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Andrea walrath mu stage 2 and beyond
- 1. Meaningful Use Stage2 and Beyond June 6, 2013
- 2. 2 Outline ▲Why Meaningful Use? ▲Progressto date ▲Meaningful Use Stage 2 ▲Stage 2 Preparation ▲Conclusion
- 3. 3 Why Meaningful Use? TheDepartment of Health and Human Services (HHS) envisions “an information rich, person- centered, high performance health care system where every health care provider has access to longitudinal data on patients they treat to make evidence-based decisions, coordinate care and improve health outcomes.”
- 4. 4 Meaningful Use asthe foundation Meaningful use is using certified electronic health record (EHR) technology to: ▲Improve quality, safety, efficiency, and reduce health disparities ▲Engage patients and family ▲Improve care coordination, and population and public health ▲Maintain privacy and security of patient health information
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- 6. 6 Meaningful Use: Progressto Date
- 7. 7 Progress to Date:Nationwide
- 8. 8 Progress to Date:Michigan Eligible Hospitals paid: 93 Eligible Professionals paid: 10,600+
- 9. 9 Meaningful Use: Stage2 and Beyond Stage 1: Data Capture and Sharing Stage 2: Advance Clinical Processes Stage 3: Improved Outcomes
- 10. 10 Stage 2 andBeyond Stage 1 Stage 2 Stage 3 Electronically capturing health information in a standardized format More rigorous health information exchange (HIE) Improving quality, safety, and efficiency, leading to improved health outcomes Using that information to track key clinical conditions Increased requirements for e- prescribing and incorporating lab results Decision support for national high-priority conditions Communicating that information for care coordination processes Electronic transmission of patient care summaries across multiple settings Patient access to self- management tools Initiating the reporting of clinical quality measures and public health information More patient-controlled data Access to comprehensive patient data through patient- centered HIE Using information to engage patients and their families in their care Improving population health
- 11. 11 Stage 2 Interoperability iskey! ▲Transitions of Care ▲Lab Exchange ▲Patient & Family Engagement ▲Public Health
- 12. 12 Stage 2: Transitionsof Care The Transition of Care objective includes 3 measures: ▲ Measure #1 requires the provision of a summary of care record for more than 50% of transitions of care and referrals. ▲ Measure #2 requires that the provision of a summary of care record using electronic transmission through CEHRT or eHealth Exchange participant for more than 10% of transitions of care and referrals ▲ Measure #3 requires at least one summary care record electronically transmitted to recipient with different EHR vendor or to CMS test EHR Stage 1Stage 2 Stage 2 Stage 2
- 13. 13 Stage 2: LabExchange ▲ Objective: Incorporate clinical lab test results into CEHRT as structured data ▲ Measure: More than 40% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data ▲ Measure: More than 55% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data Stage 1 (Menu)Stage 2 Stage 1 Stage 2
- 14. 14 Stage 2: PatientEngagement Provide patients the ability to view online, download and transmit their health information Requirements for Patient Action: ▲More than 5% of patients must send secure messages to their EP ▲More than 5% of patients must view, download, or transmit their health information
- 15. 15 Stage 2: PublicHealth Includes 4 Core and Menu Objectives for EPs: ▲ (Core) Immunization Registry: Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or IIS for the entire EHR reporting period ▲ (Menu) Syndromic Surveillance: Successful ongoing submission of electronic syndromic surveillance data from CEHRT to a PHA for the entire EHR reporting period ▲ (Menu) Cancer Registry: Successful ongoing submission of cancer case information from CEHRT to a state cancer registry for the entire EHR reporting period ▲ (Menu) Specialty Registry: Successful ongoing submission of clinical and case information from CEHRT to a specialty registry for the entire EHR reporting period Stage 1 (Menu) Stage 1 Stage 2 Stage 2 Stage 2 Stage 2
- 16. 16 Most commonly deferredStage 1 Menu Objectives: ▲ Providing a summary of care to patients at transitions to other physicians or hospitals — 84% ▲ Using the EHR to send reminders to specific groups of patients about preventive care — 80% ▲ Sending information to public health agencies or syndromic surveillance — 68% ▲ Being able to give patients electronic access to their records — 66% Stage 2: Preparation Transitions of Care Patient Engagement Public Health Patient Engagement
- 17. 17 Stage 2: Preparation ▲Stage1 –Look ahead! ▲2014 CEHRT –Required for all stages in 2014 –3-month reporting period ▲Health Information Exchange –Connect!
- 18. 18 Stage 2: Preparation First Year of MU Stagesof Meaningful Use 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2011 1 1 1 2 2 3 3 TBD TBD TBD TBD 2012 1 1 2 2 3 3 TBD TBD TBD TBD 2013 1 1 2 2 3 3 TBD TBD TBD 2014 1 1 2 2 3 3 TBD TBD 2015 1 1 2 2 3 3 TBD 2016 1 1 2 2 3 3 2017 1 1 2 2 3
- 19. 19 Conclusion Information rich, person-centered,high performance connected health care system
- 20. 20 Additional Information: ONC InteroperabilityTraining Courses: http://www.healthit.gov/providers- professionals/interoperability-training-courses Centers for Medicare & Medicaid Services: http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/Stage_2.html Michigan Health IT: https://www.michiganhealthit.org/mu/ M-CEITA: http://www.mceita.org/
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