The document provides an agenda and information about an upcoming Meaningful Use Mini-Camp on October 21, 2015. The agenda includes introductions, an overview of the California Technical Assistance Program (CTAP), a review of the 2015-2017 Modification Final Rule, a discussion of challenging measures, and strategic planning for Meaningful Use. Additional details are then provided about CTAP funding, milestones, and payments. The document concludes with sections on enrollment in CTAP and an overview of some of the most challenging Meaningful Use measures.
Meaningful Use encompasses multiple stages, each with specific timeline and measure requirements that continue to be a moving target. This can be a confusing process, sending providers in a tailspin in their attempts to stay current. This webinar focuses on the overall details of Meaningful Use and provides a nice outline of all of its details.
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).
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
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.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
Meaningful Use encompasses multiple stages, each with specific timeline and measure requirements that continue to be a moving target. This can be a confusing process, sending providers in a tailspin in their attempts to stay current. This webinar focuses on the overall details of Meaningful Use and provides a nice outline of all of its details.
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).
Meaningful Use Stage 2 and Health Information Exchange (HIE)MassEHealth
Transformational intent of Meaningful Use (MU) and the increased trend toward interoperability in MU Stage 2 (MU2); MU2 objectives with an HIE component and their MU2 measures; Approaches to achieving the transitions of care; Available public health registries and their current status and submission pathway; How to find a trading partner and best practices to engaging
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.
Riding the Rapids of Payment Reform: Downstream Effects of Quality Reporting ...Bill Presley
In this presentation, we highlighted how quality measurement programs impact reimbursement affecting your revenue. The revenue at risk in your organization. We focused on quality programs like Value-Based Purchasing (VBP), Merit-Based Incentive Program (MIPS) and Alternative Payment Models (APM) and their impact on Part A and Part B reimbursements.
It’s no surprise that reimbursement tied to quality performance is quickly becoming a reality for hospitals and physicians. CMS’ aggressive goals aimed at increasing the percentage of Medicare payments associated with quality versus quantity can be achieved through such programs as Value-based Purchasing and MACRA. This session will cover scoring methodologies, reporting requirements, reimbursement impact, infrastructure (and other resource needs), EMR tools and tactics, and workflow modifications.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
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.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
OpenNotes: Transparent Clinicians' Notes for Health & IllnessOpenNotes
Sharing clinicians’ notes with patients is a simple idea for health. This presentation can be used to introduce your institution to the benefits of open notes and how to adopt this practice with your patients. It guides you through the OpenNotes study, which sparked a movement towards more transparent notes across the nation.
A presentation by Bruno Meessen, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014.
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.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
Clinical Quality Measures: Measuring and monitoring clinical quality measures...Practice Fusion
Learn about:
1. CMS quality measures.
2. How to capture the data in Practice Fusion.
3. How this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
New clinical quality measure reporting in Practice Fusion [slides]Practice Fusion
Learn about the new data elements, which quality measures they can be used for, and information on reporting quality measures using Practice Fusion for Meaningful Use, PQRS EHR Reporting, and other quality improvement programs.
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.
Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014Practice Fusion
This webinar, Understanding the Physician Quality Reporting System (PQRS) Requirements in 2014, goes over which reporting options are available, what the incentives and penalties are for participating, reporting requirements, and how to choose quality measure for reporting.
Measuring & Monitoring Clinical Quality Measures Using Practice FusionPractice Fusion
Review CMS quality measures, how to capture the data in Practice Fusion, and how this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
OpenNotes: Transparent Clinicians' Notes for Health & IllnessOpenNotes
Sharing clinicians’ notes with patients is a simple idea for health. This presentation can be used to introduce your institution to the benefits of open notes and how to adopt this practice with your patients. It guides you through the OpenNotes study, which sparked a movement towards more transparent notes across the nation.
A presentation by Bruno Meessen, delivered during "Transforming Health Systems Through Results-Based Financing," an event held during the Third Global Symposium on Health Systems Research in Cape Town on September 30, 2014.
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.
In order to best prepare our clients for CMS' transition from Fee-For-Service to Fee-For-Value physician reimbursement, we have prepared a summary of the Merit Incentive-Based Payment System (MIPS). The MIPS program will consolidate PQRS, Meaningful Use, and the Value-Based Modifier into a single reporting program in which CMS affecting ≈95% of physicians beginning in 2017.
An actionable summary of the MIPS Merit-Incentive Based Payment System, MACRA (or the Quality Payment Program), and how to approach value-based healthcare.
Clinical Quality Measures: Measuring and monitoring clinical quality measures...Practice Fusion
Learn about:
1. CMS quality measures.
2. How to capture the data in Practice Fusion.
3. How this data can be used to earn incentive payments through quality reporting programs, including Meaningful Use and PQRS.
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.
