Mastering Meaningful Use
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This webinar discusses how medical practices can prepare for Stage 2 Meaningful Use requirements. Stage 2 focuses on more advanced EHR use, including higher thresholds for existing objectives and new objectives like secure messaging. The presentation reviews key Stage 2 objectives and thresholds, considerations for EHR upgrades, assessing current workflows, and strategies for patient engagement like implementing a patient portal. Medical practices are encouraged to evaluate their EHR vendor's 2014 certification plans and ensure they will meet all Stage 2 requirements by 2014.
Mastering Meaningful Use
- 1. Mastering Meaningful Use Is your practice ready? Your Webinar will begin shortly Come visit us... www.curemd.com/uc14
- 2. Presenter Mike Jones Manager Business Development, CureMD
- 3. Agenda Meaningful Use overview Preparing for Stage 2 Meaningful Use
- 4. Meaningful Use overview Stage 1 Data capture and sharing Stage 2 Advanced processes Stage 3 Improved outcomes The promise of health care reform is higher quality care that leads to better health outcomes with a lower cost
- 5. Participants in Meaningful Use As of February 2014 February 2014 EHR Registration and Payment Report 453,426 MU registered caregivers Over $7.1 billion in incentive payments
- 6. Earn UpTo 64K Over 6 years Medicaid $25K Yr 1 $21,250 $8,500 $8,500 $8,500 $8,500 purchase, installation and training Yr 2 Yr 3 Yr 4 Yr 5 Yr 6 $35K $45K $55K $65K Total per provider Adopt between 2011-2016 upgrade, maintenance and training Up to a total of $64K in Payments
- 7. Earn UpTo 44K Over 5 years Penalties begin for non-EHR users Adopt an EHR Now 2011 $10K $20K $30K $40K $50K 2012 2013 2014 2015 Up to a total of $44K in Payments $18k $12k $8k $8k $2k Medicare
- 8. Must meet Stage 2 MU in 2014 Attested in 2011 or 2012?
- 9. Comparison Stage 1 Stage 2 15 Core 17 Core 3 of 6 Menu Higher thresholds 5 of 10 Menu More Core Measures Fewer Menu Measures Higher Thresholds
- 10. Similarity CPOE Demographics Vitals Smoking Status Structured Labs Patient Lists Preventive Reminder Clinical Summary Patient Education Medication Reconciliation Immunizations Syndromic Surveillance Security Analysis . . . . . . . . . . . . . eRx eRx, Drug Formulary Interventions Clinical Decision Support, Drug/Drug,Drug/Allergy Patient Access Timely Access, E-Copy of Health Information Summary of Care Summary of Care, Problems, Medications, Medications Allergies, Exchange Clinical Information . . . . Retained Stage 1 Measures Consolidated Stage 1 Measures
- 12. Must Be Certified for 2014 MU 2011 Edition Complete EHR 2014 Edition Complete EHR Base EHR MU 2 - Core MU 2 - Menu EHR modules hard to combine; less flexibility Providers pursuing MU in 2014 (Stage 1 or Stage 2) must use a 2014 certified EHR
- 13. Reporting Period 2011 2012 2013 2014 2015 2016 2011 1 1 1 2* 2 3 90 days Full year Full year Quarter Full year 2012 1 1 2* 2 3 90 days Full year Quarter Full year 2013 1 1* 2 2 90 days Quarter Full year Full year 2014 1 1 2 90 days Full year Full year Meaningful Use Start Year Reporting Period by Stage of Meaningful Use *Only for providers who are beyond their first year of MU The MU reporting period were changed to allow time for upgrades
- 14. Preparing for Stage 2 MU
- 15. Step 1 2013 2014 2Q 3Q 4Q 1Q 2Q 3Q 4Q Perform Stage 2 MU Upgrade EHR Practice Stage 2 MU Prepare for ICD -10 ICD-10 Compliance Understand your vendor’s 2014 certification approach Upgrade to the certified version of your EHR
- 16. 2013 2014 2Q 3Q 4Q 1Q 2Q 3Q 4Q Perform Stage 2 MU Upgrade EHR Practice Stage 2 MU Prepare for ICD -10 ICD-10 Compliance CureMD certified as a 2014 Edition Complete EHR 2014 certified version of CureMD released to all practices at once CureMD physicians will begin practicing Stage 2 MU on October 1, 2013 Step 1
- 17. Key Questions 1. Is your vendor able to deploy the 2014 Certified Edition to all clients at once? 2. Will your vendor certify as a Complete EHR or a Modular EHR? 3. Does the vendor provide MU support and training as part of the regular pricing without additional fees? 4. Do they provide the required interfaces for free and without interruption? How many connections? When will they be available?
- 18. Criteria Integrated within CureMD’s 5 Stage Patient Workflow Exit CHECK IN INTAKE CHECKOUTSIGNOFFEXAM Step 2 Evaluate your current workflow to maximize performance
- 19. Objective Measure Thresholds Stage 1 Final Stage 2 Final CPOE Use CPOE for medication, lab, and radiology orders 30% meds 60% meds, 30% labs & radiology eRx Generate and transmit permissible prescriptions electronically 40% 50% Demographics Record demographics 50% 80% Vitals Record and chart changes in vital signs 50% 80% Smoking Status Record smoking status for patients 13 years or older 50% 80% Interventions Implement CDS interventions at the point of care; enable drug/drug and drug allergy interaction checks One Five Structured Labs Incorporate lab results as structured data 40% 55% Patient Lists Generate lists of patients by specific conditions One One Preventive Reminders Send reminders for preventative/follow -up care 20% patients, >65 years or <5 years 10% unique patients Step 2 Increase Stage 1 performance to meet Stage 2 thresholds
- 20. Objective (Core or Menu) Measure Thresholds Stage 1 Final Stage 2 Final Clinical Summary Provide clinical summaries for patients for each office visit 50%, 3 days 50%,1 business day Patient Education Provide patient -specific education resources 10% 10% Medication Reconciliation Perform medication reconciliation at transitions of care 50% 50% SecurityAnalysis Conduct or review a security risk analysis Assess Assess Step 2 Increase Stage 1 performance to meet Stage 2 thresholds
- 21. HIE Mandate Meaningful Use Objectives Requiring Health Exchange 2011 • Lab to provider • Provider to pharmacy • Provider to lab • Pharmacy to provider • Office to hospital & vice versa • Office to office • Hospital/office to public health & vice versa • Hospital to patient • Office to patient & vice versa • Hospital/office to reporting entities 2013
- 22. Performance on MU2 Behavioral Measures Covering period : Q3 2014 44.8% 29.3% 52.9% 72.4% 100% 100% 100% 100% 100% 100% 100% 100% 81%94.8% 94.8% 93.1% 90.1% 82.8% 100%
- 23. Step 3 Patient Engagement Strategy
- 24. - Clinical Summary Patient Education NEW! Patient Access NEW! Secure Messaging Step 3 Patient Engagement Strategy
- 25. Implement a patient portal solution that allows patients to fully engage with their demographic, financial, and health information Market your patient portal solution by highlighting the benefits to your patients Make sure your patient portal is (or will be) 2014 MU certified! Step 3 Patient Engagement Strategy
- 26. 96% of our participating physicians attested toMedicare MU in 2012
- 27. Thank You