The webinar provided information about the updated Meaningful Use requirements for 2015 including: - All providers must now complete a 90-day reporting period in 2015 and are considered to be in Stage 2 of Meaningful Use. - The objectives and measures were simplified into 10 objectives from the previous core and menu measures structure. - Key changes included reducing patient engagement measures and eliminating some data entry measures. - Providers were advised on how to successfully attest using the Practice Fusion EHR platform and what documentation is required to prove Meaningful Use achievement or applicable exclusions.

1. Meaningful Use Webinar
Meet the updated requirements and attest
successfully with Practice Fusion

2. History
2
+ Meaningful Use program was created in 2009 from the
HITECH Act as part of the American Reinvestment and
Recovery Act
+ MU started in 2011, and was designed to have 3 stages
2
Stage
1
Stage
2
Stag
e 3
Data
capture
and
Advance
clinical
processes
Improved
outcomes

3. Background
3
+ The Center for Medicare and Medicaid Services (CMS)
recently finalized Stage 3 requirements
+ CMS decided to also change existing Stage 1 and Stage 2
requirements
 Didn’t align with Stage 3
 Provider feedback and poor Stage 2 performance
3

4. Top 5 Changes to MU
4
1) Every provider will have completed a 90-day reporting period
for the 2015 reporting year.
2) All providers are now in Stage 2 of Meaningful Use — in
2015, providers that were previously in Stage 1 completed a
“Modified Stage 2”.
3) The core and menu measures have been simplified into 10
“Objectives.”
4) The Stage 2 measures that required patient engagement
have been greatly reduced.
5) Many data-entry measures have been eliminated.

5. Eligible Professionals in the EHR Incentive Program
5
+ Eligibility Guidelines
 You qualify individually
 You practice in the outpatient setting
 You may only participate in one program
+ Medicare
 Receive Medicare Part B reimbursements
+ Medicaid
 Meet 30% patient volume threshold (20% for pediatricians)
 *Meet 30% “needy individual” patient volume
Medicare Medicaid
Doctors of medicine
or osteopathy
Doctors of medicine
or osteopathy
Doctors of dental
surgery or dental
medicine
Nurse practitioner
Doctor of podiatry Certified nurse-
midwife
Doctor of optometry Dentist
Chiropractor *Physician assistant
Furnishes services in a
Federally Qualified Health
Center or Rural Health Clinic
lead by a physician assistant

6. Reporting Periods
6
+ All providers in 2015 complete a 90 day reporting period
+ Full year reporting periods resume in 2016
+ Any first year Medicaid participant completes a 90 day reporting period
+ A first year Medicare participant will complete a 90 day reporting period
in 2015 and 2016

7. Modified Stages
7
+ Stage 2 providers remain in
Stage 2 for 2015 and 2016
+ Stage 1 providers are in
“Modified Stage 2” for 2015
and Stage 2 in 2016
+ All providers can choose to
complete Stage 3 in 2017
or remain in Stage 2
+ Stage 3 is mandatory for all
in 2018

8. Objective 1: Protect Patient Health Information
8
Stage 2 Measure Practice Fusion Workflow
Conduct or review a security risk
analysis in accordance with the
requirements in 45 CFR 164.308(a)(1)
and correct identified security
deficiencies as part of the provider’s
risk management process.
None, measure is completed outside of
Practice Fusion.
*Please hold onto any documentation to prove you met this measure for 6 years*

9. Objective 2: Clinical Decision Support
9
Stage 2 Measure Practice Fusion Workflow
Measure 1: Implement 5 clinical
decision support interventions related to
four or more clinical quality measures at
a relevant point in patient care for the
entire reporting period.
Enable at least 5 CDS settings for the
entire reporting period (linked from
Meaningful Use dashboard).
Measure 2: Enable functionality for
drug-drug and drug-allergy interaction
checks for the entire reporting period.
Enable at least 1 drug interaction and
drug allergy alert (severe) in settings
(linked from Meaningful Use
dashboard).

10. Objective 3: Computerized Provider Order Entry (CPOE)
10
Stage 2 Measure Practice Fusion Workflow
Use computerized provider order entry
(CPOE) to record the following items
during your reporting period:
Measure 1: More than 60% of
medication orders
Record all medication orders in Practice
Fusion.
Measure 2: More than 30% of lab
orders
Record all lab orders in Practice
Fusion.
Measure 3: More than 30% of radiology
orders
Record all imaging orders in Practice
Fusion.

11. Objective 4: Electronic Prescribing
11
Stage 2 Measure
More than 50% of all permissible
prescriptions written are queried for
a drug formulary and transmitted
electronically.
Practice Fusion Workflow
Use Practice Fusion to e-prescribe
all medications.

