Stage 2 Meaningful Use E L I G I B L E H O S P I TA L S ( E H ) & C R I T I C A L A C C E S S H O S P I TA L S ( C A H ) Conflict of Interest Disclosures None Changes to Stage 1 Objectives • CPOE • • Vital Signs • • Denominator: More than 30% of medication orders created by the EP or authorized providers of the EH or CAH’s inpatient or emergency dept (POS 21 or 23) during the EHR reporting period are recorded using CPOE Denominator: More than 50% of all unique patient seen admitted to the EH or CAH’s inpatient or emergency dept (POS 21 or 23) during the EHR reporting period have blood pressure (for ages 3+ only) and height and weight (for all ages) recorded as structured data Clinical Quality Measures • • • Objective removed Hospitals are still required to report on CQMs Now follow 2014 CQM requirements Where Are We At? Stage 2 Stage 1 • Capture Information • Reporting • Exchanging Information • Patient Engagement Stage 3 and Beyond… • Leveraging Information for Improved Patient Care Understanding the Timing of Stage 2 Stage 2 Meaningful Use • Report on total of 19 Objectives • • Plus Clinical Quality Measures (CQM) 16 Core Objectives • • • All Required Many Stage 1 combined 6 Menu Objectives • • Choose 3 Clinical Quality Measures (CQM) • • • Report on 16 of 29 approved CQMs Selected CQMs must cover at least 3 of 6 National Quality Strategy Domains Electronically repot to CMS MU in 2014 For 2014 only: • All EHs and CAHs regardless of their stage of meaningful use are only required to demonstrate meaningful use for a 3-month EHR reporting period. • CMS is permitting this one-time 3-month reporting period in 2014 only so that all hospitals who must upgrade to 2014 Certified EHR Technology will have adequate time to implement their new Certified EHR systems. MU in 2014 • Reporting Period = 3 month quarter (2014 Only) Must be a fixed calendar quarter • • January – March • April – June • July – September • October – December Must be completed by December 31st • • • Start no later than October 1 Payment Adjustments begin in 2015 Avoiding Payment Adjustments • If you’re beginning in 2014 • Must demonstrate 90 days before 4th quarter • Must attest NO LATER than October 1, 2014 • Avoiding Medicare payment adjustments in the future • Must continue to demonstrate every year • If eligible for Medicare and Medicaid, must demonstrate every year • If eligible for Medicaid ONLY, you are not subject to adjustments Computer Provider Order Entry (CPOE) Objective Use CPOE for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. Denominator Medications: Number of medication orders created by the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Radiology: Number of radiology orders created by the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the reporting period. Laboratory: Number of lab orders created by the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the reporting period. Numerator The number of orders in the denominator recorded using CPOE Threshold: Medications: > 60% Labs: > 30% Radiology: > 30% Increased medication threshold 30% to 60% 30% radiology and 30% lab orders added to objective Denominator changes to number of orders Record Demographics Objective Record all of the following demographics: Preferred Language Sex Race Ethnicity Date of Birth Date & Preliminary Cause of Death (in the event of mortality in the EH or CAH) Threshold increased from 50% to 80% Denominator Number of unique patients admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator Number of patients in the denominator who have all the elements of demographics (or a specific notation if the patient declined to provide one or more of the elements) recorded as structured data. Threshold: > 80% Terminology change: “Gender” replaced with “Sex” Record Vital Signs Objective Record and chart changes in the following vital signs: Height/Length & Weight (no age limit) Blood Pressure (ages 3 and over) Calculate & Display BMI Plot & Display Growth Charts for Patients 0 – 20 yrs (including BMI) Denominator Number of unique patients admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Threshold increased from 50% to 80% Blood pressure on patients aged 2 yr olds no longer required Numerator Number of patients in the denominator who have at least one entry of their height and weight (all ages) and/or blood pressure (ages 3 and over) recorded as structured data. Threshold: > 80% Patients aged 0-2 yrs old now included in Growth Charts Record Smoking Status Objective Record smoking status for patients 13 yrs old and older Denominator Number of unique patients aged 13 or older admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Threshold increased from 50% to 80% Numerator Number of patients in the denominator with smoking status recorded as structured data. SNOMED Codes required Threshold: > 80% 8 smoking status selections to include cigar & pipe smokers Clinical Decision Support (CDS) Objective Implement 5 Clinical Decision Support interventions related to 4 or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period AND Increased from 1 to 5 CDS Rules Implement drug-drug and drug-allergy checks for the entire reporting period