The document summarizes changes to the 2016 requirements for meaningful use of electronic health records (EHRs). Key changes include replacing core and menu objectives with a single set of objectives and measures for eligible professionals (EPs) and hospitals. EPs have 10 objectives and hospitals have 9 objectives. The objectives focus more on patient outcomes than technology use. Providers will also have more flexibility to customize goals. Audits of EHR meaningful use attestations will continue to ensure compliance. Providers should maintain documentation for at least 6 years to support any audits.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
Go deeper with athenahealth specialists to discover all that you need to know and some things you may not know about Meaningful Use Stage 2 and the newest government updates.
Did you know that ALL of your Medicare reimbursements will be docked if you don't participate in the PQRS reporting program? This applies to mental / behavioral heath and substance abuse providers - get the full scoop in our guide.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
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.
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.
The Guidebook to Medicare Access and CHIP Reauthorization Act of 2015 dispels MACRA myths and puts you in the know with easy-to-follow guidance. Interpret MACRA changes with step-by-step advice to understand and master MACRA’s final rule.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Monthly series covering key subjects regarding healthcare business in the USA. This seminar covers: Affordable Care Act section 1557, HIPAA Security, Medicare Payment models and Chronic conditions.
The Medicare Aaccess and CHIP Reauthorization Act of 2015 establishes two Quality Payment Programs to transition the U.S. Healthcare System from a Fee-For-Service reimbursement methodology to a Fee-For-Value model. MACRA fundamentally adjusts the Medicare Fee Schedule, forcing healthcare providers to utilize HIT, population health management, and care coordination to receive financial rewards.
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.
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.
The Guidebook to Medicare Access and CHIP Reauthorization Act of 2015 dispels MACRA myths and puts you in the know with easy-to-follow guidance. Interpret MACRA changes with step-by-step advice to understand and master MACRA’s final rule.
PYA Consulting Manager Linda ClenDening helped connect the dots between the data at the 2013 AHIMA Convention and Exhibit in Atlanta. She spoke during the Innovation educational track on the topic: “Beyond Meaningful Use: Connecting Quality Data Requirements to Business Operational Improvements.”
The Alphabet Soup of Clinical Quality Measures ReportingBill Presley
CMS is transitioning to what the they call "a new and more responsive regulatory framework" for quality reporting and reimbursement. CMS goals are "…electronic health records helping physicians, clinicians, and hospitals to deliver better care, smarter spending, and healthier people". Over the next couple years, we will see a transformation of fee for service into value-based care models driven by the VBP, Quality Payment Program, MACRA, Merit-based Incentive Payment System (MIPS) and Alternative Payment Models (APM). Healthcare organizations will no longer be motivated by implementing and meeting Meaningful Use, but instead will be driven by value-based care and risk-based payment models that focus on quality outcomes for reimbursements.
In this Education Session we will review:
• How CMS is aligning clinical quality measures (CQMs) to reduce the reporting burden for healthcare organizations and providers. We will cover the vision and goals for achieving quality alignment for CMS.
• We will dive into the following CMS reporting programs and how they interact with each other: Value-Based Purchasing (VBP), Medicare Access and CHIP Reauthorization Act (MACRA), Merit-based Incentive Payments (MIPS), Hospital Inpatient Quality Reporting (IQR), The Joint Commission (ORYX), Outpatient Quality Reporting (OQR), and Alternative Payment Models (APM).
Revenue at Risk: Understanding Financial Impacts of Quality ReportingBill Presley
Jodi Frei, Northwestern Medical Center Vermont, and I co-presented at the MUSE Executive Institute on Revenue at Risk: Understanding Financial Impacts of Quality Reporting. The Executive Institute featured many amazing CXO's discussing the changing landscape of revenue cycle management and how finance, quality, and IT departments are converging on revenue cycle.
Though pay for performance is the common theme, the logistics of programs including Value Based Purchasing (VBP), Inpatient Quality Reporting (IQR), Hospital Acquired Condition (HAC) Reduction Program, Readmission Reduction, MACRA, MIPS and APMs, are very different. In this session, the specifics of each Quality Program including reporting requirements, scoring methodologies, and associated incentives and penalties will be covered. In addition, tools to track performance and quantify financial risk will be shared.
