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Events

Articles

Sep 01 : A Brief Overview of Meaningful Use of EHR

ehr data

By Joy Hicks

 

1. What is Meaningful Use?

Meaningful use, as defined by CMS, is the use of certified electronic health record (EHR) technology to:

2. There are 3 Main Components of Meaningful Use

There are three main components that qualify certified EHR technology as Meaningful Use.

  1. Track, record, and exchange information including computerized provider order entry (CPOE) for medication, laboratory and radiology orders, electronic prescriptions (e-prescribing), check insurance verification and submit medical claims, exchange clinical information, maintain privacy and security, record patient demographics and vital signs, etc.
  2. Capture and submit quality measure data
  3. Provide patients with an electronic copy of PHI
3. Stages of Implementation
There are three stages to achieving Meaningful Use criteria.Stage 1: 2011 – 2012Includes e-prescribing, lab results into EHR’s, clinical summary sent to providers and patients, public health reporting and quality data reporting

Stage 2: 2013 – 2016

Includes e-prescribing refills, patient PHI access, electronic summary record, health alerts, and immunization information

Stage 3: 2015 – 2016

Includes access to comprehensive patient data and automated real-time surveillance

4. Eligible Professional Core Objectives

  1. Use CPOE for medication, laboratory, and radiology orders
  2. Generate and transmit electronic prescriptions
  3. Record language, sex, race, ethnicity, and date of birth
  4. Record height & length, weight, blood pressure, body mass index, and growth charts
  5. Record smoking status
  6. Improve performance on high-priority medical conditions
  7. Provide patients access to view online, download, and transmit PHI within four business days
  8. Provide clinical summaries for each visit
  9. Protect electronic PHI through specific privacy and security measures
  10. Incorporate lab test results into EHR
  11. Generate patient lists by condition for reporting
  12. Set up and send reminder notifications for preventative care and follow-up care
  13. Using EHR, identify and provide patient specific education resources
  14. Perform medication reconciliation when necessary
  15. Provide a summary care record for each transition of care or referral
  16. Submit electronic data to immunization registries
  17. Use secure electronic messaging to communicate to patients

5. Eligible Hospital Core Objectives

  1. Use CPOE for medication, laboratory, and radiology orders
  2. Record language, sex, race, ethnicity, and date of birth
  3. Record height & length, weight, blood pressure, body mass index, and growth charts
  4. Record smoking status
  5. Improve performance on high-priority medical conditions
  6. Provide patients access to view online, download, and transmit hospital admission info
  7. Protect electronic PHI through specific privacy and security measures
  8. Incorporate lab test results into EHR
  9. Generate patient lists by condition for reporting
  10. Using EHR, identify and provide patient specific education resources
  11. Perform medication reconciliation when necessary
  12. Provide a summary care record for each transition of care or referral
  13. Submit electronic data to immunization registries
  14. Submit electronic reportable laboratory results to public health agencies
  15. Submit electronic syndromic surveillance data to public health agencies
  16. Automatically track medications with an electronic medication administration record (eMAR)

6. Meaningful Use Timeline

  • 2010 Certified EHR Technology Available
  • January 2011 Registration for the EHR Incentive program begins
  • April 2011 Attestation for the Medicare EHR Incentive program begins
  • May 2011 EHR incentive payments begin
  • November 2011 Nov 30th is the last day for eligible hospitals and critical access hospitals to register and attest to receive an incentive payment for 2011
  • February 2012 Feb 29th is the last day for eligible professionals to register and attest to receive an incentive payment for 2011
  • 2014 Last Year to Participate in the Medicare EHR Incentive Program
  • 2015 Medicare Payment Adjustments Begin for Eligible Professionals and Eligible Hospitals that are NOT Meaningful Users of Certified EHR Technology
  • 2016
  • Last Year to Receive a Medicare EHR Incentive Payment
  • Last Year to Participate in the Medicaid EHR Incentive Program
  • 2021 Last Year to Receive a Medicaid EHR Incentive Payment

Source

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