Attestation Requirement: Yes/No CDS must relate to clinical quality measures Incorporates DrugDrug/Drug-Allergy Interaction Checks Patient Electronic Access Objective Provide patients the ability to view online, download, and transmit information about hospital admission. Denominator Replaces Stage 1 eCopy of PHI objective Number of unique patients discharged from the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the reporting period. Numerator Access: Number of patients in the denominator whose information is available online within 36 hours of discharge Engagement: Number of patients in the denominator who have viewed online, downloaded, or transmitted to a third party the discharge information provided by the EH or CAH. Threshold: Access: > 50% Engagement: > 5% Requires 5% patient engagement Denominator is now 50% of all discharged patients rather than those requesting What Must be Available Online? The EH or CAH can make additional information available, however, the following information must be available to satisfy the objective and measure: • • • • • • • • • • • • • • • Patient Name Admit and discharge date & location Reason for hospitalization Care team including the attending of record as well as other providers of care Procedures performed during admission Current and past problem list Current medication list and medication history Current medication allergy list and medication allergy history Vital signs at discharge Laboratory test results (available at time of discharge) Summary of care record for transitions of care or referrals to another provider Care plan field(s), including goals and instructions Discharge instructions for patient Demographics maintained by hospital Smoking status Patient Portals & Minors Parents as Personal Representatives • Personal representative has the right of the individual • Rights should be cut off at age of majority • Parent may not be personal representative for certain information, such as when a minor can consent under state law • Personal representatives and minors can pose significant challenges to the organization • Will the organization require authorization before establishing proxy rights to the portal • How will the organization handle revocation of authorizations? Restriction requests? • How will the organization ensure parent’s access is revoked once patient reaches age of majority? Patient Portals & Minors What can the organization do? • • • Ensure compliance with applicable Federal & State laws regarding minors Consult internal HIPAA privacy liaison to ensure portal access/rights are consistent with Federal & State laws and other organizational practices Approaches by other Healthcare Providers: • • For patients under the age of 14, parents are able to access the portal with parental signed request For patients aged 14-18, • • • • Providers can withhold information if they believe it would jeopardize the health of their patient in accordance with HIPAA privacy regulations • • Require the child to sign a release form Restrict parental access to certain sensitive data as required by applicable laws Restrict portal access for minors ages 14-18 Consult internal HIPAA privacy liaison Also note that there are differences for minors who are emancipated Protect Electronic Health Information Objective Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(a)(1), including addressing the encryption/security of data stored in CEHRT in accordance with requirements under 45 CFR 164.312 (a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the provider’s risk management process for eligible hospitals. Attestation Requirement: Yes/No Update risk management processes to address any newly identified risks since last SRA Risk analysis function required to place emphasis on encryption of PHI stored in CEHRT Objective not meant to replace, change, or supersede HIPAA Privacy & Security Rule Clinical Lab Test Results Objective Incorporate clinical lab test results into Certified EHR Technology (CEHRT) as structured data. Denominator Number of lab tests ordered during the EHR reporting period by the EH or CAH’s inpatient or emergency department (POS 21 or 23) whose results are expressed in either a positive/negative or numeric format. Moved from Menu to Core Set Numerator Number of lab test results which are expressed in a positive/negative or numeric result are incorporated into CEHRT as structured data. Threshold: > 55% Threshold increased from 40% to 55% Patient Lists Objective Generate at least one list of patients by specific condition to use for quality improvement, reduction of disparities, research, or outreach. Attestation Requirement: Yes/No Moved from Menu to Core Set Must be based on information contained within the following fields: problems, medications, medication allergies, demographics, labs Patient-Specific Education Resources Objective Use clinically relevant information from CEHRT to identify patientspecific education resources and provide those resources to the patient. Denominator Number of unique patients admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator Number of patients in the denominator who are subsequently provided