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2015 Meaningful Use Attestation Guide
Contents Introduction ............................................................................................................................................................................... 2
Note for 2015 ........................................................................................................................................ 2
Preparing for Attestation ..................................................................................................................................................... 3
Attesting to 2015 Meaningful Use .................................................................................................................................... 4
Attestation Information ........................................................................................................................................................ 5
Meaningful Use Objectives ................................................................................................................................................... 7
Objective 1 ............................................................................................................................................ 7
Objective 2 ............................................................................................................................................ 8
Objective 3 ............................................................................................................................................ 9
Objective 4 .......................................................................................................................................... 10
Objective 5 .......................................................................................................................................... 11
Objective 6 .......................................................................................................................................... 12
Objective 7 .......................................................................................................................................... 13
Objective 8 .......................................................................................................................................... 14
Objective 9 .......................................................................................................................................... 15
Objective 10 ........................................................................................................................................ 16
Clinical Quality Measures ................................................................................................................................................... 17
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Introduction This document is intended to assist providers using the Valant EHR to attest to Meaningful Use
for 2015. It provides an overview of how to generate reports in Valant for Meaningful Use and
walks through each step of the online attestation process for Medicare providers. Note that the
attestation process for Medicaid providers may vary by state.
As this document is intended for use by providers who are at the attestation step, it does not
explain how Meaningful Use Measures are completed and tracked in the EHR. For additional
Valant documentation on Meaningful Use, refer to the Knowledge Base.
Note for 2015:
In early October 2015, CMS published a final rule that revised the criteria that providers must
meet in order to participate in the Medicare and Medicaid Electronic Health Record (EHR)
Incentive Programs.
Under these provisions:
1. All providers will be required to attest to a single set of 10 objectives (Modified
Stage 2) for 2015 instead of the previous list of core and menu measures which
varied by stage.
2. To assist providers who had been scheduled to attest to Stage 1 of Meaningful Use
in 2015, there are alternate exclusions and specifications within several
objectives. These are noted later in this document.
3. The EHR reporting period for all providers in 2015 may be any continuous 90 day
period from January 1 through December 31, 2015 (example: October 1 –
December 31).
4. Providers may attest for 2015 between January 4 through February 29, 2016.
The attestation instructions in this document account for these provisions.
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Preparing for Attestation Prepare for attestation in Valant by generating reports of your Meaningful Use Measures and
Clinical Quality Measures (2014).
The attestation period for 2015 may be any consecutive range of 90 days or more. Enter the
attestation date range you have chosen to attest to into the “From” and “To” date fields of the
Meaningful Use Measures report and click to generate the report and
to save a copy for your records (recommended).
NOTE: items in gray were tracked in previous years of Meaningful Use, but are not required for
2015
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Attesting to 2015 Meaningful Use Begin the online attestation process by accessing the CMS EHR Incentives site.
After logging in using your User ID and Password, click
The online attestation will consist of three sections. Begin by clicking the first: Attestation
Information
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Attestation Information Confirm that the following information is correct:
1. The attesting provider’s Name and Tax ID
2. EHR Certification Number (1314E01P3Sj2EAF)
3. EHR Reporting Period – This should be the same date range entered in the Meaningful
Use Measures report in Valant (referenced above).
After confirming, click
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The next screen will list the first nine Meaningful Use Objectives, and below that, the Public
Health Reporting Objective (Objective 10).
Most private practices in the Behavioral Healthcare specialty will EXCLUDE from all three
Reporting Objective measures. In order to do this later in the attestation:
Select all three and click
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Meaningful Use Objectives Objective 1: Protect electronic protected health information (ePHI) created or maintained by the
certified EHR technology through the implementation of appropriate technical capabilities
This objective is attested to with a “Yes” or “No” response and is not reflected on the Valant
Meaningful Use Measures report.
To state that your practice conducted or reviewed the required Security Risk Analysis:
Select “Yes” and click
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Objective 2: Use clinical decision support to improve performance on high-priority health
conditions
Both measures in this objective are attested to with a “Yes” or “No” response and are not
reflected on the Valant Meaningful Use Measures report. The requirements for Measures 2A
and 2B are successfully met by the Clinical Decision Support rules in Valant and DrFirst
respectively. If these are enabled in your EHR:
Select “Yes” for each measure and click
NOTE: Providers who were scheduled to participate in Stage 1 for 2015 are only required to
implement ONE clinical decision support rule.
