Webinar: Structured attestation to meaningful use stage 2
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The document provides an overview of a webinar on achieving meaningful use stage 2 for healthcare providers, focusing on the meaningful use program initiated by CMS to incentivize the use of certified EHR technology. It outlines the prerequisites, core objectives, and steps necessary for providers to successfully attest to meaningful use, including upgrading EHR systems and creating patient engagement plans. Finally, it emphasizes the importance of ongoing reporting and documentation to prevent Medicare payment adjustments.
Webinar: Structured attestation to meaningful use stage 2
- 1. © Harbinger Systems | www.harbinger-systems.com Welcome to the Webinar on Structured Attestation to Meaningful Use Stage 2 By Harbinger Systems
- 2. © Harbinger Systems | www.harbinger-systems.com Panellists Sachin Katariya Business Development Harbinger Systems Pankaj Ojha Deputy General Manager – Projects Harbinger Systems 2
- 3. © Harbinger Systems | www.harbinger-systems.com Agenda • Meaningful use program • Stages of Meaningful Use • Steps/approach to achieve MU 2 – Prerequisite – Determine your starting point – Draw your timeline – Upgrade your EHR and implement required core and menu objectives – Integrate Meaningful Use measures into your workflow – Create your patient engagement plan • Q&A 3
- 4. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Program • Meaningful Use certification is a program initiated by Centers for Medicare & Medicaid Services (CMS) to encourage healthcare providers to show ‘meaningful use’ of a Certified EHR technology. Eligible providers who do so receive incentive payments under CMS Incentive Programs . • Ultimately it helps in achieving following: – Promote the widespread adoption of electronic health records systems – Improve quality, safety, efficiency, and reduce health disparities – Engage patients and family – Improve care coordination, and population and public health – Maintain privacy and security of patient health information 4
- 5. © Harbinger Systems | www.harbinger-systems.com Stages of Meaningful Use Program 5 Source: cms.gov
- 6. © Harbinger Systems | www.harbinger-systems.com Meaningful Use stage 2 • To demonstrate meaningful use under Stage 2 criteria: – EPs - 17 core objectives & 3 out of 6 menu objectives – Eligible hospitals and CAHs - 16 core objectives and 3 out of 6 menu objectives – In 2014, regardless of MU stage, all providers also need to demonstrate report on Clinical Quality Measures (CQMs). EPs - 9 out of 64 CQMs and EHs and CAHs report 16 measures. – Medicare providers need to demonstrate two years of meaningful use under the Stage 1 criteria before advancing to the Stage 2 criteria in their third year. – In 2014, all providers regardless of their stage of meaningful use are only required to demonstrate meaningful use for a three-month EHR reporting period. 6
- 7. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Prerequisites • Determine your eligibility – http://cms.gov/apps/ehealth-eligibility/ehealth-eligibility-assessment- tool.aspx • Prepare for registration – Verify the CMS check-list • Register at https://ehrincentives.cms.gov • Check certification of your EHR system at http://oncchpl.force.com/ehrcert • Get your CMS EHR certification ID at http://healthit.hhs.gov/chpl 7
- 8. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach Here are the high level steps or approach to successfully bring your practice through the Meaningful Use program and beyond: – Determine your starting point – Draw your timeline – Update your EHR system – Bring Meaningful Use measures into your workflow – Create your patient engagement plan 7
- 9. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (1/5) • Determine your starting point – Access your current system or state – Attested for Stage-1? – Core and Menu objectives – It’s never too late 8
- 10. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (2/5) • Draw your timeline – Timeline Vs Incentive 9 Source: cms.gov
- 11. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (3.1/5) • Update your EHR system – Must have a 2014 certified EHR – Need implementation for modules like Patient Portal, Secure Patient Messaging, e-Prescribing, Electronic Medication Administration Record, Electronic Notes, Clinical Quality Measures – Stage 2 Quality Reporting – 113 Proposed Measures for Hospitals and Providers – Increased Interoperability: Order and Results exchange electronically, Electronically Transmit a summary of care record – Exchange requirements - The Direct Project, Discharge summaries, CCD’s, Referrals , CCDA, Transport protocols 10
- 12. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (3.2/5) • Example: Direct Project Implementation (1/2) – Direct Project implementation is responsible for packaging message content, securing it, and transporting it from one location to another. – Content is packaged using MIME (Multipurpose Internet Mail Extensions) protocol. – Confidentiality and integrity of the content is handled through S/MIME encryption and signatures. – Authenticity of the Sender and Receiver is established with X.509 digital certificates. – Routing of messages is handled through SMTP. – Supporting 3 XML standard format, those are CCDA, C32 and CCR – Test your EHR’s alignment with MU 2 compliances using Transport Testing Tool (TTT) 10
- 13. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (3.2/5) • Example: Direct Project Implementation (2/2) – Secure patient health information exchange • Transition of care (ToC) - Two 2014 Edition EHR certification criteria – Transitions of care — receive, display, and incorporate transition of care/referral summaries – Transitions of care — create and transmit transition of care/referral summaries. • Transport – Direct (required) – Direct + XDR/XDM (optional, not alternative) – SOAP + XDR/XDM (optional, not alternative) 10
- 14. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (3.3/5) • Transport Testing Tool (TTT) – Developed by National Institute of Standards and Technology (NIST) – A tool to test the transport and content related standards – Validation results are rendered to users in XML format. Non - conformant segments also trigger error and warning messages (user readable) within the Tool. – Web and Local interface to access TTT tool. – Supported only on Linux based operating systems 11
- 15. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (3.4/5) • Example: ePrescribing OR Digitize prescription management process from hospitals to pharmacists • Generate prescribe information by placing an order • Sign the order using electronic signature • Store prescribe data in database • JAXB implementation for generating e-prescribe XML. • Used JMS queue to push e-prescribe XML • Sending XML to pharmacy • Testing tool - http://erx-testing.nist.gov/ 10
- 16. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (4/5) • Bring Meaningful Use measures into your workflow – To make sure the right person is doing right work, and to bring the right information to the right provider at the point of care. – Provide training or awareness of new workflow to all stakeholders 12
- 17. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – Approach (5/5) • Create your patient engagement plan – Stage 1 - provide timely access to patient information. – Stage 2 - patient engagement and empowerment. – Measurable criteria • More than 5 % patients should view, download, or transmit to a third party their health information. • A secure message must be sent using the electronic messaging function of Certified EHR Technology by more than 5 percent of unique patients seen by an EP during the EHR reporting period. – Leverages technology, such as an online patient portal – Promote the portal so patients know about it, understand why it is beneficial, and use it. 13
- 18. © Harbinger Systems | www.harbinger-systems.com Meaningful Use Stage 2 – What next? • Attest that you have met the thresholds and all of the requirements of the Medicare or Medicaid EHR Incentive Programs. • Retain proper documentation in case of an audit. You may be audited prior to receiving payment. • Continue reporting meaningful use data every year, and avoid Medicare payment adjustments. 13
- 19. © Harbinger Systems | www.harbinger-systems.com Q & A 15
- 20. © Harbinger Systems | www.harbinger-systems.com Thank You! Visit us at: www.harbinger-systems.com Write to us at: hsplinfo@harbingergroup.com Blog: blog.harbinger-systems.com Twitter: twitter.com/HarbingerSys (@HarbingerSys) Slideshare: slideshare.net/hsplmkting Facebook: facebook.com/HarbingerSys LinkedIn: linkedin.com/company/harbinger-systems 16