Learn more about Electronic Medical Records and Meaningful Use in this OnDemand webinar presented by MxSecure, Inc.

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6. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 2013 2014 2015+ 2011 $18,000 - - - - 2012 $12,000 $18,000 - - - 2013 $8,000 $12,000 $15,000 - - 2014 $4,000 $8,000 $12,000 $12,000 - 2015 $2,000 $4,000 $8,000 $8,000 $0 2016 $0 $2,000 $4,000 $4,000 $0 2017 $0 $0 $0 $0 $0 Total Incentives $44,000 $44,000 $39,000 $24,000 $0

8. Adoption Year Incentive Year Source: Title IV Subtitle A of the American Recovery and Reinvestment Act of 2009 Incentives 2011 2012 Repeated through 2017 2011 $21,250 - - 2012 $8,500 $21,250 - 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 years 2-6 2015 $8,500 $8,500 2016 $8,500 $8,500 2017 - $8,500 Total Incentives $63,750 $63,750 $63,750

16. Objective Measurement for EPs CPOE 80% of all orders Drug-drug, drug-allergy, drug formulary checking All capabilities enabled Generate and transmit e-Rx 75% of permissible prescriptions Maintain active medication & allergy list 80% of patients seen have at least one entry or indication of “none” Maintain up-to-date problem list 80% of patients seen have at least one entry of indication of “none” Record specific demographic data 80% of patients seen: gender, race, ethnicity, DOB, preferred language and insurance data Record and update vital signs 80% of patients 2+ years have BP & BMI; growth chart for ages 2-20

17. Objective Measurement for EPs Record smoking status 80% of patients seen over age 13 Incorporate laboratory test results into EHR 50% of results that can be expressed numerically or as positive/negative stored as structured data Generate list of patients with specific conditions Generate at least one report Report quality measures to CMS and States 2011: capture required data electronically and provide aggregate date by attestation; 2012 and beyond: submit electronically Send reminders for preventative/follow up care Send reminders per patient preference to 50% of patients age 50+

18. Objective Measurement for EPs Implement clinical decision support rules related to clinical priority; track compliance Implement five rules and track compliance Check insurance eligibility Check eligibility for 80% of patients seen Submit claims electronically File 80% of claims electronically Provide patients with health information upon request 80% of patients who make the request receive it within 48 hours: test results, problem and med lists, allergies Provide patients with discharge summaries N/A; applies to hospitals Provide patients with clinical summaries Clinical summaries provided for 80% of office visits

19. Objective Measurement for EPs Provide timely access to new test results 10% of patients seen receive access to test results within 96 hours of provider’s receipt Exchange meaningful clinical information with care team Perform one test of capability to exchange key clinical data Perform medication reconciliation Provide at 80% of encounters and care transitions Provide summary records at transitions in care and referrals Provide summary care record for 80% of transitions and referrals Information to immunization registries submitted electronically Capability to submit data to immunization registries; submission where required and accepted

20. Objective Measurement for EPs Submit reportable lab results to public health agencies Perform at least one test of submission; only one test per EHR within a group practice Electronic reporting of syndromic surveillance data Capability to submit data; actual submission where possible Protect security and confidentiality Conduct or review a security risk analysis and implement updates as necessary