Articles

Meaningful Use Stage 1

CMS Published Correcting Amendment on December 29, 2010

On December 29, 2010, CMS published a Correcting Amendment, correcting typographical and technical errors identified in the final rule entitled “Medicare and Medicaid Programs; Electronic Health Record Incentive Program”, that appears in the July 28, 2010 Federal Register. 

Medicare and Medicaid Programs; Electronic Health Record Incentive Program; Correcting Amendment

CMS and ONC Final Rules Released July 13, 2010
Key changes in the final CMS Meaningful Use rule include:

  • Greater flexibility with respect to eligible professionals and hospitals in meeting and reporting certain objectives for demonstrating Meaningful Use. The final rule divides the objectives into a “core” group of required objectives and a “menu set” of procedures from which providers may choose any five to defer in 2011-2012. This gives providers latitude to pick their own path toward full EHR implementation and Meaningful Use.
  • An objective of providing condition-specific patient education resources for both EPs and eligible hospitals and the objective of recording advance directives for eligible hospitals, in line with recommendations from the Health Information Technology Policy Committee.
  • A definition of a hospital-based EP as one who performs substantially all of his or her services in an inpatient hospital setting or emergency room only, which conforms to the Continuing Extension Act of 2010.
  • CAHs within the definition of acute care hospital for the purpose of incentive program eligibility under Medicaid.

**Please note corrections to final rule dated December 29, 2010.  See link to Correcting Amendment above. The Final Rule of the Medicare and Medicaid Programs; Electronic Health Record Incentive Program Final Rule  

Establishment of the Permanent Certification Program for Health Information Technology

For further information regarding up-to-date, detailed information about these final rules see the CMS EHR Incentive Programs website or the ONC website. 

Contributors

Your contribution is very important to the success of the Regional Extension Center (REC). We appreciate your efforts to help us accelerate electronic health record adoption and meaningful use by physician practices, safety net clinics, Federally Qualified Health Centers (FQHCs), and other settings that predominately serve uninsured, underinsured and medically underserved populations in Kansas. To learn more about becoming a contributor, please click on the link below.

In-Kind Information for Donors

In-Kind Non-Labor Partnership Support

In-Kind Labor Partnership Support

KFMC acknowledges our contributors:

  • Alexander Open Systems (AOS)
  • American Association for Retired Persons (AARP)
  • Associated Purchasing Services (APS)
  • Blue Cross and Blue Shield of Kansas (BCBS)
  • Dobies Healthcare Group
  • e-Health Advisory Council (e-HAC)
  • Great Bend Regional Hospital
  • Great Plains Health Alliance (GPHA)
  • Kan-ed, Kansas Board of Regents
  • Kansas Academy of Family Physicians (KAFP)
  • Kansas Association for the Medically Underserved (KAMU)
  • Kansas Department of Health and Environment (KDHE)
  • Kansas Health Information Management Association (KHIMA)
  • Kansas Hospital Association (KHA)
  • Kansas Hospital Education and Research Foundation (KHERF)
  • Kansas Medical Society (KMS)
  • Kansas State University
  • Medical Society of Sedgwick County
  • Mid-American Regional Council (MARC)
  • The HIT Community
  • UnitedHealthcare (UHC)
  • University of Kansas Center for Informatics, School of Nursing

 

Meaningful Use

The American Recovery and Reinvestment Act (ARRA) of 2009 includes financial incentives for healthcare providers that attain Meaningful Use (MU) with their EHR systems. As part of the ARRA, the Health Information Technology for Economic and Clinical Health (HITECH) Act authorized the formation of HIT Regional Extension Centers (RECs). These centers will support physician practices in adopting EHR systems and using their current systems to achieve MU.

To receive an EHR incentive payment, providers have to show that they are "Meaningfully Using" their EHRs by meeting thresholds for a number of objectives. CMS has established the objectives for "Meaningful Use" that eligible professionals, eligible hospitals and critical access hospitals (CAHs) must meet in order to receive an incentive payment.

The Medicare and Medicaid EHR Incentive Programs are staged in three steps with increasing requirements for participation. All providers begin participating by meeting the Stage 1 requirements for a 90-day period in their first year of Meaningful Use and a full year in their second year of Meaningful Use. After meeting the Stage 1 requirements, providers will then have to meet Stage 2 requirements for two full years. Eligible professionals participate in the program on the calendar years, while eligible hospitals and CAHs participate according to the federal fiscal year.

Tools/Resources

Tools

EHR Workflow Toolkit

KFMC is happy to make available to you the Electronic Health Record (EHR) Workflow toolkit which consists of two comprehensive tools designed to assist practices document goals and workflows to achieve better success with their EHR selection, implementation and adoption. You are welcome to use this toolkit to assist you with planning your own EHR journey.

Practice and Workflow Redesign is one of the services that KFMC offers as the federally designated Health Information Technology Regional Extension Center (HITREC) for Kansas. If you would like to learn more about HITREC services please contact REC Support.

HIT Security Risk Assessment Questionnaire

KFMC is happy to make available to you the Health Information Technology (HIT) Security Risk Assessment Questionnaire. You are welcome to use this questionnaire to assist you with conducting your own Security Risk Assessment in order to meet the core Meaningful Use Measure for Medicare and Medicaid EHR Incentive payments.

Conducting a Security Risk Assessment and providing feedback on how to mitigate identified risks as well as providing best practices is one of the services that KFMC offers as the federally designated Health Information Technology Regional Extension Center (HITREC) for Kansas. If you would like to learn more about HITREC services please contact REC support.

