The American Reinvestment & Recovery Act (ARRA) was enacted on February 17, 2009. ARRA included many measures to modernize our nation’s infrastructure, one of which was the “Health Information Technology for Economic and Clinical Health (HITECH) Act”. The HITECH Act included the concept of electronic health records – meaningful use [EHR-MU], an effort led by Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health IT (ONC). HITECH proposed the meaningful use of interoperable electronic health records throughout the United States health care delivery system as a critical national goal.
Meaningful Use was defined by the use of certified EHR technology in a meaningful manner (for example electronic prescribing); ensuring that the certified EHR technology connects in a manner that provides for the electronic exchange of health information to improve the quality of care. By using certified EHR technology, the provider must submit to the Secretary of Health & Human Services (HHS) information on the quality of care and other measures. The concept of meaningful use rested on the five pillars of health outcomes policy priorities, namely:
Beginning in 2018, all eligible healthcare professionals (EPs) or eligible clinicians (ECs) previously participating in the Medicare Promoting Interoperability Program were required to report on Quality Payment Program (QPP) requirements, as mentioned in the table below-
The Importance Of Emr Technical Support & Interconnectivity
CMS renamed the EHR Incentive Programs as the Promoting Interoperability Programs in April 2018. This change has moved the programs beyond the existing requirements of meaningful use to a new phase of EHR measurement with an increased focus on interoperability and improving patient access to health information.
Public Health Objective included in the programs: Public Health Registry and Clinical Data Registry Reporting. The specific measures included under the above objective are-
*includes- 1) Cancer Reporting by EPs only to State Cancer Registries. 2) Reporting data by EPs and EHs/CAHs to CDC/NCHS and CDC/NHSN programs for Health Care Surveys and Antibiotic Use (AU) & Antibiotic Resistance (AR).
Benefits Of Electronic Health Records
EHs and CAHs must attest to at least four measures from 1 through 6. EPs must attest to at least two measures from the Public Health Reporting Objective, Measures 1 through 5.
Telehealth is a rapidly developing technology platform that has the potential to revolutionize health care delivery, including behavioral health. Telehealth services use electronic tools and devices to connect patients with their providers, who can monitor their condition remotely. Telecare companies provide therapeutic services for in-home monitoring, drug management programs and more. While telehealth has been…
Joyce Kelty, Executive Director of Behavioral Information Systems, LLC, has seen major changes in the behavioral health landscape as she helps agencies meet the challenges presented and provide best practices services to their clients. Our staff wanted to share Joyce’s perspective on the future of behavioral health, at least the near term, and asked for…
Using Meaningful Use To Improve Quality Of Care
In the last five years, there has been an explosion of interest in the importance of resources for both nonprofit organizations and social enterprises. Nonprofits need to be able to access enough resources to fulfill their mission, while also using them efficiently, so that they can maximize impact with limited budgets. In this piece we…
Your behavioral health organization is moving quickly — both from a clinical standpoint and a technological one. You’re keeping up with patient treatments and doing your best to stay top of mind through marketing, but your systems and processes may be falling to the wayside. It’s hard to pick your head up, see the 30, 000…
EHR selection and implementation is a long, daunting, complicated process. It’s even more difficult if your company decides to “go it alone” without the help of an expert project manager who has been there before. Knowing the potential pitfalls, setbacks, and disruptions is a critical part of a smooth implementation process. Project Managers can see…
What You Need To Know About Meaningful Use
A 2018 HIMSS Analytics survey found that more than 76% percent of health systems found denials to be their biggest revenue cycle challenge with revenue integrity (36.8%) and self-pay (34.2%) following.[i] Fast forward to 2020, and these issues are still the same. With today’s challenges for behavioral health agencies, one has to watch getting overwhelmed…Meaningful Use Definition, Stages 1, 2 & 3 'Meaningful Use' is a term used in relation to the Medicare and Medicaid EHR Incentive Programs (now known as the Medicare Promoting Interoperability Program) established by CMS in 2011. Compliance with meaningful use requires the use of certified EHR technology in a meaningful manner (for instance, electronic prescribing) thereby ensuring that it is connected in a manner that provides for the electronic exchange of health information to improve the quality of care. The provider must use the certified EHR technology and submit information on quality of care and other measures to the Secretary of Health & Human Services (HHS). ‘Meaningful Use’ is the general term for the Center of Medicare and Medicaid’s (CMS’s) electronic health record (EHR) incentive programs that provide financial benefits to healthcare providers who use appropriate EHR technologies in meaningful ways; ways that benefit patients and providers alike. The Medicare and CHIP Reauthorization Act of (MACRA) 2015 established