patient-specific education resources identified by CEHRT. Threshold: > 10% CEHRT is certified to use problem list, medication list, or lab results to identify educational resources Education resources do not have to be stored within or generated by CEHRT Utilize CEHRT in a manner where the technology suggests patient-specific educational resources based on information stored within CEHRT Medication Reconciliation Objective The EH or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. Denominator Number of transitions of care during the EHR reporting period for which the EH or CAH’s inpatient or emergency department (POS 21 or 23) was the receiving party of the transition. Moved from Menu to Core Set Numerator Number of transitions of care in the denominator where medication reconciliation was performed. Threshold: > 50% Information included in the process of medication reconciliation is determined by the provider & patient Summary of Care Measure 1 Objective The EH or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary of care record for each transition of care or referral. Moved from Menu to Core Set Denominator Number of transitions of care and referrals during the EHR reporting period for which the EH or CAH’s inpatient or emergency department (POS 21 or 23) was the transferring or referring provider. Numerator Must verify current problem list, current medication list, and current medication allergy list includes the most recent information known at the time Number of transitions of care and referrals in the denominator where a summary of care record was provided. Threshold: > 50% Can send paper or electronic copy of summary care record directly to next provider, or can provide it to patient to deliver to next provider (if patient can be reasonably expected to do so) Summary of Care Measure 2 Objective The EH or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary of care record for each transition of care or referral. Requires electronic transmission Denominator Number of transitions of care and referrals during the EHR reporting period for which the EH or CAH’s inpatient or emergency department (POS 21 or 23) was the transferring or referring provider. Numerator Number of transitions of care and referrals in the denominator where a summary of care record was: Electronically transmitted using CEHRT to a recipient OR Where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with the governance mechanism ONC establishes for the nationwide health information network. The organization can be a third-party or the sender’s own organization. Threshold: > 10% The summary of care record must be received by the provider to whom the sending provider is referring or transmitting the patient Summary of Care Measure 3 Objective The EH or CAH who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care provides a summary of care record for each transition of care or referral. Attestation Requirement: Yes/No The EH or CAH must satisfy one of the two following criteria: Conducts one or more successful electronic exchanges of a summary of care document, which is counted in Measure 2 with a recipient who has EHR technology that was designed by a different EHR technology developer than the sender’s CEHRT Incorporates Stage 1 Electronic Exchange of Key Clinical Information objective “EHR Randomizer” will randomly match EH or CAH with a designated test EHR that is designed by a different EHR technology developer than theirs OR Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period. Current Designated Test EHRs: McKesson, Meditech, iPatientCare What Must be Available on the Care Summary? A summary of care record must include the following: • • • • • • • • • • • • • • • Patient Name Procedures Encounter diagnosis Immunizations Laboratory test results Vitals signs Smoking status Functional status, including activities of daily living, cognitive and disability status Demographic information Care plan field, including goals and instructions Care team including the primary care provider of record and any additional known care team members beyond the referring or transitioning provider and the receiving provider Discharge instructions Current problem list Current medication list Current medication allergy list Immunization Registry Data Submission Objective Capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice. Attestation Requirement: Yes/No Moved from Menu to Core Set Successful ongoing submission is required Electronic Reportable Lab Results Objective Capability to submit electronic reportable laboratory results to public health agencies, except where prohibited, and in accordance with applicable law and practice. Attestation Requirement: Yes/No Moved from Menu to Core Set Successful ongoing submission is required Syndromic Surveillance Data Submission Objective Capability to submit syndromic surveillance data to public health agencies, except where prohibited, and in accordance with applicable law and practice. Attestation Requirement: Yes/No Moved from Menu to Core Set Successful ongoing submission is required Electronic Medication Administration Record (eMAR) Objective Automatically track medications from