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Meeting Stage 1 Meaningful Use Criterion

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Meeting Stage 1 Meaningful Use Criterion Carlos A. Leyva, Esq. Digital Business Law Group, P.A. www.digitalbusinesslawgroup.com Stage 1 Meaningful Use Core Set Health ... – PowerPoint PPT presentation

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Title: Meeting Stage 1 Meaningful Use Criterion


1
Meeting Stage 1 Meaningful Use Criterion
  • Carlos A. Leyva, Esq.
  • Digital Business Law Group, P.A.
  • www.digitalbusinesslawgroup.com

2
Stage 1 Meaningful Use Core Set
Health Outcomes Policy Priority Objectives Objectives Measures
Health Outcomes Policy Priority Eligible Professionals Eligible Hospitals and CAHs Measures
Improving quality safety, efficiency, and reducing health disparities CPOE for medication orders CPOE for medication orders gt 30 of patients with at least one medication ordered with CPOE
  Implement drug-drug and drug-allergy interaction checks. Implement drug-drug and drug-allergy interaction checks. Enabled for entire EHR reporting period
  Generate and transmit permissible prescriptions electronically Generate and transmit permissible prescriptions electronically gt 40 of all permissible prescriptions transmitted electronically
  Record demographics language, gender, race, ethnicity, DOB Record demographics language, gender, race, ethnicity, DOB, date and preliminary cause of death in the event of mortality in eligible hospital or CAH gt 50
  Maintain up-to-date problem list of current and active diagnoses Maintain up-to-date problem list of current and active diagnoses gt 80 have at least one entry or indication of no known problems
  Maintain active medication list Maintain active medication list gt 80
  Maintain active medication allergy list Maintain active medication allergy list gt 80
  Record and chart changes in vital signs height, weight, blood pressure, calculate and display BMI, Plot and display growth charts for children 2-20 years, including BMI Record and chart changes in vital signs height, weight, blood pressure, calculate and display BMI, Plot and display growth charts for children 2-20 years, including BMI gt 50 unique patients ages 2 and over
  Record smoking status for patients 13 years and older Record smoking status for patients 13 years and older gt 50
  Implement one clinical decision support rule relevant to specialty or high clinical priority along with ability to track compliance Implement one clinical decision support rule relevant to specialty or high clinical priority along with ability to track compliance Implement one clinical decision support rule
3
Stage 1 Meaningful Use Core Set (Cont.)
Health Outcomes Policy Priority Objectives Objectives Measures
Health Outcomes Policy Priority Eligible Professionals Eligible Hospitals and CAHs Measures
  Report ambulatory clinical quality measures to CMS or States Report ambulatory clinical quality measures to CMS or States For 2011, provide aggregate number, denominator and exclusions through attestation. For 2012, electronically submit clinical quality measures.
Engage patients and families in their health are Provide patients with an electronic copy of health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request Provide patients with an electronic copy of health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request gt 50 inpatient or ED departments or hospital or clinic/provider's office within 3 business days
    Provide patients with an electronic copy of discharge instructions at time of discharge, upon request gt 50 at time of discharge
  Provide clinical summaries for patients for each office visit   gt 50 within 3 business days
Improve care coordination Capability to exchange key clinical information among providers of care and patient authorized entities electronically. Capability to exchange key clinical information among providers of care and patient authorized entities electronically. Performed at least one test of EHR technology's capability to electronically exchange key clinical information
Ensure adequate privacy and security protections for personal health information Protect electronic health information crated by or maintained by certified EHR technology through implementation of appropriate technical capabilities Protect electronic health information crated by or maintained by certified EHR technology through implementation of appropriate technical capabilities Conduct or review a security risk analysis per 45 CF4 164.308(a)(1) and implement security updates as necessary as part of risk management process
4
Stage 1 Meaningful Use Menu Set
Health Outcomes Policy Priority Objectives Objectives Measures
Health Outcomes Policy Priority Eligible Professionals Eligible Hospitals and CAHs Measures
  Report ambulatory clinical quality measures to CMS or States Report ambulatory clinical quality measures to CMS or States For 2011, provide aggregate number, denominator and exclusions through attestation. For 2012, electronically submit clinical quality measures.
Improving quality safety, efficiency, and reducing health disparities Implement drug-formulary checks   Enabled access to at least one internal or external drug formulary
    Record advance directives for patients 65 or older gt 50
  Incorporate clinical lab-test results into certified EHR technology as structured data Incorporate clinical lab-test results into certified EHR technology as structured data gt 40 of all clinical lab tests during EHR reporting period with results in a positive/negative or numerical format
  Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach Generate at least one report listing patients with a specific condition
  Send reminders to patients per patient preference for preventative/follow up care Send reminders to patients per patient preference for preventative/follow up care gt 20 patients 65 or older or 5 yrs or younger were sent reminder during reporting period
5
Stage 1 Meaningful Use Menu Set
Health Outcomes Policy Priority Objectives Objectives Measures
Health Outcomes Policy Priority Eligible Professionals Eligible Hospitals and CAHs Measures
Engage patients and families in their health are Provide patients with timely electronic access to their health information within 4 business days of information being available to provider   gt 10 subject to EP's discretion to withhold certain information