Resources

Centers for Medicare & Medicaid Services (CMS)

For a complete listing of Frequently Asked Questions posted by CMS click here.

Office of National Coordinator (ONC)

Health IT Impact on Quality-Stories from the Field
Infographic explaining how RECs improve the quality of healthcare through HIT.
For a complete listing of Frequently Asked Questions posted by ONC click here.

Eligible Professionals:

CMS' New Interactive Guide for EPs in the Medicaid EHR Incentive Program

CQMs in 2014

Finding My Way to Electronic Health Records
New England Journal of Medicine Article released July 13, 2010. Published at www.nejm.org. Author: Regina Benjamin, M.D., M.B.A.

Medicaid EHR Incentive Payments for Eligible Professionals
A summary of eligibility requirements and incentive payments for Eligible Professionals for the Medicaid EHR Incentive Program

Medicare EHR Incentive Payments for Eligible Professionals
This tip sheet identifies opportunities for certain Medicare providers to receive incentive payments for participating in important Medicare initiatives.

Medicare Incentive Payments Tip Sheet
This tip sheet identifies opportunities for certain Medicare providers to receive incentive payments for participating in important Medicare initiatives.

Payment Adjustments and Hardship Exemptions

Rural Health Clinics
Why go to EHR if Incentives are Questionable?

The Meaningful Use Regulation for Electronic Health Records
New England Journal of Medicine Article released July 13, 2010. Published at www.nejm.org. Authors: David Blumenthal, M.D., M.P.P., and Marilyn Tavenner, R.N., M.H.A.

Hospitals:

CQMs in 2014

EHR Incentive Program Tip Sheet for Critical Access
A summary of the EHR Incentive Programs for CAHs.

EHR Incentive Program Tip Sheet for Medicare Hospitals
A summary of the EHR Incentive Programs for eligible acute care inpatient hospitals.

Medicaid Hospital Incentive Payments Calculations
A summary of the Medicaid EHR Incentive Program for eligible acute care and children’s hospitals

Payment Adjustments and Hardship Exemptions

KFMC Services:

Medicare and Medicaid Incentives for Eligible Professionals
The funding for the implementation of EHRs will be administered through incentive payments via Medicare and Medicaid for hospitals and healthcare professionals that implement compliant EHRs. This flyer will explain the incentives available.

Meaningful Use:

Differences Between Stage 1 and Stage 2 of MU

Meaningful Use: More Than Incentives
A fact sheet which details the value of Meaningful Use of Electronic Health Records to achieve Health Outcome Priorities identified by the National Priorities Partnership. Our health care system needs to change in a way that improves patient care and reduces the cost of patient care.

Meaningful Use: More Than Incentives
A fact sheet which details the value of Meaningful Use of Electronic Health Records to achieve Health Outcome Priorities identified by the National Priorities Partnership. Our health care system needs to change in a way that improves patient care and reduces the cost of patient care.

Meaningful Use Criteria Summary
This document contains the objectives and measures for Meaningful Use Criteria for Eligible Professionals, Hospitals, and Critical Access Hospitals in order to qualify for incentive payments.

Meaningful Use Flier
This document is designed as a reference for the clinic staff and summarizes the Meaningful Use objectives and measures for Eligible Professionals for the 2011 edition of MU in the form of a small poster.

Stage 1 EHR Meaningful Use Specification Sheets for Eligible Hospitals
The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

Stage 1 EHR Meaningful Use Specification Sheets for Eligible Professionals
The Medicare and Medicaid EHR Incentive Programs will provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology.

When Do I Start Stage 2?

Patient and Families:

Helpful Links

Agency for Healthcare Research and Quality
AHRQ's health information technology (HIT) initiative is part of the Nation's strategy to put information technology to work in healthcare. By developing secure and private electronic health records for most Americans and making health information available electronically when and where it is needed, HIT can improve the quality of care, even as it makes health care more cost effective.

Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services (CMS) has launched the official website for the Medicare & Medicaid EHR Incentive Programs. This website provides the most up-to-date detailed information about the EHR incentive programs.

Certified Health IT Product List
The Certified HIT Product List (CHPL) provides the authoritative, comprehensive listing of complete EHRs and EHR modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator (ONC) for HIT. Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program. Please note that the CHPL is a snapshot of the current list of certified products. The CHPL is updated frequently as newly certified products are reported to ONC.

CMS Medicare and Medicaid EHR Incentive Program Registration
Registration for the Medicare and Medicaid EHR Incentive Programs is now open. The Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs will provide incentive payments to eligible professionals and eligible hospitals as they demonstrate adoption, implementation, upgrading or meaningful use of certified EHR technology. These incentive programs are designed to support providers in this period of HIT transition and instill the use of EHRs in meaningful ways to help our nation to improve the quality, safety and efficiency of patient healthcare. Those wanting to take part in the program will use this system to register and participate in the program.

Healthcare Information and Management Systems Society
The Healthcare Information and Management Systems Society (HIMSS) is a comprehensive healthcare stakeholder membership organization exclusively focused on providing global leadership for the optimal use of information technology (IT) and management systems for the betterment of healthcare

Kansas Health Information Technology Initiative
The Kansas Department of Health and Environment (KDHE), the state designee for health information technology, is facilitating the creation of strategic and operational plans for a statewide infrastructure for health information exchange (HIE). The primary goal of this health information exchange is to enable healthcare stakeholders to share data for coordinating patient care and to support public entities in achieving their population health goals.

U.S. Department of Health and Human Services HITECH
Official website of The Office of the National Coordinator for Health Information Technology. Learn about HITECH programs and ONC initiatives.