Preparation is the Key to Meaningful Use Success
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This document summarizes a presentation on preparing for meaningful use audits. It provides an overview of recent CMS updates to stage 2 meaningful use requirements, common stumbling blocks providers face, how to conduct a gap analysis, lessons from customer audit experiences, the benefits of mock audits, how intelligent medical objects can help with requirements, and an outlook on future stage 3 goals. Contact information is provided for attendees to ask questions or provide feedback through a post-webcast survey for a chance to win a gift card.
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Preparation is the Key to Meaningful Use Success
- 1. Technical Assistance: 978-674-8121 or Amanda.Howell@iatric.com Audio Options: Telephone: 1-647-497-9387 | Access Code: 427-057-706 Computer Microphone & Speakers This teleconference will be muted while we wait for all attendees to join. Thank you for your patience. Welcome! Preparation is the Key to Meaningful Use Success Presented by: Kay Jackson (978) 805-3104 Kay.Jackson@iatric.com Cindy Paul (978) 674-5927 Cindy.Paul@iatric.com
- 2. Technical Assistance •Call 978-674-8121 •Email amanda.howell@iatric.com How you can participate today •Collapse and expand your Control Panel •Select your preferred audio mode •Submit text questions Survey •Please complete the short survey at the end of the webcast. Your feedback is important to us! Webcast Guidelines
- 3. Our Presenters Kay Jackson Manager, Software Certification, Compliance Application Software Iatric Systems, Inc. Kay.Jackson@iatric.com Cindy Paul Consultant Professional Services Iatric Systems, Inc. Cindy.Paul@iatric.com Mike Elvin Consultant Professional Services Iatric Systems, Inc. Mike.Elvin@iatric.com
- 4. Agenda Recent updates from CMS and what they mean to you Stumbling Blocks for Stage 2 Meaningful Use Gap Analysis – do you know where you stand? Audits: Customer Examples and How to Prepare Mock Audits and Beyond Intelligent Medical Objects (IMO) – what you need to know for Meaningful Use A look ahead at MU3
- 5. Recent Updates from CMS Stage 2 NPRM- Meaningful Use proposed change for 2014 http://1.usa.gov/1pndpQQ
- 6. Recent Updates from CMS Stage 2 • 5/27/14 - CMS published a new proposed rule that would let providers use 2011 Edition CEHRT or a combination of 2011 and 2014 CEHRT for the reporting period in 2014 • Beginning 2015 all would be required to report using 2014 CEHRT • 60 Day comment period before final rule is determined – comments due by July 21 • You have the opportunity to comment – 636 comments received (as of 7/17/14) • Expected to announce the final rule Sept 1 • To Comment, go here: http://1.usa.gov/1pndpQQ
- 7. Where does the NPRM Stand? http://1.usa.gov/1pndpQQ
- 8. CEHRT NPRM Tool Stage 2 Proposed Rule http://go.cms.gov/1jRHwcgf
- 9. What should your team do? Stage 2 Proposed Rule 1. Review the changes and make comments by 7/21 2. Review the chart and consider a Plan B 3. Move forward with Plan A, but make sure Plan B is ready 4. Use the CEHRT NPRM tool to validate your Plan B
- 10. CQM 2014 Questions and Answers • Are we required to submit eCQM data if we reported by the aggregate method via the CMS attestation tool? Answer: No, it’s not required • What is QRDA Cat 3 vs. QRDA Cat 1? • When are the 2015 rules going to be out? Answer: 2015 rules are expected to be published in August 2014 • What final advice do you have for 2014 CQMs? Answer: Be prepared — all coding ready
- 11. Stumbling Blocks • Patient Portal- what does CMS really want you to track for providing access to the portal? The CMS definition of “access” for this measure explicitly states that a patient has access when they possess “all of the necessary information needed to view, download, or transmit their information.” If the patient does not have “access,” the information cannot be considered “available” to the patient. Having a data feed to a portal without telling patients how to access the portal doesn’t count. Response from: Erica Galvez, MA Stage 2
- 12. For Patient Portal View before discharge
- 13. Must have VDT to count patient Stage 2
- 14. Stage 2 Core 12 Keys to Success • Core 12.1 — can be both paper and electronic • Core 12.1 and Core 12.2 — can limit by discharge disposition code • Is your HIE or HITSP ready? • Direct Mailbox • Message Delivery Notification
- 15. Why there are Meaningful Use “Gaps” • Meaningful Use “takes a village” • Most hospitals have limited resources in one area or another • Project management is often difficult and costly to the hospital • MU requires C-level buy-in
- 16. Conducting a Meaningful Use Gap Analysis • Offers guidance and suggestions for best practices in MU objectives and data capture • Provides “Gap Analysis Report” to identify specific areas of improvement to meet CMS regulations
- 17. Audits: Customer Experiences • Audits becoming more frequent and Congress requests more than 1 in 20 providers • I am seeing more and more the person who did the attestation is no longer at the hospital — email audit notification • Remember the 5 Stage 1 MUST haves — retain for 6 years: • Letter from all providers of software used in the CHPL process • Letter to explain your Method • Supporting documentation for Cores 1,3,4,5,6,7,8, 11 and 12-report from your EHR system that ties to the attestation numbers • Proof of the security risk analysis- see CMS document for expectations — remediation plan is key • Supporting documentation for Menu 2,3,5,6 and 7 that were used to attest as well supporting documentation for Menu 4,8,9,or 10 Lessons Learned
- 18. Audits: Customer Experiences • Are you prepared to respond to a audit? If you fail what happens? • Security Risk Analysis: Resource: CMS Guide to Privacy and Security of Health Information Lessons Learned
- 19. Audits: How to Prepare • Plan “when we are audited, not if” • Have at least three team members that know where everything to support the audit is located • When you attest — have an Attestation Team • Watch for Notice:
- 20. Audit Concerns • Many hospitals believe they are ready… • Need to be certain all objectives are well documented • Often hospitals have holes that are uncovered during actual audit • Audit places strain on staff during process
- 21. Mock Audits Benefits of a Mock Audit from a third party: •Team of experts have prior experience •Ensures proper documentation is provided •Experts are able to view entire MU reporting similar to actual audit •Offer tips on how to best handle audit to maintain staff efficiencies
- 22. Going Beyond Mock Audits Reach beyond MU with patient experience: •Are patients using their portal or HIE? •Are they satisfied with physician/provider communication after their stay? •Were their discharge instructions adequate? Did they receive a callback? •Are they supplied with specific, comprehensive educational resources? •Is there room for improvement with available HIT applications?
- 23. Intelligent Medical Objects • Intelligent Medical Objects (IMO): partnership with EHR vendors to standardize medical terminology • IMO integration is essential to populate accurate: • Problem Lists • CQM reporting • Data fields for CCD, Public health reporting, Patient Portal and correct abstract/billing
- 24. Help for IMO • Working with IMO can take up to 6 months • 3rd Party Vendor can cut this time to 2-3 months • Familiarity with IMO implementation steps and procedures • Additional benefits: • First-time accuracy reconciling terms • ROI by reduced internal resources required for IMO • External experts have IMO experience
- 25. Stage 3 EH Delayed until 10/1/16 Stage 3 Goal is to improve outcomes: • Hospitals must receive provider-requested, electronically submitted patient-generated health information through either structured questionnaires or input from patients • Hospitals to send electronic notifications of significant healthcare events to a patient’s care team—such as their primary care provider, referring provider, or care coordinator — within four hours of the event. Significant events that would trigger a notification include: • Arrival to ED • Admission to hospital • Discharge from ED or hospital • Death http://bit.ly/1sz1e4Y
- 26. Q & A
- 27. Meaningful Use Contact Us | Survey Survey says: Please take the survey that appears when you close your Internet Browser after this webcast. You could win a $100 Amazon.com Gift Card. Follow us: For more information: Please contact your Iatric Systems Account Executive or send an email to info@iatric.com Thank you for attending!
Editor's Notes
- Leading Meaningful Use preparedness is an overwhelming experience! It takes a village…Hospital IS staff, Clinical Analysts, Nursing Staff, Quality Improvement staff, Medical Records, Admissions, Abstracting & Coding, just to name a few. Many hospitals are limited in staff resources and time to manage this imperative initiative.
- Project Management can be simplified with the help of consulting services. Consultants will interview team members to assess MU readiness Consultants will offer guidance & suggestions for best practices in accomplishing MU objectives & capturing data Consultants will provide a Gap Analysis report to identify areas for improvement to meet CMS regulations
- Kay – customer stories (customer story: person that did the attestation is no longer there)
- Kay – we will send CMS Guide to Privacy and Security of Health Information
- Kay (verify where this screenshot is from? CMS website?)
- Cindy - Hospitals may believe they’re ready for a Meaningful Use audit…but is there the certainty that all objectives are well documented & confidence that you’ll pass an audit?
- Cindy
- Cindy
- Cindy: Intelligent Medical Objects – partnership with EHR vendors to standardize medical terminology for Meaningful Use reporting. IMO integration is essential to populate accurate Problem Lists, CQM reporting, and data fields required for the CCD (Continuity of Care Document), Public Health reporting, Patient Portal, and correct abstracting/billing. When hospital IS staff work with Meditech & IMO Project Managers, implementation & reconciliation of terms can take up to 6 months, depending on staffing resources. Working with an outside vendor can reduce this time to 2-3 months Project Management & consulting offers expertise for first time accuracy when reconciling terms Project Management will provide Return of Investment up front, saving hospital staff from extra meetings & overtime costs which could result from the extra time necessary for IMO implementation Project Management consultants are familiar with IMO implementation steps & procedures
- Cindy: Intelligent Medical Objects – partnership with EHR vendors to standardize medical terminology for Meaningful Use reporting. IMO integration is essential to populate accurate Problem Lists, CQM reporting, and data fields required for the CCD (Continuity of Care Document), Public Health reporting, Patient Portal, and correct abstracting/billing. When hospital IS staff work with IMO Project Managers, implementation & reconciliation of terms can take up to 6 months, depending on staffing resources. Working with an outside vendor can reduce this time to 2-3 months Project Management & consulting offers expertise for first time accuracy when reconciling terms Project Management will provide Return of Investment up front, saving hospital staff from extra meetings & overtime costs which could result from the extra time necessary for IMO implementation Project Management consultants are familiar with IMO implementation steps & procedures
- [Kay to bring up Cindy’s experince]