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2017 Stage 1 & 2 Medicaid Meaningful Use Guide

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2017 Stage 1 & 2 Medicaid Meaningful Use Guide 2017 Stage 1 & 2 Medicaid Meaningful Use Guide CONTENTS MEANINGFUL USE INTRODUCTION.............................................................................. 3 USING THIS GUIDE ...................................................................................................... 5 OBJECTIVES, MEASURES, CRITERIA & REQUIRED ANCILLARY SERVICES ....................... 6 HOW TO RUN A MEANINGFUL USE REPORT……………………………...……...………..…….…..….9 HOW TO RUN A CLINICAL QUALITY REPORT ……………………………………………….….………..12 HOW TO RUN THE PATIENT BY VOLUME REPORT FOR MEANINGFUL USE…..…………….15 TAKING SCREENSHOTS ...............................................................................................18 OBJECTIVE #1: PROTECT PATIENT HEALTH INFORMATION .........................................19 OBJECTIVE #2: CLINICAL DECISION SUPPORT .............................................................20 OBJECTIVE #3: CPOE ................................................................................................. 28 OBJECTIVE #4: ELECTRONIC PRESCRIBING ................................................................. 32 OBJECTIVE #5: HEALTH INFORMATION EXCHANGE ................................................... 36 OBJECTIVE #6: PATIENT SPECIFIC EDUCATION ...........................................................49 OBJECTIVE#7: MEDICATION RECONCILIATION ...........................................................51 OBJECTIVE #8: PATIENT ELECTRONIC ACCESS ............................................................ 53 OBJECTIVE #9: SECURE MESSAGING .......................................................................... 56 OBJECTIVE #10: PUBLIC HEALTH REPORTING .............................................................59 CLINICAL QUALITY MEASURES..........................................................................................64 2 MEANINGFUL USE INTRODUCTION The Health Information Technology for Economic and Clinical Health (HITECH) Act, enacted as part of the American Recovery and Reinvestment Act (ARRA) of 2009, promotes the adoption and Meaningful Use of health information technology. One of its specific goals is to encourage physicians to adopt Electronic Health Record (EHR) software. The HITECH and ARRA acts include incentive payments to physicians who demonstrate ‘Meaningful Use’ of a certified EHR application. One of its specific goals is to increase physician adoption of EHR applications to 90 percent by 2019. Participation in the Medicare EHR incentive program began in 2011. To receive incentive payments for EHR adoption, physicians must demonstrate that they are using a certified EHR in the manner proscribed by The Department of Health and Human Services as Meaningful Use. Pediatricians must have at minimum 20% Medicaid patient volume • Check with your state requirements as some states require 30% for Pediatricians Non-Pediatrician providers must have at minimum 30% Medicaid patient volume The Department of Health and Human Services’ (HHS) definition of Meaningful Use expands over three stages: STAGE 1 – Data capturing and sharing STAGE 2 – Advanced clinical processes STAGE 3 – Improved outcomes PROGRAM PENALTIES FOR NON-PARTICIPATION For Medicaid there are no program penalties. 3 EHR INCENTIVE PAYMENT SCHEDULE: MEDICAID Year 2011 2012 2013 2014 2015 2016 2011 $21,250 2012 $8,500 $21,250 2013 $8,500 $8,500 $21,250 2014 $8,500 $8,500 $8,500 $21,250 2015 $8,500 $8,500 $8,500 $8,500 $21,250 2016 $8,500 $8,500 $8,500 $8,500 $8,500 $21,250 2017 $0 $8,500 $8,500 $8,500 $8,500 $8,500 2018 $0 $0 $8,500 $8,500 $8,500 $8,500 2019 $0 $0 $0 $8,500 $8,500 $8,500 2020 $0 $0 $0 $0 $8,500 $8,500 2021 $0 $0 $0 $0 $0 $8,500 TOTAL $63,750 $63,750 $63,750 $63,750 $63,750 $63,750 4 USING THIS GUIDE This guide provides a general introduction to using Aprima® PRM 2015 for Meaningful Use Stage 1 and 2 reporting in the 2017 calendar year for the Medicaid EHR Incentive Program. THIS DOCUMENT: Provides an in depth contextual explanation of each objective. Comes complete with screen shots from Aprima accompanied by easy to follow step-by- step instructions of how to meet each objective. Describes each Clinical Quality Measure supported by Aprima and how to successfully document these measures. 