With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Medicine Shortages Information InitiativeTGA Australia
The presentation was given by the TGA at the 2014 ARCS Scientific Congress, and covers TGA's implementation of the Medicine Shortages Information Initiative
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
With patient responsibility becoming an increasing part of clinics AR, you need to make sure you have an effective strategy in place. Learn how to maximize your collections without negatively impacting your relationships with your patients.
Medicine Shortages Information InitiativeTGA Australia
The presentation was given by the TGA at the 2014 ARCS Scientific Congress, and covers TGA's implementation of the Medicine Shortages Information Initiative
AMCCBS Virtual2021 Conference Takeaways Part 1Carevive
Takeaways from Carevive's March 2nd presentation featuring Ethan Basch, Madelyn Trupkin Herzfeld, Bruno Lempernesse, and Nadia Still DNP, RN.
Learn more about Carevive's breakthrough cancer care platform:
https://bit.ly/3bJ5H1z
This presentation provides an overview of each Meaningful Use Menu Set Measure as well as its required threshold so that you can learn how to put the Meaningful Use Menu Set Measures into practice.
Learn how to enroll your patients in Practice Fusion's patient portal while meeting all your Meaningful Use Stage 1 and Stage 2 requirements. Our recommended workflow maximizes patient engagement while limiting the burden on your staff.
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
Learn more about Patient Reported Outcome Measures (PROMS) and how this information supports better care.
This presentation was delivered at EHI Live 2013.
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
This presentation provides an overview of each Meaningful Use Menu Set Measure as well as its required threshold so that you can learn how to put the Meaningful Use Menu Set Measures into practice.
Learn how to enroll your patients in Practice Fusion's patient portal while meeting all your Meaningful Use Stage 1 and Stage 2 requirements. Our recommended workflow maximizes patient engagement while limiting the burden on your staff.
Implementation of Online Safety Incident Reporting System in a Tertiary Care Teaching Hospital by Dr. Bijoy Johnson, Dept. of Hospital Administration, KMC Manipal, India
Sri Lanka is well known for its better health indices when compared with other countries in South Asia. However, the burdens of Non Communicable Diseases (NCD) have increased rapidly during last two decades. NCDs such as neoplasms, cardiovascular diseases, diabetes and chronic respiratory pathologies recorded were 10.2, 41.7, 13.3 (related deaths per 100,000 population) respectively during the year 1990. However by 2009, the same NCDs recorded 18.5, 60.6, and 21.9 (related deaths per 100,000 populations) respectively according to the Annual Health Bullatin released by the Medical Statistics Unit - Ministry of Healthcare & Nutrition [1]. Most communicable diseases have been controlled successfully (e.g. Malaria, Polio) several infective diseases, such as, Tuberculosis and Leprosy has been re-emerged due to various reasons. Dengue is also still remains a major crisis in Sri Lankan health sector.
Health Information Systems have been shown an integral role in health systems in facing double burden of disease, specially quantifying the cost of care. Also, Health Information Systems are one of WHO's 6 building blocks for health system strengthening. This work investigates the Sri Lankan scenario empirically based on selected electronic health information systems to evaluate the effect of reducing uncertainty and promoting coordination in the clinical care pathway.
Learn more about Patient Reported Outcome Measures (PROMS) and how this information supports better care.
This presentation was delivered at EHI Live 2013.
Patient Engagement is growing in importance as consumer expectations of healthcare providers change and as portals and other technologies improve. Early studies show affects on outcomes for patient engagement technologies
Patient Engagement is more that an patient portal
Connected Health tools are available to enhance engagement
Personalization is needed to engage
How patient engagement technologies fit with population health
Helping those lacking health and digital literacy and access
The future is bright for Personal Connected Health
Closing the Loop: Strategies to Extend Care in the EDEngagingPatients
This HIMSS15 presentation discusses the challenges faced in hospital emergency departments and offers insights for implementing a process to follow up with discharged ED patients to enhance outcomes and satisfaction,while optimizing utilization and reducing risk.
Using Social Technologies To Engage Patients Across the Continuum of CareWellbe
This session will explore the integration of social media and underlying technologies into a healthcare organization’s communication and patient engagement strategy.