  Use certified EHR technology to identify patient-specific education resources and provide those resources to patient if appropriate Use certified EHR technology to identify patient-specific education resources and provide those resources to patient if appropriate gt 10
Improve population and public health Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission in accordance with applicable law and practice Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission in accordance with applicable law and practice Performed at least one test of certified EHR technology's capacity to submit electronic data and follow up submission if successful test
    Capability to submit electronic data on reportable lab results to public health agencies and actual submission in accordance with applicable law and practice Performed at least one test and follow-up submission if test is successful
  Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Performed at least one test and follow-up submission if test is successful
6
Stage 1 Meaningful Use Measures with a
Denominator of Unique Patients Regardless of
Whether the Patient's Records Are Maintained
Using Certified EHR Technology
Objectives Objectives Measures
Eligible Professionals Eligible Hospitals and CAHs Measures
Maintain an up-to-date problem list of current and active diagnoses Maintain an up-to-date problem list of current and active diagnoses gt 80
Maintain active medication list Maintain active medication list gt 80
Maintain active medication allergy list Maintain active medication allergy list gt 80
Record demographics language, gender, race, ethnicity, DOB Record demographics language, gender, race, ethnicity, DOB, date and preliminary cause of death in the event of mortality in eligible hospital or CAH gt 50
Provide patients with timely electronic access within 4 business days of information available to EP   gt 10
Use certified EHRE technology to identify patient-specific education resources and provide if appropriate Use certified EHRE technology to identify patient-specific education resources and provide if appropriate gt 10
7
Stage 1 Meaningful Use Measures with a
Denominator Based on Counting Actions for
Patients whose Records are Maintained Using
Certified EHR Technology
Objectives Objectives Measures
Eligible Professionals Eligible Hospitals and CAHs Measures
Use CPOE for med orders Use CPOE for med orders gt 30
Generate and transmit permissible prescriptions electronically   gt 40
Record and chart changes in vital signs height, weight, blood pressure, calculate and display BMI, Plot and display growth charts for children 2-20 years, including BMI Record and chart changes in vital signs height, weight, blood pressure, calculate and display BMI, Plot and display growth charts for children 2-20 years, including BMI gt 50 recorded as structured data
Record smoking status for patients 13 years and older Record smoking status for patients 13 years and older gt 50
  Record advance directives for patients 65 and older gt 50
Incorporate clinical lab-test results into certified EHR technology as structured data Incorporate clinical lab-test results into certified EHR technology as structured data gt 40 during reporting period for results either positive/negative or numerical format as structured data
Provide patients with electronic copy of health information upon request Provide patients with electronic copy of health information upon request gt 50 within 3 business days
  Provide electronic copy of D/C instructions at time of discharge upon request gt 50
Provide clinical summaries for patients for each office visit   gt 50 within 3 business days
Send reminders to patients per preference for preventative follow up care   gt 20
For EP, eligible hospital or CAH who receives patient from another setting should perform medication reconciliation For EP, eligible hospital or CAH who receives patient from another setting should perform medication reconciliation gt 50 of transitions of care
For EP eligible hospital or CAH who transitions their patient to another setting of care should provide summary of care record for each transition of care or referral For EP eligible hospital or CAH who transitions their patient to another setting of care should provide summary of care record for each transition of care or referral gt 50 of transitions of care or referral
8
Stage 1 Objectives and Measures Requiring Only a
Yes/No Attestation
Objectives Objectives Measures
Eligible Professionals Eligible Hospitals and CAHs Measures
Implement drug-rug and drug-allergy interactions checks Implement drug-rug and drug-allergy interactions checks Has enabled this functionality for entire reporting period
Implement drug-formulary checks Implement drug-formulary checks Enabled for entire reporting period and has access to at least one internal or external drug formulary
Implement one clinical decision support rule relevant to specialty or high clinical priority with ability to track compliance Implement one clinical decision support rule relevant to high priority hospital condition with ability to track compliance Implement one clinical decision support rule
Capability to exchange key clinical information among providers of care and patient authorized entities electronically Capability to exchange key clinical information among providers of care and patient authorized entities electronically At least one test of capacity to exchange key clinical information
Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission in accordance with applicable law and practice Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission in accordance with applicable law and practice Performed at least one test
  Capability to submit electronic data on reportable lab results to public health agencies and actual submission Performed at least one test to provide submission to public health agency
Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Capability to submit electronic syndromic surveillance data to public health agencies and actual submission in accordance with applicable law and practice Performed at least one test
Protect electronic health information created or maintained by the certified EHRE technology through implementation of appropriate technical capabilities Protect electronic health information created or maintained by the certified EHRE technology through implementation of appropriate technical capabilities Conduct or review a security risk analysis per 45 CFR 164.308(a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process
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