12. Objective 5: Health Information Exchange
12
Stage 2 Measure
Create and provide an electronic
summary of care record for more
than 10% of transitions to another
setting or provider of care.
Practice Fusion Workflow
Create a clinical summary and
attach it to your electronic referrals
to a verified Practice Fusion provider
or a provider with a Direct address.

13. Objective 6: Patient-Specific Education
13
Stage 2 Measure Practice Fusion Workflow
Provide patient-specific education
resources identified by the EHR for
more than 10% of all unique patients
with office visits seen during the
reporting period.
Click the patient education button at the
bottom of any diagnosis, medication, or
lab and provide the education to the
patient.

14. Objective 7: Medication Reconciliation
14
Stage 2 Measure Practice Fusion Workflow
Perform medication reconciliation for
more than 50% of transitions of care in
which the patient is transitioned into
your care.
Reconcile the medication list of all new
patients or patients coming from
another setting or provider in the chart
note.

15. Objective 8: Patient Electronic Access (VDT)
15
Stage 2 Measure Practice Fusion Workflow
Measure 1: Provide more than 50% of
all unique patients seen during the
reporting period timely access to view
online, download, and transmit to a
third party their health information.
Invite all patients to the patient portal
within 4 business days of the date of
service.
Measure 2: At least 1 patient seen by
the provider during the reporting period
views, downloads or transmits his or
her health information to a third party
during the reporting period.
Walk one patient through enrolling in
Patient Fusion.

16. Objective 9: Secure Messaging
16
Stage 2 Measure
Send a secure message using
the electronic messaging
function to at least 1 patient
during the reporting period.
Practice Fusion Workflow
Enable secure messaging and
send one patient a secure
message.

17. Objective 10: Public Health
17
Stage 2 Measure (Meet 2) Practice Fusion Workflow
Measure 1: Immunization Registry Reporting
The provider is in active engagement with a
immunization registry to submit
immunization data.
Connect with your immunization registry in
Practice Fusion’s settings and begin
transmitting immunizations.
Measure 2: Syndromic Surveillance
Reporting
The provider is in active engagement with a
public health agency to submit syndromic
surveillance data.
Export the syndromic surveillance file and
upload it to your local public health registry, if
they have interest in outpatient data.
Measure 3: Specialized Registry Reporting
The provider is in active engagement to
submit data to a specialized registry.
None, this measure must be met outside of
Practice Fusion currently.

18. Objective 10 Public Health Exclusions
18
+ Immunization Registry Reporting
 Providers who administer immunizations should use Practice Fusion’s immunization
registry integration feature
 See the Knowledge Base article for more details on exclusion criteria
+ Syndromic Surveillance Reporting
 Exclusion: Is not in a category of providers from which ambulatory syndromic
surveillance data is collected by their jurisdiction's syndromic surveillance system
 Alternate Exclusion for 2015: If provider didn’t intend to attest to the menu measure
+ Specialized Registry Reporting
 Practice Fusion does not support (optional for certification)
 Providers may use electronic submission methods beyond the functions of CEHRT
to meet the requirements
 Alternate Exclusion for 2015: If provider didn’t intend to attest to the menu measure
+ Source: CMS FAQ

19. CQM Requirements in 2015
+ Requirement: Report at least 9 CQMs that relate to at least
3 National Quality Strategy (NQS) domains:
+ CMS selected 9 recommended CQMs for adult and pediatric
populations
 Practice Fusion supports 9 recommended adult CQMs and
CQMs that cover all 6 NQS domains
Patient and Family Engagement Patient Safety
Care Coordination Population and Public Health
Efficient Use of Healthcare Resources Clinical Processes/Effectiveness

20. Is Meaningful Use based on all patients?
20
+ You must record all patients you see, regardless of their
insurance, in the outpatient setting for Meaningful Use.
+ If you see patients in the hospital, you do not need to include
them in Practice Fusion for Meaningful Use.
+ At minimum, you must maintain more than 80% of your
patients in the certified EHR for Meaningful Use.

21. Deadlines
21
+ October 3, 2015
 The last possible start date for a 90 day reporting period in 2015
+ January 4, 2016
 Providers can begin attesting
+ February 29, 2016
 Attestation deadline

22. Attestation
22

23. + The process of legally declaring you have achieved
Meaningful Use by reporting information to CMS
+ You will report values for the following:
 Objectives and measures
 Clinical Quality Measures (CQMs)
+ Attestation is completed on the following websites:
 Medicare participants: CMS Registration and Attestation System
 Medicaid participants: State Medicaid program website
What is attestation?

