EHR Certification and Meaningful Use

1. EHR Certification andMeaningful Use Chris Lamer Cathy Whaley

2. Overview • Meaningful Use incentive program • EHR Certification Process • Meaningful Use team

3. Meaningful use overview Why is there a MU incentive project? What is the MU project timeline?

4. Why Meaningful Use Reports PH Agencies EPI Center Patient Record Insurance Companies Other health care systems Patient Care Personal Health Record Use Standards and Interoperability to achieve Complete and accurate information Better access to information Patient empowerment

5. Timeline: Stages of MU

6. Incentives and Eligibility Medicare Medicaid

7. Incentives and Eligibility

8. Incentives and Eligibility

9. Key Points • MU is to improve help the health care system by implementing standards and interoperability. • There are three stages • Stage 1: 2011 • Stage 2: 2012 • Stage 3: 2013 • There are 4 types of incentives: • Medicare – Eligible Provider • Medicare – Eligible Hospital • Medicaid – Eligible Provider • Medicaid – Eligible Hospital

10. EHR Certification Why get certified? When did we get certified? When will you get the certified EHR?

14. Medicare Payment Schedule • Maximum payments based upon 75% of Medicare Part B fee schedule payments up to the maximum incentive amount per year. • e.g., Minimum of $24,000 per year to be eligible for maximum $18,000 bonus

15. Medicaid Payment Schedule

18. Medicare Penalties • In 2015, reduction in Medicare reimbursement begins for physicians who are not meaningful EHR users (1% per year, capped at a 3% reduction). • Statue allows for exceptions for “significant hardship” as determined by the Secretary.

19. Certification Process • CMS created MU requirements • ONC created EHR requirements • NIST created the EHR certification test • ATCBs administered the test

20. NIST: 50 Tests Scripts

23. http://onc-chpl.force.com/ehrcert

24. CMS EHR Certification Number • Ambulatory: 30000002EJKDEAI • Inpatient: 30000002ELL6EAI

25. Status of Certified RPMS EHR • Updates necessary to achieve MU are in development and many are already released. • Upcoming releases: • EHR patch 8 May 2011 • Reporting tools May and June 2011

26. Key Points • EHR Certification is required to participate in meaningful use • EHR Certification demonstrates RPMS-EHR is standardized and interoperable • RPMS-EHR was certified by InfoGard on April 1, 2011 • The CMS certification number can be obtained at: http://onc-chpl.force.com/ehrcert • RPMS-EHR will be updated to the certified version by the end of May 2011 • Further enhancements ongoing.

27. MU Team Who is working on MU? Who should you ask if you have questions?

28. MU Team: One big happy family CIO Analysts PMO CTO • REC • NIHB • USET Area MU Coordinator Fed Lead PM MU Core Team MU Field Team EHR Deployment Certification Team

29. Key Points • There are many people available to help you achieve MU • Know your contacts to meet your needs: