Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS

Webinar 2:2014 MU Stage2, 2014 MU Stage 1

and CQM 2014 OverviewFriday, March 28, 2014 at 3:30 PM EST

Monday, March 31, 2014 at 4:30 PM EST

EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

Meaningful Use Quick Facts


“All providers must upgrade or adopt newly certified EHRs in 2014” , meaning All providers regardless of their stage of Meaningful Use are only required to demonstrate meaningful use for a three month (or 90 day) period.

Medicare Eligible Professionals beyond their first year of meaningful use must select a three-month reporting period fixed to the quarter of the calendar year for Eligible Professionals. Providers must attest to these reporting periods no later than February 28, 2015 at 12 AM ET.

Medicare EPs in their first year of meaningful use may select any 90 day reporting period.Medicaid EPs can select any 90-day reporting period that falls within the 2014 calendar year.

Clinical Quality Measure (CQM)Quick Facts


EPs will have to report using the new 2014 criteria regardless of whether they are participating in Stage 1 or Stage 2 of the EHR Incentive Programs.

All Medicare EPs have the option of submitting three months of CQM data online through the CMS registration and attestation system. Medicare EPs also have the option to submit a full year of data electronically using the QRDA format to receive credit for the EHR incentive Program and Physician Quality Reporting System (PQRS). Medicaid EPs must submit their clinical quality measurement data to their State

Medicaid Agency

Begining in 2014, EPs must select and report on 9 of a possible list of 64 approved CQMs for the EHR Incentive Programs. The 6 domains are:

Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Health Care Resources Clinical Processes/ Effectiveness

Medicare Incentive Program Participation Timeline


2011 2012 2013 2014 2015 2016 Total Incentive ($)

90D - S1 ($18,000)

FY - S1 ($12,000)

FY - S1 ($8,000)

90D - S2 ($4,000)

FY - S2 ($2,000) x $44,000

x 90D - S1 ($18,000)

FY - S1 ($12,000)

90D - S2 ($8,000)

FY- S2 ($4,000)

FY - S3 ($2,000) $44,000

x x 90D - S1 ($15,000)

90D - S1 ($12,000)

FY - S2 ($8,000)

FY - S2 ($4,000) $39,000

x x x 90D - S1 ($12,000)

FY - S1 ($8,000)

FY - S2 ($4,000) $24,000

90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful useFY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use

Medicaid Incentive Program Participation Timeline


90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful useFY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use

A: Adoption of Meaningful use certified Technology

2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021A ($21,250)

90D - S1 ($8,500)

FY - S1 ($8,500)

90D - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500) x X x x x

x A ($21,250)

90D - S1 ($8,500)

90D - S1 ($8,500)

FY - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500) x x x x

x x A ($21,250)

90D - S1 ($8,500)

FY - S1 ($8,500)

FY - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500) x x x

x x x A ($21,250)

90 - S1 ($8,500)

FY - S1 ($8,500)

FY - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500) x x

x x x x A ($21,250)

FY - S1 ($8,500)

FY -S1 ($8,500)

FY - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500) x

x x x x x A ($21,250)

90D -S1 $8,500)

FY - S1 ($8,500)

FY - S2 ($8,500)

FY - S2 ($8,500)

FY - S3 ($8,500)

Implementing Meaningful Use Stage 2?Quick Facts


Eligible Professionals (EPs) must now report on 17 core objectives and 3 out of a 6 menu objectives.

Many of the objectives in Stage 2 are familiar to Stage 1 objectives. Some menu objectives that were in MU Stage 1 have been moved to the core set of Stage 2 and are now required for all providers. Some objectives that were in core set in Stage 1 now have higher thresholds that you must achieve in order to successfully demonstrate meaningful use of your EHR in Stage 2. There are also some new Stage 2 core and menu objectives

Implementing Meaningful Use Stage 2?Quick Facts


New Criteria - Starting in 2014, providers participating in the EHR Incentive Programs who have met Stage 1 for two or three years will need to meet meaningful use Stage 2 criteria.

Improving Patient Care – Stage 2 includes new objectives to improve patient care through better clinical decision support, care coordination, and patient engagement.

