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MEANINGFUL USE 2016
Taino Consultants Inc.Dr. Jose I. Delgado
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2016 Program Requirements Final Rule Released October 15, 2015
Modified Stage 2 (2015 to 2017)Stage 3 (2018 and beyond)
Jan 11, 2016“Meaningful use will likely end in 2016” - Andy Slavitt, Acting Administrator Centers for Medicare and Medicaid Services
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“The Meaningful Use program as it has existed, will now be effectively over and replaced with something better.”
focus will move away from the use of technology and towards patient’s outcome
providers will be able to customize their goals leveling the technology playing field by requiring
open application program interfaces (APIs) interoperability
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Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) Repeals the sustainable growth rate (SGR) methodology
for determining updates to the Medicare physician fee schedule.
Establishes annual positive or flat fee updates for 10 years and institutes a two-track fee update beginning in 2019.
Establishes the Merit-based Incentive Payment System (MIPS) that consolidates existing Medicare quality programs.
Establishes a pathway for physicians to participate in an Alternative Payment Model (APM).
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Objectives and Measures Core and menu objectives replaced with a
single set of objectives and measures. Eligible providers (EP) have 10 objectives, Eligible hospitals and CAHs have 9 objectives.
All providers must use 2014 certified EHR technology Providers may attest using 2015 certified
technology EHR technology, or a combination of the two (if the 2015 Edition is available).
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EP Objectives and Measures1. Protect electronic protected health information
HIPAA (Security Risk Analysis, updates, other)
2. Use clinical decision support to improve performance on high-priority health conditions.
Implement five clinical decision measuresEnabled and implemented the functionality for drug-drug
and drug-allergy interaction check
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EP Objectives and Measures3. Use computerized provider order entry for
medication, laboratory, and radiology by licensed healthcare professional
More than 60 percent of medication orders More than 30 percent of laboratory orders More than 30 percent of radiology orders
4. Generate and transmit permissible prescriptions electronically (eRx).
More than 50 percent of all permissible prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT.
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EP Objectives and Measures5. Health Information Exchange
Transitions or refers their patient to another setting of care or provider of care must 1. Use CEHRT to create a summary of care record; and 2. Electronically transmit summary (10% or more).
6. Identify patient-specific education resources and provide those resources to the patient.
Provide education resources to patients for more than 10 % of all unique patients with office visits
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EP Objectives and Measures7. Medication Reconciliation
Performs medication reconciliation for more than 50 % of transitions of care
8. Patient electronic access within 4 business days of the information being available to the EP.
Provide timely access to more than 50 % of all unique patients seen during the reporting period
2016, at least one patient during the EHR reporting period (or patient-authorized representative) views, downloads or transmits his or her health information to a third party during the EHR reporting period.
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EP Objectives and Measures9. Secure electronic messaging communications.
At least 1 patient during the reporting period was sent a message using the electronic messaging function of CEHRT
10. Public Health - submit electronic public healthThree Measure Options
○ Immunization Registry Reporting○ Syndromic Surveillance Reporting○ Specialized Registry Reporting
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Changes to Specific Objectives The Objective 9, Secure Electronic
Messaging: Phased approach for its measure’s threshold. For 2016, the measure is “for at least 1 patient seen
during the reporting period, a secure message was sent using the electronic messaging function of CEHRT, or in response to a secure message sent by the patient.
Objective 10, Public Health Reporting, 2016 EPs must meet two measures, Eligible hospitals and CAHs must meet three measures.
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EHR Reporting Period for 2016 Returning participants
Full calendar year (Jan 1, 2016 through Dec 31, 2016.
For 1st year participantsAny continuous 90-day period.
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Regulations leading to audits Meaningful Use, HIPAA Omnibus Rule, Affordable Care Act, ICD-10 and MACRA
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What to expect1. Electronic letter from audit company from a
CMS e-mail address; Letter will be addressed to email address provided
during registration 2. Attachment with a request for support
documentation3. About four weeks to submit documentation
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Sample Attachment
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Highlights Measure 1 – Protect Patient Health
InformationSecurity Risk Analysis with a date not earlier
than the start of the reporting year and not later than the date of attestation
Implementation plan with completion dates if deficiencies were identified
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Highlights Measures 3,4,5,6,7, and 8
Provide EHR report Measures 2 and 9
Provide Support Documentation Measure 10
Stage 1 – one measureStage 2 – two measure
Note: an exclusion of one measure doesn’t count unless they meet or exclude themselves from the other measures
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Trends Experienced Expect e-mail with deficiencies
indicating failure to meet meaningful use Extensions timelines have been
shortened Explanations of trends may be asked Letter from EHR company with basic
information been requested
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Key Items to keep in mind
Proof of use Certified EHR. Need Copy of licensing agreement with the vendor or
invoices for the period.Letter with same information from HER Vendor may be
requested. List of office or outpatient facility where Provider sees
patients. Identify if records are kept outside of EHR. Report showing compliance with specific Core Measures
must display vendor’s logo or step by step screenshots which demonstrate that the report was generated by the EHR.
KEEP INFORMATION FOR A MINIMUM OF SIX YEARS!
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Summary Meaningful use not going away Audits will continue Maintain your own copies of information
submitted for at least six years
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QuestionsTaino Consultants Inc.Dr. Jose I. Delgado BP 904-794-7830
E-mail DrDelgado@TainoConsultants.comWeb Site: www.TainoConsultants.com
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