Meaningful Use and Behavioral Healthcare€¦ · Meaningful Use and Behavioral Healthcare Author:...

AWARDS and Meaningful Use

Alex Attinson Rachel Miller

ConnectedCare Team

– Created by three human service agencies – Web based EHR used by more than 900

agencies in 25 states – Behavioral Healthcare functionality:

• Demographics • Notes • Plans • Outcomes, reporting, billing

Who We Are

Additional Information: http://footholdtechnology.com/awards-software/meaningful-use/

• Behavioral Health vs. Hospitals – Smaller budgets; chronic cash flow crises – Many clinical workers, few EPs if any – Part-time / shared EPs

• MU Objectives – Alignment with behavioral health – Relevant CQMs

Behavioral Health and MU

Interested

Eligible and Able

Adopt, Implement, Upgrade

• AWARDS is a complete, ambulatory 2014 Edition

• Majority Medicaid – Some mixed

Medicare/Medicaid volume

– Choose Medicaid • AIU • More Money • More flexible

Meaningful Use Clients

• Eligibility – MU not designed for Behavioral Healthcare – Who on staff qualifies? – Can I claim them? – Medicaid/Medicare volume

• Resource allocation – EHR features, vendor support – EP access to technology – MU content expertise

• REC, internal, external consultant

• Cost/Benefit Analysis – Does MU overlap with mission of the agency? – Can we afford it?

Early Challenges

• Implementation team / MU leadership • Resources: staff and hardware • Staff resistance • Computer skills • Training • Workflow/process changes • Data quality

General Challenges

• Message to agencies: – Meaningful Use is not easy… – Attestation is not easy…

• Job well done for getting to attestation

• Meaningful Use ‘14 – Stage 1 – Non-reportable objectives: screenshots – Reportable objectives: Objectives Report – Clinical Quality Measures: Quality Measures Report

The 2014 Edition

• 2011/2014 CHERT Flexibility Rule • Mandatory 90-day 2014 reporting period • Possible 90-day 2015 reporting period • Role specific vitals recording • RECs that provide one-on-one support • Possible incentives for BH organizations

CMS Relief

• Patients and EPs – Record encounters, associate patients with EPs

• Always be ready for an audit • Know your exclusions

– Ex: is blood pressure in the scope of practice?

• Selecting your Menu Set Objectives – Public Health objectives

• View, Download, Transmit – Connected to a HISP/DIRECT

Attesting with AWARDS

• Ex: Consumer meets with psychiatrist • In AWARDS, the touch point is the Psych Note • Maintain existing functionality • Maximize functionality from that screen

– Record encounter – E-Rx (reconciliation, medications, allergy, formulary) – Update medical record (vitals, problem list, smoking) – Generate Clinical Summary – VDT: DIRECT or offline generation of electronic doc

Workflow in BH Agencies

Psych Note Clinical Summary Electronic Document/VDT

Clinical Summary

VDT – Electronic Document

Meaningful Use Dashboard

Core • Controlling High Blood Pressure - CMS165v2 (NQF 0018) • Tobacco Use: Screen and Cess. - CMS138v2 (NQF 0028) • Body Mass Index (BMI) Screen - CMS69v2 (NQF 0421) • Documentation of Current Med. - CMS68v3 (NQF 0419) • Use of High-Risk Medications - CMS156v2 (NQF 0022) • Use of Imaging Studies for Low Back Pain - CMS166v3 (NQF 0052) Behavioral Heath Specialty • Anti-depressant Medication Man. - CMS128v2 (NQF 0105) • Weight Assessment and Counseling - CMS155v2 (NQF 0024) • Major Depressive Disorder - CMS161v2 (NQF 0104)

Clinical Quality Measures

• Codify medical encounters and vocabulary

• RxNorm, SNOMED CT, ICD, CPT, LOINC

• AHRQ Value Sets – eCQM

• QRDA Physicians Quality Reporting System

• Extensible framework for new CQMs

Codified Data

eCQM Value Sets

QRDA Cat I & III

Clinical Quality Measures

Codified Data Entry

AHRQ Value Sets

PQRS Reporting

• Interoperability – Secure messaging – RHIO subscriptions – Health Homes – DSRIP and ACO

• CQMs as a part of Care Plan Reporting

• EPCS • Opt-out consent for data exchange

Stage 2 and Beyond

Thank You!

Meaningful Use and Behavioral Healthcare€¦ · Meaningful Use and Behavioral Healthcare Author:...

Documents

FROM MEANINGFUL USE TO MEANINGFUL USES

Meaningful Use Workgroup Meaningful Use Stage 3 Recommendations

Meaningful Use Workgroup New Pathways for Meaningful Use Stage 3

Understanding Meaningful Use

Eligible Hospital Meaningful Use Attestation Manualehrincentives.guam.gov/Attachments/EH_Meaningful_Use_Manual_GU.pdfEH Meaningful Use Manual 5 . demonstration of meaningful use and

Meaningful Use

Mastering Meaningful Use

Meaningful Use – Then, Now and Beyond...Meaningful Use – Then, Now and Beyond . 2 Objectives Long Term Program Alignment – Meaningful Use in 2015 - 2018 Meaningful Use Program

Making Meaningful Use Reports Meaningful - SNHAHEC Meaningful Use Reports Meaningful.pdfMeaningful Use CQM objective Improve quality, ... Assessment & Cessation Intervention, Adult

Expanded Meaningful Use

Meaningful Healthcare Security: Does “Meaningful Use ...€¦ · Meaningful Use of EHRs: Meaningful use in this study captures a hospital’s formal attestation of stage 1 meaningful

Meaningful Use Workgroup Pathways for Meaningful Use Stage 3

Meaningful Use, EHR Incentives, and Indian Health Programs ... · 2. Stage 1 Meaningful Use 3. Stage 2 Meaningful Use 4. Stage 3 Meaningful Use In order to receive the incentive funds,

Meaningful Use Sequest

Series 1: “Meaningful Use” for Behavioral Health Providers

Meaningful Use Workgroup Pathways for Meaningful Use Stage 3 1

Meaningful Use

Meaningful Use Assessment - CalHIPSOcalhipso.org/documents/MU_Series_MU_Assessement_2_20_13.pdf · Meaningful Use Assessment DeeAnne McCallin ... For more information on meaningful

Work Product of the HITPC Meaningful Use …histalk.com › download › MUWG_Stage3_Recs_2014_03_11.pdfWork Product of the HITPC Meaningful Use Workgroup – Meaningful Use Stage

Meaningful Use Workgroup