Saving Money, Time, Lives – With Stage 2, EHRs will: Save our health care system money Save doctors and hospitals time Save lives

Implementing Meaningful Use Stage 2?


Measures with Minimum changes from Stage 1 MU


Protect Health Information (Core Measure)Must Complete Security Risk Analysis

Generate Patient List (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure

Patient Reminder (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure

Patient Education (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure

Medication Reconciliation (Core Measure) Moved from Stage 1 Menu Measure to Stage 2 Core Measure

Summary of Care (Core Measure) Moved from Stage 1 Menu Measure to Stage 2 Core Measure

Syndromic Surveillance data to Public Health Agencies (Menu Measure),Ongoing Submission Required

Measures with changes from Stage 1 MU


CPOE Medication (Core Measure), Threshold Increased from 30% to 60%

Electronic Prescription (Core Measure), Threshold Increased from 40% to 50%Drug Formulary checks must have been performed.

Record Demographics (Core Measure), Threshold increased from 50% to 80%

Vital Signs (Core Measure), Threshold increased from 50% to 80%New choices are available to select applicable vitals.

Smoking Status (Core Measure), Threshold Increased from 50% to 80%

Clinical Decision Support (Core Measure)Implement 5 Clinical Decision Support rules compare to 1 CDS in MU Stage 1

Clinical Summary (Core Measure), Threshold 50% - Same as Stage 1Clinical Summary Document must be provided within 1 Business Day

Submit Electronic Data to Immunization Registry (Core Measure)Successful ongoing submission to Immunization Registry for entire EHR reporting period.

New Measures in MU Stage 2Core Measures


Use CPOE (Core Measure) for 30% of Laboratory Orders and 30% of Radiology Orders

Patient Portal (Core Measure), Provide Patients the ability to view online, download and transmit their health InformationThreshold Increased from 10% to 50%5% of Patient must view, download and transmit to 3rd Party.

Incorporate Lab Results into EHR (Core Measure)Threshold changed from 40% to 55%Moved from Menu Measure to Core Measure

Provide Summary of Care Record (Core Measure)Measure 1: Provide summary for 50% of transitions of care and referralsMeasure 2: 10% of Transition of care and referral must be submitted or received electronicallyMeasure 3: Conduct one ore more successful tests with CMS designated test EHR or with different EHR Product than DigiDMS EHR.

Secure Electronic Messaging (Core Measure)

New Measures in MU Stage 2Menu Measures


Record Electronic Notes in Patient Records (Menu Measure) (Threshold: 30%)

Imaging Results Accessible through CEHRT (Menu Measure)For over 10% of all tests that yield an image, must be associated with orders

Family Health History (Menu Measure) (Threshold: 20%)

Report Cancer Cases to a public Health central cancer registry (Menu Measure)ongoing submission required

Report Specific Cases to a Specialized registry (Menu Measure)Ongoing Submission Required

Implementing Stage 1 MU in 2014?


Patient Portal (Core Measure), Provide Patients the ability to view online, download and transmit their health Information

Moved From Menu Measure to Core MeasureThreshold Increased from 10% to 50%5% of Patient must view, download and transmit to 3rd Party.

CPOE for Medication Orders (Core Measure)Alternate Calculation Method is available

Vital Signs (Core Measure)EP can choose applicable Vital Signs from available options


Core Measures


Menu Measures

Resources


List of Meaningful Use Stage 2 Core Measures and Menu MeasuresMeaningful Use Participation TimelineCMS Guide for Implementing Stage 2Official Link of Stage 2 ResourcesMU Stage 2 ToolkitStage 1 vs Stage 2 comparison chart for EPs2014 Clinical Quality Measure Tipsheet by CMSSecurity Risk Analysis Factsheet

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2_MeaningfulUseSpecSheet_TableContents_EPs.pdf�

http://cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Participation-Timeline.html�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2_Guide_EPs_9_23_13.pdf�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage2_Toolkit_EHR_0313.pdf�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Stage1vsStage2CompTablesforEP.pdf�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/ClinicalQualityMeasuresTipsheet.pdf�

http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/SecurityRiskAssessment_FactSheet_Updated20131122.pdf�


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Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS

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Transcript of Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS