EHR Incentive Program 2018 Program Requirements PowerPoint Presentation

EHR Incentive Program 2018 Program Requirements PowerPoint Presentation

2018-10-29 9K 9 0 0

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Overview. Introduction to the EHR Incentive Program. Brief Tutorial on How to Attest. Supporting Documentation List. Explanation of Meaningful Use. Update on Program Year Changes. Review Process Overview. ID: 702334

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Slide1

EHR Incentive Program2018 Program Requirements

Slide2

OverviewIntroduction to the EHR Incentive Program

Brief Tutorial on How to Attest

Supporting Documentation List

Explanation of Meaningful Use

Update on Program Year Changes

Review Process Overview

List of Common Attestation Mistakes

Contact Information for Issues

Slide3

EHR Incentive Program

Government Program through Centers for Medicare and Medicaid Services (CMS)

Encourage Uptake of Electronic Health Records

Six Year Program

Adopt, Implement, Upgrade (1 year)

Meaningful Use

Program continues through Program Year 2021

As

of Program Year 2017, the EHR Incentive Program is no longer accepting first time attesters (AIU) into the program.

In 2018, eligible hospitals and eligible professionals (EPs) that attest directly to a state for the state’s Medicaid Electronic Health Record (EHR) Incentive Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule.

Slide4

Promoting Interoperability CMS is dedicated to improving interoperability and patients’ access to health information. To better reflect this focus,

CMS is renaming

the EHR Incentive Programs to the Promoting Interoperability (PI) Programs. Through this rulemaking,

CMS is also

streamlining the programs to reduce the time and cost required of providers to participate. Stay tuned for more information.

Slide5

How to AttestAttest by visiting the

MAPIR website

System will prompt attester for certain necessary information

Attester will need to select stage (for 2018, stage 2 or 3)

Attester will need to upload supporting documentation

Checklist of Supporting Documentation available on

AIMS website

Slide6

2018 Stage 2

All providers participating in the EHR Incentive Program have the option of attesting to Modified Stage 2 for

2018.

10 Meaningful Use Objectives

Protect Patient Health Information 

Clinical Decision Support 

Computerized Provider Order Entry (CPOE) 

eRx 

Health Information Exchange 

Patient Specific Education 

Medication Reconciliation 

Patient Electronic Access 

Secure Messaging 

Public Health Reporting 

Certified EHR Technology from

2014 or 2015 edition, or a combination of the two.

The EHR reporting period for Meaningful Use is 90 days and Clinical Quality Measures (CQMs) for all participants is 365 days (except for first time meaningful users).  

For more information, see

2018 CMS Stage 2 Guidelines

Slide7

2018 Stage 3

Meaningful Use

8 Meaningful Use Objectives

Protect electronic protected health information

ePrescribing

(

eRx

)

Clinical Decision Support (CDS)

Computerized provider order entry (CPOE)

Patient electronic access

Coordination of care

Health Information Exchange

Public Health Reporting

Certified EHR Technology from 2015 only

Some exceptions made for a mix of 2014 and 2015 technology as long as MU requirements can be met

The EHR reporting period for Meaningful Use is 90 days and Clinical Quality Measures (CQMs) for all participants is 365 days (except for first time meaningful users).  

For more information, see

2018 CMS Stage 3 Guidelines

Slide8

Review Process

After submission, a review process begins:

Reviewers:

UConn HIT staff (

ctmedicaidehr@uconn.edu

)

SRA: Myers and Stauffer LLC

Email with issues will be sent to all listed contacts post-review

Attester will revise attestation and resubmit if necessary

Review continues until all issues resolved

After issues are resolved, the review is considered complete

Payment is typically issued in the next financial cycle which can be up to 2 weeks from the completion date.

