Modified stage 2 2015 2017 2016 reporting requirements. There are 10 objectives, including one consolidated public health. If you are an eligible provider participating in the ehr incentive programs, you will have the option of reporting the summary of care menu objective in. Record and chart changes in vital signs blood pressure. Meaningful use stage 2 is the second phase of the meaningful use incentive program that details the second phase of requirements for the use of electronic health record ehr systems by hospitals and eligible health care providers. In order to successfully attest to stage 1 or stage 2 meaningful use, eligible professionals must fulfill the patient portal requirement for each stage. How eligible providers performed in stage 2 meaningful use.
All others will be required to demonstrate 2 years at stage 1, 2 years at stage 2, and then 2 years at stage 3. Texas medicaid ehr incentive program texas medicaid health information technology september 10, 20 page 2 on september 4, 2012, cms published a final rule that specifies the stage 2 criteria that eligible. Image sharing tested by meaningful use stage 2 criteria. Stage 1 meaningful use detailed public health objectives to successfully attest to the public health reporting requirements for meaningful use state 1, eps, ehs and cahs must demonstrate one of the three public health objectives by submitting at least one test submission of data. Every provider must start with stage 1 of meaningful use.
Summary of care meaningful use requirements in stage 2. Consisting of 25 total criteria, the list for meaningful use stage 1 is broken into 15 core requirements and 10 menu requirements. Stage 2 began in 2014 and focused on the exchange of information between providers and patients as well as providers within a given practice in order to improve treatment. This suggests that what we know so far about stage 3 could all change. The excerpt from the framework shown in figure 1 indicates the use of patientgenerated data for the later meaningful use stages. The centers for medicare and medicaid services cms gathered public comments on its stage 3 meaningful use mu requirements through may 30. Those that attest to meaningful use first in 2011 must meet stage 2 criteria in 2014 and stage 3 in 2016.
There seems to be an implicit assumption in the certification part of the onc requirements, in the stage 2 proposed rulemaking, that its feasible to send images, for example, by email or via the nationwide health information networks. Stage 2 encourages use of health it to continually improve quality at pointofcare, and streamline health information exchange. Ehr software must meet new 2014 certification requirements d. There are three public health menu set objectives for meaningful use stage 1. Secure electronic messaging a secure electronic message was sent by more that 5% of patients to their ep new measure use of henry schein secure chart patient portal is relevant remember, you must meet all 17 core objective measures in 2014 stage 2 meaningful use, and 3. List of the stage 2 meaningful use public health objectives. Medication allergy list maintain active medication allergy list. The final rule meaningful use objectives are split into three groups. Stage 1 meaningful use detailed public health objectives idph.
All eligible professionals are required to use the 2015 edition cehrt. Consequently, many of the meaningful use objectives stand on their own without an hie dependency. Stage 2 comparison table for eligible professionals pdf icon. It still includes three transitions of care toc measures for providers that transition or refer. The final rule for stage 2 contains a total of 20 objectives for eligible providers. Cms recently released changes to all stages of the meaningful use program. More than 80 percent of all unique patients seen by the ep have at least one entry or an indication that the patient has no known medication allergies recorded as structured data. Menu set objectives providers can select three 3 out of these six 6 objectives that they wish to satisfy to fulfill the meaningful use requirements. Jan 12, 2016 the public use files pufs provided by cms represent a treasure trove of information relative to how meaningful use eligible providers performed on each stage 2 meaningful use measure either core. What stage 2 means to you c new criteria starting in 2014, providers participating in the ehr incentive programs who have met stage i for two or three years imii need to meet meaningful use stage 2 criteria.
Cms has a placeholder for upcoming information about the 2017 mu program. Beginning in 2014, there are some significant changes to stage 1 requirements. Cms recently published a final rule that specifies the stage 2 criteria that. Cms medicare ep registration user guide link to pdf. Appendix 2 pcmh 2014 and cms stage 2 meaningful use requirements. Cms and onc have created this stairstep schedule to help ease providers into the requirements of each stage before they are required to move to the next stage. The first meaningful use requirements stage 1 were outlined in 2010 and focused on capturing patient data, such as demographic information and family medical history. Measures focused on more rigorous health information exchange hie.