Reimbursement in this era of health care reform is challenging. We all seek success under this new normal in health care. Optimizing revenue capture in a quality reimbursement model requires acquisition of new knowledge and the use of new tools and strategies. Join us in the conversation; share your strategies; learn from others.
Monthly series covering key subjects regarding healthcare business in the USA. This seminar covers: Affordable Care Act section 1557, HIPAA Security, Medicare Payment models and Chronic conditions.
Patients are receiving disjointed care in the present expensive system. Changing the model:
- Identifying the components of The Transformed System; affordable, accessible, seamless, and coordinated plus high quality, person and family centered, and clinically supportive
- Listing ways to develop partnerships that create strong symbiotic teams
- Creating Care and Operation Interventions that integrate with Care Transitions, Guided Care in the PCMM(H), and ACO models
Meaningful Use Stage Two: The Future of Care CoordinationGreenway Health
The future of Meaningful Use has many over-arching effects on the health care industry beyond Stage Two measures. Care coordination teams, technology partnerships, data capture, practice redesign, and provider assessment are a few others to be considered when moving forward.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
Wondering about the meaning of Meaningful use? Pulse offers a brief overview of the forthcoming Meaningful Use requirements and what you need to do as a physician to be eligible to receive ARRA Stimulus money when it becomes available.
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.
Meaningful Use Audits and healthcare compliance course offered to Physicians and healthcare professionals to explain the basics of Meaningful Use and HITECH audits. Course is general in nature as many Physicians and organizations are in different stages of meaningful use.
12 Introduction to Health Information Privacy and Security .docxmoggdede
12 Introduction to Health Information Privacy and Security
FIGURE 1.7.
Service areas accredited by the National Committee for
Quality Assurance (NCOA)
Accountable care organizations
Health plan accreditation
Wellness and health promotion
Managed behavioral healthcare organizations
New health plans
Disease management
Source: NCQA 2012
more than 30 states exempt NCQA-accredited organizations from state audit requirements
(NCQA 2012). The Healthcare Effectiveness and Data Information Set (HEDIS) is a
tool offered by NCQA that measures the quality of health plans. Health plan purchasers-
which are mostly employers-and consumers use it to compare health plan performances
(Gregg Fahrenholz 2012). The service areas that NCQA accredits are listed in figure 1.7.
ONC-Authorized EHR Certification Bodies
The adoption of electronic health records (EHRs) among healthcare providers has been a
continuous process. As this section will discuss, the federal government has propelled this
process forward by creating guidelines and financial incentives for EHR adoption.
EHR Adoption and Meaningful Use
For several years the federal government has promoted the adoption of health information
technology, specifically the EHR, by healthcare providers. The Office of the National
Coordinator for Health Information Technology (ONC), an agency within HHS, was
formed in 2004 via presidential executive order to guide this initiative. The agency was
later codified ( established by statute) via ARRA. However, adopting an EHR has been
daunting for many providers. The significant cost of adopting an EHR has been the
greatest concern. There are also logistical concerns associated with implementing both
a new product and a new workflow. Finally, many providers with little knowledge of
technology have been overwhelmed with the prospect of selecting one EHR vendor from
dozens of options. How do they discern good products from bad products, and reputable
vendors from vendors that are not trustworthy or not likely to remain in business to
provide technical supports and upgrades?
One of the most important steps a provider can take is to select an electronic health record
that has been certified by an ONC-authorized technology review body. These ONC designees,
Office of the National Coordinator for Health Information Technology-Authorized
Testing and Certification Bodies ( ONC-ATCBs) and Office of the National Coordinator
for Health Information Technology-Authorized Certification Bodies (ONC-ACBs), test
EHR systems to make sure they comply with HHS standards and certification criteria. If they
do, the EHR systems are certified. By purchasing a certified product, a provider is ensured
that the EHR meets key standards and is capable of performing the required functions (ONC
2012). The ONC-ATCB program will sunset when the permanent ONC-ACB certification
program is in place. This was to occur no earlier than January 1, 2012, and it has been ...