Slide9

Supporting Documentation

CEHRT Page

EHR Technology certification ID

Generated by Office of National

Coordinator (

https://chpl.healthit.gov/#/

search

)

2014 edition

o

r later for Stage 2

2015 edition only for Stage 3

Invoice or Purchase Order

Shows proof of purchase

NOT License Agreement

Security Risk Analysis (SRA)

Includes date of analysis done in 2018

Patient Encounter List (PEL)

Slide10

Supporting Documentation

Patient Encounter List (PEL)

Excel file format

Must contain all columns specified in template (see

AIMS website

)

90 Days of data

No duplicate encounters

“One provider, one patient, one day”

Must contain 30% or more Medicaid patients by volume (20% for Pediatricians)

If attesting as group, PEL must be same for entire group

Slide11

Meaningful Use

Meaningful Use Documents

Meaningful Use (MU) Objectives

90 days worth of information for all providers generated by CEHRT

Clinical Quality Measures (CQMs)

365 days worth of data generated by CEHRT (can be 90 days for 1

st

time meaningful users

Immunization Registry for EPs who administer immunizations to patients 0-6

MUST Portal certificate from previous program year (2015 or 2016)

If EP does not have a MUST certificate from prior years, contact Diane Fraiter at DPH for

registration: 860-509-7938 or diane.fraiter@ct.gov

Registration Confirmation for additional specialized registries

Slide12

Common Attestation Errors

PEL is not in the required format (see

AIMS

website

)

PEL contains duplicate encounters (same patient, same day, same provider)

Missing Supporting Documentation (see

AIMS

website

for list)

CEHRT ID put in MAPIR different than ONC provided CEHRT Page

SRA from wrong program year or no SRA completed at all (SRA must be from 2018 for PY2018)

Supporting documentation numbers do not match numbers entered into MAPIR (PEL and CEHRT Report)

Objective 8: Patient Electronic Access

Objective 9: Secure Messaging

Slide13

Common Errors: Patient Electronic Access Objective

Objective 8 (Stage 2)

Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.

Providers that have trouble meeting this measure may use all 365 days worth of data for the numerator and a denominator from their 90 days. Providers may send information to patients during their appointment and have the patient open the information on their own devices.

Measure 1: More than 50% of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online, download, and transmit to a third party their health information subject to the EP’s discretion to withhold certain information

Measure 2: For an EHR reporting period in 2018, more than 5% of unique patients seen by the EP during the reporting period view, download or transmit to a third party their health information during the reporting period.

Slide14

Common Errors: Patient Electronic Access Objective (cont’d)

Objective 5(Stage 3): Patient Electronic

Access

The EP provides patients with timely electronic access to their health information and patient-specific education

Measure 1: For more than 80% of all unique patients seen by the EP:

The patient is provided timely access to view online, download and transmit his/her health information; and

The provider ensures the patient’s health information is available for the patient to access using any application of their choice that is configured to meet the technical specs of the Application Programming Interface (API) in the provider’s CEHRT

Measure 2: The EP must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide electronic access to those materials to more than 35% of unique patients seen by the EP during the EHR reporting period.

Slide15

Common Errors: Secure Messaging Objective

Objective

9 (Stage 2)

Use

secure electronic messaging to communicate with patients on relevant health information.

Providers that have trouble meeting this measure may use all 365 days worth of data for the numerator and a denominator from their 90 days. Providers need only send secure messages. The messages do not need to be opened by the patient

.

For more than 5% of unique patients seen by EP during reporting period, a secure message was sent using the electronic messaging function of CEHRT to the patient or in response to a secure message sent by the patient during the EHR reporting period.

Exclusion: Any EP who has no office visits during the reporting period.

Slide16

More Information

Center for Medicaid and Medicare Service website (

cms.gov

)

UConn HIT support website (

AIMS

)

Department of Social Services (

ctdssmap.com

)

If you have questions that those sites cannot answer contact:

For MAPIR technical issues: DXC

ctmedicaid-ehr@dxc.com

1 (855) 313-6638

For program and attestation issues: UConn HIT staff

ctmedicaidehr@uconn.edu

1 (844) 607-7455.

Slide17

Questions?


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