It will include a review of opportunities to leverage social media as tools for business intelligence, enhancing care coordination processes and facilitating effective communications.
The role of social technologies in clinical and operational initiatives and processes across the entire care continuum and for improving health outcomes will be highlighted.
About the Speaker:
Christina Thielst, FACHE, is Vice President of Social Media at TOWER, a patient experience consulting group. She advises healthcare organizations on strategies to engage consumers across the continuum of care and apply emerging technologies to positively transform experiences – from the patient’s perspective.
Christina has blogged since 2005 and is a thought leader in the continually evolving field of health IT. Her book, Social Media in Healthcare: Connect Communicate Collaborate is now in its second edition and a new book of social media innovation case studies is scheduled for publication in early 2014.
Christina received a Masters of Health Administration from Tulane University, School of Public Health and Tropical Medicine and is a member of the American College of Healthcare Executives, Health Care Executives of Southern California, Health Information Management Systems Society (HIMSS), American Telemedicine Association and The Beryl Institute.
Understand what patient engagement truly means, its benefits for both patients and providers, and how to increase patient engagement through marketing.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
Telemedicine has moved to the forefront of healthcare, opening up opportunities for both practices and their patients. To help unpack some of the enormous amounts of new information, This presentation focuses on:
- Relaxing of Regulatory Issues
- How Telemedicine Can Help Your Practice
- Challenges
- The Future of Telemedicine
This episode continues our COVID-19 COVID-19 Insights Webinar discussing CMS changes, available grants and loans, existing opportunities in telehealth, and more state openings for elective surgeries.
The COVID-19 pandemic continues to present challenges to healthcare practices. This presentation covers the reinstatement of elective surgeries in a few states, the greater adoption of remote tracking, and new developments with the FCC’s Telehealth Program.
It also goes over the technology CareOptimize has developed to help streamline COVID-19 monitoring and reporting, its genesis, and how this utility can help your practice post-pandemic.
This webinar continues the COVID-19 Insights webinar series. Topics include the loans and grants being offered by the government, how they differ, and how they may benefit your practice, including SBA Loans and Grants, HHS Grants, Medicare Advance/Accelerated Payments, and Telehealth Funding. The webinar also goes over the CareOptimize technology developed to assist with streamlining COVID-19 monitoring and reporting.
Does it feel like you’re falling behind on the latest CMS regulatory updates? You’re not alone. The CareOptimize COVID-19 Insights webinar is designed to keep you informed of everything going on with CMS as healthcare practices continue to adjust. Along with CMS updates, this webinar goes over SBA loans and Fee-for-service Advance/Accelerated Medicare payments.
CareOptimize COVID-19 Webinar series episode 2 continues with the most up-to-date news from CMS along with other regulatory changes affecting the healthcare industry. The primary focus is on a trio of distinct provider models and how each of them is managing their practices while adapting to the challenges of the pandemic. We also go over the technology CareOptimize has developed aimed at streamlining COVID-19 monitoring and reporting.
MIPS continues to be a major risk, with practices who do not participate subject to a 5% penalty. This webinar covers:
Rule clarification and changes that have occured since January 1st.
Measure clarification and changes that have occured since January 1st. Your measure calculations may be changing as a result.
Where your practice should be at this point in the year.
How we can help support unique workflows and provider documentation.
In the day and age of value based medicine, it is critical to optimize your reimbursements with more accurate coding.This webinar uses specific examples to demonstrate the intricacies of accurate coding and how you can actually benefit. Questions answered include:
• How is global service reporting changing?
• What procedures require reporting?
• Who is required to report?
• When do new requirements take effect?
MACRA is quickly approaching year 2. CMS recently released their 2018 Proposed Rule, and there are some significant changes everyone should be aware of.
Rather than wading through the 1,058 pages of the Proposed Rule, join CareOptimize for a look at the most important takeaways.
In less than 30 minutes, you'll learn:
Are any of your clinicians now exempt?
What is a Virtual Group, and will it save you money?
Are your practice's priorities aligned with the newly weighted categories?
How can the Proposed Rule increase your 2018 bonus?
