Beacon Community Program Build and Strengthen – Improve – Test innovation

1. Beacon Community ProgramBuild and Strengthen – Improve – Test innovation Beacon-EHR Vendor Full Affinity Group May 17, 2013

2. Today’s Goals • Roll call – Lynda Rowe • User Stories Update • VDT User Story review – Kim & Alan (Displayed on Webex) • Outline MU 2 Numerator/Denominator Tracking Responsibilities – Lynda Rowe • Pilot Scenario Discussion – Lynda Rowe • Outline of Possible Pilots – Lynda Rowe • Beacon Pilot Form (Displayed on Webex) – Lynda Rowe • Identification of Beacons/Vendors that will fit into each Transport Use Case – Lynda Rowe • Paul Tuten Presentation Update – Chuck Tryon • HealtheWayUpdate – Chuck Tryon/Lynda Rowe • WIKI Development Update – Greg Dengler (Displayed on Webex) • Work Plan Progress – Chuck Tryon • Wrap up/Next Steps – Lynda Rowe

3. Possible Pilot Scenarios 1 - 5

4. Possible Pilot Scenarios 6 - 10

5. Numerator/Denominator for TOC measure #2 • Measure 2: The EP, EH or CAH that transitions or refers its patient to another setting of care or provider of care provides a summary of care record for more than 10% of such transition and referrals either: • Electronically transmitted using CEHRT to a recipient; or • Where the recipient receives the summary of care record via exchange faciliated by an organization that is an eHealth Exchange participant • Denominator: Number of transitions of care and referrals during the CEHRT reporting period for which the EP or eligible hospital’s or CAH’s inpatient or emergency department (Place or Service 21 or 23) was the transferring or referring provider • Numerator: Number of transitions of care and referrals in the denominator where a summary of care record was a) electronically transmitted using CEHRT to a recipient or b) where the recipient receives the summary of care record via exchange facilitated by an organization that is an eHealth Exchange participant. The organization can be a thrid-party or the senders own organization. • Of Note: • EP/EHs may only count transmissions in the measures numerator if the are accessed by the provider to whom the sending provider is referring or transferring the patient • An EP or EH may only count in the numerator transitions of care that first count in the denominator • Receipt by the provider occurs when either the clinician receives/queries or the practice/facility at which the clinician works receives/queries the summary of care

6. Numerator/Denominator Calculations • Key Points • EPs/EHs must use one of two methods to calculate their denominator: • Minimal denominators provided by CMS in the Stage 2 Final Rule • http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_EPCore_15_SummaryCare.pdf • Minimal denominators PLUS criteria defined and consistently documented by the EP/EH such as all self referrals not just self referrals reported by the HIO

7. Numerator/Denominator Calculations • Counting Concepts • Unit of measure for ToCmeasure 1 and 2 is transition/referral and not individual patient • 1:1 relationship between transitions/referrals in the EP/EH’s denominator and numerator. An EP/EH cannot count more than one pull/query in the numerator for just on TOC in the denominator • All EPs/EHs contributing data to a patient’s CCDA may receive credit when that document is exchanged/pulled only if the transfer is in the EP/EHs denominator • It is likely that an HIO will not have easy access to a particular EP or EH’s denominator unless the HIO is also the EHR vendor, and EHR vendor provides a list of denominator transitions or referrals to the HIO, or the EP or EH provides a list of denominator transitions or referrals to the HIO • Approach to calculating the denominator for ToCmeasure 1 and 2 must be the same

8. HIO ToC Measure 2 Support

9. Wrap Up/Next Steps • Final comments • All attendees • Co-Chairs: Chuck Tryon, Tone Southerland • Next steps • Conclusion