The CMS Innovation Center hosted a special webinar featuring Dr. Patrick Conway, CMS Deputy Administrator for Innovation and Quality and CMS Chief Medical Officer, on Monday, November 10, 2014 from 10:30am – 11:30 am ET. Dr. Conway will provided an update about the work of the CMS Innovation Center and the models being tested to improve better care for patients, better health for our communities, and lower costs through improvement for our health care system. Opportunities for questions were provided.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
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.”
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.
This inaugural NYeC | PCIP Learning Series is targeted at DSRIP PPS leads, service providers, and others who would like to learn more about New York State’s current and future programs to increase HIT adoption, usage, and practice transformation.
In this first session, we will focus on two tactical areas. First, how DSRIP PPS leaders can analyze participating provider data to facilitate project planning, outreach, and program success. Second, an industry expert from Primary Care Development Corp will provide a helpful overview of how organizations can prepare for and achieve Patient Centered Medical Home (PCMH) recognition.
There will be more sessions to follow and we welcome your input to help shape future content to assist those working to transform healthcare in New York State.
Agenda:
• 9:00 am - Welcome, Programs Update (REC, EP2, NYS PTN)
• 9:10 am - DSRIP – PPS Provider Analysis Reporting and Outreach
• 9:30 am - PCMH – Overview and Readiness
• 9:50 am - Q&A, Call for future subjects
May 14, 2015
Due to popular demand, the Comprehensive Primary Care Plus (CPC+) team hosted a repeat of the webinar that was originally held on Thursday, April 21, 2016. During this webinar Model team members provided an overview of the model specifically for health IT vendors.
- - -
CMS Innovation Center
http://innovation.cms.gov
We accept comments in the spirit of our comment policy:
http://newmedia.hhs.gov/standards/comment_policy.html
CMS Privacy Policy
http://cms.gov/About-CMS/Agency-Information/Aboutwebsite/Privacy-Policy.html
1. Meaningful Use Mini-Camp
October 21, 2015
LISA ISRAEL, MBA, CPHIMS, CPHQ
EMR/MEANINGFUL USE SPECIALIST
REDWOOD COMMUNITY HEALTH COALITION
2. Agenda
• Introductions
• California Technical Assistance Program
• 2015-2017 Modification Final Rule
• Challenging Measures
• Strategic Planning for Meaningful Use
• Q&A
4. CTAP:
California Technical Assistance Program
• New funding program funded by ONC
• CalHIPSO is Regional Extension Center
• RCHC is Local Extension Center
• RCHC Members/Affiliates are part of RCHC CTAP group
5. CTAP:
California Technical Assistance Program
• Program is milestone-driven
• DHCS pays CalHIPSO for each milestone
• CalHIPSO pays RCHC 80%
of what DHCS pays them
6. • The GOOD news:
• RCHC will funnel 80% of what CalHIPSO pays them back to the
health centers
• Payments are per provider.
• Milestones include:
• Enrollment
• Successful attestation for AIU or MU
• Specialist “bonus”
• Legally binding contract with HIE
CTAP:
California Technical Assistance Program
7. Milestone CalHIPSO Pays RCHC RCHC Pays Health Center
Signed CTAP Contract $400 $320
EP is Specialist $600 $480
DHCS-Approved AIU Application $1,200 $960
First year attestation (S1, S2, S3) $1,800 $1,440
Subsequent year attestation (S1, S2, S3) $400 $320
HIE Contract $400 $320
• First year/second year attestations based on “scheduled” year for MU program.
• 80% pass-through applies to 2015 and may be adjusted in 2016 and 2017
• Program is for 3 years – payments payable each year based on milestones met that year
CTAP:
California Technical Assistance Program
8. Milestone 2015
TA Agreement 320
Specialist Bonus 480
AIU 960
MU Stage 1, Year 1 0
MU Stage 1, Year 2 0
Total Payment for EP for 2015 1760
Example: Dentist, never participated in MU
(AIU for 2015)
CTAP:
California Technical Assistance Program
9. Example: Family Practitioner
Scheduled for Stage 2/Year 1 – No HIE Contract Signed
Milestone 2015
TA Agreement 320
MU Stage 2, Year 1 1,440
Total Payment for EP for 2015 1,760
CTAP:
California Technical Assistance Program
10. • Enrollment
• Enrollment package in binder pocket.
• Must have complete enrollment agreement to participate
• RCHC has 200 enrollment slots available
• Last year MU attestations ~230 EPs for all health centers
• Enroll strategically
• Available slots for each health center based on number of EPs as
percentage of total EPs.
CTAP:
California Technical Assistance Program
11. • Enrollment, cont’d
• Complete Practice Enrollment Agreement first, submit to RCHC
with list of participating EPs
• Within 4 months, must have Technical Assistance Agreement
signed by EACH PROVIDER who is participating
• TA will be provided to each health center, not each provider
• If you don’t have all of your EPs enrolled, that doesn’t mean all the rest are out of
luck!
