Meaningful Use Stage 2 and BeyondJune 6, 2013
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Outline
▲Why Meaningful Use?
▲Progress to date
▲Meaningful Use Stage 2
▲Stage 2 Preparation
▲Conclusion
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Why Meaningful Use?
The Department of Health and Human Services (HHS) envisions “an information rich, person-centered, high performance health care system where every health care provider has access to longitudinal data on patients they treat to make evidence-based decisions, coordinate care and improve health outcomes.”
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Meaningful Use as the foundation
Meaningful use is using certified electronic health record (EHR) technology to:
▲Improve quality, safety, efficiency, and reduce health disparities
▲Engage patients and family
▲Improve care coordination, and population and public health
▲Maintain privacy and security of patient health information
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Why Meaningful Use?
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Meaningful Use: Progress to Date
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Progress to Date: Nationwide
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Progress to Date: Michigan
Eligible Hospitals paid: 93
Eligible Professionals paid: 10,600+
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Meaningful Use: Stage 2 and Beyond
Stage 1:Data Capture and Sharing
Stage 2:Advance Clinical Processes
Stage 3:Improved Outcomes
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Stage 2 and Beyond
Stage 1 Stage 2 Stage 3
Electronically capturing health information in a standardized format
More rigorous health information exchange (HIE)
Improving quality, safety, and efficiency, leading to improved health outcomes
Using that information to track key clinical conditions
Increased requirements for e-prescribing and incorporating lab results
Decision support for national high-priority conditions
Communicating that information for care coordination processes
Electronic transmission of patient care summaries across multiple settings
Patient access to self-management tools
Initiating the reporting of clinical quality measures and public health information
More patient-controlled dataAccess to comprehensive patient data through patient-centered HIE
Using information to engage patients and their families in their care
Improving population health
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Stage 2
Interoperability is key!
▲Transitions of Care
▲Lab Exchange
▲Patient & Family Engagement
▲Public Health
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Stage 2: Transitions of Care
The Transition of Care objective includes 3 measures:
▲ Measure #1 requires the provision of a summary of care record for more than 50% of transitions of care and referrals.
▲ Measure #2 requires that the provision of a summary of care record using electronic transmission through CEHRT or eHealth Exchange participant for more than 10% of transitions of care and referrals
▲ Measure #3 requires at least one summary care record electronically transmitted to recipient with different EHR vendor or to CMS test EHR
Stage 1Stage 2
Stage 2
Stage 2
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Stage 2: Lab Exchange
▲ Objective: Incorporate clinical lab test results into CEHRT as structured data
▲ Measure: More than 40% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data
▲ Measure: More than 55% of all clinical lab test results ordered by the EP are incorporated in CEHRT as structured data
Stage 1 (Menu)Stage 2
Stage 1
Stage 2
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Stage 2: Patient Engagement
Provide patients the ability to view online, download and transmit their health information
Requirements for Patient Action:
▲More than 5% of patients must send secure messages to their EP
▲More than 5% of patients must view, download, or transmit their health information
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Stage 2: Public Health
Includes 4 Core and Menu Objectives for EPs:
▲ (Core) Immunization Registry: Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or IIS for the entire EHR reporting period
▲ (Menu) Syndromic Surveillance: Successful ongoing submission of electronic syndromic surveillance data from CEHRT to a PHA for the entire EHR reporting period
▲ (Menu) Cancer Registry: Successful ongoing submission of cancer case information from CEHRT to a state cancer registry for the entire EHR reporting period
▲ (Menu) Specialty Registry: Successful ongoing submission of clinical and case information from CEHRT to a specialty registry for the entire EHR reporting period
Stage 1 (Menu)
Stage 1
Stage 2
Stage 2
Stage 2
Stage 2
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Most commonly deferred Stage 1 Menu Objectives:
▲ Providing a summary of care to patients at transitions to other physicians or hospitals — 84%
▲ Using the EHR to send reminders to specific groups of patients about preventive care — 80%
▲ Sending information to public health agencies or syndromic surveillance — 68%
▲ Being able to give patients electronic access to their records — 66%
Stage 2: Preparation
Transitions of Care
Patient Engagement
Public Health
Patient Engagement
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Stage 2: Preparation
▲Stage 1–Look ahead!
▲2014 CEHRT–Required for all stages in 2014
–3-month reporting period
▲Health Information Exchange–Connect!
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Stage 2: PreparationFirst Year of MU
Stages of Meaningful Use2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
2011 1 1 1 2 2 3 3 TBD TBD TBD TBD
2012 1 1 2 2 3 3 TBD TBD TBD TBD
2013 1 1 2 2 3 3 TBD TBD TBD
2014 1 1 2 2 3 3 TBD TBD
2015 1 1 2 2 3 3 TBD
2016 1 1 2 2 3 32017 1 1 2 2 3
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Conclusion
Information rich, person-centered, high performance connected health care system
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Additional Information:
ONC Interoperability Training Courses:http://www.healthit.gov/providers-professionals/interoperability-training-courses
Centers for Medicare & Medicaid Services:http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
Michigan Health IT:https://www.michiganhealthit.org/mu/
M-CEITA:http://www.mceita.org/
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