Meaningful Use in 2015: 6 things to do before the year’s endCureMD
What's in these slides?
1 ) Implementation timeline and requirements.
2 ) What measures have made it to the final list and how to achieve them?
3 ) A checklist of things to do before the year’s end.
4 ) What to expect from stage 3?
On May 23, Conifer Health Solutions hosted a lecture at the ACHE Fellows Seminar in San Antonio, TX. The lecture, “Planning for Success with Clinical Integration,” focused on the steps associated with building a clinically integrated network; the power of strategic alignment with partners in the care community; and sustainable governance and incentive structures for the clinically integrated network.
Slides presented at the July 13, 2010 press conference announcing the final rules for Meaningful Use. These rules define what qualifies for stimulus incentive payments under the ARRA/HITECH legislation.
In today's rapidly advancing technological landscape, the intersection of privacy and innovation has become a paramount concern. One area that has sparked considerable debate and regulatory scrutiny is the use of tracking technologies in the healthcare sector. As healthcare providers strive to improve patient care and streamline operations, they have turned to various tracking technologies to enhance efficiency and data collection. However, the implementation of these technologies raises significant questions about patient privacy and compliance with the Health Insurance Portability and Accountability Act (HIPAA).
HIPAA, enacted in 1996, was designed to safeguard the privacy and security of individuals' medical information. It sets strict guidelines and standards for the handling, storage, and transmission of protected health information (PHI). The law not only applies to healthcare providers but also to their business associates, such as technology vendors and service providers. HIPAA's primary objective is to strike a balance between the need for healthcare organizations to collect and share patient data for treatment and administrative purposes while ensuring the confidentiality and privacy of individuals' sensitive medical information.
Tracking technologies, such as electronic health records (EHRs), wearable devices, and location tracking systems, have shown immense potential in revolutionizing healthcare delivery. EHRs enable healthcare providers to access patient information instantaneously, leading to quicker diagnoses and improved treatment outcomes. Wearable devices, such as fitness trackers and smartwatches, provide real-time health data that can help individuals monitor their well-being and make informed decisions about their lifestyle. Location tracking systems are utilized in hospitals and nursing homes to ensure patient safety and streamline workflows.
While these tracking technologies offer undeniable benefits, they also raise concerns about patient privacy. The vast amount of data generated by these technologies, ranging from personal identifiers to sensitive medical records, demands robust safeguards and strict adherence to HIPAA regulations. Unauthorized access, data breaches, and misuse of patient information can result in severe consequences, including legal repercussions, reputational damage, and loss of patient trust.
In this context, it becomes crucial for healthcare organizations to strike a delicate balance between leveraging tracking technologies to improve patient care and compliance with HIPAA regulations. Robust security measures, such as encryption, access controls, and regular audits, must be implemented to protect patient information from unauthorized access or breaches. Additionally, transparent communication and patient consent are vital to ensure individuals are aware of how their data is being collected, stored, and used.
Presentation designed to explain Business Associates the basics of HIPAA and real-life examples of cases that failed to implement and follow HIPAA requirements on a timely basis.
The current healthcare system in the United States is heavily influenced by HIPAA Security. This translates into a need to understand technology and cybersecurity beyond the use of anti-malware applications. This presentation presents some of the basics Covered Entities and Business Associates must be aware of as it relates to HIPAA Security.
Medicare Access and Chip Reauthorization Act (MACRA) is the law that changes how Providers are to be reimbursed. One of the key characteristics is that it rewards Providers based on value and not volume.
Brief presentation regarding key topics in the USA healthcare industry. Some of the basic topics include: MACRA, ICD 10, Meaningful Use and a very brief comment about diabetes as a chronic condition.
Interesting codes found in ICD-10 and a quick way to code using ICD 9 as a basis. Codes presented are real but presented to simply relax health professionals as they tackle this subject.
Presentations that briefly covers HIPAA and concentrates of the Risk Assessment portion which is a requirement for overall compliance and meaningful use.
