This guide will help you in achieving your Meaningful Use objectives and make it easier for you to submit certified reports to CMS as required under program rules.
2. Introduction
Since program inception, more than $15.8 billion has been paid to Eligible
Professionals (EPs), Eligible Hospitals, and Critical Access Hospitals (CAHs) under the
Centers for Medicare and Medicaid Services (CMS) Meaningful Use (MU) program.
With the launch of Stage 2 of the MU program, compliance gets more challenging.
It’s not just enough to attest to your use of EHR. Now it’s necessary to report levels of
Meaningful Use, and demonstrate that you’re keeping up with program core objectives
and menu objectives.
This handy guide will help you to make sure you hit your Meaningful Use objectives
and make it easier for you to submit certified reports to CMS as required under
program rules.
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
1
3. Tip 1:
Get workflows and communication right
Tip 2:
Create a Standardized Data Architecture
for disparate systems
If you build or deploy an EHR that doesn’t map to your clinicians’
needs and workflows, and if you don’t communicate openly and
often, you won’t hit your adoption goals, and you’ll miss out on
many of the bigger benefits that EHR can offer.
Many healthcare providers are likely to have several separate
legacy systems in place that generate and store data in disparate
formats. These various data sources need to be standardized
and integrated so that data can be exchanged transparently, and
used to create reports and decision-support at the point of care.
To get started right, identify and recruit key spokespeople and
advocates among the clinical staff to act as liaisons and subject
matter experts. Consult with them on a regular basis, to make
sure you’re mapping to current workflows, and carefully, in
cooperation with clinical staff, look for opportunities to improve:
Look for sources of inefficiency, delay or duplication of
tasks so you can make work easier.
Look for costs that can be reduced. Are there costly
paper processes and resources that can be eliminated
such as exchanging supplies and postage for
secured patient emails through a Patient Portal?
To accomplish this, a set of standards must be established and
enforced for data exchange. Specific pieces of clinical data
need to be identified as being “important” (like medications,
allergies, immunizations, demographics, and lab values), a
standard format for import/export of these pieces of data needs
to be required of all vendors (the CCD and CCR standards), and
some data-interchange platforms need to be created where
this standardized data can be uploaded to and downloaded
from (regional Health Information Exchanges, or HIEs, and the
National Health Information Network, or NHIN).
Can HIPAA compliant workflows be automated to address
potential non-compliance and avoid associated, costly
risks or liabilities?
Can technology alert clinicians at the point-of-care to
outstanding preventive and chronic disease protocols so
that quality is improved and costly downstream services
such as emergency room visits can be eliminated?
Collaboratively building and configuring your system in close
cooperation with clinicians will not only accelerate adoption, it
will reduce costs and improve patient care.
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
2
4. Tip 3:
Track your progress toward Meaningful Use
goals
Tip 4:
Perform analysis to identify the key variables
that impact performance
If you don’t have a good system for measuring and tracking your
progress toward Meaningful Use goals, you’ll be left guessing
about where you stand, and scrambling to determine progress
and verify it at reporting time. The last thing you want is to find
out that you’re lagging behind program objectives when it’s too
late to do anything to remedy the situation.
Many solutions store the detailed patient-level data behind
each summary report, so you can analyze and validate the data
behind each measure, including numerators, denominators and
exclusions. Having the detail data available for analysis allows
you to ensure that each measure is being accurately calculated
based on your clinical workflow practices. During reporting
periods, you can perform quality assurance on your meaningful
use measures and patient data, so you’ll be confident when that
your attestation is accurate.
A Meaningful Use dashboard and reporting system can help
tremendously in tracking compliance with core and menu set
items. Real-time tracking offers immediate access to information
without having to manually create reports.
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
3
5. Tip 5:
Automate your compliance reporting
To qualify for payments, EPs, EHs, and CAHs are required to
report on specified clinical quality measures (CQMs). Beginning
in 2014, all EPs and EHs beyond their first year of meaningful
use will be required to submit CQMs electronically. In order to
report CQMs from an electronic health record (EHR), electronic
specifications (e-specifications) must be developed for each
CQM. The e-specifications include the data elements, logic
and definitions for that measure in a Health Level Seven (HL7)
standard known as the Health Quality Measures Format (HQMF)
which represents a clinical quality measure as an electronic
Extensible Markup Language (XML) document that can be
captured or stored in the EHR so that the data can be sent or
shared electronically.
If you’re using a single, certified EHR system, reporting may
be fairly straight forward. But if your EHR system is developed
in-house, or bridges multiple systems, you’ll need to put some
effort into configuring and creating reports for submission to
CMS. Packaged solutions exist which can easily combine inputs
from multiple systems for easy, automated reporting.
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
4
6. Conclusion:
At its core, Meaningful Use is not about innovation or IT, but
about the overall improvement of patient care. In this context,
it’s exciting to consider that IT plays a huge role, not only in
the success of EHRs and compliance, but in creating better
outcomes for patients and providers. EHRs are a small, but vital
part of a larger infrastructure that will assist health organizations
to communicate medical information in a secure and timely
manner. Meaningful Use incentives and compliance, reduced
costs, and enhanced care are the major focus going forward into
Stage 2.
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
5
7. DMI MUMentorTM
DMI offers a pre-packaged analytical reporting solution, the
MUMentor, that enables healthcare providers to monitor their
compliance against the core 15 measures in real time. Our
Meaningful Use dashboard includes a prebuilt data model and
reporting that makes it easy to evaluate your progress toward
program objectives, identify where the trouble spots are, and
quickly remedy them before they impede your progress toward
program goals.
The MUMentor incorporates a common set of operating
technologies that can tie an entire healthcare organization
together, automating long-running manual reporting and
facilitating higher efficiency. The MUMentor allows for a
single point of reference to a patient, clinician, payer, or
other healthcare entity within a healthcare organization or
across networks, and provides an all-inclusive platform for the
standardization, matching, cleansing, and profiling of individual
data silos, ensuring that data is capable of being retrieved
regardless of how many systems reference it.
The result: a single source of truth for improved decision
making and clinical performance across the organization.
With the MUMentor you can track compliance with core and
menu set items, and you’ll be able to easily collect and report
your Meaningful Use measures when it’s time to attest. In
addition to Meaningful Use reporting, organizations are able to
conduct other outcome measures for internal performance as
well as operational efficiency.
Solution Benefits:
Implement and Start Tracking- FAST!
Pre-defined back-end integration model speeds
deployment
Low cost
Integrates seamlessly with any HIS system
Scalable and Fully Compliant process with
up-to- ate documentation and support
d
Track MU initiatives on a single dashboard
Track all MU events, compliance and action items
from an intuitive user-friendly dashboard
Single version of truth with drill down capabilities
Get real-time status with automated integration with
EHR systems
Enables a structured tracking system
Meet Stage 1 and 2 Objectives
Our solution lets you monitor, view and report on
progress in each of the 24 objectives
Become eligible and receive your share of the $30B
in government incentives!
GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
6