MEANINGFUL USE AND PQRS

Presented By: Morgan Kuper, Customer Service Supervisor

Understanding the Measures

Meaningful Use & PQRS

2016 Meaningful Use Overview

• Objectives and Measures

• Exclusions

• Changes to Specific Objectives

• Reporting Period

• Registration and Attestation

2

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Protect Electronic Protected Health Information

Attestation Requirements: YES / NO

Measure: Eligible Professionals (EP’s) must conduct or review a security risk analysis of CEHRT

Exclusion: NONE

3

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Clinical Decision Support Attestation Requirements: YES / NO / Exclusion

Measure 1: Eligible Professionals (EP’s) must attest YES to implementing five clinical decision support interventions

Measure 2: EPs must attest YES to enabling and implementing the functionality for drug-to-drug and drug-allergy interaction checks for the entire EHR Reporting Period

Exclusion: Any EP who writes fewer than 100 medication orders during the EHR Reporting Period

4

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Computerized Order Entry (CPOE)

Measure 1: More than 60% of medication orders created during the reporting period are recorded using CPOE Measure 2: More than 30% of lab orders created during the reporting period are recorded using CPOE Measure 3: More than 30% of radiology orders created during the reporting period are recorded using CPOE Exclusion: Any EP who writes fewer than 100 medication, lab and radiology orders during the EHR Reporting Period

5

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Electronic Prescribing (eRx)

Measure: More than 50% of all permissible prescriptions written are queried for a rug formulary and transmitted electronically using CEHRT

Exclusion: Any Provider who:

• Writes fewer than 100 permissible prescriptions

• Does not have a pharmacy within his or her organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the practice

6

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Health Information Exchange

Measure: Provider who refers or transfers care must:

• Use CEHRT to create a summary of care record

• Electronically transmit summary to receiving provider for more than 10% of transitions of care and referrals

Exclusion: Any provider who transfers a patient to another setting or refers a patient to another provider less than 100 times during reporting period

7

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Patient-Specific Education

Measure: Provide patient-specific education for more than 10% of all patients with office visits seen by the EP during the reporting period

Education materials must be recognized through the use of Fast Plans in EyeMD EMR

Exclusion: Any provider who has no office visits during the reporting period

8

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Medication Reconciliation

Measure: Provider performs medication reconciliation for more than 50% of transitions of care

Exclusion: Any provider who did not receive any transitions of care during the reporting period

9

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Patient Electronic Access

Measure 1: More than 50% of all patients seen during the reporting period are provided timely access to view, download and transmit their health information

Measure 2: At least 1 patient seen during the reporting period views, downloads or transmits his or her health information

Exclusion: No FoxFire clients will qualify for the exclusion for Secure Electronic Messaging

10

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Secure Electronic Messaging

Measure: At least 1 patient seen in the reporting period sends a secure message to their provider using patient portal

Exclusion: No FoxFire clients will qualify for the exclusion for Secure Electronic Messaging

11

Meaningful Use & PQRS

2016 MU Objectives and Measures

Measure: Public Health Reporting

Measure 1: Immunization Registry Reporting – active engagement with a public health agency to submit immunization data Measure 2: Syndromic Surveillance Reporting – active engagement with a public health agency to submit syndromic surveillance data Measure 3: Specialized Registry Reporting – active engagement to submit data to a specialized registry

Exclusions to follow

12

Meaningful Use & PQRS

2016 MU Objectives and Measures Exclusions: Measure: Public Health Reporting

Measure 1: – Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction’s

immunization registry or immunization information system during the EHR reporting period

– Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

– Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of the EHR reporting period.

Measure 2: – Is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction's

syndromic surveillance system;

– Operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data from EPs in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

– Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from EPs at the start of the EHR reporting period.

Measure 3: – Does not diagnose or treat any disease or condition associated with, or collect relevant data that is required by a

specialized registry in their jurisdiction during the EHR reporting period;

– Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or

– Operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period.

13

Meaningful Use & PQRS

PQRS Overview This presentation will cover basic answers regarding PQRS and does not serve as a full PQRS educational training. FoxFire Systems Group will be providing PQRS webinars in the near future

• What is PQRS?

• 2018 Payment Adjustments

• Why PQRS?

• Reporting Options

• PQRS Information

14

Meaningful Use & PQRS

What is PQRS?

PQRS is a reporting program that promotes the reporting of quality information by individual eligible professionals or group practices participating via group practice reporting option

15

Meaningful Use & PQRS

2018 Payment Adjustments

16

Meaningful Use & PQRS

Why PQRS?

• EPs are provided the opportunity to assess the quality of care provided to patients, helping ensure patients get the right care at the right time

• EPs are able to quantify how often particular care metrics are met

• EPs are able to access feedback reports comparing their performance on a given measure with other participating EPs

17

Meaningful Use & PQRS

Reporting Options

• Available Reporting Options for providers

– Claims

– Qualified Registry

– EyeMD EMR

18

Meaningful Use & PQRS

PQRS Information

FoxFire will be offering PQRS webinars to cover specific measure requirements and reporting options.

CMS PQRS Website

https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/

19

QUESTIONS Please write additional questions on the Question Form

- BREAK -

COMING UP NEXT Image Management or FoxFire PM Training

Chris Stemwedel Art Schott