meaningful use criteria - ehr incentive programs1

7/30/2019 Meaningful Use Criteria - EHR Incentive Programs1

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We believe in quality, than quantity

Meaningful Use Criteria -

Electronic Health Record (EHR) IncentivePrograms

Raja IsmailFounder

Software Quality Solutions

This document must be viewed in Adobe Reader .

Update as of Jan 2012


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NOTICE OF DISCLAIMER

This document is not intended to be a legal opinion on the American Recovery and

Reinvestment Act of 2009 (ARRA), and is not intended to be a legal opinion on theEHR Incentive Programs, or any other programs under the ARRA. It is also notintended to be a legal opinion on any other statutes, or any programs under anyother statutes. Software Quality Solutions LLC (SQS) does not guarantee theaccuracy of the information in the document. SQS has made sincere attempts tounderstand the complex laws, rules and regulations that govern the EHR Incentiveprograms, and has made a sincere attempt to provide a basic understanding ofthe EHR Incentive Programs to Healthcare professionals, through this document.SQS is not responsible for inaccuracy of any information contained in thedocument. SQS makes it clear that there maybe information, references, links,rules, etc., that may have been modified, deleted or become obsolete or inactivesince the creation of this document in Oct 2011, and as modified in Jan 2012.Consult a legal attorney or a general counsel or any other professional in the field

of law, healthcare, government, or an appropriate profession, as may apply to yourneeds, to act in a such way to benefit you, your business, or your profession withregard to the EHR Incentive Program under the ARRA. SQS LLC is not a law firm,and it is not a company that deals exclusively in the healthcare industry.


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ctd

CONTENTS

1. American Recovery and Reinvestment Act 2009 (ARRA) . 5

2. HITECH Act (a part of ARRA) . 6

3. US Department of Health and Human Services (HHS) ... . 74. Meaningful Use (MU) 8

5. MUStage 1 Criteria ... 9

6. MU Stage 1, 2 and Stage 3 CriteriaTimeline ..10

7. Certified EHR Technology and Meaningful Use ... . 11

8. Medicare Incentive Payments ... . 12

9. Medicare - Eligible Professionals (EPs) Incentive Payments . 13 10. MedicareEligible Hospitals Incentive Payments ... .14

11. MedicareCritical Access Hospitals (CAHs) ... 15

12. Medicaid Incentive Payments ... 16

13. MedicaidEligible Professionals (EPs) Incentive Payments 17

14. MedicaidEligible Hospitals Incentive Payments ... . 18

15. MedicaidCritical Access Hospitals (CAHs) Incentive Payments ... 19

16. Industry AdoptionEHR Incentive Payments ... 2017. MU Stage 1 Criteria - Core Set of Objectives .. ..21

18. MU Stage 1 Criteria - Core Set of Objectives (1-5) ..22

19. MU Stage 1 Criteria - Core Set of Objectives (6-10) 23

20. MU Stage 1 Criteria - Core Set of Objectives (11-16) . 24

21. MU Stage 1 CriteriaMenu Set of Objectives .. . 25

22. MU Stage 1 Criteria Menu Set of Objectives (1-5) .. 26



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25. MU Stage 1 CriteriaClinical Quality Measures (CQMS) for EPs ... 29

26. MU Stage 1 CriteriaCQMS for EPs (Core Set and Alternate Core Set) . 3027. MU Stage 1 Criteria CQMS for EPs (Additional Set 1-14) 31

28. MU Stage 1 Criteria CQMS for EPs (Additional Set 15-28) . 32

29. MU Stage 1 Criteria CQMS for EPs (Additional Set 29-38) . 33

30. MU Stage 1 CriteriaCQMS for Eligible Hospitals .. . . 34

31. MU Stage 1 Criteria CQMS for Eligible Hospitals (1 -15 End) . . 35

32. EHR Incentive Program - Information Resource Links (1-25) 3633. EHR Incentive Program - Information Resource Links (25-30) . 37

For questions, suggestions, or feedback please contact via email [email protected]

CONTENTS
mailto:[email protected]:[email protected]


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Popularly know as The Stimulus Bill

Objective To spur economic growth, and breakout of the recession

Enacted by the United States Congress on February 2009

Signed into law on February 16, 2009 by the President of the United States of America

Approximate cost of the stimulus package - $787 billion, at the time of passage

Includes, spending in infrastructure, education, energy, health and human services,

federal tax incentives, and expansion of unemployment benefits and social

welfare provisions

About $153 billion was allocated for Health and Human Services spending (out of which $22.6 billion

for health information technology investments, and incentive payments)

The American Recovery and Reinvestment Act of 2009 (ARRA)

5

Not to be mistaken with the Patient Protection and Affordable Care Act, that was passed a year

later in March 2010 (also called as Health Care Reform Bill, or by some as Obama Care)

The American Recovery and Reinvestment Act of 2009 (ARRA)


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HITECH Act(Health Information Technology for Economic and Clinical Health Act)

Title IV of Division B of ARRA

&

Title XIII of Division A of ARRA

HITECH Act establishes incentive payments under Medicare and Medicaid programs, for the followingparticipants in the programs:

Eligible professionals (EPs); Eligible hospitals; and Critical access hospitals (CAHs)

to promote the adoption, and meaningful use of certified EHR technology.

Incentives will be distributed through Medicare and Medicaid payments to the participantswho are meaningful EHR users.

Payment adjustments will be applied under Medicare program, if the participants do not

demonstrate meaningful use of certified EHR technology.

