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Meaningful Use for

Health Departments

An Overview

Working with ezEMRx

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What is the Incentive Program?

The EHR Incentive Program allows you to adopt, implement, or upgrade to certified EHR technology such as ezEMRx.

The EHR Incentive Program consist of 3 stages of Meaningful Use. Each stage has its own set of requirements to meet to demonstrate Meaningful Use.

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How does this work?

In this discussion we will concentrate on the

Medicaid EHR Incentive Program

You can participate in the program for three years under Stage 1 regardless of when you begin the Medicaid program. After these three years, you will begin Stage 2. Depending on when you begin participation in the Medicaid program, you may begin Stage 2 at different times.

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So, what’s really the Incentive? We are now going to make a few assumptions. Assuming that you will adopt and implement ezEMRx this year, your payment Information can be described as follows: Adopt, implement, or upgrade in 2015. Year 1 Payment: $21,250.00 Demonstrate 90 days of Stage 1 of meaningful use in year 2. Year 2 Payment: $8,500.00 Demonstrate a full year of Stage 1 of meaningful use in year 3. Year 3 Payment: $8,500.00 Demonstrate a full year of Stage 2 of meaningful use in year 4. Year 4 Payment: $8,500.00 Demonstrate a full year of Stage 2 of meaningful use in year 5. Year 5 Payment: $8,500.00 Demonstrate a full year Stage 3 of meaningful use in year 6. Year 6 Payment: $8,500.00

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Am I Eligible? – Part 1 We will see the word used today as EP or Eligible Professional with any discussion on Meaningful Use.

So what’s an EP or Eligible Professional?

Eligible professionals under the Medicaid EHR Incentive Program include:

- Physicians (primarily doctors of medicine and doctors of osteopathy)

- Nurse practitioner

- Certified nurse-midwife

- Dentist

- Physician assistant who furnishes services in a Federally Qualified Health Center or Rural Health Clinic that is led by a physician assistant.

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Am I Eligible? – Part 2

So now you qualify as an EP, lets move to the next Eligibility criteria. To qualify for an incentive payment under the Medicaid EHR Incentive Program, an EP must meet one of the following criteria: - Have a minimum 30% Medicaid patient volume* - Have a minimum 20% Medicaid patient volume, and is a pediatrician* - Practice predominantly in a Federally Qualified Health Center or Rural Health Center and have a minimum 30% patient volume attributable to needy individuals

* Children's Health Insurance Program (CHIP) patients do not count toward the Medicaid patient volume criteria.

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Registration We now have figured you are eligible for the Medicaid incentive program. Lets get you registered. As a provider, it is important to understand the steps required to ensure successful receipt of EHR incentive payments:

• Provider registers at the Federal CMS Registration and Attestation website

https://ehrincentives.cms.gov/hitech/login.action

– Provider selects either Medicare or Medicaid as the program they wish to apply to

– For providers selecting Medicaid, provider selects which state they want to apply to

• HFS receives provider registration from Federal CMS for providers selecting Illinois Medicaid

• Twenty-four hours after successfully registering through the CMS website, the Provider will need to verify registration and provide additional eligibility information at Illinois eMIPP (https://medicaid.illinois.gov/ssomain/impact) using their assigned CMS Registration Number

You will need ezEMRx Certification Number handy. Here it is 13H1301PSCHCEAF

You can let a third party, such as an office manager, register on the Providers behalf. They will however require to register and create an Identity and Access Management system (I&A) account at https://ehrincentives.cms.gov/hitech/redirection.action?transferReason=CreateLogin

Too confusing? We will walk you thru it…

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What does Attestation mean?

Attestation is a legal statement that you have met the thresholds and all of the requirements of the Medicaid EHR Incentive Program.

During the first year of participation, you will demonstrate that you were able to adopt, implement, or upgrade your certified EHR system. During your second and subsequent years of participation, you will still attest through your state’s internet-based portal but you will only attest to meeting the meaningful use requirements (as well as having met all other eligibility criteria).

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Meeting Meaningful Use Requirements

Stage 1 of meaningful use will require following:

• 13 core objectives

• 5 out of 9 menu objectives

• 9 measures from 64 approved CQMs

Stage 2 of meaningful use will require the following:

• 17 core objectives

• 3 out of 6 menu objectives

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Am I using Certified EHR Technology?

