Download - Mastering Meaningful Use
Mastering Meaningful Use Is your practice ready?
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Presenter
Mike JonesManager Business Development, CureMD
Agenda
Meaningful Use overview
Preparing for Stage 2 Meaningful Use
Meaningful Use overview
Stage 1Data capture and sharing
Stage 2Advanced processes
Stage 3Improved outcomes
The promise of health care reform is higher quality care that leads to better health outcomes with a lower cost
Participants in Meaningful Use
As of February 2014
February 2014 EHR Registration and Payment Report
453,426 MU registeredcaregivers
Over $7.1 billion inincentive payments
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 between2011-2016
upgrade, maintenance and training
Up to a totalof $64K inPayments
Earn UpTo 44K Over 5 years
Penalties beginfor non-EHR users
Adopt an EHR
Now 2011
$10K
$20K
$30K
$40K
$50K
2012 2013 2014 2015
Up to a totalof $44K inPayments
$18k
$12k
$8k$8k $2k
Medicare
Must meet Stage 2 MU in 2014
Attested in 2011 or 2012?
Comparison
Stage 1 Stage 2
15 Core
17 Core
3 of 6 Menu
Higherthresholds
5 of 10Menu
More Core Measures
Fewer Menu Measures
Higher Thresholds
Similarity
CPOE
Demographics
Vitals
Smoking Status
Structured Labs
Patient Lists
Preventive Reminder
Clinical Summary
Patient Education
Medication Reconciliation
Immunizations
Syndromic Surveillance
Security Analysis
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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
New Measures
Secure Messages
(Core)
Imaging Results(Menu)
Family History(Menu)
Cancer Cases(Menu)
Specialized Registry(Menu)
Progress Notes
(Menu)
Must Be Certi�ed 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 �exibility
Providers pursuing MU in 2014 (Stage 1 or Stage 2) must use a 2014 certi�ed EHR
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 �rst year of MUThe MU reporting period were changed to allow time for upgrades
Preparing for Stage 2 MU
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 certi�cation approach
Upgrade to the certi�ed version of your EHR
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 certi�ed as a 2014 Edition Complete EHR
2014 certi�ed version of CureMD released to all practices at once
CureMD physicians will begin practicing Stage 2 MU on October 1, 2013
Step 1
Key Questions
1. Is your vendor able to deploy the 2014 Certi�ed 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?
Criteria Integrated within CureMD’s 5 Stage Patient Work�ow
Exit
CHECK IN INTAKE CHECKOUTSIGNOFFEXAM
Step 2Evaluate your current work�ow to maximize performance
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 speci�c conditions One One
Preventive Reminders Send reminders for preventative/follow -up care
20% patients, >65 years or <5 years
10% unique patients
Step 2Increase Stage 1 performance to meet Stage 2 thresholds
Objective (Core or Menu) Measure
Thresholds
Stage 1 Final Stage 2 Final
Clinical Summary Provide clinical summaries for patients for each o�ce visit 50%, 3 days
50%,1 business day
Patient Education Provide patient -speci�c education resources 10% 10%
Medication Reconciliation
Perform medication reconciliation at transitions of care 50% 50%
Security Analysis Conduct or review a security risk analysis Assess Assess
Step 2Increase Stage 1 performance to meet Stage 2 thresholds
HIE Mandate
Meaningful Use Objectives Requiring Health Exchange
2011
• Lab to provider
• Provider to pharmacy
• Provider to lab • Pharmacy to provider • O�ce to hospital & vice versa • O�ce to o�ce • Hospital/o�ce to public health
& vice versa • Hospital to patient • O�ce to patient & vice versa • Hospital/o�ce to reporting entities
2013
Performance on MU2 Behavioral MeasuresCovering 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%
Step 3Patient Engagement Strategy
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Clinical Summary
Patient Education
NEW! Patient Access
NEW! Secure Messaging
Step 3Patient Engagement Strategy
Implement a patient portal solution that allows patients to fully engage with their demographic, �nancial, and health information
Market your patient portal solution by highlighting the bene�ts to your patients
Make sure your patient portal is (or will be) 2014 MU certi�ed!
Step 3Patient Engagement Strategy
96% of our participating physicians attested to Medicare
MU in 2012
Thank You