the Quality Payment Program (QPP). The Merit-based Incentive Payment System (MIPS) is one of two ways that eligible professionals and hospitals can participate in QPP. Effect of MACRA on Meaningful Use The Medicare EHR Incentive Program, aka Meaningful Use, was transitioned to become one of the four components of the new MIPS. MIPS consolidates three fee-for-service programs – the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier Program(VBM) and the Medicare Electronic Health Records (EHR) Incentive Program which has been renamed as the Promoting Interoperability category in 2018 – into one fee-for-value program. Image Source: https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use With the MACRA Promoting Interoperability category came a stronger push for interoperability. Participants must report the required measures under each of the four objectives below, or claim exclusions if applicable: ePrescribing, Health Information Exchange Provider to Patient Exchange Public Health and Clinical Data Exchange As noted, these objectives are similar to the requirements for the Meaningful Use program. HITECH Act of 2009 Commenced Push for Adoption and Meaningful Use of EHR The American Recovery and Reinvestment Act (ARRA) of 2009 was primarily intended to help the country recover from the Great Recession of 2008. However, it also contained measures aimed at providing investments in health and science technology, among others. As part of ARRA, the Health Information Technology for Economic and Clinical Health Act (HITECH) had a major impact on healthcare as it pushed for the nationwide adoption and “meaningful use” of electronic health records (EHRs). Meaningful Use and Health Outcomes According to the Centers for Disease Control (CDC), the concept of “meaningful” use or MU is anchored on five health outcomes pillars. These are: Improving quality, safety, efficiency, and reducing health disparities Engage patients and families in their health Improve care coordination Improve population and public health Ensure adequate privacy and security protection for personal health information The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator (ONC) for Health IT have been leading MU’s phased implementation, which occurred in stages. The ONC has noted on its website that the Advancing Care Information category (which in 2018 was renamed Promoting Interoperability or PI) within the Merit-Based Incentive Payment System or MIPS supplants meaningful use. However, it would still be extremely useful to have a familiarity with the background and evolution of MU to better understand what’s coming in the future. Meaningful Use Stages According to the CDC’s MU website, “in order to encourage widespread EHR adoption, promote innovation and to avoid imposing excessive burden on healthcare providers, meaningful use was showcased as a phased approach, which is divided into three stages.” This incremental implementation began with data capture and sharing in 2011 and moved up to advanced clinical processes in 2013 and then included improved outcomes in 2015. What is Stage 1 of Meaningful Use? For Meaningful Use Stage 1, the 15 core objectives for Eligible Professionals (EPs) were: Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. Implement drug-drug and drug-allergy checks. Maintain an up-to-date problem of current and active diagnoses Maintain active medication list Maintain active medication allergy list Generate and transmit permissible prescriptions electronically (eRx). Record patient demographics: sex, preferred language, race, ethnicity, and date of birth. Record vital signs and chart changes in the following: height, weight, blood pressure, body mass index (BMI), growth charts for children. Record smoking status for patients 13 years old or older. On request, provide patients with an electronic copy of their health information (including diagnostics test results, problem list, medication lists, medication allergies). Provide clinical summaries for patients for each office visit. Implement capability to exchange key clinical information among providers and patient authorized entities electronically. Implement one clinical decision support rule along with the ability to track compliance with the rule. Implement systems to protect privacy and security of patient data in EHR Report clinical quality measures to CMS (or, for EPs seeking the Medicaid
In the last five years, there has been an explosion of interest in the importance of resources for both nonprofit organizations and social enterprises. Nonprofits need to be able to access enough resources to fulfill their mission, while also using them efficiently, so that they can maximize impact with limited budgets. In this piece we…
Your behavioral health organization is moving quickly — both from a clinical standpoint and a technological one. You’re keeping up with patient treatments and doing your best to stay top of mind through marketing, but your systems and processes may be falling to the wayside. It’s hard to pick your head up, see the 30, 000…
EHR selection and implementation is a long, daunting, complicated process. It’s even more difficult if your company decides to “go it alone” without the help of an expert project manager who has been there before. Knowing the potential pitfalls, setbacks, and disruptions is a critical part of a smooth implementation process. Project Managers can see…
What You Need To Know About Meaningful Use
