HITECH and Meaningful Use

Stage 1 Meaningful Use (MU) Core Objectives^1,2

MU Core Objectives The HITECH Act sets 15 core objectives for ambulatory care electronic health record (EHR) MU that healthcare providers need to meet to qualify for Stage 1 MU financial incentives, which include:

Computerized provider order entry (CPOE)
E-prescribing (e-Rx for 40% of permissible scripts )
Report ambulatory clinical quality measures to CMS/States
Implement and track one clinical decision support rule
Provide patients with an electronic copy of their health information upon request
Provide clinical summaries for patients for each office visit
Drug-drug and drug-allergy interaction checks
Record demographics
Maintain an up-to-date problem list of current and active diagnoses
Maintain active medication list
Maintain active medication allergy list
Record and chart changes in vital signs
Record smoking status for patients 13 years old or older
Capability to exchange key clinical information among providers of care and patient authorized entities electronically
Protect electronic health information

Menu of Additional MU Requirements

For stage 1 MU, five of the ten listed can be selected or deferred. All will be required once stage 2 MU criteria are final. At least one public health objective must be selected to report and choices are indicated below with (†). The ten MU menu objectives from which to choose are:³

Drug formulary checks
Incorporate clinical lab test results as structured data
Generate lists of patients by specific conditions [Coronary Artery Disease (CAD), Diabetes Mellitus (DM), HIV+, etc.]
Send reminders to patients per patient preference for preventive/follow up care
Provide patients with timely electronic access to their health information
Use certified EHR technology to identify patient-specific education resources and provide them to the patient if appropriate
Medication reconciliation
Summary of care record for each transition of care and referrals
Capability to submit electronic data to immunization registries/systems†
Capability to provide electronic syndromic surveillance data to public health agencies†

To view and download a full listing of MU Core and menu set measures please visit: http://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC.pdf.

In order to meet policy objectives and measures, 80% of all patients must have records in the certified EHR technology and Eligible Providers (EPs) must report on 20 of the 25 MU objectives in 2011 and 2012. The reporting period is every 90 days for the first year [whether that begins in the year 2011, 2012, 2013, or even 2014], followed by annual reporting thereafter.^4,5 However, during the first year of implementation and use, the Medicare and Medicaid programs require only a 90-day continuous reporting period⁶ to be eligible for the maximum first year incentives.

DISCLAIMER: THE INFORMATION CONTAINED IN THIS WEB SITE IS PROVIDED FOR INFORMATIONAL PURPOSES ONLY AND REPRESENTS NO STATEMENT, PROMISE OR GUARANTEE BY JANSSEN DIAGNOSTICS, INC. CONCERNING RECEIPT OR PAYMENT OF GOVERNMENT INCENTIVES. JANSSEN DIAGNOSTICS, INC. STRONGLY URGES THAT YOU CONSULT WITH YOUR COUNSEL FOR ADVICE ON INCENTIVE ELIGIBILITY.

Meaningful Use (MU) & Clinical Quality Measures (CQMs)

* This Complete EHR is 2011/2012 compliant and has been certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. Certification Information: Janssen Diagnostics, Inc., 05/17/2012, AVIGA™ 2.0, 05172012-4394-6, Clinical Quality Measures tested: NQF001, NQF0002, NQF0004, NQF0013, NQF0018, NQF0024, NQF0027, NQF0028, NQF0031, NQF0032, NQF0033, NQF0034, NQF0036, NQF0038, NQF0041, NQF0043, NQF0047, NQF0052, NQF0055, NQF0056, NQF0059, NQF0061, NQF0062, NQF0064, NQF0067, NQF0068, NQF0070, NQF0073, NQF0074, NQF0075, NQF0084, NQF0086, NQF0088, NQF0089, NQF0105, NQF0385, NQF0387, NQF0389, NQF0421, NQF0575, Additional software used: popHealth, MIRTH Connect.

Centers for Medicare and Medicaid Services: Medicare and Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009. July 20, 1010. Slide 23.
http://www.cms.gov/EHRIncentive Programs/Downloads/EP-MU-TOC.pdf.
Centers for Medicare and Medicaid Services: Medicare and Medicaid EHR Incentive Program Final Rule. Implementing the American Recovery & Reinvestment Act of 2009. July 20, 1010. Slide 25.
Kahn, J; Mills, M; Centers for Medicare & Medicaid Services; Center for Medicaid, CHIP, and Survey and Certification; EHR Incentive Program Final Rule: Medicaid Provisions; July 16, 2010. Slide 32.
Scheps L. “Meaningful use Mondays: 90-day reporting period.” 7 February. Available at: http://www.emrandhipaa.com/lynn/2011/02/07/meaningful-use-mondays-more-90-day-reporting-period-details/ Although the reporting period is tied to the first payment year for a particular provider, the incentives remain attached to the calendar year. The amounts of the incentive payments are specified in ARRA Section 4101(a)(o)(1)(E) – page 355) and do not change depending on when a provider chooses to begin demonstrating meaningful use. Any continuous 90-day period within the calendar year is acceptable, e.g., January to March, June to August, or October to December—but November to January would not be acceptable because it spans two different calendar years. If a provider demonstrates meaningful use for any 90 days during his/her first year—even if it is as early as January to March—the next reporting period for that provider would be January to December of the following calendar year.
Federal Register, Part II, Department of Health and Human Services, Centers for Medicare & Medicaid Services, 42 CFR Parts 412, 413, 433 et al. Medicare and Medicaid Programs; Electronic Health Record Incentive Program, Final Rule. July 28, 2010. p. 44320 “We are finalizing the 90-day reporting period for the first payment year based on meaningful use as proposed for Medicare EPs, eligible hospitals and CAHs and full year EHR reporting periods for subsequent payment years,” and from page 44318: “The first payment year for EPs is any calendar year (CY) beginning with CY 2011 and for eligible hospitals and CAHs is any fiscal year (FY) beginning with 2011.” http://edocket.access.gpo.gov/2010/pdf/2010-17207.pdf

HITECH and Meaningful Use

Stage 1 Meaningful Use (MU) Core Objectives^1,2

Menu of Additional MU Requirements

News

What's New

HITECH and Meaningful Use

Stage 1 Meaningful Use (MU) Core Objectives1,2

Menu of Additional MU Requirements

News

What's New

Stage 1 Meaningful Use (MU) Core Objectives^1,2