order to administration using assistive technologies in conjunction with an electronic medication administration record (eMAR). Denominator New objective Number of medication orders created by authorized providers in the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator Number of orders in the denominator for which all doses are tracked using eMAR. Threshold: > 10% If a medication is ordered but not all doses of the medication are tracked using eMAR, then that order may not be included in the numerator Advance Directives Objective Record whether a patient 65 years or older has an advance directive. Denominator No changes from Stage 1 Number of unique patients age 65 or older admitted to the EH or CAH’s inpatient department (POS 21) during the EHR reporting period. Numerator Number of patients in the denominator who have an indication of an advance directive status entered using structured data. Patients admitted to the emergency department are not included in this objective Threshold: > 50% Providers need only to record the indication that an advance directive exists Electronic Notes Objective Record electronic notes in patient records. Denominator New objective Number of unique patients admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator Number of patients in the denominator who have at least one electronic progress note from an authorized provider of the EH or CAH’s inpatient or emergency department (POS 21 or 23) recorded as text searchable data. Threshold: > 30% Text must be searchable Drawings and other content can be included with searchable text notes Imaging Results Objective Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. Denominator New objective Number of tests whose result is one or more images ordered by an authorized provider on behalf of the EH or CAH for patients admitted to its inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator No limitations on the resolution of the image Number of results in the denominator that are accessible through CEHRT. Threshold: > 10% Native storage of the image is not required; images can be scanned into CEHRT Family Health History Objective Record patient family health history as structured data. Denominator New objective Number of unique patients admitted to the EH or CAH’s inpatient or emergency department (POS 21 or 23) during the EHR reporting period. Numerator Number of patients in the denominator with a structured data entry for one or more first-degree relatives. First-degree relatives include parents, siblings, and offspring Threshold: > 20% When applicable, structured data entry of “Unknown” is acceptable ePrescribing (eRX) Objective Generate and transmit permissible discharge prescriptions electronically (eRX). Denominator Number new, changed, or refill prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances for patients discharged during the EHR reporting period. New objective Numerator Number of prescriptions in the denominator generated, queried for a drug formulary and transmitted electronically. Threshold: > 10% Electronic transmissions within and outside the organization should be included Lab Results to Ambulatory Providers Objective Provide structured electronic lab results to ambulatory providers. Denominator New objective Number of electronic lab orders received. Numerator Number of structured clinical lab test results sent to the ordering provider. Threshold: > 20% Methods that have no potential for automatic incorporation, such as “Portal View” do not count Order must be sent electronically from the ordering provider in such a way that the hospital lab does not have to print a hard copy of the order to view it Clinical Quality Measures (CQM) Requirement EHs & CAHs must report on 16 of 29 approved CQMs. Selected CQMs must cover at least 3 of the 6 National Quality Strategy domains: Patient & Family Engagement Patient Safety Care Coordination Population & Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness Must report on 16 of 29 approved measures Reporting All CQMs will be submitted electronically to CMS Electronic submission is required beginning in 2014 To Review… • Stage 2 Objectives • 16 Core • 3 of 6 Menu • Clinical Quality Measures • 3 Month Reporting Period in 2014 Must be completed by September 30th • • • Can begin no later than July 1 Payment Adjustments begin in 2015 • Start no later than April 1 to avoid adjustments To Review… Core Objectives CPOE for Med, Lab, Rad Orders Demographics Vital Signs Smoking Status Menu Objectives Advance Directives Electronic Notes Imaging Results Clinical Decision Support Rules Family History Patient Electronic Access eRX Privacy & Security Lab Results to Ambulatory Providers Clinical Lab Test Results Patient List Educational Resources Medication Reconciliation Summary of Care Immunization Registries Reportable Lab Test Results Syndromic Surveillance eMAR Clinical Quality Measures Report on 16 of 29 Speaker Information Natalie Stewart, MBA Managing Advisor, Meaningful Use Purdue Healthcare Advisors nmstewart@purdue.edu (765) 496-1265 (phone) (765) 496-6990 (fax) www.pha.purdue.edu healthcareadvisors@purdue.edu Visit us on @ Purdue Healthcare Advisors