Series 1: Meaningful Use for Behavioral Health Providers

1. Series 1: Meaningful Use for Behavioral Health Providers From the CIHS Video Series “Ten Minutes at a Time” Module 1: What is Meaningful Use? 9/2013

2. Module 1 Outline • Four key terms and one important requirement • Meaningful Use as a national healthcare goal • Meaningful Use as a set of concrete Objectives with Measures for evaluating progress • An example of a Meaningful Use Objective and its Measure • Getting help - resources for technical assistance and training

3. Four Key Terms… • HIT – Health Information Technology • HIE – Health Information Exchange • EHR – Electronic Health Record • Structured Data …and One Important Requirement • Certified Complete EHR – An EHR can be “certified” when it meets national standards for electronic health data and technology. • To find out if an EHR is certified, try this link: • http://oncchpl.force.com/ehrcert?q=chpl

4. What is “Meaningful Use?” • As a concept: • “Individual providers and patients have routine access to comprehensive patient health information and use it to improve the effectiveness, efficiency and quality of patient care” • Essential, up-to-date patient information, shared among providers regardless of specialty or physical location • Patients access their information: know what it means and how to use it to actively engage in their own care • Sharing and access are incorporated into organizational policies and procedures • Click the link below for more information: http://www.healthit.gov/providers-professionals/meaningful-use-definition-objectives

5. What Shared Information is Considered “Essential?” • Data standard includes up to 17 areas of information, but only the minimum data set has to be available • Minimum data set includes: a list of the medications the patient is currently taking (“Active Medication List”); patient allergies (“Allergy List”); a list of patient diagnosis “Problem List”; and diagnostic test results (for example, labs results) • Does not include treatment plans, progress, psychotherapy notes • Must meet federal and state regulations re: confidentiality, privacy, security • Click link below for a more detailed exploration of the information for exchange • http://www.corepointhealth.com/sites/default/files/whitepapers/continuity-of-care-record-ccr.pdf

6. What is “Meaningful Use?” • As a set of concrete Objectives and Measures (standard of care) • Administered by the Center for Medicaid/Medicare Services (CMS), assisted by the state Medicaid agencies • Implemented in 3 stages: currently in Stage 1 • Goal is achieved through achieving Objectives and meeting Measures • Core Objectives (15) • Menu Objectives (select 5 of 10) • Total 20 Objectives and Measures • Objective – related activities support exchange of health information, patient engagement in treatment, safety of care, security of data • For more information about Objectives and Measures, click link below: • https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/EP-MU-TOC.pdf

7. Meaningful Use and Opportunities for Improvement in Healthcare Safety and Quality Issues– Medications • Adverse drug events (ADEs) cause more than 770,000 injuries and deaths each year…At least three-quarters of these ADEs are caused by systemic errors* • *Agency for Healthcare Research and Quality (AHRQ). (2001). “Reducing and preventing adverse drug events to decrease hospital costs.” Retrieved March 2013 from http://www.ahrq.gov/research/findings/factsheets/errors-safety/aderia/index.html

8. Stage 1 Meaningful Use • Improve Quality, Safety, Efficiency • 5 Core and 2 Menu Objectives related to medication • Improved medication management

9. How An Objective Is Met and Measured • Each Objectives is clearly stated • “Core Objective #5 – Maintain Active Medication List” • Each Objective has a Measure with a Numerator and Denominator • “More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data. • Each Objective has Specifications for Implementation • Specifications define terms, explain requirements and offer additional information. Click on #5 in the linked list below: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/Hosp_CAH_MU-TOC.pdf

10. The Incentive Program for Adopting Meaningful Use • Implemented through a monetary incentive program in annual awards to individual Eligible Professionals or “EPs” • EP awards are usually immediately passed to the provider organization • Two tracks – one for Medicare, one for Medicaid • Incentives are not the only reason to participate. Widespread adoption of EHRs and patient information exchange is transforming the health care landscape • http://www.socialworktoday.com/archive/051313p24.shtml

11. Summary • There are many new terms and new ways of thinking in “Meaningful Use.” Each module in this series explains key terms and ideas, and provides links to more information • When Meaningful Use is understood as a concept, meeting the standard for Meaningful Use is more easily achieved • Meaningful Use is intended to address systemic shortcomings in the health care system, but it is implemented by individual Eligible Professionals • There are two tracks in Meaningful Use – one for Medicaid and one for Medicare • Meaningful Use is a national effort (underway since 2004), will soon be the “new normal” in healthcare. • http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html

12. 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