24. + Medicare
 Deadline to attest for 2015 reporting year: February 29, 2016
+ Medicaid
 State Medicaid program deadlines may differ
 You should attest before February 29, 2016
When is the deadline to attest?

25. Preparing for attestation

26. + Maintain more than 80% of your patient records in Practice Fusion
during your reporting period
+ Confirm you achieved OR qualify for an exclusion to ALL the required
measures:
+ Sign notes for all patients seen during your reporting period in order to
see those visits reflected on the Meaningful Use Dashboard
Confirm you have achieved Meaningful Use
Modified Stage 2 Stage 2
10 Objectives 10 Objectives
At least 9 CQMs related to 3 NQS
Domains
At least 9 CQMs related to 3 NQS
Domains

27. + Proof of information exchanges (e.g. email confirmation) for
the following measures:
 Immunization registry data submission
 Syndromic surveillance data submission
 Specialized registry data submission
+ Security Risk Analysis
+ Documentation of any measure(s) for which you are not
using the Meaningful Use Dashboard
Documentation of Actions Completed Outside EHR

28. + Keep screenshots of functionality or reports from Practice
Fusion that are dated during your reporting period for the
following measures:
 Drug Formulary Checks (part of the eRx workflow)
 Drug-drug and drug-allergy interaction checks
 Clinical Decision Support
+ These screenshots serve as additional supporting
documentation in case of an audit
Screenshots for YES/NO measures

29. + Prepare any documentation needed to prove that you qualify
for an exclusion and save it for your records
+ The Meaningful Use Dashboard denominator values may
show that you qualify for an exclusion to a particular measure
 E.g. The denominator value for eRx is less than 100
Save Documentation for Exclusions

30. + The public health reporting measures are:
 Immunization registry data submission
 Syndromic surveillance data submission
 Specialized registry data submission
+ You must retain proof that you met or are excluded from the
measures for the purposes of an audit
 The proof will come from the registry or PHA, not Practice
Fusion
 Review the CMS specified measure exclusions and CMS FAQ
Public Health Objective Documentation

31. Print out your Meaningful Use Dashboard
Print out MU
Dashboard

32. + Located on your Meaningful Use Dashboard:
 Reporting period start & end dates
 Practice Fusion’s CMS certification ID
+ From your own records:
 Your NPPES credentials
 Individual NPI number
 Tax Identification Number (TIN)
Other Items to Keep Handy

33. Attesting to CMS

34. + Medicare: https://ehrincentives.cms.gov
+ Medicaid: Contact your individual state Medicaid program
Go to the CMS or Medicaid Attestation Portal

35. Begin your attestation
35
+ After logging in, proceed
to the Attestation tab and
select the “Attest” button

36. Select your Public Health Reporting Measures
36
+ The Meaningful Use Objectives will be listed,
and you will need to select which Public Health
Reporting measures you are attesting to

37. Review Objectives and Measures and Select Response
37

38. + Answer if exclusion
applies to you
+ Choosing “No” will
allow entry of measure
completion
Exclusions

39. + Choose 2nd option if reporting values from the MU Dashboard
 This will be an option for some of the patient-based measures
Patient Records

40. + Option 1: Electronic submission:
January 1, 2016 – February 29th, 2016
 Medicare EPs have the option to submit a full
year of data electronically to receive credit for
the EHR Incentive Program and the Physician
Quality Reporting System (PQRS) if using the
PQRS EHR reporting mechanism.
+ Option 2: Manual submission
 Submitting CQMs manually allows you to
complete your attestation
 Manual submission via attestation only allows
you to receive credit for the EHR Incentive
Program
Reporting Clinical Quality Measures
+ You will not receive an EHR Incentive
payment until your attestation is
complete and you have submitted your
CQM values.
+ Providers may choose to submit CQMs
manually and electronically

41. Confirm you have completed all categories
41

42. + Read the disclaimer and click on
Agree or Disagree
+ If you choose Agree and you
have met all Meaningful Use
objectives and measures, you will
receive the “Accepted Attestation”
submission receipt
Confirm Your Submission

43. + Keep your documentation for 6 years after you attest in case
of an audit
+ Print your MU Dashboard on the day you attest
+ Don’t wait until the last minute
+ Contact the EHR Incentive Program hotline if you have
technical difficulty: 888.734.6433
Things to remember

44. Resources
Meaningful Use Center
• Practicefusion.com/meaningfuluse
• Practicefusion.com/attest
Knowledge Base
• knowledgebase.practicefusion.com
Meaningful Use Dashboard

45. Thanks for your attention and engagement
Questions?
45