1. Health Communication Project Part 1 Diana Morah and Kevin Leung

2. Regional Extension Center Diana Morah And Kevin Leung 3. The healthcare systems is vastly changing and the use of electronic systems are in high demand. Is your facility looking to start implementing a new electronic health information system? 4. Since use of electronic medical recording is becoming vital, there are now resources available to make the startup to implementing an electronic health information system more attainable. 5. On February 17, 2009, President Barack Obama signed the American Recovery and Reinvestment Act (ARRA). Title XIII of ARRA, called the Health Information Technology for Economic and Clinical Health Act (HITECH). This act seeks to bolster health IT to improve the delivery of healthcare in the U.S. by incentivizing the implementation of EHRs and meaningful use of them. With various provisions and regulations, the Act provides assistance, tools, and resources to providers to allow for implementation and utilization of electronic health records. 6. HITECH Under the Medicare and Medicaid EHR Incentive Programs, eligible hospitals and critical access hospitals can receive incentive payments for showing that they have used certified EHR technology in ways that can positively impact patient care. In order to do this, hospitals must attest to the meaningful use of a certified EHR by reporting on: 13 required core objectives 5 of 10 menu set objectives 15 clinical quality measures 7. Meaningful Use To receive an EHR incentive payment, providers have to show that they are meaningfully using their EHRs by meeting thresholds for a number of objectives. All providers begin participating by meeting the Stage 1 requirements for a 90-day period in their first year of meaningful use and a full year in their second year of meaningful use. After meeting the Stage 1 requirements, providers will then have to meet Stage 2 requirements for two full years. 8. Meaningful use Stage 1 Meaningful use includes both a core set and a menu set of objectives that are specific to eligible professionals or eligible hospitals and CAHs. For eligible professionals, there are a total of 24 meaningful use objectives. To qualify for an incentive payment, 19 of these 24 objectives must be met: 14 required core objectives 5 objectives chosen from a list of 10 menu set objectives. `For eligible hospitals and CAHs, there are a total of 23 meaningful use objectives. To qualify for an incentive payment, 18 of these 23 objectives must be met: 13 required core objectives 5 objectives chosen from a list of 10 menu set objectives. 9. Meaningful Use Stage 2 On September 4th, 2012, CMS published a final rule that specifies the Stage 2 criteria that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to continue to participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. All providers must achieve meaningful use under the Stage 1 criteria before moving to Stage 2. 10. Examples of Eligible Professional (EP) Meaningful Use Core Measures Eligible Professional Core Objectives Generate and transmit permissible prescriptions electronically (eRx). Record the following demographics: preferred language, sex, race, ethnicity, date of birth. Record and chart changes in the following vital signs: height/length and weight (no age limit); blood pressure (ages 3 and over); calculate and display body mass index (BMI); and plot and display growth charts for patients 0-20 years, including BMI. Record smoking status for patients 13 years old or older. Incorporate clinical lab-test results into Certified EHR Technology as structured data. The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide a summary care record for each transition of care or referral. Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice. 11. Examples of Eligible Professional (EP) Meaningful Use Menu Measures Eligible Professional Menu Objectives Capability to submit electronic syndromic surveillance data to public health agencies except where prohibited, and in accordance with applicable law and practice. Record electronic notes in patient records. Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. Record patient family health history as structured data. Capability to identify and report cancer cases to a public health central cancer registry, except where prohibited, and in accordance with applicable law and practice. Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where prohibited, and in accordance with applicable law and practice. 12. Quality Reporting In addition to meeting the core and menu objectives, eligible professionals, eligible hospitals and CAHs are also required to report clinical quality measures. Eligible professionals must report on 6 total clinical quality measures: 3 required core measures (or 3 alternate core measures) and 3 additional measures (selected from a set of 38 clinical quality measures). Eligible hospitals and CAHs must report on all 15 of their clinical quality measures. 13. Eligible professionals can receive up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program. REGISTER NOW! Go to https://ehrincentives.cms.gov 14. References Meaningful use. (n.d.). Retrieved from https://www.himss.org/meaningfuluse Overview of eligible professional (ep) and eligible hospital types. (n.d.). Retrieved from https://ehrincentives.cms.gov/hitech/login.ac tion Ehr incentive programs. (n.d.). Retrieved from http://www.cms.gov/Regulations-and- Guidance/Legislation/EHRIncentivePrograms/i ndex.html?redirect=/EHRIncentivePrograms/5 0_Registration.asp