No payment adjustments in Medicaid program

Objective: Reform the healthcare infrastructure and improve healthcare quality, healthcare efficiency,

and patient safety

6

HITECH Act (part of ARRA)


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The HITECH Act authorizes the Secretary, Department of Health and Human Services (HHS):

To frame rules, set standards, and define certification criteria, to implement the incentive

programs established under the HITECH Act

The two agencies of HHS (of the several agencies) that play an important role in the implementation of

the incentive programs are:

Centers for Medicare & Medicaid Services (CMS)The Office of the National Coordinator for Health Information Technology (ONC)

CMS:

specifies the criteria for meaningful use, that EPs, eligible hospitals, and CAHs must

demonstrate, in order to qualify for incentive payments;

specifies the calculation of incentive payment, and payment adjustments; and

specifies other program participation requirements

ONC:

identifies Authorized Testing Bodies (ONC-ATBs), and the methods to be followed to test

and certify an EHR technology

identifies the capabilities, standards, and implementation specifications, that an electronic

health record technologyneed to comply, to support the achievement of meaningful use as

defined by CMS 7

US Department of Health and Human Services (HHS)

(Agency: CMS, ONC)


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To avoid excessive burden on health care providers in adoption of EHR technology in a short time

available under the HITECH Act, CMSdecided to specify the criteria for Meaningful Use (MU) in three

stages

CMS issued Stage 1 Criteria for meaningful use, on July 28, 2010

CMS originally planned to issue Stage 2 Criteria for meaningful use by the end of 2011, however it

has been delayed to mid 2012.

CMS is yet to decide the timeline for issuing Stage 3 Criteria for meaningful use. However, the

goal is to align all three stage s of meaningful use criteria by 2015.

ONC issued a final rule on July 28, 2010, that :

specified a set of standards, implementation specifications, and certification criteria that an EHR

technology needs to comply, to be recognized as a Certified EHR Technology

These testing standards and criteria issued by the ONC are in alignment with Stage 1 Criteria for

meaningful use, defined by the CMS

ONC issued a certification program on June 24, 2010, that:

identified the ONC Authorized Testing And Certification Bodies (ONC-ATCBs), and

laid out the process to be followed by ONC-ATCBs to test and certify an EHR technology

8

Meaningful Use (MU)


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Eligible Professionals must complete:

15 core objectives (Slides 2124)

5 objectives out of 10 from menu set (Slides 25 28)

6 total Clinical Quality Measures (3 core, or alternate core, and 3 out of 38 in

additional set) (Slides 29 - 33)

Eligible Hospitals must complete:

14 core objectives (Slides 21 24)

5 objectives out of 10 from menu set (Slides 25 28)

15 Clinical Quality Measures (Slides 34 35)

The Stage 1 Criteria for Meaningful Use issued by CMS identifies:

a set of objectives, and

a set of clinical quality measures (reporting to CMS) that

an EP, Eligible Hospital or CAH must comply, using a certified EHR technology, to receive the incentive

payments

Stage 1 Criteria allows exclusions from some objectives, that may not be applicable to the nature of

practice of an EP, Eligible Hospitals or CAH. 9

MU- Stage 1 Criteria (Objectives and Clinical Quality Measures)


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10

Stage 1 Criteria: Status Has been defined in July 2010, by final rules issued by CMS. (See previous slide.)

For the year 2011 or 2012, CMS expects an EP, eligible hospital or CAH to:

Demonstrate Stage 1 criteria for meaningful use of a certified EHR technology.

Stage 2 Criteria: Status Very likely to be defined in mid 2012 (pushed from end of 2011).

For the year 2013, CMS expects an EP, eligible hospital or CAH to:

Repeat demonstration of Stage 1 criteria for meaningful use

Or, Start demonstration of Stage 1 criteria for meaningful use, if they have not demonstrated Stage 1

criteria any year before.

For the year 2014, CMS expects an EP, eligible hospital or CAH to:

Start demonstration of Stage 2 criteria, if they only demonstrated Stage 1 criteria in 2013.

Or, demonstrate Stage 1 criteria, if they have not demonstrated any meaningful use criteria at all, till

then.

Stage 3 Criteria: Status Yet to be determined. Will be defined in future rule making.

For the year 2015, CMS expectation from EP, eligible hospital and CAH is yet to be determined.

The goal is to align all 3 stages of meaningful use criteria by 2015.

MU- Stage 1, 2, and Stage 3 Criteria- Timeline


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A Certified EHR Technology means:

(1) A Complete EHR that has been tested and certified, as having met all applicable certification

criteria laid down by the ONC. The certification recognizes the readiness of the EHR

technology to accomplish all the objectives for meaningful use (Stage 1 criteria, for now) as

established by CMS.(OR)

(2) A combination of EHR Modules, in which each constituent EHR Module has been tested and

certified as having met one or more criteria (but, not all the criterion). And , the combination

meets all the applicable certification criteria. The certification recognizes the preparedness of the

EHR technology to accomplish all the objectives for meaningful use (Stage 1 criteria, for now)

as established by CMS.

The ONC, through ONC-ATCBs, test and certify an EHR technology.

Eligible Professionals, Eligible Hospitals and CAHs must use the certified EHR technology, and

demonstrate the meaningful use of the technology, i.e. meet all the objectives (in Stage 1 criteria,

for now) in order to receive incentive payments, and to avoid payment adjustments.

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Certified HER Technology And Meaningful Use


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Medicare Incentive Payments >>

12

Medicare Incentive PaymentsMedicare Incentive Payments


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A qualifying EP can receive EHR incentive payments for up to five years starting from 2011.

If EPs demonstrate meaningful use, starting :

2011 or 2012, they can receive payments until 2015 or 2016, totaling $44,000.

2013 or 2014, the total incentives received will be $39,000 or $24,000, accordingly.

2015, no incentive payments is awarded.