Three transitions of care measures office of the national. However, in a rare move, they added a 60day comment period to the stage 3 portion of the final rulewhich means its not really final. Eps can satisfy this objective by submitting a security risk assessment checklist sra to the dss medicaid mapir attestation system. So for example, if you were scheduled to demonstrate stage 1 or stage 2 of mu in 2014 and during one of the calendar quarters you were still using your 2011 cehrt, if you met the 20 stage 1 objectives and measures, you would be able to attest to that quarter once the final rule was published. The ehr incentive programs consist of 3 stages of meaningful use. Electronic health records ehrs and meaningful use mu aanem. Health information exchange hie can be defined in a number of ways. Summary of public health objectives in stage 2 meaningful use final rules. Stage 2 and stage 3 requirements will include hie capabilities. Texas medicaid ehr incentive program texas medicaid health information technology september 10, 20 page 1 contents i.
Meaningful use is implemented in a phased approach over a series of 3 stages. Meaningful use stage 2 requirements for ehr compliancy group. Stages of meaningful use 3 stage 1 stage 2 stage 3 data capture and sharing outcomes advanced. Stage 2 meaningful use fact sheet centers for disease. Electronic health records ehrs and meaningful use mu. The third and final set of mu rules are a core part of the plan to reform american healthcare by leveraging health information technology it to help reduce costs, eliminate redundancies and convert from a feeforservice to a feeforperformance. Patient portal requirement in meaningful use ascrs. Generation of patient lists by specific condition are a core stage 2 requirement c. The stage 2 final rule expands on stage 1 criteria with increased focus on goals and priorities of the national quality strategy. The medicare and medicaid electronic health record ehr.
Breaking down meaningful use requirements for stages 1, 2, 3. More than 80% of all patients calculate and display bmi plot and display growth charts for patients, including bmi, for patients up to. Jul 11, 20 ehrintelligence assembled a fivepoint guide to help practitioners mark the major changes occurring between stage 1 and 2 meaningful use. Discuss potential strategies for meeting the stage 3 care coordination related objectives. Healthcare information exchange hie and meaningful use stage 2 matrix. Patients ability to view, download and transmit information is a core requirement e. Meet core objectives as well as choose 5 more menu objectives from a list of 10. Record for more than 80% of unique patients over the age of 3 was 50% of those over 2 record height and weight. Dec 07, 2015 on october 6 of this year, cms released a ruling that revised stage 2 and also included the new requirements for stage 3. All providers must achieve meaningful use under the stage 1 criteria before moving to stage 2. Healthcare information exchange hie and meaningful use stage 2 matrix stage 2.
General overview of stage 1 and stage 2 meaningful use. For 2014 ehr certification and stage 2 meaningful use, electronic health record ehr vendors are required to either a certify their transitionsofcare modules or complete ehr product offerings to include direct to meet certification requirements, or b work with a third party to provide direct services. Stage 2 expanded upon the stage 1 criteria with a focus on advancing clinical processes and ensuring that the meaningful use of ehrs supported the aims and priorities of the national quality strategy. Stage of meaningful use criteria by first reporting year. Stage 2 focuses on advanced clinical procedures, including1. Transitions of care toc measures in the stage 2 summary of care objective the summary of care objective changed from a menu objective in meaningful use stage 1 to a core objective in meaningful use stage 2. In its most conservative definition, hie the verb is the activity of secure health data exchange between two or more authorized and consenting trading partners. Of those summary of care documents you send, more than 10% must be sent electronicallyeither. All the resources you need to get started with meaningful use. Guide to meaningful use stage 2 5 chart summary tab the complete medical record tab has been renamed to chart summary. There are 17 core objectives, and 6 menu objectives, 3 of which must be met. Health record technology cehrt will need to include to support the achievement of meaningful use by eps, ehs, and cahs. Emphasizes care coordination and exchange of patient information. Objective capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice.