Accountable Care Organizations (ACOs) have been part of the healthcare landscape for a while and remain an integral part of the move toward value-based medicine. CMS recently introduced a new model in the MSSP (Medicare Shared Savings Program), ACO Track 1+.
This presentation gives a broad overview of ACOs and explains the basics of the new Track 1+ model. Topics include:
- ACOs and their role in MACRA/MIPS
- Meeting or exceeding the standards
- Why the risk might be worth it
MIPS is here. Are You Ready? CareOptimize Is.
See how the MIPS Management Solution empowers practices like yours to:
1. Know provider scores in real-time and compare those to your peers across the country
2. Provide scorecards for each MIPS category
3. Model different scenarios to determine your highest MIPS score
4. Automatically submit to CMS
5. Choose which level of assistance is best for your organization
... And More!
Let's face it, changes are coming. Healthcare is about to undergo another big shift once the new administration comes in. Between the sure things and the big questions, CareOptimize has found a bit of clarity. Join us to learn what our experts advise you to do to stay on top of it all.
Are you:
Keeping up to date with your risk scoring?
Missing out on reimbursement premiums?
Ensuring accurate health profiles for your patients?
Proper risk adjustment is important, not only to ensure your patients' quality of care, but also to improve your bottom line. This CareOptimize presentation will take you from the basic tenets of risk adjustment to specific ways you can increase your risk scores and get the highest premium payments.
Meaningful Use: Programs, Penalities, and PaymentsBen Quirk
Meaningful Use is not dead!
MIPS may be just around the corner, but MU is still very much in the picture. There is enough time, however, for your practice to optimize 2016 reporting and increase 2018 payments and avoid penalties.
This presentation takes you through the steps needed to successfully attest for 2016 and be prepared for upcoming changes.
CMS has stopped being nice about ICD10. As of October 1, 2016, the grace period for not using specific codes for certain diagnoses is gone. If you are not precise with these codes, your denial rates will go up.
This presentatio helps you learn how you can avoid high denial rates and also explains:
- Key changes and revisions
- Written guidance from CMS and OIG that may negate a new guideline
- Chapter specific changes
- How to tell when you need documentation and when you don’t
2016 MIPS Final Rule: What you need to know NOWBen Quirk
Find out why you need to pay attention to this Final Rule and what adjustments you need to make to ensure you end up on the winning side of MIPS. It's a complicated program, and results from the Final Rule don't make it any easier.
In its January 2014 Issue Brief, the ONC announced its vision that, by 2020: The power of each individual is developed and unleashed to be active in managing their health and partnering in their health care, enabled by information and technology. And it began seeking feedback on new goals and strategies for health IT-enabled, patient centered care. With this vision in mind, this session will explore current and emerging technologies supporting person centered care in the ambulatory care setting.
End of Life Planning - Directives by DesignBen Quirk
Learn about Directives by Design, a culturally sensitive tool to guide patients through end of life choices and create a living will as required for hospitals in MU2.
Antibiotic Stewardship by Anushri Srivastava.pptxAnushriSrivastav
Stewardship is the act of taking good care of something.
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
WHO launched the Global Antimicrobial Resistance and Use Surveillance System (GLASS) in 2015 to fill knowledge gaps and inform strategies at all levels.
ACCORDING TO apic.org,
Antimicrobial stewardship is a coordinated program that promotes the appropriate use of antimicrobials (including antibiotics), improves patient outcomes, reduces microbial resistance, and decreases the spread of infections caused by multidrug-resistant organisms.
ACCORDING TO pewtrusts.org,
Antibiotic stewardship refers to efforts in doctors’ offices, hospitals, long term care facilities, and other health care settings to ensure that antibiotics are used only when necessary and appropriate
According to WHO,
Antimicrobial stewardship is a systematic approach to educate and support health care professionals to follow evidence-based guidelines for prescribing and administering antimicrobials
In 1996, John McGowan and Dale Gerding first applied the term antimicrobial stewardship, where they suggested a causal association between antimicrobial agent use and resistance. They also focused on the urgency of large-scale controlled trials of antimicrobial-use regulation employing sophisticated epidemiologic methods, molecular typing, and precise resistance mechanism analysis.
