Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS

Webinar 2:
2014 MU Stage2, 2014 MU Stage 1
and CQM 2014 Overview
Friday, March 28, 2014 at 3:30 PM EST
Monday, March 31, 2014 at 4:30 PM EST
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

Meaningful Use Quick Facts
EHR* PM * Patient Portal * Direct Messaging* Secure Healthcare Messaging
 “All providers must upgrade or adopt newly certified EHRs in 2014” ,
meaning All providers regardless of their stage of Meaningful Use are only
required to demonstrate meaningful use for a three month (or 90 day)
period.
 Medicare Eligible Professionals beyond their first year of meaningful
use must select a three-month reporting period fixed to the quarter of the
calendar year for Eligible Professionals. Providers must attest to these
reporting periods no later than February 28, 2015 at 12 AM ET.
Medicare EPs in their first year of meaningful use may select any 90
day reporting period.
Medicaid EPs can select any 90-day reporting period that falls
within the 2014 calendar year.

Clinical Quality Measure (CQM)
Quick Facts
 EPs will have to report using the new 2014 criteria regardless of whether they are participating in
Stage 1 or Stage 2 of the EHR Incentive Programs.
 All Medicare EPs have the option of submitting three months of CQM data online through the CMS
registration and attestation system. Medicare EPs also have the option to submit a full year of data
electronically using the QRDA format to receive credit for the EHR incentive Program and Physician
Quality Reporting System (PQRS).
 Medicaid EPs must submit their clinical quality measurement data to their State
Medicaid Agency
 Begining in 2014, EPs must select and report on 9 of a possible list of 64 approved CQMs for the EHR
Incentive Programs. The 6 domains are:
 Patient and Family Engagement
 Patient Safety
 Care Coordination
 Population and Public Health
 Efficient Use of Health Care Resources
 Clinical Processes/ Effectiveness

Medicare Incentive Program
Participation Timeline
2011 2012 2013 2014 2015 2016
Total
Incentive ($)
90D - S1
($18,000)
FY - S1
($12,000)
FY - S1
($8,000)
90D - S2
($4,000)
FY - S2
($2,000)
x $44,000
x
90D - S1
($18,000)
FY - S1
($12,000)
90D - S2
($8,000)
FY- S2
($4,000)
FY - S3
($2,000)
$44,000
x x
90D - S1
($15,000)
90D - S1
($12,000)
FY - S2
($8,000)
FY - S2
($4,000)
$39,000
x x x
90D - S1
($12,000)
FY - S1
($8,000)
FY - S2
($4,000)
$24,000
90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful use
FY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use

Medicaid Incentive Program
Participation Timeline
90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful use
FY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use
A: Adoption of Meaningful use
certified Technology
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
A
($21,250)
90D - S1
($8,500)
FY - S1
($8,500)
90D - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)
x X x x x
x
A
($21,250)
90D - S1
($8,500)
90D - S1
($8,500)
FY - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)
x x x x
x x
A
($21,250)
90D - S1
($8,500)
FY - S1
($8,500)
FY - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)
x x x
x x x
A
($21,250)
90 - S1
($8,500)
FY - S1
($8,500)
FY - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)
x x
x x x x
A
($21,250)
FY - S1
($8,500)
FY -S1
($8,500)
FY - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)
x
x x x x x
A
($21,250)
90D -S1
$8,500)
FY - S1
($8,500)
FY - S2
($8,500)
FY - S2
($8,500)
FY - S3
($8,500)

Implementing Meaningful Use Stage 2?
Quick Facts
 Eligible Professionals (EPs) must now report on 17 core objectives
and 3 out of a 6 menu objectives.
 Many of the objectives in Stage 2 are familiar to Stage 1
objectives. Some menu objectives that were in MU Stage 1 have
been moved to the core set of Stage 2 and are now required for
all providers. Some objectives that were in core set in Stage 1
now have higher thresholds that you must achieve in order to
successfully demonstrate meaningful use of your EHR in Stage 2.
There are also some new Stage 2 core and menu objectives

