Series 1: “Meaningful Use” for Behavioral Health Providers
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Series 1: “Meaningful Use” for Behavioral Health Providers 1/2014 Changes to Stage 1: Core Objectives 8 through 15 (updates generally required for Stage 1 reporting by 1/1/2014) From the CIHS Video Series “Ten Minutes at a Time”
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Series 1: “Meaningful Use” for Behavioral Health Providers. Changes to Stage 1: Core Objectives 8 through 15 (updates generally required for Stage 1 reporting by 1/1/2014) From the CIHS Video Series “Ten Minutes at a Time” . 1/2014. Stage 1 Core Objectives Affected (of 8 t hrough 15). - PowerPoint PPT Presentation
Transcript of Series 1: “Meaningful Use” for Behavioral Health Providers
PowerPoint Presentation
Series 1: Meaningful Use for Behavioral Health Providers
1/2014Changes to Stage 1: Core Objectives 8 through 15(updates generally required for Stage 1 reporting by 1/1/2014)
From the CIHS Video Series Ten Minutes at a Time
The Center for Medicaid/Medicare Services (CMS) continues to refine the requirements for Meaningful Use, which includes some adjustments to the Core and Menu Objectives and Measures for Reporting in Stage 1. Most of the changes were optional in 2013 and required in 2014. Some of the smaller changes were effective for the 2013 reporting period. 1Stage 1 Core Objectives Affected (of 8 through 15)Core Objective/Measure #8 Record and Chart Vital Signs#10 Clinical Quality Measures#12 Electronic Copy of Health Information#14 Electronic Exchange of Clinical Information
In numbers 8 through 15, the Core Objectives and Measures affected by these changes include #8 Record and Chart Vital Signs, #10 on Clinical Quality Measures, #12 on Electronic Copy of Health Information, and #14 on the Electronic Exchange of Clinical Information. For the most part, these are significant changes that will also impact Stage 2 Meaningful Use.2
Stage 1 Core Objective #8 Review, ends 12/31/2012)
Vital signs are an important part of personal health information because they provide the baseline and benchmark data for prescribing and treatment recommendations. They are also the focus of prevention efforts. Although these may be challenging for the behavioral health provider to collect and/or access through the State Health Information Exchange, they play an important role in patient overall wellness and can be used as indicators to mark patient progress or decline, and whether or not evidence-based practices are being effectively applied. 3New Measure for Record and Chart Vital SignsNew Exclusion Rule for Record and Chart Vital Signs
Stage 1 Core Objective #8 Changes 1/1/2014
The change in this measure is related to the patients age, which went from 2 to 3 years. But there are important modifications to the exclusion rule as well, which now allow the EP to meet the measure by reporting on either height and weight, or blood pressure, or all three measures.4
Stage 1 Core Objective #10 Review, ends 12/31/2012)
Module 5 in this series goes into detail about Core Objective #10, Report Ambulatory Clinical Quality Measures (or CQMs) to CMS. In Stage 1, Behavioral Health and other providers who are following the Medicaid track reported this data to the State Medicaid Office, and attested to this reporting activity. 5EPs still required to report on Clinical Quality Measures
Considered a general requirement for Meaningful Use
Core Objective #10 is removed requires EPs to attest, so considered redundant (already attesting to Meaningful Use which includes CQM reporting)
See update to Module #5 on Clinical Quality Measures for more detailStage 1 Core Objective #10 Changes begin 1/1/2014
EPs are still required to report on Clinical Quality Measures, but they are a general requirement of Meaningful Use to which the EP is already attesting. The requirement in Core Objective #10 to attest to this activity was removed from the list because it is redundant. Module 5 in this series, which discusses the finer points of reporting on the 2011 2013 CQMs, has been updated with more information about this particular change which is required for 2014 reporting. 6
Stage 1 Core Objective #12 Review, ends 12/31/2012)
CMS noted that there seemed to be a great deal of confusion around how Core Objective #12, and the related Menu Objective #5, could be met. Both concern patient access to electronic copies of their health information. So, a new Objective and Measure was proposed to take the place of both this Core Objective and the related Menu Objective.
7Stage 1 Core Objective #12 Changes begin 1/1/2014
This new Objective and Measure ALSO replaces Menu Objective #5: Provide patients with timely electronic access to their health information
A popular approach to providing patients with timely electronic access to their information is via a secure web-portal. This became the basis for the new Objective and Measure that replaced Core Objective #12 as well as Menu Objective #5.
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Stage 1 Core Objective #14 Review, ends 12/31/2012)
The phrase key clinical information references a minimum patient data standard that is part of federal statute and is in use throughout the country. It is summarized in the Objective. At this time there are basically two ways to exchange this data set through the State or Regional Health Information Exchange, and/or through the point-to-point transmission of information using Nationwide Health Information Network (NwHIN) Direct. Direct is the option selected by most Behavioral Health providers. It is essentially a very secure email system that allows providers to exchange patient data electronically while adhering to all applicable federal statutes. 9Electronic exchange of key clinical information no longer required for Stage 1 EPs
Still a PBHCI grant requirement for Cohorts V and VI
Reappears in Stage 2 as a more robust requirement
Focus on providing summary of care record following transition of care or referralhttps://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/stage1changestipsheet.pdf Stage 1 Core Objective #14 Changes begin 1/1/2013
Although this patient information exchange is still a requirement for PBHCI HIT Supplement grantees and PBHCI grantees in Cohorts V and VI, it is no longer a requirement of Stage 1 Meaningful Use, beginning in the reporting year 2013. The requirement makes a critically important reappearance in Stage 2 Meaningful Use, where there is a much stronger focus on ensuring that comprehensive patient information follows the patient throughout the system of care. We have included a link to a Stage 1 Changes Tipsheet made available through CMS.
https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/stage1changestipsheet.pdf 10We Have Solutions for Integrating Primary and Behavioral Healthcare
Contact CIHS for all types of primary and behavioral health care integration technical assistance and training needs
1701 K Street NW, Ste 400 Washington DC 20006
Web: www.integration.samhsa.govEmail:[email protected]:202-684-7457
Prepared and presented by Colleen ODonnell, MSW, PMP, CHTS-IM for the Center for Integrated Health Solutions
Our thanks go to SAMHSA and to HRSA for providing support to the Center for Integrated Health Solutions (CIHS) for this and many other forms of training and technical assistance related to the integration of primary and behavioral health care. Please visit our web site at www.integration.samhsa.gov, email us at [email protected], or just pick up the phone and give us a call at 202-684-7547.
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