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Meaningful Use 
Update 8-29-14 
The impact of “the ruling”
For clarity’s sake: 
• STOP thinking about MU in terms of Stage 
• START thinking about MU in terms of Year + Stage
Providers: 
• Attest on a yearly basis: 
• What year is it? 
• What stage am I doing this year? 
• What are the measures/objectives specific to my 
Year + Stage! 
• What EHRs can I use to attest?
EHR Technology 
• 2011 Certified version! 
• Providers used this to attest in 2011, 2012, 2013, 
and maybe 2014 
• 2014 Certified version! 
• Providers will use this to attest in 2015 & 2016, 
and maybe 2014
EHR Technology 
• STOP thinking about “Stage 2 certified” technology 
• START thinking about “2014 certified” technology 
• Certified for both 2014 Stage 1 and 2014 Stage 2
2013 Stage 1 ≠ 2014 Stage 1 ≠ 2014 Stage 2 
Navigating Cancer can help clinics do any of the above
The Ruling 
Providers have 3 options for attesting in 2014:! 
• Use 2011-certified technology to repeat 2013 Stage 1 
• Use 2014-certified technology to do 2014 (Stage 1 or 2) 
• Use a mix of 2011 and 2014 technology to do one of: 
• 2013 Stage 1 
• 2014 Stage 1 
• 2014 Stage 2
Our recommendations
As of right now, have you upgraded 
to a 2014-certified EMR?
NO? 
We recommend:! 
1. For attestation in 2014, re-do 2013 (i.e. use your current 
technology to attest for 2013 Stage 1 measures) 
2. Start getting ready for 2015: 
• Capture emails & drive portal registrations 
• Turn on Secure Messaging (contact us if you haven’t already) 
• Get on your EMR’s upgrade schedule
YES? 
1. Contact us ASAP if you haven’t already 
2. Even though both NC and your EMR are 2014-certified, we 
need to make sure ALL required MU 2014 PHR data is 
flowing from your EMR into your portal 
• This applies to both 2014 Stage 1 and 2014 Stage 2 
• This directly impacts Timely Access, View/Download/ 
Transmit, and Clinical Summaries 
3. For attestation, consider doing 2013 Stage 1 or 2014 Stage 
1 unless you’re very confident in meeting Stage 2 measures
Remember 
• The ruling DOES allow a Provider to mix & match technologies: 
• Use a 2011-certified EMR for some measures 
• Use a 2014-certified EMR (like Navigating Cancer) for other measures 
• The ruling DOES NOT allow a Provider to mix & match measures… they 
must: 
• Do ALL measures from 2013 Stage 1, 2014 Stage 1, or 2014 Stage 2 
• 2015 is coming soon! 
• Providers must use ONLY 2014-certified EMRs 
• Attestation period is 365 days (not 90 days like in 2014)

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Meaningful Use Update on 2014 Certification and Attestation Options

  • 1. Meaningful Use Update 8-29-14 The impact of “the ruling”
  • 2. For clarity’s sake: • STOP thinking about MU in terms of Stage • START thinking about MU in terms of Year + Stage
  • 3. Providers: • Attest on a yearly basis: • What year is it? • What stage am I doing this year? • What are the measures/objectives specific to my Year + Stage! • What EHRs can I use to attest?
  • 4. EHR Technology • 2011 Certified version! • Providers used this to attest in 2011, 2012, 2013, and maybe 2014 • 2014 Certified version! • Providers will use this to attest in 2015 & 2016, and maybe 2014
  • 5. EHR Technology • STOP thinking about “Stage 2 certified” technology • START thinking about “2014 certified” technology • Certified for both 2014 Stage 1 and 2014 Stage 2
  • 6. 2013 Stage 1 ≠ 2014 Stage 1 ≠ 2014 Stage 2 Navigating Cancer can help clinics do any of the above
  • 7. The Ruling Providers have 3 options for attesting in 2014:! • Use 2011-certified technology to repeat 2013 Stage 1 • Use 2014-certified technology to do 2014 (Stage 1 or 2) • Use a mix of 2011 and 2014 technology to do one of: • 2013 Stage 1 • 2014 Stage 1 • 2014 Stage 2
  • 9. As of right now, have you upgraded to a 2014-certified EMR?
  • 10. NO? We recommend:! 1. For attestation in 2014, re-do 2013 (i.e. use your current technology to attest for 2013 Stage 1 measures) 2. Start getting ready for 2015: • Capture emails & drive portal registrations • Turn on Secure Messaging (contact us if you haven’t already) • Get on your EMR’s upgrade schedule
  • 11. YES? 1. Contact us ASAP if you haven’t already 2. Even though both NC and your EMR are 2014-certified, we need to make sure ALL required MU 2014 PHR data is flowing from your EMR into your portal • This applies to both 2014 Stage 1 and 2014 Stage 2 • This directly impacts Timely Access, View/Download/ Transmit, and Clinical Summaries 3. For attestation, consider doing 2013 Stage 1 or 2014 Stage 1 unless you’re very confident in meeting Stage 2 measures
  • 12. Remember • The ruling DOES allow a Provider to mix & match technologies: • Use a 2011-certified EMR for some measures • Use a 2014-certified EMR (like Navigating Cancer) for other measures • The ruling DOES NOT allow a Provider to mix & match measures… they must: • Do ALL measures from 2013 Stage 1, 2014 Stage 1, or 2014 Stage 2 • 2015 is coming soon! • Providers must use ONLY 2014-certified EMRs • Attestation period is 365 days (not 90 days like in 2014)