CTAP:
California Technical Assistance Program
12. CTAP:
Example of Assignment of Providers
Health Center # of EPs Percentage of total
# of Participating Slots
assigned
#1 60 20% 40
#2 100 33% 66
#3 20 7% 14
Assumptions: Total EP population assigned to RCHC 300
Total slots available: 200
13. • Prepare for enrollment
• Practice enrollment agreement
• Attach list of EPs who will participate
• Good time to think about Dental MU because of specialist bonus!!
• Announcement of number of EPs per health center will be made
via email next week.
CTAP: What to do now
16. DISCLAIMER
• All information given in this seminar relates to Medicaid
Meaningful Use rules for EPs only.
• Information included in this presentation and seminar is
for informational purposes only.
• References to Stage 1 and Stage 2 in this presentation
refer to the stages for which EPs are scheduled in 2015.
• The CMS Final Rule reviewed in this presentation may
be found at https://s3.amazonaws.com/public-
inspection.federalregister.gov/2015-25595.pdf
17. REVIEW OF PROGRAM BASICS
• The EHR Incentive Program (“Meaningful Use”) will
pay incentives through 2021.
• Eligible professionals can participate for 6 years.
• Participation years do not have to be consecutive.
• The last year that an eligible professional
can begin participation is 2016.
19. BIG CHANGES!
• Reporting periods changed
• Stages 1 and 2 have merged together
• Some measures removed as redundant, duplicative
or topped out
• Now 10 Measures for both S1 and S2 – No more
Core/Menu Measures
• Nothing was added!
20. Reporting Periods
• 90-day reporting period for 2015 for everyone
• Full calendar year reporting period for 2016-2017 for
everyone
• Option to report Stage 3 in 2017.
• If report Stage 3 in 2017, can report for 90-day reporting
period.
• EVERYONE will report Stage 3 in 2018
21. Redundant, Duplicative, or
Topped Out
Drug Formularies* Summary of Care (M1 & M3)
Demographics* Lab Results*
Up-to-Date Problem List* Patient Lists
Active Medication List* Reminders
Active Medication Allergy List* Electronic Notes
Record Vital Signs* Imaging Results*
Record Smoking Status* Family Health History
Clinical Visit Summary
* Incorporated into another “active” measure
Most items are still required for PCMH certification/recertification
23. One Set of Measures
CPOE Patient Education
E-Prescribing Medication Reconciliation
Clinical Decision Support Summary of Care (HIE)
Patient Electronic Access Public Health
Privacy & Security Secure Messaging
24. CPOE (%)
• The Measure: >60% of medication, 30% of lab, and 30%
of radiology orders are entered using CEHRT.
• Stage 1 EPs may use alternate measure for medication
orders: 30%
• Exclusion: EPs who write fewer than 100 orders each for
medications, labs, and radiology
25. E-Prescribing (%)
• The Measure: >50% of permissible Rx’s are compared to
one formulary and transmitted electronically using CEHRT
• Stage 1 – threshold is 40%
• Exclusions:
• EP writes < 100 prescriptions during reporting period
• OR – there is no pharmacy within 10 miles that
accepts e-scripts.
26. Clinical Decision Support (Y/N)
• Measure 1: 5 CDS interventions tied to >= 4 CQMs.
• Measure 2: Drug-Drug and Drug-Allergy interaction
checks enabled for entire EHR reporting period.
• Exclusion for S2: M2 Only – EP writes < 100 medication
orders
• Stage 1 EPs may use Alternate Measure in 2015:
• 1 CDS rule
• No drug interaction check
27. Patient Electronic Access (%)
• Measure 1: 50% of unique patients seen are provided
online access within 4 business days
• Measure 2: At least 1 patient PER EP actually views/
downloads/transmits (reduced from 5%).
• Stage 1 EPs may use alternate exclusion for M2
in 2015, as Stage 1 did not have equivalent
Core Measure.
28. Privacy & Security (Y/N)
• Conduct or review a security risk analysis in accordance
with the requirements (see Tip Sheet page 3 for
requirements)
• No exclusions
29. • > 10% of unique patients seen by EP are provided
educational resources identified by CEHRT
• Exclusion: No office visits in the EHR reporting period.
• Stage 1 EPs may use Alternate Exclusion in 2015 if they did
not intend to select this measure for a Stage 1 Menu choice.
Per CMS: “…we acknowledge that it may be difficult for a provider to
document intent and will not require such documentation.”
Patient Education (%)
30. Medication Reconciliation (%)
• >50% of patients transitioned into care of EP has
medication reconciliation performed
• Stage 2 exclusion: Any EP who was not the recipient of any
transitions of care during the EHR reporting period
• Stage 1 EPs may use Alternate Exclusion
in 2015 if they did not intend to select this
measure for a Stage 1 Menu choice.