2011 - $18,000 ->

(First Year)

2012 - $12,000 ->

2012 - $18,000 ->(First Year)

2013 - $8,000 ->

2013 - $12,000->

2013 - $15,000->

(First Year)

2014 - $4,000->

2014 - $8,000->

2014 - $12,000->

2014 - $12,000->

(First Year)

2015- $2,000->

2015- $4,000->

2015- $8,000->

2015- $8,000->

2016- N/A ->

2016- $2,000->

2016- $4,000->

2016-$ 4,000->

Total: $44,000

Total: $44,000

Total: $39,000

Total: $24,000

Payment adjustments will be applied , if the EPs do not demonstrate a meaningful use of certified EHRtechnology in the year 2015 and thereafter.

The incentive payments are as follows:

EPs eligible to participate in Medicare and Medicaid EHR Incentive Programs, must choose one they

would like to participate. After a payment is made, EPs will be allowed to change once before 2015.

EPs serving in a geographic Health Professional Shortage Area (HPSA) are eligible for a 10 percent

increase, and the maximum incentive payment they can receive is $48,400.

13

Medicare Eligible Professionals (EPs) Incentive Payments


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Eligible Hospitals can receive incentive payments for up to four years starting fiscal year (FY)

2011, for demonstrating meaningful use of certified EHR technology. They may qualify to receive

payments from both the Medicare and Medicaid EHR Incentive Programs.

Incentive payment for eligible hospital is calculated as: Initial Amount x Medicare Share x Factor.

I - Initial Amount:[$2 Million + ($200 x number of discharges (for discharges between 1150 & 23,000 discharges) ]

M - Medicare Share: [1.Medicare/(2.Total x 3.Charges)] 1.Medicare: number of acute care inpatient beddays (beneficiaries under Part A payment, and MA Part C Beneficiaries). 2. Total: number ofTotal Acute Care Inpatient

Bed Days. 3.Charges: [(Total Charges for such period, minus Charges for Charity Care) divided by (Total Charges)]

F- Factor: [A transition factor which phases down the incentive payments over the four year period. (1, , , )]

2011- I*M*1->

(First Year)2012- I*M* ->

2012 - I*M*1-->

(First Year)

2013- I*M*->

2013 - I*M* >

2013 - I*M*1-->(First Year)

2014-I*M*->

2014 -I*M* ->

2014 - I*M* >

2014 - I*M* >(First Year)

2015 - N/A

2015-I*M*->

2015-I*M*>

2015-I*M*>

2015-I*M*>(First Year)

2016 - N/A

2016- - N/A

2016-I*M*

2016-I*M*

2016-I*M*

Payment adjustments will be applied if the eligible hospitals do not demonstrate a meaningful use of

certified EHR technology in the year 2015 or thereafter.


14

Medicare- Eligible Hospitals Incentive Payments


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Critical Access Hospitals (CAHs) can receive incentive payments for up to four years starting fiscal

year (FY) 2011. They may qualify to receive payments from both the Medicare and Medicaid EHR

Incentive Programs.

The incentive payment is calculated as: Allowable Cost Amount * Medicare Share

A - Allowable Cost Amount: The allowable cost amount equals the costs of depreciable assets purchased,such as computers and associated software, excluding any depreciation and interest expenses associated with

the acquisition of certified EHR technology. Any previous cost that has not been fully depreciated.

M - Medicare Share: [1.Medicare/(2.Total x 3.Charges)] 1.Medicare: number of acute care inpatient beddays (beneficiaries under Part A payment, and MA Part C Beneficiaries). 2. Total: number ofTotal Acute Care

Inpatient Bed Days. 3.Charges: [(Total Charges for such period, minus Charges for Charity Care) divided by(Total Charges)]+ a 20 percentage points [added to the Medicare Share calculation (not to exceed 100 percent)].

2011- A * M->

(First Year)

2012- A * M->

2012- A * M->

(First Year)

2013- A * M->

2013- A * M->

2013- A * M->

(First Year)

2014-A * M->

2014-A * M->

2014-A * M->

2014-A * M->

(First Year)

2015 - N/A

2015-A * M

2015-A * M

2015-A * M

2015-A * M

(First Year)

2016 - N/A

2016 - N/A

2016 - N/A

2016 - N/A

2016 - N/A

Payment adjustments will be applied if a CAH does not demonstrate a meaningful use of

certified EHR technology in the year 2015 or thereafter.


15

Medical Critical Access Hospitals (CAHs) Incentive Payments


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Medicaid Incentive Payments >>

16

Medicaid Incentive Payments


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The Medicaid EHR Incentive Program is offered and administered voluntarily by the states

Starts as early as 2011, and continues through 2021

Eligible professionals can participate for 6 years through the duration of the program

The last year to begin participation in the Medicaid EHR Incentive Program is 2016

Medicaid eligible professionals must adopt, implement, and upgrade (AIU) to a certified EHR

technology, in the first year of participation

Must successfully demonstrate meaningful use in subsequent participation years

EPs can receive up to $63,750 over 6 years

Must choose between Medicare and Medicaid EHR Incentive Programs if qualified for both

2011 - $21,250(First Year)

2012 - $21,250

(First Year)

2013 - $21,250

(First Year)

2014- $21,250

(First Year)

2015- $21,250

(First Year)

2016- $21,250

(First Year)

2012 - $8,5002013- $8,500

2013- $8,500

2014 - $8,500

2014- $8,500

2015- $8,500

2015- $8,500

2016- $8,500

2016- $8,500

2017- $8,500

2017- $8,500

2018- $8,500

2014- $8,5002015- $8,500

2015- $8,500

2016- $8,500

2016- $8,500

2017- $8,500

2017- $8,500

2018- $8,500

2018- $8,500

2019- $8,500

2019- $8,500

2020- $8,500

2016- $8,5002017- N/A

2017- $8,500

2018- N/A

2018- $8,500

2019- N/A

2019- $8,500

2020- N/A

2020- $8,500

2021- N/A

2021- $8,500

N/A

2018- N/A2019- N/A

2019- N/A

2020- N/A

2020- N/A

2021- N/A

2021- N/A

N/A

N/A

2020- N/A2021- N/A

2021- N/A

N/A

N/A

N/A

N/A

Total: $63,750

Total: $63,750

Total: $63,750

Total: $63,750

Total: $63,750

Total: $63,750

No payment adjustments if EPs do not demonstrate meaningful use of certified EHR technology. 17