Antimicrobial Stewardship(AMS) refers to the optimal selection, dosing, and duration of antimicrobial treatment resulting in the best clinical outcome with minimal side effects to the patients and minimal impact on subsequent resistance.
According to the 2019 report, in the US, more than 2.8 million antibiotic-resistant infections occur each year, and more than 35000 people die. In addition to this, it also mentioned that 223,900 cases of Clostridoides difficile occurred in 2017, of which 12800 people died. The report did not include viruses or parasites
VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
Telehealth Psychology Building Trust with Clients.pptxThe Harvest Clinic
Telehealth psychology is a digital approach that offers psychological services and mental health care to clients remotely, using technologies like video conferencing, phone calls, text messaging, and mobile apps for communication.
CHAPTER 1 SEMESTER V - ROLE OF PEADIATRIC NURSE.pdfSachin Sharma
Pediatric nurses play a vital role in the health and well-being of children. Their responsibilities are wide-ranging, and their objectives can be categorized into several key areas:
1. Direct Patient Care:
Objective: Provide comprehensive and compassionate care to infants, children, and adolescents in various healthcare settings (hospitals, clinics, etc.).
This includes tasks like:
Monitoring vital signs and physical condition.
Administering medications and treatments.
Performing procedures as directed by doctors.
Assisting with daily living activities (bathing, feeding).
Providing emotional support and pain management.
2. Health Promotion and Education:
Objective: Promote healthy behaviors and educate children, families, and communities about preventive healthcare.
This includes tasks like:
Administering vaccinations.
Providing education on nutrition, hygiene, and development.
Offering breastfeeding and childbirth support.
Counseling families on safety and injury prevention.
3. Collaboration and Advocacy:
Objective: Collaborate effectively with doctors, social workers, therapists, and other healthcare professionals to ensure coordinated care for children.
Objective: Advocate for the rights and best interests of their patients, especially when children cannot speak for themselves.
This includes tasks like:
Communicating effectively with healthcare teams.
Identifying and addressing potential risks to child welfare.
Educating families about their child's condition and treatment options.
4. Professional Development and Research:
Objective: Stay up-to-date on the latest advancements in pediatric healthcare through continuing education and research.
Objective: Contribute to improving the quality of care for children by participating in research initiatives.
This includes tasks like:
Attending workshops and conferences on pediatric nursing.
Participating in clinical trials related to child health.
Implementing evidence-based practices into their daily routines.
By fulfilling these objectives, pediatric nurses play a crucial role in ensuring the optimal health and well-being of children throughout all stages of their development.
Navigating the Health Insurance Market_ Understanding Trends and Options.pdfEnterprise Wired
From navigating policy options to staying informed about industry trends, this comprehensive guide explores everything you need to know about the health insurance market.
CRISPR-Cas9, a revolutionary gene-editing tool, holds immense potential to reshape medicine, agriculture, and our understanding of life. But like any powerful tool, it comes with ethical considerations.
Unveiling CRISPR: This naturally occurring bacterial defense system (crRNA & Cas9 protein) fights viruses. Scientists repurposed it for precise gene editing (correction, deletion, insertion) by targeting specific DNA sequences.
The Promise: CRISPR offers exciting possibilities:
Gene Therapy: Correcting genetic diseases like cystic fibrosis.
Agriculture: Engineering crops resistant to pests and harsh environments.
Research: Studying gene function to unlock new knowledge.
The Peril: Ethical concerns demand attention:
Off-target Effects: Unintended DNA edits can have unforeseen consequences.
Eugenics: Misusing CRISPR for designer babies raises social and ethical questions.
Equity: High costs could limit access to this potentially life-saving technology.
The Path Forward: Responsible development is crucial:
International Collaboration: Clear guidelines are needed for research and human trials.
Public Education: Open discussions ensure informed decisions about CRISPR.
Prioritize Safety and Ethics: Safety and ethical principles must be paramount.
