electronic health record incentive payment program stage i meaningful use reporting
TRANSCRIPT
Electronic Health Record Incentive Payment Program
Stage I Meaningful Use Reporting
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Agenda
• Welcome and Introductions• Overview of Stage I Meaningful Use
performance measure requirements• Navigating the MAPIR application• Question and Answers
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Introductions
• Thomas Novak, CMS Regional Officer, HITECH • Kathy Rivard, Regional Extension Center (REC),
Quality Insights, Delaware• Randy Farmer, Delaware Health Information
Network (DHIN), Provider Relations• Provider Incentive Payment Team, Hewlett
Packard Enterprise Services (HPES) Delaware
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Status of DHIN-EMR Interfaces
Bizmatics/Prognosis GE Healthcare (Centricity)
iKnowMedMicroMD
Office Practicum (Connexin Software)PhysiciansXpress
SequelMedVarian
ADSAllscripts (Including Eclipsys)
CernerGEMMS
InfoQuestMed Plus - Care 360
NextGenSTI Computer Services
electronic Clinical Works (eCW)
McKesson (Practice Partners & Horizon)Elekta
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EMR InterfacesThere are 208 Practices and 845 Providers with an available certified EHR Interface
Potential Practice Impact*
49.6% (208 of 419) of Delaware practices have an EMR that
has an interface with DHIN
*Due to inconsistent EHR product naming conventions, there may be some overlap between the “Negotiation” and “No Contract” Categories.
0
50
100
150
200
250
300
350
400
450
208
64
26
60
61
No Contract
Negotiations
Contract
Beta
Certified
AllScripts Pro
STI eCW NextGen Cerner GEMMS ADSInfo
QuestCare 360
Totals
Providers 287 122 52 110 201 40 24 3 6 845
Practices 44 51 23 14 57 4 8 2 4 207
Practices and Providers with EMRs which are DHIN-certified
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Submitting Immunization Information
New official process for submitting immunization information to DPH through DHIN-More efficient-More accurate-Supports DHIN’s state chartered role as the community of health records
Go to www.dhin.org (Healthcare Providers/Division of Public Health) for directions on establishing your process
Typical Transport Method Org TypeDIRECT Secured Messaging Small Independent Practices
Secure File Transfer Protocol (SFTP) Commercial Organizations (e.g. Pharmacies) or Large Practices
Establishing An Interface Large Hospital Systems and Organizations
3 Ways To Submit Your Immunization Information
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Delaware Provider Incentive Program Team
The “PIP” Team
Lead: Shawn CarterSharon CharlesGrace McGrathMary RandolphRaymond Tieso
Email: [email protected]: 1-800-999-3371, option 0
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© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
What is Your Meaningful Use Path?For Medicaid EPs:
Stage of Meaningful Use1st Year
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
2011 AIU 1 1 2 2 3 3 TBD TBD TBD TBD2012 AIU 1 1 2 2 3 3 TBD TBD TBD2013 AIU 1 1 2 2 3 3 TBD TBD2014 AIU 1 1 2 2 3 3 TBD2015 AIU 1 1 2 2 3 32016 AIU 1 1 2 2 3
EHR Incentive Payments to Date
Program Year 1: $15,461, 955• 366 Eligible Professionals• 7 Eligible Hospitals
Program Year 2: $361,250• 28 Eligible Professionals
What is Meaningful Use?
1. The use of a certified EHR in a meaningful manner, such as e-prescribing.
2. The use of certified EHR technology for electronic exchange of health information to improve quality of health care.
3. The use of certified EHR technology to submit clinical quality and other measures.
EP Requirements for Stage I Meaningful Use
• 25 Measures for Eligible Professionals – 20 must be met.
• 15 required Core Measures - exclusions may apply.
• 5 out of 10 Menu Set Objective Measures – one must be a Public Health measure, either immunization reporting or labs, except where prohibited.
