so that the C32 software will attempt to send a C32 Document to the HIE repository we call HIEOS located in Albuquerque
    30. 30. Questions?

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