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Objective 3 (Measures 3A, 3B, and 3C): Use CPOE for medication, laboratory, and radiology
orders
Providers may EXCLUDE from any of these measures for which they performed the action* less
than 100 times during the attestation period (*ie: ordered less than 100 medications, labs, or
radiology images). It is also possible to exclude from 3B and 3C and satisfy a 30% threshold for
3A for providers who were scheduled to be on Stage 1 for 2015
Under “Does this exclusion apply to you?”:
To exclude: Select Yes. If you are not excluding from the measure, Select No.
In response to the “PATIENT RECORDS” section, select the second option: “This data was
extracted from patient records maintained using certified EHR technology.” This option should
be selected for all measures which you will report on from the Valant Meaningful Use Measures
Report.
For 3A - C, enter the Numerators and Denominators from the following items in your MU
Measures report:
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Objective 4: Generate and transmit permissible prescriptions electronically (eRx)
Note that the threshold for this objective is 40% for providers scheduled to attest to Stage 1.
This objective provides two options for reporting: excluding or including controlled substances.
Depending on whether you do or do not electronically prescribe controlled substances, enter
the numerator and denominator from the appropriate of the two items below in your MU
Measures report:
Click
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Objective 5: Provide a summary of care record (for transitions of care/referrals)
A provider may EXCLUDE from this measure if he or she transfers a patient to another setting
or refers a patient to another provider less than 100 times during the attestation period.
Providers scheduled to attest to Stage 1 may also EXCLUDE from this objective.
Providers who are attesting to the measure:
Enter the Numerator and Denominator from the following item on your MU Measures
report:
Click
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Objective 6: Patient-Specific Education Resources
Note that Providers scheduled to attest to Stage 1 may exclude from this objective if they did not
intend to select the Stage 1 Patient Specific Education menu objective.
Enter the Numerator and Denominator from the following item on your MU Measures
report:
Click
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Objective 7: Medication reconciliation
Note that Providers scheduled to attest to Stage 1 may exclude from this objective if they did not
intend to select the Stage 1 Medication Reconciliation menu objective.
Enter the Numerator and Denominator from the following item on your MU Measures
report:
Click
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Objective 8 (Measures 8A and 8B): Patient electronic access – Timely Access & View,
Download, Transmit
Note that Providers scheduled to attest to Stage 1 may exclude from measure two (8B) of this
objective.
For Measures 8A and 8B, enter the Numerators and Denominators from the following
items on your MU Measures report:
Note that the current requirement for 8B (View, Download, Transmit) is that at least ONE patient
has viewed, downloaded, or transmitted a health summary sent to their Patient Portal account
(not the previous 5% target).
Click
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Objective 9: Secure Electronic Messaging
Note that Providers scheduled to attest to Stage 1 may exclude from this objective.
This objective is attested to with a “Yes” or “No” response and is not reflected on the Valant
Meaningful Use Measures report. As your Valant account DOES have the required capability for
patients to send and receive a secure electronic message fully enabled:
Select “Yes” and click
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Objective 10 (Measures 10A, 10B, and 10C): Public health agency reporting
Private practice behavioral healthcare providers will likely EXCLUDE from objectives 10A, 10B,
and 10C. To do so, under “Does this exclusion apply to you?”, select “Yes” and click
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Clinical Quality Measures After completing the Meaningful Use Objectives, you will be prompted to select how you will
submit your clinical quality measure (CQM) data. Note that CQM measures have no target
threshold, but providers attesting to Meaningful Use ARE required to submit CQM data.
Select Option 2 and click
In the following screen, you will be prompted to select a minimum of nine Clinical Quality
Measures from a list and include measures from at least six of the available domains.
Many available CQM measures typically do not apply in behavioral healthcare practice, so not
all measures on the list are reported on in Valant. Refer to the Clinical Quality Measures
(2014) report in Valant as you select the nine measures you will attest to. It is
recommended that you select measures with numbers on said report, even if some of these
numbers are ‘0’ – use the “CMS-ID” to easily identify the measures referred to.
After calculating your Quality Measures, click to save a copy of the report for your
records.
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For each measure selected you will be prompted to enter some or all of the following fields:
Denominator, Numerator, Performance Rate (%), Denominator Exclusions, and Denominator
Exceptions. Required fields vary by measure, but all of these values can be pulled from the
corresponding column of the CQM Report in Valant.
Upon the successful completion of your Attestation Information, Meaningful Use Measures, and
Clinical Quality Measures, you will be prompted to confirm that all information entered is correct.
After confirming accuracy, click to complete the Meaningful Use attestation
for 2015.