Mastering Meaningful Use

Mastering Meaningful Use Is your practice ready?

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www.curemd.com/uc14

Presenter

Mike JonesManager Business Development, CureMD

Agenda

Meaningful Use overview

Preparing for Stage 2 Meaningful Use

Meaningful Use overview

Stage 1Data capture and sharing

Stage 2Advanced processes

Stage 3Improved outcomes

The promise of health care reform is higher quality care that leads to better health outcomes with a lower cost

Participants in Meaningful Use

As of February 2014

February 2014 EHR Registration and Payment Report

453,426 MU registeredcaregivers

Over $7.1 billion inincentive payments

Earn UpTo 64K Over 6 years

Medicaid

$25K

Yr 1

$21,250

$8,500

$8,500

$8,500

$8,500

purchase,installation

and training

Yr 2 Yr 3 Yr 4 Yr 5 Yr 6

$35K

$45K

$55K

$65K

Total per provider

Adopt between2011-2016

upgrade, maintenance and training

Up to a totalof $64K inPayments

Earn UpTo 44K Over 5 years

Penalties beginfor non-EHR users

Adopt an EHR

Now 2011

$10K

$20K

$30K

$40K

$50K

2012 2013 2014 2015

Up to a totalof $44K inPayments

$18k

$12k

$8k$8k $2k

Medicare

Must meet Stage 2 MU in 2014

Attested in 2011 or 2012?

Comparison

Stage 1 Stage 2

15 Core

17 Core

3 of 6 Menu

Higherthresholds

5 of 10Menu

More Core Measures

Fewer Menu Measures

Higher Thresholds

Similarity

CPOE

Demographics

Vitals

Smoking Status

Structured Labs

Patient Lists

Preventive Reminder

Clinical Summary

Patient Education

Medication Reconciliation

Immunizations

Syndromic Surveillance

Security Analysis

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eRx

eRx, Drug Formulary

Interventions

Clinical Decision Support,

Drug/Drug,Drug/Allergy

Patient Access

Timely Access, E-Copy of Health

Information

Summary of Care

Summary of Care, Problems,

Medications, Medications Allergies,

Exchange Clinical Information

. . .

.

Retained Stage 1 Measures Consolidated Stage 1 Measures

New Measures

Secure Messages

(Core)

Imaging Results(Menu)

Family History(Menu)

Cancer Cases(Menu)

Specialized Registry(Menu)

Progress Notes

(Menu)

Must Be Certi�ed for 2014 MU

2011 Edition Complete EHR

2014 Edition Complete EHR

Base EHR MU 2 - Core MU 2 - Menu

EHR modules hard to combine; less �exibility

Providers pursuing MU in 2014 (Stage 1 or Stage 2) must use a 2014 certi�ed EHR

Reporting Period

2011 2012 2013 2014 2015 2016

2011 1 1 1 2* 2 3

90 days Full year Full year Quarter Full year

2012 1 1 2* 2 3

90 days Full year Quarter Full year

2013 1 1* 2 2

90 days Quarter Full year Full year

2014 1 1 2

90 days Full year Full year

Meaningful Use Start Year

Reporting Period by Stage of Meaningful Use

*Only for providers who are beyond their �rst year of MUThe MU reporting period were changed to allow time for upgrades

Preparing for Stage 2 MU

Step 1

2013 2014 2Q 3Q 4Q 1Q 2Q 3Q 4Q

Perform Stage 2 MU Upgrade EHR Practice

Stage 2 MU Prepare for ICD -10 ICD-10

Compliance

Understand your vendor’s 2014 certi�cation approach

Upgrade to the certi�ed version of your EHR

2013 2014 2Q 3Q 4Q 1Q 2Q 3Q 4Q

Perform Stage 2 MU Upgrade EHR Practice

Stage 2 MU Prepare for ICD -10 ICD-10

Compliance

CureMD certi�ed as a 2014 Edition Complete EHR

2014 certi�ed version of CureMD released to all practices at once

CureMD physicians will begin practicing Stage 2 MU on October 1, 2013

Step 1

Key Questions

1. Is your vendor able to deploy the 2014 Certi�ed Edition to all clients at once?

2. Will your vendor certify as a Complete EHR or a Modular EHR?

3. Does the vendor provide MU support and training as part of the regular pricing without additional fees?

4. Do they provide the required interfaces for free and without interruption? How many connections? When will they be available?

Criteria Integrated within CureMD’s 5 Stage Patient Work�ow

Exit

CHECK IN INTAKE CHECKOUTSIGNOFFEXAM

Step 2Evaluate your current work�ow to maximize performance

Objective Measure Thresholds

Stage 1 Final Stage 2 Final

CPOE Use CPOE for medication, lab, and radiology orders 30% meds

60% meds, 30% labs & radiology

eRx Generate and transmit permissible prescriptions electronically 40% 50%

Demographics Record demographics 50% 80%

Vitals Record and chart changes in vital signs 50% 80%

Smoking Status Record smoking status for patients 13 years or older 50% 80%

Interventions

Implement CDS interventions at the point of care; enable drug/drug and drug allergy interaction checks One Five

Structured Labs Incorporate lab results as structured data 40% 55%

Patient Lists Generate lists of patients by speci�c conditions One One

Preventive Reminders Send reminders for preventative/follow -up care

20% patients, >65 years or <5 years

10% unique patients

Step 2Increase Stage 1 performance to meet Stage 2 thresholds

Objective (Core or Menu) Measure

Thresholds

Stage 1 Final Stage 2 Final

Clinical Summary Provide clinical summaries for patients for each o�ce visit 50%, 3 days

50%,1 business day

Patient Education Provide patient -speci�c education resources 10% 10%

Medication Reconciliation

Perform medication reconciliation at transitions of care 50% 50%

Security Analysis Conduct or review a security risk analysis Assess Assess

Step 2Increase Stage 1 performance to meet Stage 2 thresholds

HIE Mandate

Meaningful Use Objectives Requiring Health Exchange

2011

• Lab to provider

• Provider to pharmacy

• Provider to lab • Pharmacy to provider • O�ce to hospital & vice versa • O�ce to o�ce • Hospital/o�ce to public health

& vice versa • Hospital to patient • O�ce to patient & vice versa • Hospital/o�ce to reporting entities

2013

Performance on MU2 Behavioral MeasuresCovering period : Q3 2014

44.8%

29.3%

52.9%

72.4%

100%

100%

100%

100%

100%

100%

100%

100%

81%94.8%

94.8%

93.1%

90.1%

82.8%

100%

Step 3Patient Engagement Strategy

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Clinical Summary

Patient Education

NEW! Patient Access

NEW! Secure Messaging

Step 3Patient Engagement Strategy

Implement a patient portal solution that allows patients to fully engage with their demographic, �nancial, and health information

Market your patient portal solution by highlighting the bene�ts to your patients

Make sure your patient portal is (or will be) 2014 MU certi�ed!

Step 3Patient Engagement Strategy

96% of our participating physicians attested to Medicare

MU in 2012

Thank You