Basic explanation of the physician quality reporting system. Some of the due dates and actions that could be taken before Dec 31st to prevent losing money in the future.
Based on misconceptions regarding the exchanges and healthcare reform I created a presentation that covers some of the basic issues and actions to consider.
Review of the health business status in the United States as of July 2013. Brief description of ICD 10 implementation status and potential repercussions and HIPAA Title 2 requirements.
Steps to consider when moving from paper to digital in any business. Solutions presented have been developed by TC Inc. and or Networking team. Steps provided should work on just about any environment and allows for expansion while minimizing growing pains.
Basic information regarding the changes in HIPAA that will become effective in Mar 2013. This presentation is designed as an introduction to Business Associates.
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..
Navigating Challenges: Mental Health, Legislation, and the Prison System in B...Guillermo Rivera
This conference will delve into the intricate intersections between mental health, legal frameworks, and the prison system in Bolivia. It aims to provide a comprehensive overview of the current challenges faced by mental health professionals working within the legislative and correctional landscapes. Topics of discussion will include the prevalence and impact of mental health issues among the incarcerated population, the effectiveness of existing mental health policies and legislation, and potential reforms to enhance the mental health support system within prisons.
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
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
2. 2016 Program
Requirements
Final Rule Released October 15, 2015
Modified Stage 2 (2015 to 2017)
Stage 3 (2018 and beyond)
Jan 11, 2016
“Meaningful use will likely end in 2016”
- Andy Slavitt, Acting Administrator
Centers for Medicare and Medicaid Services
Taino Consultants Inc. 2
3. “The Meaningful Use program as it has
existed, will now be effectively over and
replaced with something better.”
focus will move away from the use of technology
and towards patient’s outcome
providers will be able to customize their goals
leveling the technology playing field by requiring
open application program interfaces (APIs)
interoperability
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4. Medicare Access and CHIP
Reauthorization Act of 2015
(MACRA)
Repeals the sustainable growth rate (SGR)
methodology for determining updates to the Medicare
physician fee schedule.
Establishes annual positive or flat fee updates for 10
years and institutes a two-track fee update beginning
in 2019.
Establishes the Merit-based Incentive Payment
System (MIPS) that consolidates existing Medicare
quality programs.
Establishes a pathway for physicians to participate in
an Alternative Payment Model (APM).
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6. Objectives and Measures
Core and menu objectives replaced with a
single set of objectives and measures.
Eligible providers (EP) have 10 objectives,
Eligible hospitals and CAHs have 9 objectives.
All providers must use 2014 certified EHR
technology
Providers may attest using 2015 certified
technology EHR technology, or a combination of
the two (if the 2015 Edition is available).
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7. EP Objectives and
Measures
1. Protect electronic protected health information
HIPAA (Security Risk Analysis, updates, other)
2. Use clinical decision support to improve
performance on high-priority health conditions.
Implement five clinical decision measures
Enabled and implemented the functionality for drug-drug
and drug-allergy interaction check
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8. EP Objectives and
Measures
3. Use computerized provider order entry for
medication, laboratory, and radiology by
licensed healthcare professional
More than 60 percent of medication orders
More than 30 percent of laboratory orders
More than 30 percent of radiology orders
4. Generate and transmit permissible prescriptions
electronically (eRx).
More than 50 percent of all permissible prescriptions
written by the EP are queried for a drug formulary
and transmitted electronically using CEHRT.
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9. EP Objectives and
Measures
5. Health Information Exchange
Transitions or refers their patient to another setting of
care or provider of care must
1. Use CEHRT to create a summary of care record; and
2. Electronically transmit summary (10% or more).
6. Identify patient-specific education resources and
provide those resources to the patient.
Provide education resources to patients for more
than 10 % of all unique patients with office visits
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10. EP Objectives and
Measures
7. Medication Reconciliation
Performs medication reconciliation for more than 50
% of transitions of care
8. Patient electronic access within 4 business days
of the information being available to the EP.