Medicaid- Eligible Professionals (EPs) Incentive Payments

di id li ibl i l


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The Medicaid EHR Incentive Program is offered and administered voluntarily by the states

Starts as early as 2011, and continues through 2021

States can pay eligible hospitals the aggregate EHR incentive amount, spread over a minimum of

3 years, or maximum of 6 years

The latest year to start receiving Medicaid EHR Incentive Program is 2016

Must adopt, implement, and upgrade (AIU) to a certified EHR technology, in the first year

Must successfully demonstrate meaningful use in subsequent participation years

No payment adjustments if eligible hospitals do not demonstrate meaningful use of certified EHR technology.

The aggregate Incentive payment is calculated as: Overall EHR Amount x Medicare Share

O - Overall EHR Amount = Sum of 4 years of EHR Amount. Note: 4 years is a theoretical period applied.EHR Amount for 1year: (Base Amount * Transition Factor)Base Amount: [$2 Million + ($200 x number of discharges (for discharges between 1150 & 23,000 discharges) )]

. Transition Factor: 1, , , , respectively, for 4 years

M - Medicare Share: [1.Medicare/(2.Total x 3.Charges)] 1.Medicare: number of acute care inpatient bed days(Part A and MA Beneficiaries). 2. Total: number of Total Acute Care Inpatient Bed Days. 3.Charges:

[(TotalCharges minus Charges for Charity Care) divided by (Total Charges)]

18

2011

(O *M)/6->(First Year)

2012

(O *M)/6->

(O *M)/6->

(First Year)

2013

(O *M)/6->

(O *M)/6->

(O *M)/6->

(First Year)

2014

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

(FirstYear)

2015

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

(FirstYear)

2016

(O *M)/6

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

(First Year)

2017

N/A

(O *M)/6

(O *M)/6->

(O *M)/6->

(O *M)/6->

(O *M)/6->

2018

N/A

N/A

(O *M)/6

(O *M)/6->

(O *M)/6->

(O *M)/6->

2019

N/A

N/A

N/A

(O *M)/6

(O *M)/6->

(O *M)/6->

2020

N/A

N/A

N/A

N/A

(O *M)/6

(O *M)/6->

2021

N/A

N/A

N/A

N/A

N/A(O *M)/6

The aggregate incentive payment spread over 6 years:

Medicaid- Eligible Hospitals

Incentive Payments

M di id C i i l A H i l (CAH )


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The Medicaid Incentive Payments to CAHs, are based on the same methodology as Medicaid EligibleHospital Incentive Payments. (Please see previous slide 17 for Medicaid Eligible Hospitals Incentive Payment)

19

Medicaid Critical Access Hospitals (CAHs)

Incentive Payments


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American Hospital Association (AHA) Survey, Feb 2011

95% of hospitals participating in the survey reported they plan to pursue meeting the

meaningful use and certification requirements for the program

Fewer than 2% of hospitals currently meet the specific requirements of meaningful use

and have a certified EHR, and only 0.8% of rural hospitals report they currently meet both

the requirement to have a certified EHR, and the specific meaningful use objectives

20

The government has paid nearly $400 million in meaningful use incentives to physicians and hospitals

so far, a Centers for Medicare and Medicaid Services official told Health IT Policy Committee Aug. 3.

Work Group Recommends Delay for Stage 2 of Meaningful Use

Texas Health Resources CMIO tells how the system earned $19M for Stage 1

Industry Adoption- EHR Incentive Payments
http://www.aha.org/content/11/11EHRsurveyresults.pdfhttp://www.ama-assn.org/resources/doc/hit/july2011-ehr-monthly-report.pdfhttp://www.ihealthbeat.org/articles/2011/6/8/work-group-recommends-delay-for-stage-2-of-meaningful-use.aspxhttp://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.ihealthbeat.org/articles/2011/6/8/work-group-recommends-delay-for-stage-2-of-meaningful-use.aspxhttp://www.ihealthbeat.org/articles/2011/6/8/work-group-recommends-delay-for-stage-2-of-meaningful-use.aspxhttp://www.ama-assn.org/resources/doc/hit/july2011-ehr-monthly-report.pdfhttp://www.aha.org/content/11/11EHRsurveyresults.pdf


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21

MU Stage 1 Criteria Core Set of Objectives >>

MU Stage 1 Criteria- Core of Set Objectives


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Eligible Professionals Eligible Hospitals and CAHs Measure of Compliance

1 Use CPOE for medication ordersdirectly entered by any licensedhealthcare professional who can

enter orders into the medical

record per state, local and

professional guidelines

Use CPOE for medication orders

directly entered by any licensedhealthcare professional who can

enter orders into the medical record

per state, local and professional

guidelines

More than 30% of unique patients with at least

one medication in their medication list seen bythe EP or admitted to the eligible hospitals or

CAHs inpatient or emergency department (POS

21 or 23) have at least one medication order

entered using CPOE

2 Implement drug-drug and drug-allergy interaction checks

Implement drug-drug and drug-allergy

interaction checksThe EP/eligible hospital/CAH has enabled this

functionality

3 Generate and transmitpermissible prescriptions

electronically (eRx)

N/A More than 40% of all permissibleprescriptions written by the EP are

transmitted electronically using certified

EHR technology

4 Record demographics:

Preferred Language; Gender;

Race;

Ethnicity ; and Date of Birth

Record demographics:

Preferred Language; Gender; Race;

Ethnicity ; Date of Birth; and

Date and preliminary cause ofdeath in the event of mortality in

the eligible hospital or CAH

More than 50% of all unique patients seen

by the EP or admitted to the eligible

hospitals or CAHs inpatient or emergency

department (POS 21 or 23) have

demographics recorded as structured data

5 Maintain an up-to-date problem

list of current and active

diagnoses

Maintain an up-to-date problem

list of current and active diagnoses

More than 80% of all unique patients seen

by the EP or admitted to the eligible


department (POS 21 or 23) have at least one

entry or an indication that no problems areknown for the patient recorded as

structured data.

