Meaningful Use Stage 2 and BeyondJune 6, 2013

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Outline

▲Why Meaningful Use?

▲Progress to date

▲Meaningful Use Stage 2

▲Stage 2 Preparation

▲Conclusion

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Why Meaningful Use?

The Department of Health and Human Services (HHS) envisions “an information rich, person-centered, high performance health care system where every health care provider has access to longitudinal data on patients they treat to make evidence-based decisions, coordinate care and improve health outcomes.”

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Meaningful Use as the foundation

Meaningful use is using certified electronic health record (EHR) technology to:

▲Improve quality, safety, efficiency, and reduce health disparities

▲Engage patients and family

▲Improve care coordination, and population and public health

▲Maintain privacy and security of patient health information

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Why Meaningful Use?

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Meaningful Use: Progress to Date

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Progress to Date: Nationwide

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Progress to Date: Michigan

Eligible Hospitals paid: 93

Eligible Professionals paid: 10,600+

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Meaningful Use: Stage 2 and Beyond

Stage 1:Data Capture and Sharing

Stage 2:Advance Clinical Processes

Stage 3:Improved Outcomes

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Stage 2 and Beyond

Stage 1 Stage 2 Stage 3

Electronically capturing health information in a standardized format

More rigorous health information exchange (HIE)

Improving quality, safety, and efficiency, leading to improved health outcomes

Using that information to track key clinical conditions

Increased requirements for e-prescribing and incorporating lab results

Decision support for national high-priority conditions

Communicating that information for care coordination processes

Electronic transmission of patient care summaries across multiple settings

Patient access to self-management tools

Initiating the reporting of clinical quality measures and public health information

More patient-controlled dataAccess to comprehensive patient data through patient-centered HIE

Using information to engage patients and their families in their care

Improving population health

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Stage 2

Interoperability is key!

▲Transitions of Care

▲Lab Exchange

▲Patient & Family Engagement

▲Public Health

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Stage 2: Transitions of Care

The Transition of Care objective includes 3 measures:

▲ Measure #1 requires the provision of a summary of care record for more than 50% of transitions of care and referrals.

▲ Measure #2 requires that the provision of a summary of care record using electronic transmission through CEHRT or eHealth Exchange participant for more than 10% of transitions of care and referrals

▲ Measure #3 requires at least one summary care record electronically transmitted to recipient with different EHR vendor or to CMS test EHR

Stage 1Stage 2

Stage 2

Stage 2

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Stage 2: Lab Exchange

▲ Objective: Incorporate clinical lab test results into CEHRT as structured data

▲ Measure: More than 40% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data

▲ Measure: More than 55% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data

Stage 1 (Menu)Stage 2

Stage 1

Stage 2

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Stage 2: Patient Engagement

Provide patients the ability to view online, download and transmit their health information

Requirements for Patient Action:

▲More than 5% of patients must send secure messages to their EP

▲More than 5% of patients must view, download, or transmit their health information

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Stage 2: Public Health

Includes 4 Core and Menu Objectives for EPs:

▲ (Core) Immunization Registry: Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or IIS for the entire EHR reporting period

▲ (Menu) Syndromic Surveillance: Successful ongoing submission of electronic syndromic surveillance data from CEHRT to a PHA for the entire EHR reporting period

▲ (Menu) Cancer Registry: Successful ongoing submission of cancer case information from CEHRT to a state cancer registry for the entire EHR reporting period

▲ (Menu) Specialty Registry: Successful ongoing submission of clinical and case information from CEHRT to a specialty registry for the entire EHR reporting period

Stage 1 (Menu)

Stage 1

Stage 2

Stage 2

Stage 2

Stage 2

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Most commonly deferred Stage 1 Menu Objectives:

▲ Providing a summary of care to patients at transitions to other physicians or hospitals — 84%

▲ Using the EHR to send reminders to specific groups of patients about preventive care — 80%

▲ Sending information to public health agencies or syndromic surveillance — 68%

▲ Being able to give patients electronic access to their records — 66%

Stage 2: Preparation

Transitions of Care

Patient Engagement

Public Health

Patient Engagement

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Stage 2: Preparation

▲Stage 1–Look ahead!

▲2014 CEHRT–Required for all stages in 2014

–3-month reporting period

▲Health Information Exchange–Connect!

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Stage 2: PreparationFirst Year of MU

Stages of Meaningful Use2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021

2011 1 1 1 2 2 3 3 TBD TBD TBD TBD

2012 1 1 2 2 3 3 TBD TBD TBD TBD

2013 1 1 2 2 3 3 TBD TBD TBD

2014 1 1 2 2 3 3 TBD TBD

2015 1 1 2 2 3 3 TBD

2016 1 1 2 2 3 32017 1 1 2 2 3

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Conclusion

Information rich, person-centered, high performance connected health care system

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Additional Information:

ONC Interoperability Training Courses:http://www.healthit.gov/providers-professionals/interoperability-training-courses

Centers for Medicare & Medicaid Services:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html

Michigan Health IT:https://www.michiganhealthit.org/mu/

M-CEITA:http://www.mceita.org/

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