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DigiDMS is an integrated Medical Information Management Company, which offers Electronic Health Records (EHR), Medical Billing, and Transcription Services. Our EHR includes integrated Appointment Scheduling, Billing Modules, Electronic Medical Records, Online Prescriptions and accessibility of information anywhere, anytime. Our services have evolved to a level where we can be deemed a Virtual Secretary targeted for hospitals, clinics, and independent doctors. The company is promoted by technical experts from diversified industries. In a relatively short span of 6 years, we have been able to transform 300+ medical offices nationwide into efficiency engines. Our strategy is to build productivity through the use of technology, highly trained personnel, and customized consulting services. With resources composed of 32+ employees nationwide and 175+ employees overseas, we have found a solution for all the problems in running a medical practice resulting in better clinical, revenue cycle, and employee management. We are the sole proprietors of the Electronic Health Records software, the Medical Billing service, and the Transcription Service. This allows us to streamline all our respective services into one effective solution for running a medical practice. Currently we are servicing clients in New Jersey, New York, Pennsylvania, Connecticut, North Carolina, Virginia, Florida, Indiana, Illinois, Texas, Tennessee and expanding throughout the United States of America. Our offices are based in New Jersey, Texas and North Carolina.
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Webinar 2:2014 MU Stage2, 2014 MU Stage 1
and CQM 2014 OverviewFriday, March 28, 2014 at 3:30 PM EST
Monday, March 31, 2014 at 4:30 PM EST
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Meaningful Use Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
“All providers must upgrade or adopt newly certified EHRs in 2014” , meaning All providers regardless of their stage of Meaningful Use are only required to demonstrate meaningful use for a three month (or 90 day) period.
Medicare Eligible Professionals beyond their first year of meaningful use must select a three-month reporting period fixed to the quarter of the calendar year for Eligible Professionals. Providers must attest to these reporting periods no later than February 28, 2015 at 12 AM ET.
Medicare EPs in their first year of meaningful use may select any 90 day reporting period.Medicaid EPs can select any 90-day reporting period that falls within the 2014 calendar year.
Clinical Quality Measure (CQM)Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
EPs will have to report using the new 2014 criteria regardless of whether they are participating in Stage 1 or Stage 2 of the EHR Incentive Programs.
All Medicare EPs have the option of submitting three months of CQM data online through the CMS registration and attestation system. Medicare EPs also have the option to submit a full year of data electronically using the QRDA format to receive credit for the EHR incentive Program and Physician Quality Reporting System (PQRS). Medicaid EPs must submit their clinical quality measurement data to their State
Medicaid Agency
Begining in 2014, EPs must select and report on 9 of a possible list of 64 approved CQMs for the EHR Incentive Programs. The 6 domains are:
Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Health Care Resources Clinical Processes/ Effectiveness
Medicare Incentive Program Participation Timeline
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
2011 2012 2013 2014 2015 2016 Total Incentive ($)
90D - S1 ($18,000)
FY - S1 ($12,000)
FY - S1 ($8,000)
90D - S2 ($4,000)
FY - S2 ($2,000) x $44,000
x 90D - S1 ($18,000)
FY - S1 ($12,000)
90D - S2 ($8,000)
FY- S2 ($4,000)
FY - S3 ($2,000) $44,000
x x 90D - S1 ($15,000)
90D - S1 ($12,000)
FY - S2 ($8,000)
FY - S2 ($4,000) $39,000
x x x 90D - S1 ($12,000)
FY - S1 ($8,000)
FY - S2 ($4,000) $24,000
90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful useFY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use
Medicaid Incentive Program Participation Timeline
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
90D: Demonstrate 90 Days of Meaningful Use S1: Stage 1 of Meaningful useFY: Demonstrate Meaningful Use for Full Year S2: Stage 2 of Meaningful Use
A: Adoption of Meaningful use certified Technology
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021A ($21,250)
90D - S1 ($8,500)
FY - S1 ($8,500)
90D - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500) x X x x x
x A ($21,250)
90D - S1 ($8,500)
90D - S1 ($8,500)
FY - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500) x x x x
x x A ($21,250)
90D - S1 ($8,500)
FY - S1 ($8,500)
FY - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500) x x x
x x x A ($21,250)
90 - S1 ($8,500)
FY - S1 ($8,500)
FY - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500) x x
x x x x A ($21,250)
FY - S1 ($8,500)
FY -S1 ($8,500)
FY - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500) x
x x x x x A ($21,250)
90D -S1 $8,500)
FY - S1 ($8,500)
FY - S2 ($8,500)
FY - S2 ($8,500)
FY - S3 ($8,500)
Implementing Meaningful Use Stage 2?Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Eligible Professionals (EPs) must now report on 17 core objectives and 3 out of a 6 menu objectives.