22

MU- Stage 1 Criteria- Core Set of Objectives


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6 Maintain active medication list Maintain active medication list More than 80% of all unique patients seen by

the EP or admitted to the eligible hospitals or

CAHs inpatient or emergency department(POS 21 or 23)have at least one entry (or an

indication that the patient is not currently

prescribed any medication) recorded as

structured data

7 Maintain active medication allergy

list

Maintain active medication allergy list More than 80% of all unique patients seen by the

EP or admitted to the eligible hospitals or CAHs

inpatient or emergency department (POS 21 or23) have at least one entry (or an indication that

the patient has no known medication allergies)

recorded as structured data

8 Record and chart changes in vital

signs:

Height; Weight; Blood Pressure;

Calculate and display BMI

Plot and display growth chart for 2-20 years, including BMI

Record and chart changes in vital

signs:

Height; Weight; Blood Pressure;

Calculate and display BMI

Plot and display growth chart for 2-20 years, including BMI

More than 50% of all unique patients age 2 and

over seen by the EP or admitted to eligible


department (POS 21 or 23), height, weight and

blood pressure are recorded as structured data

9 Record smoking status for patients

13 years old or older

Record smoking status for patients

13 years old or older

More than 50% of all unique patients 13 years old

or older seen by the EP or admitted to the eligible


department (POS 21 or 23) have smoking status

recorded as structured data

10 Implement one clinical decision

support rule relevant to specialty orhigh clinical priority along with the

abilit to track com liance that rule

Implement one clinical decision

support rule relevant to specialty or

high clinical priority along with the

ability to track compliance that rule

Implement one clinical decision support rule

23

MU Stage 1 Criteria- Core Set of Objectives- Ctd


24/37


11 Report ambulatory clinical quality

measures to CMS or the States

Report hospital clinical quality

measures to CMS or the States

For 2011, provide aggregate numerator and

denominator, and exclusions through attestation.

For 2012, electronically submit the clinical qualitymeasures.

12 Provide patients with an electronic

copy of their health information

(including diagnostic test results,

problem list, medication lists,

medication allergies), upon request

Provide patients with an electronic

copy of their health information

(including diagnostic test results,


medication allergies), upon request

More than 50% of all patients who request an

electronic copy of their health information are

provided it within 3 business days

13 N/A Provide patients with an electronic

copy of their discharge instructionsat time of discharge, upon request

More than 50% of all patients who are discharged

from an eligible hospital or CAHs inpatientdepartment or emergency department (POS 21 or

23) and who request an electronic copy of their

discharge instructions are provided it at discharge

14 Provide clinical summaries for

patients for each office visit

N/A Clinical summaries provided to patients for more

than 50% of all office visits within 3 business days

15 Capability to exchange key clinical

information (for example, problem

list, medication list, medicationallergies, diagnostic test results),

among providers of care and

patient authorized entities

electronically

Capability to exchange key clinical

information (for example, discharge

summary, procedures, problem list,medication list, medication allergies,

diagnostic test results), among

providers of care and patient

authorized entities electronically

Performed at least one test of certified EHR

technology's capacity to electronically exchange

key clinical information

16 Protect electronic health

information created or maintained

by the certified EHR technologythrough the implementation of

appropriate technical capabilities

Protect electronic health information

created or maintained by the certified

EHR technology through the

implementation of appropriatetechnical capabilities

Conduct or review a security risk analysis per 45

CFR 164.308 (a)(1) and implement security

updates as necessary and correct identified

security deficiencies as part of its riskmanagement process

MU Stage 1 Criteria Core Set of Objectives - End

24

MU Stage 1 Criteria- Core of Set Objectives- End


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25

MU Stage 1 Criteria Menu Set of Objectives >>

MU Stage 1 Criteria- Menu Set Objectives


26/37


1 Implement drug-formulary checks Implement drug-formulary checks The EP/eligible hospital/CAH has enabled this

functionality and has access to at least one

internal or external drug formulary

2 N/A Record advance directives for

patients 65 years old or olderMore than 50% of all unique patients 65 years

old or older admitted to the eligible hospitals or

CAHs inpatient department (POS 21) have an

indication of an advance directive status

recorded

3 Incorporate clinical lab-test results

into certified EHR technology asstructured data

Incorporate clinical lab-test results

into certified EHR technology asstructured data

More than 40% of all clinical lab tests results

ordered by the EP or by an authorized provider of

the eligible hospital or CAH for patients admitted

to its inpatient or emergency department (POS 21

or 23) during the EHR reporting period whose

results are either in a positive/negative or

numerical format are incorporated in certified

EHR technology as structured data

4 Generate lists of patients by

specific conditions to use for quality

improvement, reduction ofdisparities, research or outreach

Generate lists of patients by specific

conditions to use for quality

improvement, reduction ofdisparities, research or outreach

Generate at least one report listing patients of the

EP, eligible hospital or CAH with a specific

condition.

