Overview of the IHS MU project

1. Update on
Meaningful Use
Chris Lamer

2. Overview
• Certification
• Timeline
• Reporting Requirements
• Personal Health Record

3. PH Agencies
Reports
EPI Center
Insurance Pa#ent Record Other health care
Companies systems
Pa#ent Care Personal Health Record
Use Standards and Interoperability to achieve
1. Complete and accurate informa#on
2. BeEer access to informa#on
3. Pa#ent empowerment

4. CIO
Analysts PMO CTO
Area MU REC
Fed Lead
Coordinator • NIHB
PM
• USET
Cer7fica7on MU Field
MU Core Team EHR Deployment
Team Team

6. Certification

7. Required Installs

8. Knowing you have it all
1 2
BCER
National Site
Tracker (BNP)

11. What about Stage 2?

12. Stage 2
• Increased expectations on reporting
– CPOE stage 1: 30% 2: 60% 3: 90%
– Smoking 1: 50% 2: 80% 3: 90%
– Med Rec 1: 50% 2: 80% 3: 90%
• Access data within 36 hours (PHR)
– Stage 2: 20% use PHR 3: 30% use PHR
• Secure messaging
• BCMA
• Additional order checks (age, pregnancy, lactation)
• Patient preferences on communication medium
• Increased HIE connectivity

13. Stage 3
• Electronic self management tools
• Exchange data with PHRs
• Report experience of care
• Upload and incorporate PHR data into RPMS
–Remote monitoring
–Surveys
–Assessments

14. Timeline

15. Timeline
2011 2013 2015
Data Capture and Sharing Advanced Clinical Processes Improved Outcomes

16. CMS EHR Incentive Program Timeline
Jan. 1, 2011 Reporting year began for EPs
Jan. 3, 2011 Registration began for the Medicare Incentive Program
Registration began for 11 State Medicaid Incentive Programs
April 2011 Attestation for the Medicare EHR Incentive Program began.
Spring-Summer 2011 Registration began for additional states
July 3, 2011 Eligible Hospitals LAST day to begin their 90-day reporting period for the
Medicare Incentive Program
Sept.30, 2011 Last day of the federal fiscal year & Reporting year for Eligible Hospitals
Oct. 3, 2011 Eligible Professionals LAST day to begin their 90-day reporting period for the
Medicare Incentive Program.
Nov. 30, 2011 Eligible Hospitals LAST day to register and attest to receive an Incentive
Payment for fiscal year 2011
Dec. 31, 2011 Last day of calendar year & reporting year for Eligible Professionals
Feb. 29, 2012 Eligible Professionals LAST day to register and attest to receive an Incentive
Payment for calendar year 2011

17. Eligible Hospitals
Medicare Medicaid
• Year 1 of Stage 1: • Year 1: adopt, implement, or upgrade (AIU) to a certified EHR.
adopt, implement, or upgrade (AIU) to a certified EHR • Year 2 (Stage 1): demonstrate MU for a 90 day consecutive
AND demonstrate MU for a 90 day consecutive period. period.
• Year 2+: demonstrate MU for the entire year. • Year 3 (Stage 1) +: demonstrate MU for the entire year.
Eligible Professionals
Medicare Medicaid
• Year 1 of Stage 1: • Year 1: adopt, implement, or upgrade (AIU) to a certified EHR.
adopt, implement, or upgrade (AIU) to a certified EHR • Year 2 (Stage 1): demonstrate MU for a 90 day consecutive
AND demonstrate MU for a 90 day consecutive period. period.
• Year 2+: demonstrate MU for the entire year. • Year 3 (Stage 1) +: demonstrate MU for the entire year.

18. Reporting Requirements

19. Reports
• Performance Reports
‣ PCC Management Reports
‣ Currently available
• Continuous Quality Measurement
‣ CRS Reports
‣ Some EP measures available
‣ Rest will be out in September
• Patient Volume Report
‣ Available in August

20. Stage 1 Reporting Requirements
Measures Hospital Eligible Provider
• 19 total Performance
• 20 total Performance
Measures
Measures
• 14 core performance
• 15 core performance
Performance Measures measures*
measures*
• 5 performance
• 5 performance measures
measures out of 10
out of 10 from menu set*
from menu set*
• 6 total Clinical Quality
• 15 Clinical Quality Measures
Clinical Quality Measures
Measures • 3 core or alternate core
• 3 out of 41 from menu set
* Most measures require achievement of a performance target

21. Other Resources
• MU Cheat Sheets for Performance Measures
–What is needed to meet each measure
• EHR MU Guide
–How to document to meet each measure
• CQM Definitions
–Available in the CRS MU Performance Measure
List and Definitions document

28. Personal Health Record
• An electronic record of individually
identifiable health information on an
individual that can be drawn from
multiple sources and that is managed,
shared, and controlled by or primarily
for the individual

29. Driving Forces
Meaningful Use
Healthy People
President’s Execu#ve Order

30. Sample Screenshots

36. “Blue-Button”

37. Sample Screenshots

38. Status
• PHR application has been deployed
nationally
• Not functional until configured and
patients are given access to their
records
• Dependent upon:
1. Completion of BIA setup

39. Brief Overview
Health Information
Exchange
James Garcia

40. Components
of the
MPI HIE C32
The Master The HIE will The C32
Patient feed patient repository
Index or MPI demographic has been
enables data to the developed
medical Nationwide as part of
records to Health the HIE for
Information health
Network summary

41. Meaningful Use and the
• As part of meeting Meaningful Use requirements, the electronic
exchange of health information is one criteria.
• This requirement is met by the sharing of summary HITSP-C32
compliant documents which include the following data elements:
- Encounters
- Immunizations
- Results
- Conditions or Problems
- Allergies and Adverse Reactions
- Vitals Signs

42. Testing C32

43. How the C32 helps meet
 C32 comes in two parts for Phase 1 MU
 First,
• The C32 must be installed and configured to work with EHR Patch 8 so that
C32 documents may be printed or displayed using the C32 button within EHR.
 Second,
• Within the first 90 days of installation of the C32, a test send of a C32
document for a real patient must be performed
• A URL will be provided so that the C32 software will attempt to send a C32
Document to the HIE repository we call HIEOS located in Albuquerque

44. Questions?