![]() ![]() ![]() Stage 1 Eligible Professionals 15 core objectives 5 of 10 menu objectives 20 total objectives Stage 2 Eligible Professionals 17 core objectives 3 of 6 menu objectives 20 total objectives Eligible Hospitals & CAHs 14 core objectives 5 of 10 menu objectives 19 total objectives Eligible Hospitals & CAHs 16 core objectives 3 of 6 menu objectives 19 total objectivesĬloser Look at Stage 2: Patient Engagement Patient engagement engagement is an important focus of Stage 2. Reporting Period Reduced to Three Months to allow providers time to adopt 2014 certified EHR technology and prepare for Stage 2, all participants will have a threemonth reporting period in 2014. EHRs Meeting ONC 2014 Standards starting in 2014, all EHR Incentive Programs participants will have to adopt certified EHR technology that meets ONC s Standards & Certification Criteria 2014 Final Rule 2. ![]() Denominators based on outpatient locations equipped with CEHRT and include all such encounters or only those for patients whose records are in CEHRT depending on the measure.Ģ014 Changes 1. No Changes Half of Outpatient Encounters at least 50% of EP outpatient encounters must occur at locations equipped with certified EHR technology. Stages of Meaningful Use Advanced clinical processes Improved outcomes Data capturing and sharing Stage 3 Stage 2 Stage 1Ĭhanges to Meaningful Use Changes Menu Objective Exclusion While you can continue to claim exclusions if applicable for menu objectives, starting in 2014 these exclusions will no longer count towards the number of menu objectives needed. ![]() Determination will be made through an application process. Stage 2 Change: Hospital-Based EP Definition EPs can demonstrate that they fund the acquisition, implementation, and maintenance of CEHRT, including supporting hardware and interfaces needed for meaningful use without reimbursement from an eligible hospital or CAH in lieu of using the hospital s CEHRT can be determined non-hospital-based and potentially receive an incentive payment. Therefore the only eligibility changes are those within our regulatory purview under the Medicaid EHR Incentive Program. There have been no changes to the HITECH Act. In general, eligibility is determined by the HITECH Act. Saving Money, Time, Lives With this next stage, EHRs will further save our health care system money, save time for doctors and hospitals, and save lives.ĮHR Incentive Program Eligibility 1. Improving Patient Care Stage 2 includes new objectives to improve patient care through better clinical decision support, care coordination and patient engagement. What Stage 2 Means to You New Criteria Starting in 2014, providers participating in the EHR Incentive Programs who have met Stage 1 for two or three years will need to meet meaningful use Stage 2 criteria. What Is in the Stage 2 Rule Changes to Stage 1 of meaningful use Stage 2 of meaningful use New clinical quality measures New clinical quality measure reporting mechanisms Payment adjustments and hardships Medicare Advantage program changes Medicaid program changes Who We Are Elizabeth Holland, Director, HIT Initiatives Group, Office of E-Health Standards & Services, CMS Robert Anthony, Deputy Director, HIT Initiatives Group, Office of E-Health Standards & Services, CMS Jason McNamara, Technical Director for Health IT, CMCS Steven Posnack, Director, Federal Policy Division, ONC Learning Objectives 1.Understand requirements for Stage 2 objectives 2.Understand changes to 2014 certification 3.Understand changes to 2014 clinical quality measurement Medicare and Medicaid EHR Incentive Programs: Stage 2 DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.Ĭonflict of Interest Disclosure Elizabeth Holland Robert Anthony Jason McNamara Steven Posnack Have no real or apparent conflicts of interest to report. ![]()
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