5 OBJECTIVES, MEASURES, CRITERIA & REQUIRED ANCILLARY SERVICES To demonstrate Meaningful Use for Stage 1 and Stage 2, you must report on: 10 core measure objectives Nine clinical quality measures REQUIREMENTS: (For both MU and CQM reporting) Provider tax identification number (ETIN) Provider National Provider Identification number (NPI) Provider Information: first and last name, specialty, phone number Patient Information: First name, last name, gender, date of birth, race, ethnicity, language Provide Patient Volume information to prove Medicaid Volume OBJECTIVES: Protect Patient Health Information. (security risk analysis) Clinical Decision Support. (must implement five rules as well as turn on drug formulary checks) Computerized Provider Order Entry (provider must order their own prescriptions, labs and radiology orders) Electronic Prescribing (medications being sent electronically) Health Information Exchange (direct mail, HISP) Patient Specific Education (education forms) Medication Reconciliation Patient Electronic Access (patient portal) Secure Messaging (communication via patient portal) Public Health Reporting (immunization registry, syndromic surveillance reporting, specialized registry reporting) 6 CLINICAL QUALITY MEASURES: Clinical quality measures must be selected from at least three of the six key health care policy domains defined by the Department of Health and Human Services’ National Quality Strategy. The health care policy domains are: Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness ANCILLARY SERVICES: Ancillary Services are required for successful Meaningful Use attestation. These ancillary services provided at an additional cost and include: Aprima® Patient Portal Direct Secure Mail Surescripts® electronic pharmacy clearinghouse Interface with an immunization registry or immunization information systems Interface with public health agency Interface with specialized registry, other than for immunizations, syndromic surveillance or cancer INACTIVE ITEMS: (Before October 1, 2015) Record Demographics Record Vital Signs Record Smoking Status Clinical Summaries Structured Lab Results Patient List Patient Reminders Summary of Care Measure 1—Any Method 7 Measure 3—Test Electronic Notes Imaging Results Family Health History REPORTING PERIOD 2017 For all new participants, the EHR reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2017. For all returning participants, the EHR reporting period is a full year between January 1 and December 31, 2017. For the 2017 EHR reporting period, the attestation deadline is February 28, 2018. ATTESTATION WEBSITE When you are ready to attest, you will access your state Medicaid website. If you need to modify your registration this can be done on the Medicare & Medicaid EHR Incentive Program Registration and Attestation System. To access this system please log on to https://ehrincentives.cms.gov/hitech/loginCredentials.action using your username and password for the National Plan and Provider Enumeration System (NPPES). 8 HOW TO RUN A MEANINGFUL USE REPORT All reports are to be obtained directly out of Aprima® for reporting purposes. To obtain a report please proceed to your report icon on your desktop. STEP BY STEP INSTRUCTIONS From your Aprima® desktop, select the Reports icon. In the View Report window, select the Meaningful Use Stage 2 2015 report from the Clinical Quality menu. All providers regardless of stage will run this report as it shows you the list of measures based on the final rule released by the CMS in October 2015. 9 In the Filter Attributes select the provider you wish to run the report for and then select the reporting period. When checking your provider’s status for the 2016 reporting period be sure to run it for the entire year. Select View to display the report. • Leave the Provider Option on Billing Provider unless you are generating your report for midlevel provider for their Medicaid attestation and they bill under a different provider. In this instance select Rendering Provider. The report will then appear. To print the report, select the Print button. You may also export the report as a PDF, Word or Excel document using the floppy disk with a green arrow icon. • If a measure has a N/A in the numerator/denominator column this means that the system was not able to calculate the data due to no data being entered or due to the measure being a Yes/No attestation instead of a threshold. • To view more details about the measure, select the plus sign next to Measure Details. This will show you all of the patients who have been applied to the measure. You may select the patients name to access their chart from the report. 10 11 HOW TO RUN A CLINICAL QUALITY MEASURE REPORT FOR MEANINGFUL USE OBJECTIVE Allow the user to understand how to run the CQM report for Meaningful Use from the Reports icon. STEP BY STEP INSTRUCTIONS From your Aprima® desktop, select the Reports icon. In the View Report window, select the CQM 2015 report from the Clinical Quality menu. All providers regardless of stage will run this report as it shows you the list of measures based on the final rule released by the CMS in October 2015. For the Filter Attributes: • Select
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