5 Send reminders to patients per

patient preference for preventive/

follow up care

N/A More than 20% of all unique patients 65 years or

older or 5 years old or younger were sent an

appropriate reminder during the EHR reporting

period

26

MU Stage 1 Criteria- Menu Set Objectives


27/37


6 Provide patients with timely

electronic access to their healthinformation (including lab results,


medication allergies) within four

business days of the information

being available to the EP

N/A More than 10% of all unique patients seen by the EP

are provided timely (available to the patient within

four business days of being updated in the certified

EHR technology) electronic access to their health

information subject to the EPs discretion to withhold

certain information

7 Use certified EHR technology to

identify patient-specific education

resources and provide thoseresources to the patient if

appropriate

Use certified EHR technology to

identify patient-specific education

resources and provide those

resources to the patient if

appropriate

More than 10% of all unique patients seen by the EP

or admitted to the eligible hospitals or CAHs

inpatient or emergency department (POS 21 or 23)during the EHR reporting period are provided

patient-specific education resources

8 The EP, eligible hospital or CAH

who receives a patient from

another setting of care or provider

of care or believes an encounter is

relevant should perform medication

reconciliation

The EP, eligible hospital or CAH

who receives a patient from

another setting of care or

provider of care or believes an

encounter is relevant should

perform medication reconciliation

The EP, eligible hospital or CAH performs medication

reconciliation for more than 50% of transitions of care

in which the patient is transitioned into the care of the

EP or admitted to the eligible hospitals or CAHs

inpatient or emergency department (POS 21 or 23).

9 The EP, eligible hospital or CAH

who transitions their patient to

another setting of care or provider

of care or refers their patient to

another provider of care should

provide summary of care record for

each transition of care or referral

The EP, eligible hospital or CAH

who transitions their patient to

another setting of care or

provider of care or refers their

patient to another provider of

care should provide summary of

care record for each transition ofcare or referral

The EP, eligible hospital or CAH who transitions their

patient to another setting of care or provider of care

provides a summary of care record for more than

50% of transitions of care and referrals.

27

MU Stage 1 Criteria- Menu Set Objectives- ctd


28/37


10 Capability to submit electronic data

to immunization registries or

Immunization Information Systems

and actual submission in

accordance with applicable law and

practice

Capability to submit electronic

data to immunization registries orImmunization Information

Systems and actual submission in

accordance with applicable law

and practice


technology's capacity to submit electronic data toimmunization registries and follow up submission if

the test is successful (unless none of the

immunization registries to which the EP, eligible

hospital or CAH submits such information have the

capacity to receive the information electronically)

11 N/A Capability to submit electronic

data on reportable (as required by

state or local law) lab results to

public health agencies and actual

submission in accordance with

applicable law and practice


technology capacity to provide electronic submissionof reportable lab results to public health agencies

and follow-up submission if the test is successful

(unless none of the public health agencies to which

eligible hospital or CAH submits such information

have the capacity to receive the information

electronically)

12 Capability to submit electronic

syndromic surveillance data to




Capability to submit electronic

syndromic surveillance data to





technology's capacity to provide electronic syndromic

surveillance data to public health agencies andfollow-up submission if the test is successful (unless

none of the public health agencies to which an EP,

eligible hospital or CAH submits such information

have the capacity to receive the information

electronically)

28

MU Stage 1 Criteria- Menu Set Objectives- End


29/37

29

MU Stage 1 Criteria Clinical Quality Measures (CQMS) - Eligible Professionals (EPs) >>

MU Stage 1 Criteria- Clinical Quality Measures (CQMS) Eligible

Professionals (Eps)


30/37

NQF Measure Number &

PQRI Implementation Number Clinical Quality Measure Title

1 NQF 0013 Hypertension: Blood Pressure Measurement

2 NQF 0028Preventive Care and Screening Measure Pair: a)

Tobacco Use Assessment, b) Tobacco Cessation

Intervention

3 NQF 0421

PQRI 128

Adult Weight Screening and Follow-up

Core Set of CQMS

Alternate Core Set of CQMS

NQF Measure Number & PQRI

Implementation NumberClinical Quality Measure Title

1 NQF 0024 Weight Assessment and Counseling for Children

and Adolescents

2 NQF0041

PQRI 110Preventive Care and Screening: Influenza

Immunization for Patients 50 Years Old or Older

3 NQF 0038 Childhood Immunization Status

30

MU Stage 1 Criteria- Clinical Quality Measures (CQMS)

For Eligible Professionals (EPs)


31/37


PQRI Implementation Number

Clinical Quality Measure Title

1 NQF 0059; PQRI 1 Diabetes: Hemoglobin A1c Poor Control

2 NQF 0064; PQRI 2 Diabetes: Low Density Lipoprotein (LDL) Management and Control

3 NQF 0061; PQRI 3 Diabetes: Blood Pressure Management

4 NQF 0081; PQRI 5 Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor

Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD)

5 NQF 0070; PQRI 7 Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior MyocardialInfarction (MI)

6 NQF 0043; PQRI 111 Pneumonia Vaccination Status for Older Adults

7 NQF 0031; PQRI 112 Breast Cancer Screening

8 NQF 0034; PQRI 113 Colorectal Cancer Screening

9 NQF 0067; PQRI 6 CoronaryArtery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD

10 NQF 0083; PQRI 8 Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD)

11 NQF 0105; PQRI 9 Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b)Effective

Continuation Phase Treatment

12 NQF 0086; PQRI 12 Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation

13 NQF 0088; PQRI 18 Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of

Severity of Retinopathy

14 NQF 0089; PQRI 19 Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care

Additional Set of 38 CQMS

31

MU- Stage 1 Criteria CQMS- Additional Set (1-14)

For Eligible Professionals (EPs)