EP Requirements for Stage I Meaningful Use
• 38 Clinical Quality Measures– EPs must report on 6 total clinical quality
measures– 3 required core measures (substituting alternate
core measures when necessary)– and 3 additional measures selected from the list
of 38 CQMs
EH Requirements for Stage I Meaningful Use
• 24 Measures for Eligible Hospitals – to qualify for an incentive payment, 19 of the 24 must be met.
• 14 Core Measures must be chosen• 5 measures may be selected from the list of 10
Menu Set measures
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EH Requirements for Stage I Meaningful Use
• Eligible Hospitals must report on all 15 of their clinical quality measures
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.
Q&A’s
Q. Will the requirements for Stage 1 Meaningful Use (MU) change?R. CMS: Requirements for stage 1 MU will not change for 2012. While the Final Regulations primarily addressed
Stage 2 requirements, there were several revisions to the Stage 1 requirements starting in 2013, including the Stage 1 objectives for computerized physician order entry (CPOE), electronic prescribing, and recording and charting vital signs. The Final Regulations also specify that beginning in 2014, meeting an exclusion for a Stage 1 menu set objective does not count toward the number of menu set objectives that EPs must satisfy if there are other menu objectives they can meet. These changes and their effective dates are summarized in the Table 4 of the Final Regulations (http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf). There have been updates made for stage 2. These updates will be released in the stage 2 final rule. The updates for State 2 have been released in the Stage Final Rule (http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-21050.pdf).
Q. How do I get my EHR vendor to include the tracked measures that the practice gathers?R. REC: Your certified EHR system should be able to track the measures gathered if they are entered into the EHR
system. Certification assures that the EHR technology providers adopt includes the capabilities they will need to participate in the Medicare and Medicaid EHR Incentive Programs. Use of certified EHR technology is a core requirement for health care providers to achieve meaningful use and become eligible for incentive payments under the Medicare and Medicaid EHR Incentive Programs.
Q. Is Practice Fusion a part of the DHIN interface?R. DHIN: Practice Fusion is a part of the DHIN interface. Please contact the DHIN for more information: Phone:
(302) 678-0220; Fax: (302) 645-0398; Email: [email protected]
Q&A’s Q. How does an EHR vendor get approved for DHIN – EMR interface? R. DHIN: Contact the DHIN directly for information at: Phone: (302) 678-0220;
Fax: (302) 645-0398; Email: [email protected]
Q. Does an Eligible Professional have to meet 30% patient volume for Stage 1 Meaningful Use?
R. Yes, Eligible Professionals (EP) are required to meet 30% patient volume. EPs must follow the same eligibility requirements for MU as for AIU.
Q. What is the process for an EHR vendor to be certified?R. ONC: Testing and certification can be completed through the ONC, where
specific standards and criteria must be met. Contact the ONC for more information: http://healthit.hhs.gov/portal/server.pt?open=512&objID=2885&parentname=CommunityPage&parentid=72&mode=2&in_hi_userid=12059&cached=true
Q&A’s
Q. Can a provider change from a Medicare Incentive Payment to a Medicaid Incentive Payment? How can that be done?
R. Providers can make one (1) program change. The change must be made after the provider has been paid by Medicare. In order to make the one (1) time change, the EP must update the R&A record before applying with Medicaid in the MAPIR Repository.
Q. Is a new individual provider in a group eligible to apply as part of the group?
R. Yes. Whatever is true at the time of attestation is true. If the provider was part of the group and group volume at the time of attestation, it is valid even if the provider is new to the group.
Q&A’s
Q. If a provider leaves a group after attestation, is the group permitted to include patient volume from that provider and submit for payment during the time the provider was with the group?
R. Yes. Whatever is true at the time of attestation is true. If the provider was part of the group and group volume at the time of attestation, it is valid even if the provider leaves the group
afterwards.
Contact Information
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Delaware Regional Extension Centerwww.dehitrec.org
Centers for Medicare & Medicaid Services www.cms.gov
Office of the National Coordinatorwww.healthit.hhs.gov
Delaware Provider Incentive Programemail: [email protected]
Delaware Medical Assistance Programwww.dmap.state.de.us
1-866-475-9669 ext. 4010
1-202-690-7151
1-800-999-3371, option 0 then 3
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.