Meaningful Use Stage 2

Meaningful Use Stage 2 The Changing Seasons of Healthcare Conference WV-HFMA/WV-HIMSS September 27, 2012

Agenda • Brief Overview of HIT Timeline and Stage 2 Timing • Stage 2 Core Objectives • Stage 2 Menu Items • Changes to Stage 1 in Stage 2 Final Rule • Summary of Stage 2 CQM & Reporting • Q&A Santa Rosa Consulting - Meaningful Use Stage 2

It’s Finally Here…. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services 42 CFR Parts 412, 413, and 495 Medicare and Medicaid Programs; Electronic Health Record Incentive Program--Stage 2 Final Rule August 23, 2012 • 672 Pages • Some Compromises • Some Clarifications • Some Changes to Stage 1 • Some Timeline Changes • Also released, The ONC’s 2014 Edition Standards & Certification Criteria (S&CC) Final Rule Santa Rosa Consulting - Meaningful Use Stage 2

H.I.T. Timeline Santa Rosa Consulting - Meaningful Use Stage 2

H.I.T. Timeline 1 Year Delay to October 1, 2014 Santa Rosa Consulting - Meaningful Use Stage 2

Stages of Meaningful Use Stage 2 Timeline Delay • Stage 1 Completed Attestation in 2011 delayed Stage 2 until 2014 • Special 3 month EHR Reporting Period for 1st year Stage 2 Santa Rosa Consulting - Meaningful Use Stage 2

Total Hospital Objectives Santa Rosa Consulting - Meaningful Use Stage 2

Stage 2 Hospital Measures & Objectives Santa Rosa Consulting - Meaningful Use Stage 2

Stage 2: 16 Hospital Core Objectives Santa Rosa Consulting - Meaningful Use Stage 2

CPOE Santa Rosa Consulting - Meaningful Use Stage 2

Demographics Santa Rosa Consulting - Meaningful Use Stage 2

Vital Signs Santa Rosa Consulting - Meaningful Use Stage 2

Smoking Status Santa Rosa Consulting - Meaningful Use Stage 2

Clinical Decision Support Santa Rosa Consulting - Meaningful Use Stage 2

Lab Test Results Santa Rosa Consulting - Meaningful Use Stage 2

Patient List by Condition Santa Rosa Consulting - Meaningful Use Stage 2

eMAR Santa Rosa Consulting - Meaningful Use Stage 2

Patient Portal Santa Rosa Consulting - Meaningful Use Stage 2

Patient Education Santa Rosa Consulting - Meaningful Use Stage 2

Medication Reconciliation Santa Rosa Consulting - Meaningful Use Stage 2

Summary of Care Document Santa Rosa Consulting - Meaningful Use Stage 2

Immunization Data Santa Rosa Consulting - Meaningful Use Stage 2

Laboratory Reporting Santa Rosa Consulting - Meaningful Use Stage 2

Syndromic Surveillance Data Santa Rosa Consulting - Meaningful Use Stage 2

Security Risk Analysis Santa Rosa Consulting - Meaningful Use Stage 2

Stage 2: Hospital Menu Objectives (3 of 6 required) Santa Rosa Consulting - Meaningful Use Stage 2

Advanced Directives Santa Rosa Consulting - Meaningful Use Stage 2

Imaging Results Santa Rosa Consulting - Meaningful Use Stage 2

Family Health History Santa Rosa Consulting - Meaningful Use Stage 2

Electronic Discharge Prescriptions Santa Rosa Consulting - Meaningful Use Stage 2

Progress Notes Santa Rosa Consulting - Meaningful Use Stage 2

Lab Results to Ambulatory Santa Rosa Consulting - Meaningful Use Stage 2

Changes to Stage 1 in MU 2 Final Rule Santa Rosa Consulting - Meaningful Use Stage 2

Changes to Stage 1 in MU 2 Final Rule (cont.) Santa Rosa Consulting - Meaningful Use Stage 2

Hospital Data Submission – CQM • The rule finalizes that, beginning in 2014, all Medicare providers that are beyond the first year of demonstrating meaningful use must electronically report their CQM data to CMS. (Medicaid EPs and hospitals that are eligible only for the Medicaid EHR Incentive Program will report their CQM data to their state.) • Eligible hospitals and CAHs will electronically report their CQMs through the EHR Reporting Pilot infrastructure for hospitals, which aligns with the Hospital Inpatient Quality Reporting program or through electronic submission of aggregate data through a CMS Portal.

Eligible hospitals and CAHs must report a total of 16 CQMs from a menu of 29 CQMs covering at least 3 of the 6 domains (effective FY 2014): CQM Reporting • Patient and Family Engagement(5 CQM – 2 New) • Patient Safety(6 CQM – 4 New) • Care Coordination(2 CQM – 1 New) • Population and Public Health(None for Hospitals/CAHs) • Efficient Use of Healthcare Resources( 2 CQM – 2 New) • Clinical Process/Effectiveness(14 CQM- 7 New)

Open Discussion/Q&A Contact Information: Doug Hires EVP, Strategic Advisory Services Santa Rosa Consulting, Inc. Email: doughires@santarosaconsulting.com

Meaningful Use Stage 2

Meaningful Use Stage 2

Presentation Transcript

Meeting Stage 1 Meaningful Use Criterion

Proposed Meaningful Use Criteria for Stage 2 and 3

Meaningful Use Workgroup Stage 3 Recommendations

Meaningful Use Stage 2

Meaningful Use - Stage 2

Stage 2 Meaningful Use Presented by Becky Kane

Draft Recommendations Meaningful Use Stage 3

Meaningful Use Workgroup Meaningful Use Stage 3 Recommendations

Meaningful Use Workgroup Pathways for Meaningful Use Stage 3

Meaningful Use Stage 2 Security and Privacy Requirements

Meaningful Use Workgroup New Pathways for Meaningful Use Stage 3

Meaningful Use Workgroup New Pathways for Meaningful Use Stage 3

Supporting Meaningful Use Stage 2 Transition of Care Requirements

Meaningful Use Workgroup Meaningful Use Stage 3 Recommendations

A First Look at Meaningful Use Stage 2

ARRA Stage 1 Meaningful Use

Meaningful Use Stage I Class II

Meaningful Use Stage I Core Objectives

Meaningful Use Stage 2 JoAnne Hawkins OIT Meaningful Use Team Lead

Meaningful Use Stage 2 = Value Based Purchasing

Meaningful Use (MU): Stage 2 and 2014 Changes

Meaningful Use Workgroup New Pathways for Meaningful Use Stage 3