CRISPR offers a powerful tool for a better future, but responsible development and addressing ethical concerns are essential. By prioritizing safety, fostering open dialogue, and ensuring equitable access, we can harness CRISPR's power for the benefit of all. (2998 characters)
Struggling with intense fears that disrupt your life? At Renew Life Hypnosis, we offer specialized hypnosis to overcome fear. Phobias are exaggerated fears, often stemming from past traumas or learned behaviors. Hypnotherapy addresses these deep-seated fears by accessing the subconscious mind, helping you change your reactions to phobic triggers. Our expert therapists guide you into a state of deep relaxation, allowing you to transform your responses and reduce anxiety. Experience increased confidence and freedom from phobias with our personalized approach. Ready to live a fear-free life? Visit us at Renew Life Hypnosis..
Defecation
Normal defecation begins with movement in the left colon, moving stool toward the anus. When stool reaches the rectum, the distention causes relaxation of the internal sphincter and an awareness of the need to defecate. At the time of defecation, the external sphincter relaxes, and abdominal muscles contract, increasing intrarectal pressure and forcing the stool out
The Valsalva maneuver exerts pressure to expel faeces through a voluntary contraction of the abdominal muscles while maintaining forced expiration against a closed airway. Patients with cardiovascular disease, glaucoma, increased intracranial pressure, or a new surgical wound are at greater risk for cardiac dysrhythmias and elevated blood pressure with the Valsalva maneuver and need to avoid straining to pass the stool.
Normal defecation is painless, resulting in passage of soft, formed stool
CONSTIPATION
Constipation is a symptom, not a disease. Improper diet, reduced fluid intake, lack of exercise, and certain medications can cause constipation. For example, patients receiving opiates for pain after surgery often require a stool softener or laxative to prevent constipation. The signs of constipation include infrequent bowel movements (less than every 3 days), difficulty passing stools, excessive straining, inability to defecate at will, and hard feaces
IMPACTION
Fecal impaction results from unrelieved constipation. It is a collection of hardened feces wedged in the rectum that a person cannot expel. In cases of severe impaction the mass extends up into the sigmoid colon.
DIARRHEA
Diarrhea is an increase in the number of stools and the passage of liquid, unformed feces. It is associated with disorders affecting digestion, absorption, and secretion in the GI tract. Intestinal contents pass through the small and large intestine too quickly to allow for the usual absorption of fluid and nutrients. Irritation within the colon results in increased mucus secretion. As a result, feces become watery, and the patient is unable to control the urge to defecate. Normally an anal bag is safe and effective in long-term treatment of patients with fecal incontinence at home, in hospice, or in the hospital. Fecal incontinence is expensive and a potentially dangerous condition in terms of contamination and risk of skin ulceration
HEMORRHOIDS
Hemorrhoids are dilated, engorged veins in the lining of the rectum. They are either external or internal.
FLATULENCE
As gas accumulates in the lumen of the intestines, the bowel wall stretches and distends (flatulence). It is a common cause of abdominal fullness, pain, and cramping. Normally intestinal gas escapes through the mouth (belching) or the anus (passing of flatus)
FECAL INCONTINENCE
Fecal incontinence is the inability to control passage of feces and gas from the anus. Incontinence harms a patient’s body image
PREPARATION AND GIVING OF LAXATIVESACCORDING TO POTTER AND PERRY,
An enema is the instillation of a solution into the rectum and sig
1. Patient Portals – Tips and Tricks
Wednesday, November 12, 2014
Disclaimer: Nothing that we are sharing is intended as legally binding or prescriptive advice. This presentation is a
synthesis of publically available information and best practices.
2. Patient Portal Statistics
• According to an August 2014 survey by
Software Advice:
– 1/3 of patients have access to a portal
– 24% of patients want ability to schedule online
– 22% of patients want ability to view lab results
online
– 21% of patients want ability to pay bills online
3. Patient Portal Complaints
• According to an August 2014 survey by
Software Advice:
– 34% complained of slow responses
– 33% complained of portals being confusing to
navigate
4. Requirements – MU 1 2013 (Flex Rule)
Menu Measure 5
• Definition: At least 10 percent of all unique
are provided access to their record within four
business days.
• Exception: EP does not order labs, enter
problems, enter med allergies, or enter
medications.
5. Requirements – MU 1 2014
Core Measure 11
• Definition: More than 50 percent of all unique
patients are provided access to their record
within four business days online access to their
health information, with the ability to view,
download, and transmit to a third party.
• Exception: EP does not order labs, enter
problems, enter med allergies, or enter
medications.
6. Requirements – MU 2
Core Measure 7(1)
• Definition: More than 50 percent of all unique
patients are provided access to their record
within four business days online access to
their health information, with the ability to
view, download, and transmit to a third party.
• Exception: EP does not order labs, enter
problems, enter med allergies, or enter
medications.
7. Requirements – MU 2
Core Measure 7(2)
• Definition: More than 5 percent of all unique patients
seen by the EP during the EHR reporting period (or
their authorized representatives) view, download, or
transmit to a third party their health information.
• Exception: EP does not order labs, enter problems,
enter med allergies, or enter medications OR 50
percent or more of his or her patient encounters in a
county that does not have 50 percent or more of its
housing units with 3Mbps broadband availability.
8. Requirements – MU 2
Core Measure 17
• Definition: A secure message was sent using the
electronic messaging function of CEHRT by more
than 5 percent of unique patients (or their
authorized representatives) seen by the EP during
the EHR reporting period.
• Exception: An EP who has no office visits during
the reporting period OR 50 percent or more of his
or her patient encounters in a county that does
not have 50 percent or more of its housing units
with 3Mbps broadband availability.
9. Requirements – MU 3 (Proposed)
• 24 Hour turnaround
• 10% secure messaging
• Blue Button Initiative
• Ability to contribute information electronically
10. Benefits
• Patient Engagement - Patient preventative
care and disease management reminders
• Patient Compliance – Remind patients of
follow up plans
• Operational Efficiency – Calls replaced with
messages which can be handled outside of
clinic hours
• Brand Loyalty – Well utilized portals assist in
patient retention
11. Native vs Third Party
• Portals created by EHR vendors have greater
workflow integration and are required to meet
certification requirements.
• Third party portals are sometimes optimal if
multiple EHRs are in use or vendor EHRs do
not meet functionality requirements.
However, additional steps are needed to
integrate the portal and EHR in order to meet
MU requirements.
12. Challenge - Enrollment
• Challenge: Difficulty in getting patients
engaged.
• Suggestions:
– Auto enrollment meets requirements for Stage 1
and Stage 2 (first measure).
– Rewarding for use (be careful of inducement laws
and contracts).
– Outward emails to patients encouraging
interaction.
13. Challenge – Foreign Languages
• Challenge: Portals typically support a limited
number of languages.
• Suggestions:
– Designate English speaking care giver.
– Use third party portal with additional languages.
– Language specific engagements.
14. Challenge – Lack of Access
• Challenge: Patients lack
computer access.
• Suggestions:
– Provide terminals in
waiting room.
– Ensure portal has a
smart phone app or is
mobile friendly.
15. Challenge – Age of Patients
• Challenge: Patients are
older and not
comfortable with
technology.
• Suggestions:
– Designate caregiver.
– Ensure portal has a
smart phone app or is
mobile friendly.
– Refer to or provide
computer classes.
16. Challenge – Specialties
• Challenge: No face to face interaction with
patients.
• Suggestions:
– Portal enrollment is still required – use auto
enrollment more heavily.
– You may be exempted from messaged
requirements.
17. Challenge – Specialties, continued
• Challenge: High propensity of patients have
physical or mental disability which presents
use of portal.
• Suggestions:
– Designate care givers.
– Provide extra training for accessibility (how to
increase font sizes).
18. Case Study 1
• Medicare Advantage clinic in Miami with high
geriatric and non-English speaking population.
– Implemented Spanish patient portal.
– Collected care giver emails.
– Auto enrolled patients.
– Already had computer training classes as part of
their socialization classes. Added patient portal as
part of the curriculum.
19. Case Study 2
• IPA in San Francisco’s Chinatown providing
care to non-English speaking, older, and less
affluent population.
– Implemented Chinese patient portal.
– Collected care giver emails.
– Auto enrolled patients.
– Worked with a local non-profit who received a
grant for computer training. Added patient portal
to the curriculum.
20. Recap
• Patient portal is required for MU.
• Secure messaging is required for MU2 and
above.
• Selecting the correct portal for your
population is incredibly important.
• Proactive planning and budgeting is needed
well before attestation period.