gloStream and Meaningful Use

August, 2010

Table of Contents

• Final rule from the ONC and CMS• The gloStream path to truly meaningful use• Medicare payment schedule• Path to certified EMR technology and MU reporting• Review of the Core and Menu requirements

– Objective for each requirement– How we’ll measure EMR usage– How gloStream EMR technology addresses requirements

2

Final CMS Rule

• Specifies criteria eligible professionals must meet to demonstrate MU

• Includes both “core” and “optional” items• Outlines a phased approach• CMS will establish graduated criteria over time

3

Final ONC Rule

• Sets initial standards, implementation criteria and certification criteria for EMRs

• Coordinates the standards required of EMR systems with MU criteria

• Providers can be assured that certified EMRs can help them qualify as MU’s.

4

gloStream’s Path to Meaningful Use

• We believe that MU is a minimum standard– Product: we will develop and deliver a product

that is intuitive and easy to use.– Process: our exclusive gloDNA process ensures

that we truly understand the Doctor’s needs.– Partner: we only sell through Partners who

provide local, responsive, onsite support.

5

gloStream’s Path to MU Reporting

• gloStream’s MU system will automatically monitor MU statistics and provide usage statistics to CMS.

• gloStream software will feature an MU dashboard, so Doctors will always know how they are performing against MU criteria.

6

Core Objectives

Core Objectives

8

gloStream Strategy•gloEMR supports all required demographics•Patient demographics usage report (5060)

Core Objectives

9

gloStream Strategy•gloEMR supports all required vitals and growth charts in vitals entry screen•Patient vitals usage report (5060)

Core Objectives

10

gloStream Strategy•gloEMR problems list feature provides full support for ICD-9 based problems•Patient problem usage report (5060)

Core Objectives

11

gloStream Strategy•gloEMR currently provides a list of prescribed drugs and patient medication history•Patient medications usage report (5060)

Core Objectives

12

gloStream Strategy•gloEMR provides patient history which includes smoking status•Patient history usage report (5060)

Core Objectives

13

gloStream Strategy•gloEMR currently supports drug allergies in the allergies module•Patient allergy usage report (5060)

Core Objectives

14

gloStream Strategy•gloEMR currently supports templates and can provide patient summaries on paper or PDF•gloEMR will support export of a CCD document that meets interoperability standards•Clinical summary usage report (5070)

Core Objectives

15

gloStream Strategy•gloEMR will support export of CCD document that provides a comprehensive electronic medical history (5060)•gloEMR also will support clinical document export, which can provide an export of all exams and other documents for a patient•CCD usage report (5070)

Core Objectives

16

gloStream Strategy•gloEMR currently supports electronic prescribing of non-controlled substance•Electronic prescribing usage report (5060)

Core Objectives

17

gloStream Strategy•gloEMR currently supports order entry for prescriptions•Patient prescription usage report (5070)

Core Objectives

18

gloStream Strategy•gloEMR provides full drug interaction checking including drug allergies•Reporting will be provided to support attestation (5070)

Core Objectives

19

gloStream Strategy•gloEMR will support import and export of a CCD that meets interoperability standards•CCD export (5060)•CCD and CCR import (5070)

Core Objectives

20

gloStream Strategy•Clinical decision support is provided via disease management rules and by setting up guidelines, health plans, smart treatments, smart orders, and smart diagnoses•Reporting will be provided to support attestation (5070)

Core Objectives

21

gloStream Strategy•gloEMR currently supports the security requirements as specified by HHS•Partners and Providers will have to perform any additional security risk analysis and remediation at the site

Core Objectives

22

gloStream Strategy•gloEMR will provide a report to provider numerator and denominator for all quality measures for which we have structured data (this includes all core and alternative measures and the majority, if not all of the 44 measures defined by CMS – 5070)

Menu Set

Menu Set

24

gloStream Strategy•gloEMR provides formulary checking•Reporting will be provided to support attestation (5070)

Menu Set

25

gloStream Strategy•gloEMR includes a labs module as of 5050 which includes electronic ordering and electronic results to many national labs, regional labs, and in-office lab systems•Electronic results are also available via HL7 interface to unsupported labs

Menu Set

26

gloStream Strategy•gloEMR currently supports patient list reports based on history, problems, and medication (5050)

Menu Set

27

gloStream Strategy•gloEMR currently supports printing patient education materials as part of the guidelines feature•Patient guidelines usage report (5070)

Menu Set

28

gloStream Strategy•gloEMR provides medication reconciliation of the patient’s medication history against RxHub and will provide reconciliation against a CCD (5070)

Menu Set

29

gloStream Strategy•gloEMR will support export of a CCD in 5060 that meets interoperability standards

Menu Set

30

gloStream Strategy•gloEMR interfaces are able to send HL7 immunizations data to registries which support he CDS IIS HL7 standard

Menu Set

31

gloStream Strategy•gloEMR interfaces are able to send HL7 syndromic surveillance data to public health agencies that are able to receive it.

Menu Set

32

gloStream Strategy•gloEMR currently supports reminder letters•This functionality will be extended to include a patient preference to receive reminders (5070)

Menu Set

33

gloStream Strategy•gloEMR will support expert of a CCD document in 5060 that meets interoperability standards•This CCD will be accessible to the patient via gloPortal or a HealthVault account