Meaningful Use

Meaningful Use
Stage 2
Esthee Van Staden
September 2014
Please join Sage Growth Partners in a
detailed discussion of Stage 2 Meaningful
Use and what your practice needs to
accomplish in 2014.
About Us…
 Founded in 2005
 Provide Strategy, Business Optimization, Technology,
and Marketing advice and execution
 National footprint in Health Care
 Cultivate opportunities to accelerate growth
Meaningful Use
Meaningful Use Stages
New Stage Announced
Stage IV – Care Plans,
Patient Participation
Paul Tang, M.D., Vice
Chair for Health IT.
“Stage 4 is moving
toward the learning
health system,” Tang
said, “for both
professionals and
patients, so that we
make better and
better use of data.”
What Are Stage 2 Objectives of the EHR
Incentive Programs?
Core Measures
Menu Measures
Stage 2 Meaningful Use
Core Objectives for Eligible
1. Use computerized provider order entry (CPOE) for
medication, laboratory and radiology orders
10. Incorporate clinical lab-test results into Certified
EHR Technology as structured data.
2. Generate and transmit permissible prescriptions
electronically (eRx)
11. Generate lists of patients by specific conditions
3. Record demographic information
12. Reminders for preventive/follow-up care and send
these patients the reminders, per patient preference.
4. Record and chart changes in vital signs
13. Patient specific education resources and provide
those resources to the patient.
5. Record smoking status for patients 13 years old or
14. Perform medication reconciliation.
6. Use clinical decision support to improve
performance on high-priority health conditions
15. Provide a summary care record for each transition of
care or referral.
7. Provide patients the ability to view online, download
and transmit their health information
16. Capability to submit electronic data to immunization
8. Provide clinical summaries for patients for each
office visit
17. Use secure electronic messaging to communicate
with patients on relevant health information.
9. Protect electronic health information created or
maintained by Certified EHR Technology
New Stage 2 menu objectives for
Eligible Providers
1. Record electronic notes in patient records
2. Imaging results accessible through CEHRT
3. Record patient family health history
4. Identify and report cancer cases to a State cancer registry (for EPs only)
5. Identify and report specific cases to a specialized registry
(Other than a cancer registry)(for EPs only)
6. Generate and transmit permissible discharge prescriptions electronically
(eRx) (New for eligible hospitals and CAHs only)
Clinical Quality Measures – Overview
Clinical quality measures (CQMs) are tools that help us measure and track
the quality of healthcare services provided by eligible professionals (EPs).
These measures are based on a provider’s ability to deliver high-quality
care or relate to long term goals for health care quality.
CMS selected the recommended core set of CQMs for EPs based on
several factors:
 Health Outcomes
 Clinical Processes
 Patient Safety
 Efficient use of
Healthcare resources
 Care Coordination
 Patient engagements
 Population and Public
 Clinical Guidelines
CQMs – 2014 and Beyond
EPs must report on 9 of the 64 approved CQMs
Recommend core CQMs – encouraged but not required
 9 CQMs for the adult population
 9 CQMs for the pediatric population
 NQF 0018 strongly encouraged since controlling blood pressure is high
priority goal in many national health initiatives.
HHS National Quality Strategy Domains
(Minimum 3 of 6 must be represented)
 Patient Safety
 Care Coordination
 Population and Public Health  Efficient Use of Healthcare
 Patient and Family
 Clinical
Meaningful Use Stage 2
Final rule for Stage 2 meaningful use August
29, 2014
The Department of Health and Human Services published a
final rule for Stage 2 meaningful use August 29 that offers
hospitals and physicians flexibility for 2014.
The new rule allows eligible providers to use the 2011
Edition of certified EHR technology or a combination of 2011
and 2014 Edition for the 2014 Medicare and Medicaid EHR
Incentive Programs.
Come 2015, all eligible providers will be required to use the
2014 Edition if certified EHR technology.
2014 CEHRT Flexibility
CMS strongly advises that your practice continues to expedite your
upgrades and Meaningful Use preparations to meet the 2014
requirements and timelines. Stage 2 of the Medicare and Medicaid
Electronic Health Record (EHR) Incentive Programs
includes several objectives that require information to be
shared with another party. Three of these objectives—
Clinical Summary, Patient Electronic
Access, and Summary of Care—outline specific data
elements needed to meet the objective. While some of
the data elements are common between these three
objectives, other data elements are individual to each
Exchanging Information Electronically
Under the Stage 2 core objectives to
provide patients the ability to view
online, download and transmit their
health information, more than 5 percent
of patients seen by the EP view,
download, or transmit to a third party
their health information.
Secure Messaging
Under the Stage 2 core objective to use secure
electronic messaging to communicate with patients on
relevant health information, a secure message must be
sent using the electronic messaging function of
Certified EHR Technology by more than 5 percent of
unique patients seen by an EP during the EHR
reporting period.
What if my EMR doesn’t have Secure
Superscripts offers
a simple solution
where EP’s can
sign up and use
their messaging
service to meet
the MU requirement.

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