Quick Facts
New Criteria - Starting in 2014, providers participating in the EHR
Incentive Programs who have met Stage 1 for two or three years will
need to meet meaningful use Stage 2 criteria.
Improving Patient Care – Stage 2 includes new objectives to improve
patient care through better clinical decision support, care coordination,
and patient engagement.
Saving Money, Time, Lives – With Stage 2, EHRs will:
Save our health care system money
Save doctors and hospitals time
Save lives

Measures with Minimum changes
from Stage 1 MU
 Protect Health Information(Core Measure)
MustComplete Security Risk Analysis
 GeneratePatient List (Core Measure)
 Moved from Stage 1 Menu Measure to Stage 2 Core Measure
 Patient Reminder(Core Measure)
 Patient Education(Core Measure)
 MedicationReconciliation(CoreMeasure)
 Moved from Stage 1 Menu Measureto Stage 2 Core Measure
 Summaryof Care (Core Measure)
 Moved from Stage 1 Menu Measureto Stage 2 Core Measure
 SyndromicSurveillancedata to Public Health Agencies(MenuMeasure),
 Ongoing SubmissionRequired

Measures with changes from
Stage 1 MU
CPOE Medication (Core Measure), Threshold Increased from 30% to 60%
Electronic Prescription (Core Measure), Threshold Increased from 40% to 50%
DrugFormularychecks must have been performed.
Record Demographics (Core Measure), Threshold increased from 50% to 80%
Vital Signs (Core Measure), Threshold increased from 50% to 80%
Newchoices are available to select applicable vitals.
Smoking Status (Core Measure), Threshold Increased from 50% to 80%
Clinical Decision Support (Core Measure)
Implement5 Clinical Decision Support rules compare to 1 CDS in MU Stage 1
Clinical Summary (Core Measure), Threshold 50% - Same as Stage 1
ClinicalSummaryDocument must be provided within1 BusinessDay
Submit Electronic Data to Immunization Registry (Core Measure)
Successfulongoingsubmissionto ImmunizationRegistryfor entire EHR reporting period.

New Measures in MU Stage 2
Core Measures
Use CPOE (Core Measure)for 30% of Laboratory Ordersand 30% of RadiologyOrders
Patient Portal (Core Measure),Provide Patients the ability to view online,download and transmit their health Information
Threshold Increased from 10% to 50%
5% of Patient must view, download and transmit to 3rd Party.
IncorporateLab Results into EHR (Core Measure)
Threshold changed from 40% to 55%
Moved from Menu Measure to Core Measure
ProvideSummary of Care Record (Core Measure)
Measure 1: Provide summary for 50% of transitions of care and referrals
Measure 2: 10% of Transition of care and referral must be submitted or received electronically
Measure 3: Conduct one ore more successful tests with CMS designated test EHR or with different EHR
Product than DigiDMS EHR.
SecureElectronicMessaging(Core Measure)

New Measures in MU Stage 2
Menu Measures
Record Electronic Notes in Patient Records (Menu Measure) (Threshold: 30%)
Imaging Results Accessible through CEHRT (Menu Measure)
For over 10% of all tests that yield an image, must be associated
with orders
Family Health History (Menu Measure) (Threshold: 20%)
Report Cancer Cases to a public Health central cancer registry (Menu Measure)
ongoing submissionrequired
Report Specific Cases to a Specialized registry (Menu Measure)
Ongoing SubmissionRequired

Implementing Stage 1 MU in 2014?
Patient Portal (Core Measure), Provide Patients the ability to
view online, download and transmit their health Information
Moved From Menu Measure to Core Measure
Threshold Increased from 10% to 50%
5% of Patient must view, download and transmit to 3rd Party.
CPOE for Medication Orders (Core Measure)
Alternate Calculation Method is available
Vital Signs (Core Measure)
EP can choose applicable Vital Signs from available options

Core Measures

Menu Measures

Resources
List of Meaningful Use Stage 2 Core Measures and Menu Measures
Meaningful Use Participation Timeline
CMS Guide for Implementing Stage 2
Official Link of Stage 2 Resources
MU Stage 2 Toolkit
Stage 1 vs Stage 2 comparison chart for EPs
2014 Clinical Quality Measure Tipsheet by CMS
Security Risk Analysis Factsheet

Questions & Answers
?

Thank You!
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging

Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS

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Webinar 2 : 2014 MU Stage 2 and CQM 2014 overview | DigiDMS