meaningful use 2016

MEANINGFUL USE 2016

Taino Consultants Inc.Dr. Jose I. Delgado

Taino Consultants Inc. 2

2016 Program Requirements Final Rule Released October 15, 2015

Modified Stage 2 (2015 to 2017)Stage 3 (2018 and beyond)

Jan 11, 2016“Meaningful use will likely end in 2016” - Andy Slavitt, Acting Administrator Centers for Medicare and Medicaid Services


“The Meaningful Use program as it has existed, will now be effectively over and replaced with something better.”

focus will move away from the use of technology and towards patient’s outcome

providers will be able to customize their goals leveling the technology playing field by requiring

open application program interfaces (APIs) interoperability


Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Repeals the sustainable growth rate (SGR) methodology

for determining updates to the Medicare physician fee schedule.

Establishes annual positive or flat fee updates for 10 years and institutes a two-track fee update beginning in 2019.

Establishes the Merit-based Incentive Payment System (MIPS) that consolidates existing Medicare quality programs.

Establishes a pathway for physicians to participate in an Alternative Payment Model (APM).


Objectives and Measures Core and menu objectives replaced with a

single set of objectives and measures. Eligible providers (EP) have 10 objectives, Eligible hospitals and CAHs have 9 objectives.

All providers must use 2014 certified EHR technology Providers may attest using 2015 certified

technology EHR technology, or a combination of the two (if the 2015 Edition is available).


EP Objectives and Measures1. Protect electronic protected health information

HIPAA (Security Risk Analysis, updates, other)

2. Use clinical decision support to improve performance on high-priority health conditions.

Implement five clinical decision measuresEnabled and implemented the functionality for drug-drug

and drug-allergy interaction check


EP Objectives and Measures3. Use computerized provider order entry for

medication, laboratory, and radiology by licensed healthcare professional

More than 60 percent of medication orders More than 30 percent of laboratory orders More than 30 percent of radiology orders

4. Generate and transmit permissible prescriptions electronically (eRx).

More than 50 percent of all permissible prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT.


EP Objectives and Measures5. Health Information Exchange

Transitions or refers their patient to another setting of care or provider of care must 1. Use CEHRT to create a summary of care record; and 2. Electronically transmit summary (10% or more).

6. Identify patient-specific education resources and provide those resources to the patient.

Provide education resources to patients for more than 10 % of all unique patients with office visits


EP Objectives and Measures7. Medication Reconciliation

Performs medication reconciliation for more than 50 % of transitions of care

8. Patient electronic access within 4 business days of the information being available to the EP.

Provide timely access to more than 50 % of all unique patients seen during the reporting period

2016, at least one patient during the EHR reporting period (or patient-authorized representative) views, downloads or transmits his or her health information to a third party during the EHR reporting period.


EP Objectives and Measures9. Secure electronic messaging communications.

At least 1 patient during the reporting period was sent a message using the electronic messaging function of CEHRT

10. Public Health - submit electronic public healthThree Measure Options

○ Immunization Registry Reporting○ Syndromic Surveillance Reporting○ Specialized Registry Reporting


Changes to Specific Objectives The Objective 9, Secure Electronic

Messaging: Phased approach for its measure’s threshold. For 2016, the measure is “for at least 1 patient seen

during the reporting period, a secure message was sent using the electronic messaging function of CEHRT, or in response to a secure message sent by the patient.

Objective 10, Public Health Reporting, 2016 EPs must meet two measures, Eligible hospitals and CAHs must meet three measures.


EHR Reporting Period for 2016 Returning participants

Full calendar year (Jan 1, 2016 through Dec 31, 2016.

For 1st year participantsAny continuous 90-day period.


Regulations leading to audits Meaningful Use, HIPAA Omnibus Rule, Affordable Care Act, ICD-10 and MACRA


What to expect1. Electronic letter from audit company from a

CMS e-mail address; Letter will be addressed to email address provided

during registration 2. Attachment with a request for support

documentation3. About four weeks to submit documentation


Sample Attachment


Highlights Measure 1 – Protect Patient Health

InformationSecurity Risk Analysis with a date not earlier

than the start of the reporting year and not later than the date of attestation

Implementation plan with completion dates if deficiencies were identified


Highlights Measures 3,4,5,6,7, and 8

Provide EHR report Measures 2 and 9

Provide Support Documentation Measure 10

Stage 1 – one measureStage 2 – two measure

Note: an exclusion of one measure doesn’t count unless they meet or exclude themselves from the other measures


Trends Experienced Expect e-mail with deficiencies

indicating failure to meet meaningful use Extensions timelines have been

shortened Explanations of trends may be asked Letter from EHR company with basic

information been requested


Key Items to keep in mind

Proof of use Certified EHR. Need Copy of licensing agreement with the vendor or

invoices for the period.Letter with same information from HER Vendor may be

requested. List of office or outpatient facility where Provider sees

patients. Identify if records are kept outside of EHR. Report showing compliance with specific Core Measures

must display vendor’s logo or step by step screenshots which demonstrate that the report was generated by the EHR.

KEEP INFORMATION FOR A MINIMUM OF SIX YEARS!


Summary Meaningful use not going away Audits will continue Maintain your own copies of information

submitted for at least six years


QuestionsTaino Consultants Inc.Dr. Jose I. Delgado BP 904-794-7830

E-mail [email protected] Site: www.TainoConsultants.com

mailto:[email protected]

meaningful use 2016

Healthcare