Is ezEMRx Certified EHR technology? – YES, Stage 1 & Stage 2

ezEMRxPrivate is the product description ezEMRx uses with CMS

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What are these MU Requirements?

We will talk about Stage 1 for this discussion. EPs have to meet the following in order to receive a meaningful use incentive payment under Stage 1 13 CORE OBJECTIVES These are objectives that everyone who participates in the program must meet. Some of the core objectives have exclusions that could exempt you from having to meet them, but many of them do not. We will work with you on those. You have to report on all 13 core objectives and meet the thresholds established by those objectives. 9 MENU OBJECTIVES You only have to report on 5 out of the 9 available menu objectives, including at least one public health-related objective. You can choose objectives that make sense for your health department. Again, some of these objectives have exclusions that could exempt you from having to meet them and we will with you on those.

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What do I have to meet for Stage 1? EPs must meet these 13 core objectives in order to receive an EHR Incentive Payment. Each objective has a set goal that needs to be met.

– Computerized provider order entry (CPOE) – Drug-drug and drug-allergy checks – Maintain an up-to-date problem list of current and active diagnoses – E-Prescribing (eRx) – Maintain active medication list – Maintain active medication allergy list – Record demographics – Record and chart changes in vital signs – Record smoking status for patients 13 years or older – Implement clinical decision support – Provide patients with the ability to view, download, or transmit their health information online – Provide clinical summaries for patients for each office visit – Protect electronic health information

EPs must meet 5 out of 9 menu objectives in order to receive an EHR Incentive Payment. Health Departments must pick one of first two menu objectives and any four of the rest.

– Submit electronic data to immunization registries – Submit electronic syndromic surveillance data to public health agencies – Drug formulary checks – Incorporate clinical lab-test results – Generate lists of patients by specific conditions – Send reminders to patients for preventive/follow-up care – Patient-specific education resources – Medication reconciliation – Summary of care record for transitions of care

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What can ezEMRx do for you

• Training – We train you on how to work ezEMRx within your department workflow to meet required objectives

• Registration Assistance – We will assist your staff in getting the Registration completed

• Ongoing Help – We have an exclusive hotline for MU support so you can get help when you are stuck

• Reporting Oversight – We help monitor your progress against each measure and assist in reaching the objective goals

• Attestation Assistance – When you are ready to attest, we work with you to ensure you have all the required numerator and denominator metrics

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Tracking Progress Our unique dashboard tracks your progress in meeting of the goals. We also

tell you how many patients you require to meet the objective and its goal

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Help! Require help on how to achieve a certain objective? Click on the

RED “?” to see what and where to click.

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Ready to Attest? In order to complete the attestation, you will require the Numerator and Denominator for each objective. ezEMRx screens will assist you for the required capture

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Attestation Now that you have met your objective goals, its time to attest for the Medicaid incentive program. As a provider, it is important to understand the steps required to ensure successful receipt of EHR incentive payments: • Provider registers at the Federal CMS Registration and Attestation website https://ehrincentives.cms.gov/hitech/login.action

– Provider selects either Medicare or Medicaid as the program they wish to apply to

– For providers selecting Medicaid, provider selects which state they want to apply to

• HFS receives provider registration from Federal CMS for providers selecting Illinois Medicaid

• Provider logs into the Illinois eMIPP (https://medicaid.illinois.gov/ssomain/impact) using their assigned CMS Registration Number

• If the provider is in good standing, then the provider can complete the eMIPP attestation; otherwise, they will be notified via popup messages of any eligibility issues

• HFS staff conducts review of the provider attestation to determine eligibility • If eligible, the provider is issued the incentive payment (to be paid within 45 days

from date of approval by HFS)

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We know Meaningful Use

We have supported EPs on Meaningful Use since 2011. EPs have received incentive payments after successful attestation using ezEMRx.

Certification Roadmap • CCHIT Certified in 2008 • ONC-ATC Certifications

– Stage 1 in 2011 – Updated Stage 1 in 2012 – Stage 1 & Stage 2 in 2014 – Stage 3 Planned

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We simplify getting information. Just login into ezEMRx and access all the required MU websites