To successfully attest to the public health reporting requirements for meaningful use state 1, eps, ehs and cahs must demonstrate one of the three public health objectives by submitting at. Cahs and ehs are required to meet 16 core objectives and 3 menu objectives, or a total of 19 core objectives in order to receive stage 2 incentive payments. However, while working with stage 1 objectives and measures, one should keep in mind that future rule making around stage 2 and stage 3 requirements will include hie capabilities. Some new objectives were also introduced for stage 2, and most of these were introduced as menu objectives for stage 2. Completed at least two years of stage 1 either 2011 or 2014 edition registered with cms under the current certification number for prognocis medicare reporting for 2015, the reporting of stage 2 is a 365day requirement jan 1 dec 31, 2015. The proposed stage 2 rules state that eligible professionals, eligible hospitals, and critical access hospitals can receive reimbursements as long as 40% of scans and tests resulting in a medical image for patients who are admitted to inpatient or emergency departments are incorporated into certified ehr technology. To demonstrate meaningful use under stage 2 criteria. Providers would be allowed to use the 2011 edition cehrt or a combination of 2011 and 2014 edition cehrt for the ehr reporting period in 2014 beginning in 2015 all eps and ehs would still be required to report using 2014 edition cehrt includes provision that would extend stage 2. For modified stage 2 meaningful use 2016, objectives 1 and 10 have connecticut specific requirements for supporting documentation.
Eligible professionals guide to stage 2 of the ehr incentive. As with the previous stage, many of the stage 2 objectives have exclusions that allow providers to achieve meaningful use without having to meet objectives outside their normal scope of clinical practice. Each stage has its own set of requirements for meaningful use. Stage 1, but will be required to meet the core objective in. Meaningful use stage 2 acknowledges imaging proposed. One party is a data supplier and one or more are data receivers. Stage 1 provide patients with an electronic copy of their health information 50% within 3 days, and stage 1 provide patients with timely electronic access to their health information menu set, 10% within 4 days stage 2 provide patients the ability to view online, download and transmit their health information within 4. Meaningful use stage 2 requirements for eps involve meeting 17 core objectives, three menu objectives from a list of six, or 20 core objectives.
Hie implications in meaningful use stage 1 requirements. Stage 1 meaningful use detailed public health objectives. Stage 2 focuses on advanced clinical procedures, including. This rule covers the stage 2 criteria for eligible professionals eps, eligible hospitals ehs and critical access hospitals cahs for purposes of medicare or medicaid incentive payments for meaningful use of certified ehr technology. After completing two years at stage 1 unless you started in 2011. Modified stage 2 to stage 3 mu measures and objectives comparison tool.
Files are transmitted to the commonwealth either through your health. Use cpoe for more than 60% of medication, laboratory and radiology orders 2. Stage 1s focus was to establish a system and get providers to adjust to their new paperless administrative workflow. Hipaa meaningful use mu core objectives are a set of reporting criteria and other requirements and reporting using certified technology for electronic health records ehr. Meaningful use standards of at least stage 1 boy october 1, 2014, or face penalties in medicare reimbursement in 2015. From this tab, patients can view a complete report of their medical or ambulatory summary, download the summary to their computer pdf, html, and xml as a zip file, or send it as an attachment xml and pdf. On august 23, 2012, cms issued the final rule on meaningful use stage 2 criteria. Providers would be allowed to use the 2011 edition cehrt or a combination of 2011 and 2014 edition cehrt for the ehr reporting period in 2014 beginning in 2015 all eps and ehs would still be required to report using 2014 edition cehrt includes provision that would extend stage 2 through 2016 and begin stage 3 in 2017. Cms is pushing back the start date for stage 2 compliance to january 1, 2014. Meaningful use stage one overview linkedin slideshare. Eligible professional tip sheet for meaningful use stage 2. Stage 2 builds on stage 1 meaningful use each stage has its own set of requirements for meaningful use. Meaningful use stage 2 acknowledges imaging proposed rules. Stage 1 set the foundation by establishing requirements for the electronic capture of clinical data, including providing patients with electronic copies of health information.
They can also use either a 2015 edition cehrt or a combination of 2014 and 2015 editions to attest to stage 2 or 3. Appendix 2pcmh 2014 and cms stage 2 meaningful use requirements 21 july 28, 2014 ncqa patientcentered medical home 2014 appendix 2 pcmh 2014 and cms stage 2 meaningful use requirements medicare and medicaid electronic health record ehr incentive programs meaningful use requirements to qualify for stage 2, all eligible providers must meet. Meaningful use stage 2 acknowledges imaging proposed rules include promise and concern. Electronic laboratory reporting elr, syndromic surveillance reporting, and immunization registry reporting. Core objectives these 17 objectives must all be satisfied in to fulfill the meaningful use requirements.
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