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Slide Deck: goo.gl/c6XV6Webex Support 1-866-223-3239
Event # 291 190 606
“A Deep Dive Into MU Stage 2”
A Complimentary Webinar From healthsystemCIO.com,
Sponsored By Hyland Software, Developers of OnBase
Your Line Will Be Silent Until Our Event Begins
Thank You!
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Event # 291 190 606
Housekeeping
• Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com
• Ask A Question• We will be holding a Q&A session after the formal presentations.
• You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”
• Download the Deck • Go to: http://healthsystemcio.com/presentation/meaningful-use-2-webinar.pdf
• Shortened link below appears on all slides.
• View the Archive• You will receive an email when our archive recording is ready.
• Separate registration is required.
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Event # 291 190 606
Agenda
• John Halamka, MD, CIO, Beth Israel Deaconess Medical Center (25 minutes)
• A Word From Our Sponsor: Lorna Green, Senior Healthcare Informaticist, OnBase (5 minutes)
• Q&A (20+ minutes)
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Event # 291 190 606
Meaningful Use Stage 2
John Halamka, M.D.
CIO
Beth Israel Deaconess Medical Center
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Overall Meaningful Use Policy Goals
• Improving quality, safety, efficiency, and reducing health disparities
• Engaging patients and families in their health care
• Improving care coordination
• Improving population and public health
• Ensuring adequate privacy and security protections for personal health information
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Event # 291 190 606
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What is Your Meaningful Use Path?For Medicare Hospitals:
77
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2014 Changes
1. EHRs Meeting ONC 2014 Standards – starting in 2014, all EHR Incentive Programs
participants will have to adopt certified EHR technology that meets ONC’s Standards &
Certification Criteria 2014 Final Rule
2. Reporting Period Reduced to Three Months – to allow providers time to adopt 2014
certified EHR technology and prepare for Stage 2, all participants will have a three-
month reporting period in 2014.
8
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Meaningful Use: Changes from Stage 1 to Stage 2
9
Eligible
Professionals15 core objectives
5 of 10 menu objectives
20 total objectives
Eligible
Professionals17 core objectives
3 of 6 menu objectives
20 total objectives
Eligible Hospitals &
CAHs14 core objectives
5 of 10 menu objectives
19 total objectives
Eligible Hospitals &
CAHs16 core objectives
3 of 6 menu objectives
19 total objectives
Stage 2Stage 1
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Stage 2 EP Core Objectives
10
EPs must meet all 17 core objectives:
Core Objective Measure
1. CPOEUse CPOE for more than 60% of medication, 30% of laboratory, and
30% of radiology
2. E-Rx E-Rx for more than 50%
3. Demographics Record demographics for more than 80%
4. Vital Signs Record vital signs for more than 80%
5. Smoking Status Record smoking status for more than 80%
6. InterventionsImplement 5 clinical decision support interventions + drug/drug and
drug/allergy
7. Labs Incorporate lab results for more than 55%
8. Patient List Generate patient list by specific condition
9. Preventive Reminders
Use EHR to identify and provide reminders for preventive/follow-up
care for more than 10% of patients with two or more office visits in
the last 2 years
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Stage 2 EP Core Objectives
11
EPs must meet all 17 core objectives:
Core Objective Measure
10. Patient AccessProvide online access to health information for more than 50% with
more than 5% actually accessing
11. Visit Summaries Provide office visit summaries for more than 50% of office visits
12. Education ResourcesUse EHR to identify and provide education resources more than
10%
13. Secure Messages More than 5% of patients send secure messages to their EP
14. Rx Reconciliation Medication reconciliation at more than 50% of transitions of care
15. Summary of Care
Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR
16. Immunizations Successful ongoing transmission of immunization data
17. Security AnalysisConduct or review security analysis and incorporate in risk management process
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Stage 2 EP Menu Objectives
12
EPs must select 3 out of the 6:
Menu Objective Measure
1. Imaging ResultsMore than 10% of imaging results are accessible through Certified