32/37

Additional Set of CQMS




15 NQF 0047; PQRI 53 Asthma Pharmacologic Therapy

16 NQF 0001; PQRI 64 Asthma Assessment

17 NQF 0002; PQRI 66 Appropriate Testing for Children with Pharyngitis

18 NQF 0387; PQRI 71 Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone

Receptor (ER/PR) Positive Breast Cancer

19 NQF 0385; PQRI 72 Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients

20 NQF 0389; PQRI 102 Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer

Patients21 NQF 0027; PQRI 115 Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco

Users to Quit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing

Smoking and Tobacco Use Cessation Strategies

22 NQF 0055; PQRI 117 Diabetes: Eye Exam

23 NQF 0062; PQRI 119 Diabetes: Urine Screening

24 NQF 0056; PQRI 163 Diabetes: Foot Exam

25 NQF 0074; PQRI 197 Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol

26 NQF 0084; PQRI 200 Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation

27 NQF 0073; PQRI 201 Ischemic Vascular Disease (IVD): Blood Pressure Management

28 NQF 0068; PQRI 204 Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic 32

MU Stage 1 Criteria- CQMS- Additional Set (15-28)

For Eligible Professionals


33/37

Additional Set of CQMS




29 NQF 0004 Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b)

Engagement

30 NQF 0012 Prenatal Care: Screening for Human Immunodeficiency Virus (HIV)

31 NQF 0014 Prenatal Care: Anti-D Immune Globulin

32 NQF 0018 Controlling High Blood Pressure

33 NQF 0032 Cervical Cancer Screening

34 NQF 0033 Chlamydia Screening for Women

35 NQF 0036 Use of Appropriate Medications for Asthma

36 NQF 0052 Low Back Pain: Use of Imaging Studies

37 NQF 0075 Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control

38 NQF 0575 Diabetes: Hemoglobin A1c Control (


34/37

34

MU Stage 1 Criteria Clinical Quality Measures (CQMS)- Eligible Hospitals >>

MU Stage 1 Criteria- Clinical Quality Measures- (Eligible Hospitals)

MU Stage 1 Criteria- Clinical Quality Measures


35/37

NQF Measure Number Clinical Quality Measure Title

1 Emergency Department (ED) -1NQF 0495 Emergency Department Throughputadmitted patients Median time from ED arrival to EDdeparture for admitted patients

2 ED-2 NQF 0497 Emergency Department Throughputadmitted patientsAdmission decision time to ED

departure time for admitted patients

3 Stoke-2 NQF 0435 Ischemic strokeDischarge on anti-thrombotics

4 Stoke-3 NQF 0436 Ischemic strokeAnticoagulation for A-fib/flutter

5 Stoke-4 NQF 0437 Ischemic strokeThrombolytic therapy for patients arriving within 2 hours of symptom

onset6 Stoke-5 NQF 0438 Ischemic or hemorrhagic strokeAntithrombotic therapy by day 2

7 Stoke-6 NQF 0439 Ischemic strokeDischarge on statins

8 Stoke-8 NQF 0440 Ischemic or hemorrhagic strokeStroke education

9 Stoke-10 NQF 0441 Ischemic or hemorrhagic strokeRehabilitation assessment

10 Venous Thromboembolism (VTE)-1

NQF 0371

VTE prophylaxis within 24 hours of arrival

11 VTE-2 NQF 0372 Intensive Care Unit VTE prophylaxis

12 VTE-3 NQF 0373 Anticoagulation overlap therapy

13 VTE-4 NQF 0374 Platelet monitoring on unfractionated heparin

14 VTE-5 NQF 0375 VTE discharge instructions

15 VTE-6 NQF 0376 Incidence of potentially preventable VTE 35

g Q y

For Eligible Hospitals- 15 CQMS


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36

1. Overview of Medicare and Medicaid EHR Incentive Programs

2. Medicare and Medicaid EHR Incentive Program Basics

3. CMS EHR Meaningful Use Overview4. Medicare & Medicaid Meaningful Use Stage 1 Requirements Summary

5. HIMSS has developed the Meaningful Use OneSource

6. HIMSS 2010- 2011 Health Information Exchange Committee - HIE Implications in Meaningful Use Stage 1

Requirements

7. CMS Medicare and Medicaid EHR Incentive Programs Milestone Timeline

8. CMS Finalizes Requirements for the Medicare Electronic Health Records (EHR) Incentive Program

9. CMS Finalizes Requirements for the Medicaid Electronic Health Records (EHR) Incentive Program10. Notable Differences between the Medicare and Medicaid EHR Incentive Programs

11. Stage 1 EHR Meaningful Use Specification Sheets for Eligible Professionals

12. Eligible Professional Meaningful Use Table of Contents Core and Menu Set Measures

13. Medicaid Electronic Health Record Incentive Payments for Eligible Professionals

14. Medicaid Hospital Incentive Payment Calculation

15. Stage 1 EHR Meaningful Use Specification Sheets for Eligible Hospitals

16. Eligible Hospital and CAH Meaningful Use Table of Contents Core Objectives and Menu Set Objectives

17. List of certified EHR Technology18. ONC Certification Program Jun 24, 2010 Temporary Certification Program

19. ONC Certification Program Jan 7,2011 Permanent Certification Program

20. ONC-Authorized Testing and Certification Bodies

21. HIT Policy Committee: Meaningful Use Workgroup Request for Comments Regarding Meaningful Use Stage 2

22. AHA recommends that stage 2 of meaningful use should not start until at least 75 percent of all eligible hospitals and

physicians/professionals have successfully reached Stage 1, and not before FY 2014.

