2. The Alabama Regional Extension Center is part of the
Center for Strategic Health Innovation (CSHI) in the
College of Medicine at the University of South Alabama.
Our mission is to furnish assistance; defined as
education, outreach, and vendor neutral technical
assistance; to help providers in Alabama to select,
successfully implement, and meaningfully use certified
EHR technology to improve the quality and value of
healthcare in Alabama.
Mission StatementMission Statement
3.
4. Why is there a Stage 2 Modification for 2015?
• Align with Stage 3 to achieve overall goals of programs.
• Synchronize reporting period objectives and measures
to reduce burden.
• Continue to support advanced use of Health IT to
improve outcomes for patients.
5. Stage of Meaningful Use
FirstYear
Demonstrating
Meaningful Use 2015 2016 2017 2018
2019 & Future
Years
2011
Modified Stage
2
Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
2012
Modified Stage
2
Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
2013
Modified Stage
2
Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
2014
Modified Stage
2
Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
2015
Modified Stage
2
Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
2016
- NA - Modified Stage
2
Modified Stage
2 or Stage 3
Stage 3 Stage 3
• Stage 1 providers will have additional exclusions in 2015
• Stage 1 providers will have additional exclusions in 2016 for most measures
except measures like Health Information Exchange measure
6. REPORTING PERIODS
• All EPs and EHs can report for any 90 days in 2015
• First time EP and EH participants in 2016, any 90 day period
• Returning participants in 2016 onwards, full year reporting
• 90 day reporting for providers starting Stage 3 in 2017
• Stage 1Year 1 Medicaid providers can always report for any
continuous 90 days, regardless of the year
7. WHEN CAN WE ATTEST FOR 2015?
Despite the change to a 90-day EHR reporting
period in 2015, providers will NOT be able to
attest to meaningful use for an EHR reporting
period in 2015 prior to January 4, 2016.
8. REMOVED FROM MU REPORTING
• Record Demographics
• RecordVital Signs
• Record Smoking Status
• Clinical Summaries
• Structured Lab Results
• Patient List
• Patient Reminders
• Summary of Care
• Measure 1 – Any Method
• Measure 3 – Test
• Electronic Notes
• Imaging Results
• Family Health History
9. STAGE 1 ALTERNATE EXCLUSIONS IN 2015
• Maintaining the specifications for objectives and measures
that have a lower threshold or other measure differences
between Stage 1 and Stage 2;
• Establishing exclusion for Stage 2 measures that do not
have an equivalent Stage 1 measure associated with any
Stage 1 objective,
• or where the provider did not plan to attest to the menu
objective that would now be otherwise required
10. MODIFIED STAGE 2 MEASURES
1. Protect Electronic Health Information – Risk Analysis
• Conducted anytime during calendar year, but before attestation
• Encryption of ePHI in storage
2. Clinical Decision Support – 5 rules + Drug/drug, drug/allergy
interaction
• Stage 1 option – 1 rule
• Stage 2 – rules must be related to 4 or more CQMs
3. Computerized Provider Order Entry (CPOE) –
60% Medication, 30% Radiology and 30% Laboratory
• Stage 1 providers report 30% medication only
• Exclusions available
11. MODIFIED STAGE 2 MEASURES
4. Electronic Prescribing (eRx) – 50% EP and 10% EH
• Stage 1 providers can report 40%
• Includes formulary checking
• Hospitals can exclude in 2015 or 2016
5. Summary of Care – 10% electronic
• Stage 1 exclusion in 2015
• Modified definition – transmit the summary of care record
electronically
6. Patient Education – 10%
• Stage 1 exclusion in 2015
• Anytime before attestation during the reporting period
year
12. MODIFIED STAGE 2 MEASURES
7. Medication Reconciliation – over 50%
• Stage 1 exclusion in 2015
8. Patient Electronic Access to Health Information – 50%
have access, and 1 patient views
• Stage 1 exclusion for 2nd measure in 2015
• 1 patient views, downloads or transmits in 2015 and 2016
• 5% access in 2017
9. Secure Message
• Stage 1 exclusion in 2015
• Function enabled in 2015, 1patient in 2016 & 5% in 2017
• Provider initiated messages should be counted
13. MODIFIED STAGE 2 MEASURES
10. Public Health Reporting - EP’s must meet 2, EH’s and CAH’s must meet 3
Measure Number & Name Measure Specification
Measure 1 – Immunization
Registry Reporting
The EP, EH or CAH is in active engagement with a public
health agency to submit immunization data.
Measure 2 – Syndromic
Surveillance Reporting
The EP, EH or CAH is in active engagement with a public
health agency to submit syndromic surveillance data.
Measure 3 – Specialized
Registry Reporting
The EP, EH or CAH is in active engagement with a public
health agency to submit data to a specialized registry.
Measure 4 – Electronic
Reportable Laboratory
Results Reporting
The EP, EH or CAH is in active engagement with a public
health agency to submit Electronic Laboratory Results.
14. If you were in Stage 1 for 2015, there are alternate
options & exclusions for Modified Stage 2.
Measure Alternative/Exclusion
CDS Rules Attest to 1 rule + Drug and Allergy Warnings
CPOE Attest to 30% Medication, No Lab or X-ray
eRx Attest to > 40%
Summary of Care Exclude if you were not intending to attest to this.
Patient Education Exclude if you were not intending to attest to this
Medication Reconciliation Exclude if you were not intending to attest to this
View, Download and Transmit (Portal) Exclude from the second part of the measure
Secure Messaging Exclude - it was not required for Stage 1 providers
Registry Reporting May attest to only one measure
15. Will I be able to attest in 2015
with my 2014 Edition CEHRT?
• YES! No changes have been made to the ONC CEHRT
requirements for objectives and measures of meaningful use
for EHR reporting periods in 2015 through 2017.
• Providers continue to use technology certified to the 2014
Edition for EHR reporting period in 2015 and subsequent
years until they transition to health information technology
certified to the 2015 Edition that is required for EHR
reporting period in 2018.
Note: Providers may upgrade early to technology certified to the 2015 Edition for EHR
reporting period prior to 2018 as outlined in final rule.
16. PAYMENT ADJUSTMENTS!
If a provider incurs a payment adjustment in 2016 for
not meeting meaningful use in 2014, the provider’s
Medicare claims will be adjusted by 2% for claims
rendered between 1/1/2016 and 12/31/2016.
If the same provider successfully attests to meaningful
use in 2015, they will avoid the 3% payment adjustment
to their 2017 Medicare claims.
Note: Per Vidya
P.
Sellappan,
CMS,
Center
for
Clinical
Standards
and
Quality
(CCSQ)
17. • Contact
ALREC
regardless
of
your
stage
of
Meaningful
use
• ALREC
will
work
with
you
to
determine
needs
for
upgrading
to
and/or
adhering
to
a
2014
EHR
CerBficaBon
Standards
• ALREC
will
support
you
in
achieving
and
aFesBng
to
MU
objecBves
How to Get Customized Local Assistance!
!
19. Contact Information
ALREC
775 North University BLVD
TRP II, Suite 250
Mobile,AL 36608
www.al-rec.org
Main: (251) 414-8170
Fax: (251) 414-8171
The Alabama Regional Extension Center is
proud to be part of the Center for
Strategic Health Innovation (CSHI) in the
College of Medicine at the University of
South Alabama.