EHR Technology
2. Family History Record family health history for more than 20%
3. Syndromic Surveillance Successful ongoing transmission of syndromic surveillance data
4. Cancer Successful ongoing transmission of cancer case information
5. Specialized Registry Successful ongoing transmission of data to a specialized registry
6. Progress NotesEnter an electronic progress note for more than 30% of unique
patients
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Stage 2 Hospital Core Objectives
13
Eligible hospitals must meet all 16 core objectives:
Core Objective Measure
1. CPOEUse CPOE for more than 60% of medication, 30% of laboratory,
and 30% of radiology
2. Demographics Record demographics for more than 80%
3. Vital Signs Record vital signs for more than 80%
4. Smoking Status Record smoking status for more than 80%
5. InterventionsImplement 5 clinical decision support interventions + drug/drug and
drug/allergy
6. Labs Incorporate lab results for more than 55%
7. Patient List Generate patient list by specific condition
8. eMAReMAR is implemented and used for more than 10% of medication
orders
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Stage 2 Hospital Core Objectives
14
Eligible hospitals must meet all 16 core objectives:
Core Objective Measure
9. Patient AccessProvide online access to health information for more than 50%
with more than 5% actually accessing
10. Education ResourcesUse EHR to identify and provide education resources more than
10%
11. Rx Reconciliation Medication reconciliation at more than 50% of transitions of care
12. Summary of Care
Provide summary of care document for more than 50% of
transitions of care and referrals with 10% sent electronically
and at least one sent to a recipient with a different EHR
vendor or successfully testing with CMS test EHR
13. Immunizations Successful ongoing transmission of immunization data
14. Labs Successful ongoing submission of reportable laboratory results
15. Syndromic SurveillanceSuccessful ongoing submission of electronic syndromic
surveillance data
16. Security AnalysisConduct or review security analysis and incorporate in risk
management process
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Stage 2 Hospital Menu Objectives
15
Eligible Hospitals must select 3 out of the 6:
Menu Objective Measure
1. Progress NotesEnter an electronic progress note for more than 30% of unique
patients
2. E-RxMore than 10% electronic prescribing (eRx) of discharge
medication orders
3. Imaging ResultsMore than 10% of imaging results are accessible through Certified
EHR Technology
4. Family History Record family health history for more than 20%
5. Advanced DirectivesRecord advanced directives for more than 50% of patients 65
years or older
6. Labs Provide structured electronic lab results to EPs for more than 20%
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CQM Selection and HHS Priorities
• All providers must select CQMs from at least 3 of the 6 HHS National Quality Strategy domains:
Patient and Family Engagement
Patient Safety
Care Coordination
Population and Public Health
Efficient Use of Healthcare Resources
Clinical Processes/Effectiveness
16
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Changes to CQMs Reporting
Prior to 2014
EPs
Report 6 out of
44 CQMs
•3 core or alt.
core
•3 menu
Beginning in 2014
EPs
Report 9 out of 64
CQMs
Selected CQMs must
cover at least 3 of the 6
NQS domains
Recommended core
CQMs:
9 for adult populations
9 for pediatric
populations
Eligible
Hospitals and
CAHs
Report 15 out
of 15 CQMs Eligible Hospitals and
CAHs
Report 16 out of 29 CQMs
Selected CQMs must cover
at least 3 of the 6 NQS
domains
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Event # 291 190 606
Overall Standards and Certification Goals
• Enhancing standards-based exchange
• Promoting EHR technology safety and security
• Enabling greater patient engagement
• Introducing greater transparency
• Reducing regulatory burden
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Event # 291 190 606
Common MU Data Set
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2014 Edition CEHRTEasy as 1, 2, 3 + C*
Base
EHR
1
MU Menu - 3
MU Core - 2
EP/EH/CAH would only need to
have EHR technology with
capabilities certified for the MU
menu set objectives & measures for
the stage of MU they seek to
achieve.
EP/EH/CAH would need to have
EHR technology with capabilities
certified for the MU core set
objectives & measures for the
stage of MU they seek to achieve
unless the EP/EH/CAH can meet an
exclusion.
EP/EH/CAH must have EHR
technology with capabilities
certified to meet the Base EHR
definition.
*C = CQMs
*= optional
2014 Certification Criteria associated
with MU Menu Stage 2:
2014 Certification Criteria
associated with MU Core Stage 2:
2014 Certification Criteria associated
with a Base EHR:
2014 Edition EHR Certification Criteria Mapped to the 2014 CEHRT Definition for EHs & CAHs Seeking to Achieve MU Stage
2 in and after FY 2014
• Electronic notes (170.314(a)(9))
• Drug-formulary checks (170.314(a)(10))
• Image results (170.314(a)(12))
• Family health history (170.314(a)(13))
• Advance directives (170.314(a)(17))
• eRx (170.314(b)(3))
• Transmission of e-lab tests &
values/results to providers (170.314(b)(6))
Base EHR
MU Core
MU Menu
• CPOE (170.314(a)(1))
• Demographics (170.314(a)(3))
• Problem list (170.314(a)(5))
• Medication list (170.314(a)(6))
• Medication allergy list (170.314(a)(7))
• Clinical decision support (170.314(a)(8))
• Transitions of care (170.314(b)(1) & (2))
• Data portability (170.314(b)(7))
• Clinical quality measures (170.314(c)(1) -
(3))
• Privacy and Security CC:
oAuthentication, access control,
& authorization (170.314(d)(1))
oAuditable events & tamper resistance (170.314(d)(2))
oAudit report(s) (170.314(d)(3))
oAmendments (170.314(d)(4))
oAutomatic log-off (170.314(d)(5))
oEmergency access (170.314(d)(6))
oEnd-user device encryption (170.314(d)(7))
oIntegrity (170.314(d)(8))
oAccounting of disclosures* (170.314(d)(9))
• Drug-drug, drug-allergy
interaction checks (170.314(a)(2))
• Vital signs, BMI, & growth charts (170.314(a)(4))
• Smoking status (170.314(a)(11))
• Patient list creation (170.314(a)(14))
• Patient-specific education
resources (170.314(a)(15))
• eMAR (170.314(a)(16))
• Clinical information reconciliation (170.314(b)(4))
• Incorporate lab tests &
values/results (170.314(b)(5))
• View, download, & transmit to 3rd
Party (170.314(e)(1))
• Immunization information (170.314(f)(1))
• Transmission to immunization
registries (170.314(f)(2))
• Transmission to PH agencies –
syndromic surveillance (170.314(f)(3))
• Transmission of reportable lab
tests & values/results (170.314(f)(4))
2014 ed. certification criteria for which
certification may be required:
•Automated numerator recording (170.314(g)(1))
•Automated measure calculation (170.314(g)(2))
•Safety-enhanced design (170.314(g)(3))
•Quality management system (170.314(g)(4))
2014 Edition EHR Certification Criteria Mapped to the 2014 CEHRT Definition for EHs &
CAHs Seeking to Achieve MU Stage 2 in and after CY 2014
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Event # 291 190 606
A Deep Dive Into MU Stage 2
Lorna Green
Senior Healthcare Informaticist
Hyland Software
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Event # 291 190 606
OnBase brings all of your content into one Repository.
Makes it available to everyone who needs access
Automates Manual processes
Web Pages
Enterprise ApplicationsPaper Documents
& Files
Fax
Electronic Documents
FormsReports
Graphics, Video, & Audio
XML & Meta DataPrint Output
Health Level Seven
Content Sources
Microsoft Office
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Event # 291 190 606
OnBase Integrates with all EMR’s and other
business process software
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Meaningful Use Audit
• Import, Store, Retrieve all documents related to attestation• Scan, Cold Feed, Document Import, scheduled reports ‘printed’ into OnBase,
etc.
• Stored in organized folders
• User level security
• Automate the processes • Checklists, Workflow, Document creation, Outlook Integration
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Event # 291 190 606
Hyland Software: http://www.hyland.com/
Lorna Green RN, BSN
Healthcare Informatics Executive Advisor
912-346-9070
Savannah, GA
Follow us….
Facebook: https://www.facebook.com/HylandSoftware?fref=ts
Twitter: https://twitter.com/HylandSoftware
Hyland Blog: http://blog.hyland.com/category/healthcare/
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Event # 291 190 606
Q&AClick on the Q&A panel located in the lower right corner of your screen,
type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.”
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Event # 291 190 606
Thank You!• You will receive an email when our archive recording is ready.
(Separate registration is required)
• Questions/Comments – Anthony Guerra [email protected]
• Thanks to our sponsor: Hyland Software, developers of OnBase
Go to www.healthsystemCIO.com/webinars to view our upcoming schedule and see all archived events.