Provide timely access to more than 50 % of all
unique patients seen during the reporting period
2016, at least one patient during the EHR reporting
period (or patient-authorized representative) views,
downloads or transmits his or her health information
to a third party during the EHR reporting period.
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11. EP Objectives and
Measures
9. Secure electronic messaging communications.
At least 1 patient during the reporting period was
sent a message using the electronic messaging
function of CEHRT
10. Public Health - submit electronic public health
Three Measure Options
○ Immunization Registry Reporting
○ Syndromic Surveillance Reporting
○ Specialized Registry Reporting
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12. Changes to Specific Objectives
The Objective 9, Secure Electronic
Messaging:
Phased approach for its measure’s threshold.
For 2016, the measure is “for at least 1 patient seen
during the reporting period, a secure message was
sent using the electronic messaging function of
CEHRT, or in response to a secure message sent by
the patient.
Objective 10, Public Health Reporting, 2016
EPs must meet two measures,
Eligible hospitals and CAHs must meet three measures.
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13. EHR Reporting Period for 2016
Returning participants
Full calendar year
(Jan 1, 2016 through Dec 31, 2016.
For 1st year participants
Any continuous 90-day period.
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14. Regulations leading to
audits
Meaningful Use,
HIPAA Omnibus Rule,
Affordable Care Act,
ICD-10 and
MACRA
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15. What to expect
1. Electronic letter from audit company from a
CMS e-mail address;
Letter will be addressed to email address
provided during registration
2. Attachment with a request for support
documentation
3. About four weeks to submit documentation
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18. Highlights
Measure 1 – Protect Patient Health
Information
Security Risk Analysis with a date not earlier
than the start of the reporting year and not
later than the date of attestation
Implementation plan with completion dates if
deficiencies were identified
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19. Highlights
Measures 3,4,5,6,7, and 8
Provide EHR report
Measures 2 and 9
Provide Support Documentation
Measure 10
Stage 1 – one measure
Stage 2 – two measure
Note: an exclusion of one measure doesn’t
count unless they meet or exclude themselves
from the other measures
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20. Trends Experienced
Expect e-mail with deficiencies
indicating failure to meet meaningful use
Extensions timelines have been
shortened
Explanations of trends may be asked
Letter from EHR company with basic
information been requested
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21. Key Items to keep in mind
Proof of use Certified EHR.
Need Copy of licensing agreement with the vendor or
invoices for the period.
Letter with same information from HER Vendor may
be requested.
List of office or outpatient facility where
Provider sees patients. Identify if records are
kept outside of EHR.
Report showing compliance with specific Core
Measures must display vendor’s logo or step by step
screenshots which demonstrate that the report was
generated by the EHR.
KEEP INFORMATION FOR A MINIMUM OF
SIX YEARS!
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22. Summary
Meaningful use not going away
Audits will continue
Maintain your own copies of information
submitted for at least six years
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23. Questions
Taino Consultants Inc.
Dr. Jose I. Delgado BP 904-794-7830
E-mail DrDelgado@TainoConsultants.com
Web Site: www.TainoConsultants.com
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Editor's Notes
Eligible Professional Objectives and Measures
(1) Protect electronic protected health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
(2) Use clinical decision support to improve performance on high-priority health conditions.
(3) Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines.
(4) Generate and transmit permissible prescriptions electronically (eRx).
(5) Health Information Exchange - The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
Eligible Professional Objectives and Measures
(1) Protect electronic protected health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
(2) Use clinical decision support to improve performance on high-priority health conditions.
(3) Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines.
(4) Generate and transmit permissible prescriptions electronically (eRx).
(5) Health Information Exchange - The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary care record for each transition of care or referral.
(7)The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.
(8) Patient electronic access-Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
(9) Use secure electronic messaging to communicate with patients on relevant health information.
(10) Public Health Reporting-The EP is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.
Measure 1‐Immunization Registry Reporting: The EP is in active engagement with a public health agency to submit immunization data.
Measure 2–Syndromic Surveillance Reporting: The EP is in active engagement with a public health agency to submit syndromic surveillance
data.
Measure 3–Specialized Registry Reporting: The EP is in active engagement to submit data to a specialized registry