Northeast Kentucky Regional Health Information Organization

1. Northeast Kentucky Regional Health Information Organization Kayla D. Rose, M.A., RRT Executive Director k.rose@nekyrhio.org Get Equipped Get Connected Get on the path to Meaningful Use

2. West Liberty, Kentucky is the home of Northeast Kentucky RHIO.

3. NeKYRHIO 19counties in Northeastern Kentucky 402total providers 259primary care providers as part of original REC grant – majority Medicaid 68other specialty providers in Ashland area - Medicare 75Medicaid specialty providers Planning Guide and Meaningful Use pilot: work with additional providers

4. NeKY RHIO Over 87%of our initial primary care providers were on an electronic health record 259signed providers 193providers can pull quality reports and e-RX 31providers have attested to Medicare Majority of our 259will be attesting via Medicaid

5. Basic Information Did you know that Medicaid is handled by each state which can make this process different in each state?Meaningful Use and Quality Measures are the same for Medicare and Medicaid Meaningful Use Calculator for Medicare https://www.cms.gov/apps/ehr/

6. Kentucky Medicaid • KY Medicaid will be asking for additional information for the following MU measures • Meaningful Use 3, 4, 5, 6, 7, 11 and 14 • MU Menu 1, 2 and 7

7. Example of Additional Attestation Questions

8. Example of Additional Attestation Questions

9. Information about Kentucky Kentucky was among one of the first states to begin issuing checks to providers To date, Kentucky has issued $19,932,500 to 939 providers

10. Information about Kentucky Guides to registration and attestation can be found on http://chfs.ky.gov/dms/EHR.htm First day a provider can attest to Medicaid Year 2 in Kentucky is April 1, 2012 90 day period of Jan 1, 2012 – March 31, 2012

11. What do I need to AttestYear 1 (End of A/I/U) Proof of Adopting, Implementing or Upgrading to a certified EHR Vendor contract/invoice/letter 90-day Patient Volume Report for any 90 day period in previous year. *KCHIP PDF format

12. Meaningful Use Attestation Program Year 2 Patient Volume Report – this will be required each year of the program Meet all MU Core and Menu items Meet Quality Measures

13. Meaningful Use Attestation Program Year 2 Proof of a test exchange of key clinical information (core measure 14). Different vendors can provide different “proof” (i.e. email of encrypted message) But for upload as proof an examples can be a screen shot of a message that states test email message was sent

14. MU Attestation Year 2 To qualify for an Exclusion for MU Measure 1 (immunization registry), upload one of the following documents: A letter from the provider stating they did not provide immunizations during the EHR reporting period or A signed Participation Agreement with KHIE along with a letter explaining why he/she is awaiting connection and expected connection date.

15. Further Attestation Tools If you haven’t sought assistance from the REC in your area….do so. Attestation Year 2 additional information for Kentucky – NeKY RHIO has a tool we developed to help with those additional questions. k.rose@nekyrhio.org

16. For more information Contact: Kayla D. Rose, Executive Director k.rose@nekyrhio.org 606-743-4005 ext. 311 www.nekyrhio.org