Many of the objectives in Stage 2 are familiar to Stage 1 objectives. Some menu objectives that were in MU Stage 1 have been moved to the core set of Stage 2 and are now required for all providers. Some objectives that were in core set in Stage 1 now have higher thresholds that you must achieve in order to successfully demonstrate meaningful use of your EHR in Stage 2. There are also some new Stage 2 core and menu objectives
Implementing Meaningful Use Stage 2?Quick Facts
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
New Criteria - Starting in 2014, providers participating in the EHR Incentive Programs who have met Stage 1 for two or three years will need to meet meaningful use Stage 2 criteria.
Improving Patient Care – Stage 2 includes new objectives to improve patient care through better clinical decision support, care coordination, and patient engagement.
Saving Money, Time, Lives – With Stage 2, EHRs will: Save our health care system money Save doctors and hospitals time Save lives
Implementing Meaningful Use Stage 2?
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Implementing Meaningful Use Stage 2?
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Implementing Meaningful Use Stage 2?
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Measures with Minimum changes from Stage 1 MU
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Protect Health Information (Core Measure)Must Complete Security Risk Analysis
Generate Patient List (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure
Patient Reminder (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure
Patient Education (Core Measure)Moved from Stage 1 Menu Measure to Stage 2 Core Measure
Medication Reconciliation (Core Measure) Moved from Stage 1 Menu Measure to Stage 2 Core Measure
Summary of Care (Core Measure) Moved from Stage 1 Menu Measure to Stage 2 Core Measure
Syndromic Surveillance data to Public Health Agencies (Menu Measure),Ongoing Submission Required
Measures with changes from Stage 1 MU
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
CPOE Medication (Core Measure), Threshold Increased from 30% to 60%
Electronic Prescription (Core Measure), Threshold Increased from 40% to 50%Drug Formulary checks must have been performed.
Record Demographics (Core Measure), Threshold increased from 50% to 80%
Vital Signs (Core Measure), Threshold increased from 50% to 80%New choices are available to select applicable vitals.
Smoking Status (Core Measure), Threshold Increased from 50% to 80%
Clinical Decision Support (Core Measure)Implement 5 Clinical Decision Support rules compare to 1 CDS in MU Stage 1
Clinical Summary (Core Measure), Threshold 50% - Same as Stage 1Clinical Summary Document must be provided within 1 Business Day
Submit Electronic Data to Immunization Registry (Core Measure)Successful ongoing submission to Immunization Registry for entire EHR reporting period.
New Measures in MU Stage 2Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Use CPOE (Core Measure) for 30% of Laboratory Orders and 30% of Radiology Orders
Patient Portal (Core Measure), Provide Patients the ability to view online, download and transmit their health InformationThreshold Increased from 10% to 50%5% of Patient must view, download and transmit to 3rd Party.
Incorporate Lab Results into EHR (Core Measure)Threshold changed from 40% to 55%Moved from Menu Measure to Core Measure
Provide Summary of Care Record (Core Measure)Measure 1: Provide summary for 50% of transitions of care and referralsMeasure 2: 10% of Transition of care and referral must be submitted or received electronicallyMeasure 3: Conduct one ore more successful tests with CMS designated test EHR or with different EHR Product than DigiDMS EHR.
Secure Electronic Messaging (Core Measure)
New Measures in MU Stage 2Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Record Electronic Notes in Patient Records (Menu Measure) (Threshold: 30%)
Imaging Results Accessible through CEHRT (Menu Measure)For over 10% of all tests that yield an image, must be associated with orders
Family Health History (Menu Measure) (Threshold: 20%)
Report Cancer Cases to a public Health central cancer registry (Menu Measure)ongoing submission required
Report Specific Cases to a Specialized registry (Menu Measure)Ongoing Submission Required
Implementing Stage 1 MU in 2014?
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Patient Portal (Core Measure), Provide Patients the ability to view online, download and transmit their health Information
Moved From Menu Measure to Core MeasureThreshold Increased from 10% to 50%5% of Patient must view, download and transmit to 3rd Party.
CPOE for Medication Orders (Core Measure)Alternate Calculation Method is available
Vital Signs (Core Measure)EP can choose applicable Vital Signs from available options
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Core Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Menu Measures
Resources
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
List of Meaningful Use Stage 2 Core Measures and Menu MeasuresMeaningful Use Participation TimelineCMS Guide for Implementing Stage 2Official Link of Stage 2 ResourcesMU Stage 2 ToolkitStage 1 vs Stage 2 comparison chart for EPs2014 Clinical Quality Measure Tipsheet by CMSSecurity Risk Analysis Factsheet
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging
Questions & Answers
?
Thank You!
EHR * PM * Patient Portal * Direct Messaging * Secure Healthcare Messaging