A 2018 HIMSS Analytics survey found that more than 76% percent of health systems found denials to be their biggest revenue cycle challenge with revenue integrity (36.8%) and self-pay (34.2%) following.[i] Fast forward to 2020, and these issues are still the same. With today’s challenges for behavioral health agencies, one has to watch getting overwhelmed…Meaningful Use Definition, Stages 1, 2 & 3 'Meaningful Use' is a term used in relation to the Medicare and Medicaid EHR Incentive Programs (now known as the Medicare Promoting Interoperability Program) established by CMS in 2011. Compliance with meaningful use requires the use of certified EHR technology in a meaningful manner (for instance, electronic prescribing) thereby ensuring that it is connected in a manner that provides for the electronic exchange of health information to improve the quality of care. The provider must use the certified EHR technology and submit information on quality of care and other measures to the Secretary of Health & Human Services (HHS). ‘Meaningful Use’ is the general term for the Center of Medicare and Medicaid’s (CMS’s) electronic health record (EHR) incentive programs that provide financial benefits to healthcare providers who use appropriate EHR technologies in meaningful ways; ways that benefit patients and providers alike. The Medicare and CHIP Reauthorization Act of (MACRA) 2015 established the Quality Payment Program (QPP). The Merit-based Incentive Payment System (MIPS) is one of two ways that eligible professionals and hospitals can participate in QPP. Effect of MACRA on Meaningful Use The Medicare EHR Incentive Program, aka Meaningful Use, was transitioned to become one of the four components of the new MIPS. MIPS consolidates three fee-for-service programs – the Physician Quality Reporting System (PQRS), the Value-Based Payment Modifier Program(VBM) and the Medicare Electronic Health Records (EHR) Incentive Program which has been renamed as the Promoting Interoperability category in 2018 – into one fee-for-value program. Image Source: https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use With the MACRA Promoting Interoperability category came a stronger push for interoperability. Participants must report the required measures under each of the four objectives below, or claim exclusions if applicable: ePrescribing, Health Information Exchange Provider to Patient Exchange Public Health and Clinical Data Exchange As noted, these objectives are similar to the requirements for the Meaningful Use program. HITECH Act of 2009 Commenced Push for Adoption and Meaningful Use of EHR The American Recovery and Reinvestment Act (ARRA) of 2009 was primarily intended to help the country recover from the Great Recession of 2008. However, it also contained measures aimed at providing investments in health and science technology, among others. As part of ARRA, the Health Information Technology for Economic and Clinical Health Act (HITECH) had a major impact on healthcare as it pushed for the nationwide adoption and “meaningful use” of electronic health records (EHRs). Meaningful Use and Health Outcomes According to the Centers for Disease Control (CDC), the concept of “meaningful” use or MU is anchored on five health outcomes pillars. These are: Improving quality, safety, efficiency, and reducing health disparities Engage patients and families in their health Improve care coordination Improve population and public health Ensure adequate privacy and security protection for personal health information The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator (ONC) for Health IT have been leading MU’s phased implementation, which occurred in stages. The ONC has noted on its website that the Advancing Care Information category (which in 2018 was renamed Promoting Interoperability or PI) within the Merit-Based Incentive Payment System or MIPS supplants meaningful use. However, it would still be extremely useful to have a familiarity with the background and evolution of MU to better understand what’s coming in the future. Meaningful Use Stages According to the CDC’s MU website, “in order to encourage widespread EHR adoption, promote innovation and to avoid imposing excessive burden on healthcare providers, meaningful use was showcased as a phased approach, which is divided into three stages.” This incremental implementation began with data capture and sharing in 2011 and moved up to advanced clinical processes in 2013 and then included improved outcomes in 2015. What is Stage 1 of Meaningful Use? For Meaningful Use Stage 1, the 15 core objectives for Eligible Professionals (EPs) were: Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines. Implement drug-drug and drug-allergy checks. Maintain an up-to-date problem of current and active diagnoses Maintain active medication list Maintain active medication allergy list Generate and transmit permissible prescriptions electronically (eRx). Record patient demographics: sex, preferred language, race, ethnicity, and date of birth. Record vital signs and chart changes in the following: height, weight, blood pressure, body mass index (BMI), growth charts for children. Record smoking status for patients 13 years old or older. On request, provide patients with an electronic copy of their health information (including diagnostics test results, problem list, medication lists, medication allergies). Provide clinical summaries for patients for each office visit. Implement capability to exchange key clinical information among providers and patient authorized entities electronically. Implement one clinical decision support rule along with the ability to track compliance with the rule. Implement systems to protect privacy and security of patient data in EHR Report clinical quality measures to CMS (or, for EPs seeking the Medicaid
0 komentar:
Posting Komentar