David Bates, Chair September 2012

1. Meaningful Use Workgroup Improve Quality Safety, Efficiency and Reducing Health Disparities - Subgroup 1 David Bates, Chair September 2012

2. Guiding Principles • Supports new model of care (e.g., team-based, outcomes-oriented, population management) • Addresses national health priorities (e.g., NQS, Million Hearts) • Broad applicability (since MU is a floor) • Provider specialties (e.g., primary care, specialty care) • Patient health needs • Areas of the country • Promotes advancement -- Not "topped out" or not already driven by market forces • Achievable -- mature standards widely adopted or could be widely adopted by 2016 • Reasonableness/feasibility of products or organizational capacity • Prefer to have standards available if not widely adopted • Don’t want standards to be an excuse for not moving forward MU Workgroup Stage 2 Final Rule

3. Key to reviewing items • Red items are changes from Stage 1 to Stage 2 • Blue items are changes from Stage 2 to Stage 3 recommendations MU Workgroup Stage 2 Final Rule

4. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

5. Improve Quality Safety, Efficiency and Reducing Health Disparities Coordinate with subgroup 3 MU Workgroup Stage 2 Final Rule

6. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

7. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

8. Improve Quality Safety, Efficiency and Reducing Health Disparities Did not mean auto-populate , need to re-word. MU Workgroup Stage 2 Final Rule

9. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

10. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

11. Improve Quality Safety, Efficiency and Reducing Health Disparities • Provide an example for CDS interventions to be used to help maintain the accuracy of problems, meds, and allergies • Explain that the intent is for vendors to provide ways for clinicians to deal with preventative care and chronic disease – doesn’t need to be hard wired though. Vendor needs to show what kind of interventions. Put in the e.g. utilization MU Workgroup Stage 2 Final Rule

12. Improve Quality Safety, Efficiency and Reducing Health Disparities Define dashboards better. “Dashboards” are incorporated into the EHR’s clinical workflow, as opposed to retrospective reporting. MU Workgroup Stage 2 Final Rule

13. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

14. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

15. Objective Not Included in Stage 2 NPRM - Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule

16. Improve Quality Safety, Efficiency and Reducing Health Disparities MU Workgroup Stage 2 Final Rule 16