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Series 1: “Meaningful Use” for Behavioral Health Providers. Changes to Stage 1: Core Objective #10 Clinical Quality Measures (required for Stage 1 reporting by 1/1/2014) From the CIHS Video Series “Ten Minutes at a Time”. 1/2014.
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Series 1: “Meaningful Use” for Behavioral Health Providers Changes to Stage 1: Core Objective #10 Clinical Quality Measures (required for Stage 1 reporting by 1/1/2014) From the CIHS Video Series “Ten Minutes at a Time” 1/2014
Core Objective #10: Clinical Quality Measures (CQMs) Review, ended 12/31/2013 • Objective 10 • Report ambulatory clinical quality measures to CMS • Measure • For 2011, provide aggregate numerator, denominator, and exclusions through attestation. For 2012, electronically submit the clinical quality measures • https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/stage1changestipsheet.pdf
Measures for Core Objective #10Review, ended 12/31/2013 Three Core CQMs • NQF 0013 Hypertension – Blood Pressure Measurement • NQF 0028 Preventative Care and Screening Measure Pair • NQF 0421 Adult Weight Screening and Follow Up Three Alternate Core CQMs • NQF 0024 Weight Assessment and Counseling for Children and Adolescents • NQF 0038 Childhood Immunization Status • NQF 0041 Preventive Care and Screening: Influenza Immunization for Patients > 50 Years Old Three Additional CQMs Must Be Selected • Select 3 from a list of 44
Stage 1 Core Objective #10 Changes begin 1/1/2014 • Use Stage 2 schema for reporting on Clinical Quality Measures in Stage 1 • Select 9 CQMs from a list of 64 • Core Objective #10 eliminated • CQM reporting now considered part of definition of Meaningful Use • If data is available, must report it. If not available, can still report “0” in denominator • Sources: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/CQM_Through_2013.html
Stage 1 Core Objective #10 Implications re: EHR Certification Level • Two levels of certification of the EHR itself – Stage 1, and Stage 2 • Providers allowed to implement 2014 certified EHR edition for use in Stage 1, for the 2013 reporting year. • There are 44 CQMs for Stage 1 but only 32 of these were carried into Stage 2. • The 2014 certified EHR edition can’t report on the 12 dropped CQMs • One of those CQMs is one of the three Core CQMs from Stage 1, so they cannot report on one of the three Core CQMs. • They have to report on an Alternate Core CQM. Since they can report “0”in the denominator, this was an acceptable solution. • http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2014_ClinicalQualityMeasures.html
We Have Solutions for Integrating Primary and Behavioral Healthcare Contact CIHS for all types of primary and behavioral health care integration technical assistance and training needs 1701 K Street NW, Ste 400 Washington DC 20006 Web: www.integration.samhsa.gov Email: integration@thenationalcouncil.org Phone: 202-684-7457 Prepared and presented by Colleen O’Donnell, MSW, PMP, CHTS-IM for the Center for Integrated Health Solutions