tara daniel

Tara Daniel

May 18, 2012

Stage 1 Meaningful Use

Data Capture and Sharing

Advanced Clinical Processes

Improved Outcomes

Overview of Meaningful Use

Measure Insight

Attestation Process

MU Overview Attestation ProcessMeasure Insight

Objectives


Overview

Long-term Initiative

Changes Over Time

Central to Health Information Technology

Timeline2009

HITECH Act

June 2010ONC Final Rule

for EHR Certification

January 2011TennCare acceptsAIU attestations

July 2010CMS Final Rule for Incentive Program

April 2012TennCare acceptsMU attestations

2021Program End

2016Last Year

to Begin Program


Meaningful Use Improve Quality, Safety, Efficiency, and Reduce Health Disparities

Improve Population and Public Health

Engage Patients and Families in their Healthcare Improve Care Coordination

Maintain Privacy and Security

Data Capture and Sharing

Advanced Clinical Processes

Improved Outcomes


Facilitate Successful Attestation

Evaluate Attestations

Promote Participation

Collect and Analyze Data

Facilitate Successful Attestation

Evaluate Attestations

Quality Oversight Role

informedresponsible

relevant


Meaningful Use Process


Incentive Payments

1

5

4

3

2

6

Payment Year

AIU

Stage 2 MU

Stage 2 MU

Stage 1 MU

Stage 1 MU

Stage 3 MU

$21,250

$8,500

$8,500

$8,500

$8,500

$8,500

Program Requirements Payment

$63,750

2014


Meaningful Use Process

Meaningful Use

Prepared

Performed

Attested

Verified

PaidAudited

Data Compiled, Published

TennCare Processes

EP/EH Processes


Clarify and Affirm Meaningful Use Criteria

Aid in the Attestation Process

Address Specific Questions and Concerns

TennCare as a Resource


Medicaid EHR Incentive Program

Eligible Professionals (EPs)

Meaningful Use

Scope and Applicability


Measure Insight

Types of Measures

Measure Parameters

Measure Concerns

EPsConsultants (Optional)

Vendors

Prepared

Performed

Attested


15 Core Measures

5 of 10 Menu Measures

6-9 Clinical Quality Measures

Stage 1 Meaningful Use


Calculated Percentage

Types of Measures

Measure at a GlanceType: calculated percentageDenominator: unique patientsDuration: calculated over the entire EHR reporting period

Problem Lists3

More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient as structured data.

numerator

denominator


Calculated Percentage

Types of Measures

Patient Lists3

Generate at least one report listing patients of the EP with a specific condition.

Measure at a GlanceType: task to be performedDenominator: noneDuration: completed during the EHR reporting period

Task to be PerformedYes

No


Types of Measures

The EP has enabled this functionality and has access to at least one internal or external formulary for the entire EHR reporting period.

Measure at a GlanceType: enabled functionDenominator: noneDuration: enabled during the entire EHR reporting period

Drug Formulary Checks

1

Enabled FunctionYes

No


Measure Categories


Unique Patients


More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data.

More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient as structured data.

More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.

More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data.

Measure at a GlanceType: calculated percentageDenominator: unique patients with a medication list, which may be limited to patients maintained by CEHRTDuration: calculated over the entire EHR reporting period

More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE.


Based on Subset


Core Measure 12

More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days.

Electronic Copies12 Measure at a GlanceType: calculated percentageDenominator: unique patients requesting copies at least four days prior to the end of the reporting period, may be limited to patients maintained by CEHRTDuration: calculated over the entire EHR reporting period


Menu Measure 5

Measure at a GlanceType: calculated percentageDenominator: unique patientsDuration: calculated over the entire EHR reporting period

Patient Electronic Access

5At least 10 percent of all unique patients seen by the EP are provided timely (available to the patients within four business days of being updated in the certified EHR technology) electronic access to their health information subject to the EP's discretion to withhold certain information.


Core Measure 13

Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days.

Measure at a GlanceType: calculated percentageDenominator: office visitsDuration: calculated over the entire EHR reporting period

Clinical Summaries13


Core Measure 14

Performed at least one test of certified EHR technology’s capacity to electronically exchange key clinical information.

Exchange Information

14 Measure at a GlanceType: task to be performedDenominator: noneDuration: completed any time during the reporting period’s year, so long that the date is on or before the last day of the reporting period

Attestation Process


Navigating to the Portal


Attestation Process


http://pipp.tenncare.tn.gov

AIU

General Questions


EHR Reporting Period

Provider Specialty

Number of Unique Patients in EHR

County of Practice

Core & Menu Measures


2

3



Patient Lists3

Generate at least one report listing patients of the EP with a specific condition.

Measure at a GlanceType: task to be performedDenominator: noneDuration: completed during the EHR reporting period



Implement one clinical decision support rule.

Measure at a GlanceType: enabled functionDenominator: noneDuration: enabled during the entire reporting period

Clinical Decision Support

11

More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology.

Measure at a GlanceType: calculated percentageDenominator: permissible prescriptionsDuration: calculated over the entire EHR reporting period

eRx4



Performed at least one test of CEHRT’s capacity to submit electronic data to immuniza-tion registries and follow up submissions if the test is successful (unless none of the immunization registries to which the EP submits such information has the capacity to receive the information electronically)

Measure at a GlanceType: task to be performedDenominator: noneDuration: completed any time during the reporting period’s year, so long that the date is on or before the last day of the reporting period

Immunization Registry9

Clinical Quality Measures


Attest to the 3 Core CQMs

Automatically Instruct How Many Alternate Core (0-3)

Select 3 Additional CQMs

Attestation Tips


Review Measures Before Attesting

Save and Exit to Return Later

Be Thorough

Proofread

Be Early

TennCare Resources


Attestation Webinar: May 23, 2012: 9:00 AM, Recorded

TennCare Website: http://tn.gov/tenncare/mu.shtml

E-mail Address: [email protected]

tara daniel

Documents

meaningful use criteria

successful attestation

ehr certificationjanuary

ehr reporting period

incentive programapril

concerns tenncare

program requirementspayment

core measures