31. Summary of Care (HIE) (%)
• Stage 2: 10% of Summary of Care records are created in
CEHRT and sent electronically
• Will go more into this statement in Challenging Measures
section
• Stage 1: Alternate Exclusion;
this did not have equivalent Core Measure
32. Public Health (Y/N)
• Active engagement with a Public Health Agency or Clinical
Data Registry to submit electronic public health data using
CEHRT.
• Registry options:
• Immunization registry
• Syndromic Surveillance
• Specialized Registry
• Stage 2 must meet 2 of the 3 options
• Stage 1 must meet 1 of the 3 options
More on this in the Challenging Measures section!
33. Secure Messaging (Y/N)
• 5% of unique patients send electronic message that
contains health information
• Modified Objective: Capability = Yes
• Stage 1 EPs may use “Alternate Exclusion”
as Stage 1 does not have an equivalent
core measure
34. Technology Updates
• 2014 CEHRT will be used for 2015 and 2016 reporting
• Until you are ready to attest to Stage 3, you can continue
to use 2014 CEHRT
• Must upgrade to 2015 CEHRT to report Stage 3 (2017 or
2018)
37. Patient Electronic Access
(Patient Portal)
• Measure 1: 50% of unique patients seen are provided
online access within 4 business days
• Measure 2: At least 1 patient PER EP actually views/
downloads/transmits (reduced from 5%).
• Stage 1 EPs may use alternate exclusion for M2 in 2015, as
Stage 1 did not have equivalent Core Measure
38. • Challenges
• No Exclusions
• Portals not available in Spanish
• Possible Solutions
• PEDS/Teens – activate PEDS/deactivate at age 12
• Activate dental patients
• Staff incentive
Patient Electronic Access
(Patient Portal)
39. Summary of Care (HIE)
• Challenges
• What does “sent electronically” mean?
• Verbiage different from prior rule that stipulated NwHIN Exchange
Participant to send.
• Final rule states that CMS is “widening the pathways acceptable for
transmitting Summary of Care records.”
• Probably does NOT mean faxing, as CMS states that is analog.
• May allow for sending via secure/encrypted email.
• Referral partners not set up to receive electronic
transmission
40. Summary of Care (HIE)
• For now:
• Awaiting CMS to publish a FAQ answer to definition of electronic
transmission.
• Keep using methods you have for sending electronic referrals and records.
• Provider relationships and referral partner office staff – do they have
capacity to receive electronic transmission?
• What are other health centers doing?
• Discuss at bi-weekly focus calls
41. Public Health (Y/N)
• Active engagement with a Public Health Agency or Clinical
Data Registry to submit electronic public health data
using CEHRT.
• Registry options:
• Immunization registry – Final rule struck bidirectional requirement
• Syndromic Surveillance
• Specialized Registry
• Stage 2 must meet 2 of the 3 options
• Stage 1 must meet 1 of the 3 options
47. Challenges and Options
• CalREDIE provider portal:
• Online manual entry – does not meet MU requirements that data be
submitted electronically using CEHRT
• California Cancer Registry
• EP is excluded if does not diagnose or treat cancer
• Most EPs in our CHCs would meet this exclusion
• No other statewide Public Health options
48. Challenges and Options
• Exclusions
• An exclusion will not count as 1 of the 2 needed to successfully attest
for this measure
• If exclude for 1, then need to attest for the other 2
• If exclude for 2, then need to attest for the remaining 1.
• Likelihood
• For Stage 2, attest to immunization registry option, exclude for the
other two options.
• Stage 1 only needs to attest to 1 of the 3 options, so IZ registry will
meet this measure
51. • Get a baseline, if you do not have one
• Run the reports that you do have and compare them to the final rule
measures
• The measures did not change enough to prevent you from using the reports you have!
• Are you too low on any of the measures? Let’s find out why!
• CTAP enrollment – get started!
• Strategic enrollment – providers who are at highest likelihood of
successful attestation
Strategic Planning for MU
52. • Update groups in SLR
• SLR will go down on/about December 15 for
reprogramming
• Anticipated that AIU and group updates will remain open
• SLR may take about 5-6 months to reprogram – so
attestation would be extended
• Any providers AIU?
• Can do it now!
Strategic Planning for MU
53. Strategic Planning for MU
• Biweekly Focus Calls
• Restarting Thursday, October 29, 2-3 p.m.
• Every other Thursday from 2-3 p.m.
• Calls will not be recorded – great to team up to have a representative
• Call for topics/questions will go out on Monday prior to the call
• Calendar invitations sent out October 14
• If you did not receive one, let me know and I will add you to the invite list
54. Strategic Planning for MU
• Questions?
• Freaking out?
• Is the sky falling?
Contact Me!
This is my job!
May not have the answer, but I know where to find it!