23. Work Group Recommends Delay for Stage 2 of Meaningful Use24. Vendors air reservations about Stage 2

EHR Incentive Program- Information Resource (Links)
http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/35_Basics.asphttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asphttp://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/EHRIncentivePrograms/downloads/MU_Stage1_ReqSummary.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.himss.org/ASP/topics_meaningfuluse.asphttp://www.cms.gov/EHRIncentivePrograms/http://www.himss.org/content/files/MU_HIE_Matrix.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/EHRIncentProgtimeline508V1.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/apps/media/press/factsheet.asp?Counter=3792&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=datehttp://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/apps/media/press/factsheet.asp?Counter=3793&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=datehttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/ComparisonChart.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/MLNProducts/downloads/EHRIP_Eligible_Professionals_Tip_Sheet.pdfhttp://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdfhttp://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdfhttps://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://onc-chpl.force.com/ehrcerthttp://www.cms.gov/EHRIncentivePrograms/http://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120http://www.cms.gov/EHRIncentivePrograms/http://healthit.hhs.gov/media/faca/MU_RFC%20_2011-01-12_final.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.aha.org/advocacy-issues/letter/2011/110225-cl-meaningful-use-stage2.pdfhttp://www.aha.org/advocacy-issues/letter/2011/110225-cl-meaningful-use-stage2.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.ihealthbeat.org/articles/2011/6/8/work-group-recommends-delay-for-stage-2-of-meaningful-use.aspxhttp://www.cms.gov/EHRIncentivePrograms/http://www.healthcareitnews.com/news/vendors-air-reservations-about-stage-2http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.healthcareitnews.com/news/vendors-air-reservations-about-stage-2http://www.cms.gov/EHRIncentivePrograms/http://www.ihealthbeat.org/articles/2011/6/8/work-group-recommends-delay-for-stage-2-of-meaningful-use.aspxhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.aha.org/advocacy-issues/letter/2011/110225-cl-meaningful-use-stage2.pdfhttp://www.aha.org/advocacy-issues/letter/2011/110225-cl-meaningful-use-stage2.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://healthit.hhs.gov/media/faca/MU_RFC%20_2011-01-12_final.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120http://healthit.hhs.gov/portal/server.pt?open=512&mode=2&objID=3120http://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://origin.www.gpo.gov/fdsys/pkg/FR-2011-01-07/pdf/2010-33174.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://edocket.access.gpo.gov/2010/pdf/2010-14999.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://onc-chpl.force.com/ehrcerthttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/MLNProducts/downloads/Medicaid_Hosp_Incentive_Payments_Tip_Sheets.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/MLNProducts/downloads/EHRIP_Eligible_Professionals_Tip_Sheet.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/ComparisonChart.pdfhttp://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/apps/media/press/factsheet.asp?Counter=3793&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=datehttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/apps/media/press/factsheet.asp?Counter=3792&intNumPerPage=10&checkDate=&checkKey=&srchType=1&numDays=3500&srchOpt=0&srchData=&keywordType=All&chkNewsType=6&intPage=&showAll=&pYear=&year=&desc=&cboOrder=datehttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/Downloads/EHRIncentProgtimeline508V1.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.himss.org/content/files/MU_HIE_Matrix.pdfhttp://www.himss.org/content/files/MU_HIE_Matrix.pdfhttp://www.himss.org/content/files/MU_HIE_Matrix.pdfhttp://www.himss.org/content/files/MU_HIE_Matrix.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/http://www.himss.org/ASP/topics_meaningfuluse.asphttp://www.cms.gov/EHRIncentivePrograms/https://www.cms.gov/EHRIncentivePrograms/downloads/MU_Stage1_ReqSummary.pdfhttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/30_Meaningful_Use.asphttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/35_Basics.asphttp://www.cms.gov/EHRIncentivePrograms/http://www.cms.gov/EHRIncentivePrograms/


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37

25. Federal panel votes to delay Stage 2 meaningful use by a year

26. ARRA Funding for HHS (Including Health Information Technology)

27. Spotlight and Upcoming Events28. AHA Survey on Hospitals Ability to Meet Meaningful Use Requirements

29. $400M in EHR incentives delivered

30. Texas Health Resources CMIO tells how the system earned $19M for Stage 1

31. National Health Information Technology Week, 2011- A Proclamation by the President

For questions, suggestions, or feedback please contact via email to [email protected]

EHR Incentive Program- Information Resource (Links)
http://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.hhs.gov/recovery/programs/index.htmlhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.cms.gov/EHRIncentivePrograms/50_Spotlight.asphttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.aha.org/content/11/11EHRsurveyresults.pdfhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.healthcareitnews.com/news/400m-ehr-incentives-deliveredhttp://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.whitehouse.gov/the-press-office/2011/09/12/presidential-proclamation-national-health-information-technology-weekhttp://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1mailto:[email protected]://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearmailto:[email protected]://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.whitehouse.gov/the-press-office/2011/09/12/presidential-proclamation-national-health-information-technology-weekhttp://www.whitehouse.gov/the-press-office/2011/09/12/presidential-proclamation-national-health-information-technology-weekhttp://www.whitehouse.gov/the-press-office/2011/09/12/presidential-proclamation-national-health-information-technology-weekhttp://www.whitehouse.gov/the-press-office/2011/09/12/presidential-proclamation-national-health-information-technology-weekhttp://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.healthcareitnews.com/news/texas-health-resources-cmio-tells-how-system-earned-19m-stage-1http://www.healthcareitnews.com/news/400m-ehr-incentives-deliveredhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.aha.org/content/11/11EHRsurveyresults.pdfhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.cms.gov/EHRIncentivePrograms/50_Spotlight.asphttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.hhs.gov/recovery/programs/index.htmlhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-yearhttp://www.healthcareitnews.com/news/federal-panel-votes-delay-stage-2-meaningful-use-year

meaningful use criteria - ehr incentive programs1

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