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Understanding Meaningful Use. Review of Stage 1 and Stage 2. Purdue Research Foundation 2012. Presented by: Allison Bryan MS, CHES December 7, 2012. Meaningful Use. Purdue Research Foundation 2012.
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Understanding Meaningful Use Review of Stage 1 and Stage 2 Purdue Research Foundation 2012 Presented by: Allison Bryan MS, CHES December 7, 2012
Meaningful Use Purdue Research Foundation 2012 • Financial incentives for the “meaningful use” of certified EHR technology to improve patient care • Providers have to meet thresholds for certain objectives • Required core objectives • Choice of menu objectives • Meaningful use must be demonstrated for all patients, not just Medicare or Medicaid subscribers
Meaningful Use Stages Purdue Research Foundation 2012
Security Purdue Research Foundation 2012 Providers fined $100,00 for Internet privacy violations • 2 physician cardiology practice • The physician practice was posting clinical and surgical appointments for its patients on an Internet-based calendar that was publicly accessible • OCR findings: • Few policies and procedures to comply with the HIPAA Privacy and Security Rules • Limited safeguards in place to protect ePHI • Outcome: • $100,000 penalty • Required to adopt a Corrective Action Plan
Security Purdue Research Foundation 2012 Massachusetts provider settles HIPAA case for $1.5 million • 300 Physician Eye and Ear Institute • Result of a theft of an unencrypted personal laptop containing ePHI of patients and research subjects • OCRfindings: • No thorough analysis of the risk to the confidentiality of ePHI maintained on portable devices • Did not Implement security measures sufficient to ensure the confidentiality of ePHI • Did not implement policies and procedures to restrict access to ePHI to authorized users of portable devices • Outcome: • $1.5 million penalty • Required to adopt a Corrective Action Plan
Progress to Date Purdue Research Foundation 2012 • Incentives according to CMS: • More than 110,000 Eligible Professionals have received incentive payments from the Medicare and Medicaid EHR Incentive Programs • From May 2011 to July 31, 2012, more than $3.6 billionin Medicare payments • From January 2011 to August 31, 2012, more than $3.3 billionin Medicaid payments • Release of Stage 2 Meaningful Use • Begins 2014
Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Secure Messaging (Core) • Use secure electronic messaging to communicate with patients on relevant health information • Threshold: greater than 5% • 2 exclusions apply • Timely Online Access: View, Transmit or Download(Core) • 2 portions, must achieve both for Meaningful Use • Timely Online Access • Measure: Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP or 36 hours after discharge from an inpatient or emergency department of an EH or CAH • Threshold: greater than 50% • View Transmit or Download • Measure: Number of unique patients seen by the EP during the reporting period (or authorized representative), who view, download, or transmit health information. • Threshold: greater than 5% • 1 exclusion applies to each portion
Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Imaging Results(Menu) • Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. • Threshold: The resulting percentage must be more than 10 percent in order to meet this measure. • 2 exclusions apply • Family History(Menu) • More than 20% of all unique patients seen by the EP during the EHR reporting periods have a structured data entry for one or more first-degree relatives • 1 exclusion applies
Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Cancer Registry (Menu) • Successful ongoing submission of cancer case information from CEHRT to a public health central cancer registry for the entire EHR reporting period. • No threshold, pass/fail • 4 exclusions apply • Specialized Registry (Menu) • Successful ongoing submission of specific case information from CEHRT to a specialized registry for the entire EHR reporting period • No threshold, pass/fail • 4 exclusions apply
Summary Purdue Research Foundation 2012 • Meaningful Use is here to stay • Advanced stages become more challenging • Resources are available • Allison Bryan • 765-496-9791 • abryan@purdue.edu