Beginning in 2014, there are some significant changes to stage 1 requirements. Appendix 2 pcmh 2014 and cms stage 2 meaningful use. To align the first two stages with the planned introduction of stage 3, cms released a modified version of stage 2 requirements in 2015. Core and menu data must be entered online or via a pdf file. A summary of recommendationsdrawn from the recently released bpc reportis provided below.
Stage 2 overview tipsheet centers for medicare and. Stage 2 ehr incentive programs supporting documentation for. Objective capability to submit electronic data to immunization registries or immunization information systems except where prohibited, and in accordance with applicable law and practice. Register for part 2 of this webinar to be held on tuesday june 10, 2014 at 8. The medicare and medicaid electronic health record ehr. Cms ehr incentive program stage 2 final rule rulemaking. Documentation to support attestation data for stage 2 meaningful use objectives and. Aug 23, 2017 because cms is allowing use of 2014 edition cehrt in 2018, it also leads to the ability for mu participants to continue to attest to the modified stage 2 objectives and measures in 2018. Stage 2 will encourage the use of health it for continuous quality. Learn more about summary of care meaningful use requirements in stage 2 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 stage 1, but will be required to meet the core objective in stage 2. The division of public health dph declares it is ready to receive data through the delaware health information network dhin in these areas of stage 2 stage 3 meaningful use attestation.
To lay the foundation for coordinated, accountable, patientcentered care, stage 2 of meaningful use should expand the requirements associated with health information exchange for both eligible professionals eps and hospitals. Because cms is allowing use of 2014 edition cehrt in 2018, it also leads to the ability for mu participants to continue to attest to the modified stage 2 objectives and measures in 2018. Stage 2 meaningful use table 3 will require much more sophisticated use of health it, well beyond what they were trained to do in implementation, but lowresource practices are not able to purchase additional training time. The final survey included 100 specific questions related to the 21 cqms addressing provider agreement with the cqms, staff education, use of ehr reminders, standing orders, and ehrbased patient education and 27 general questions divided into 4 categories, including practices use of ehr functionality including stage 1 and 2 mu core and menu. Cancer registry will accept hl7 cda file format and will process it using cdnpcr emarc plus software. Meaningful use alaska department of health state of alaska. The rule consolidated several existing stage 1 objectives and added new objectives for stage 2. During your first year of meeting meaningful use, you have to fulfill the criteria over a 90day reporting period. Stage 2 meaningful use fact sheet centers for disease. Changed the ehr reporting period in 2015 to 90 days to accommodate modifications to meaningful use modified stage 2 patient engagement objectives that require patient action. Participation year modified stage 2 requirements s. In order to satisfy floridas requirements for this meaningful use objective hospitals must. Software requirements for stage 2 identify threshold changes between mu stage 1 and.
Vendors provide limited training before or during implementation. Focus group moderators guide for inperson use with ehr users. Stage 1 meaningful use objectives for eligible professionals appendix b. Stage 3 meaningful use finalized objectives and measures measure 2. Providers selected for postpayment audits will also be required to submit. Do not use this document as a substitute for legal counsel. In the stage 1 meaningful use regulations, cms had established a timeline that. Cancer registry will accept hl7 cda file format and will process it using. What are stage 2 objectives of the ehr incentive programs. Track key clinical conditions communicate information for care coordination report clinical quality measures and public health information stage 2 focuses on. Meaningful use stage 2 will consist of continuations of stage 1 requirements, with heightened demands for the number of electronic transactions.
Discuss potential challenges providers may face in achieving stage 3 and the planning necessary to overcome those challenges. Promoting interoperability program illinois toolkit illinois. Medicare eps and ehs in stage 1 year 2 or stage 2 will select a three month reporting period, fixed to the quarter of the calendar year for the reporting of their mu objectives ehs and cahs use 2014 federal fiscal quarters eps use 2014 calendar quarters medicaid reporting periods do not need to be fixed to a quarter. 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. There will be 20 measures for eps 17 core and 3 of 6 menu in stage 2. You will have better success meeting meaningful use requirements for stage 2 if you integrate a patient portal effectively in your practice operations. In addition, stage 3 requirements may require that you use a patient portal to attest successfully. Providers again were allowed a 90day rather than fullyear reporting period for that year. Just making a portal available to patients will not ensure that they will use it. Overview of meaningful use medicare and medicaid ehr.
Stage 2 timeline in the stage 1 meaningful use regulations, cms had established a timeline that required providers to progress to stage 2 criteria after two program years under the stage 1 criteria. Crosswalk ncqa 2014 pcmh hrsa 19 requirements meaningful use. Stage 1 2011 and 2012 focuses on electronically capturing health. Talbot, ncqa pcmh cce crosswalk ncqa 2014 pcmh hrsa 19 requirements meaningful use pcmh pcmh description hrsa hrsa description mu stage 2 meaningful use report1. List of the stage 2 meaningful use public health objectives. Appendix 2 pcmh 2014 and cms stage 2 meaningful use requirements. How to optimize patient portals for patient engagement.
Breaking down meaningful use requirements for stages 1, 2, 3. Pdf are meaningful use stage 2 certified ehrs ready for. For more information on technical requirements of a. Cms has amended stage 2 for the 2015 reporting period and beyond. Stage 3 meaningful use finalized objectives and measures. Ehr incentive program cms stage 3 proposed rule overview the centers for medicare and medicaid services cms on march 20 released its proposed rule for stage 3 of the electronic health record ehr incentive program, also called meaningful use mu stage 3 also referred to throughout this summary as stage 3. C improving patient care stage 2 includes new objectives to improve patient care through better. The division of public health dph declares it is ready to receive data through the delaware health information network dhin in these areas of stage 2stage 3 meaningful use attestation. Promoting interoperability payment program toolkit v10. 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. State intersection with stage 2 meaningful use the arra and accompanying regulations are complex. 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. With the aim of improving health care processes through health information technology hit, the us government has promulgated requirements for meaningful use mu of electronic health records ehrs as a condition for providers receiving financial incentives for the adoption and use of these systems.
Overview of meaningful use medicare and medicaid ehr incentive program stage 2. Fulfill the basic requirements for submission of data into nhsn. The meaningful use criteria, standards and capabilities will evolve in stages over time to. The 17 core and 6 menu measures have been reduced to 10 objectives. Talbot, ncqa pcmh cce crosswalk ncqa 2014 pcmh hrsa 19 requirements meaningful use pcmh pcmh description hrsa hrsa description mu stage 2 meaningful use report1 pcmh 1 patientcentered access.
Meaningful use delaware health and social services state. While cms and onc acknowledge the critical role that specialty providers have. Stage 2 stage 2s theme is the advancement of clinical processes. The core and menu measures have been simplified into 10 objectives. Electronic health records ehrs and meaningful use mu aanem. Cms medicare ep registration user guide link to pdf. Medicaid providers use hit to improve care, gain efficiencies, and reduce costs. Assessment of proposed rules for stage 2 of meaningful.
Using nhsn aur module for meaningful use stage 3 on the aur meaningful use 3 registration page, read the text and check the box to automatically add your name and the facility name to the form. Eligible professionals guide to stage 2 of the ehr incentive. The meaningful use stage 2 requirements differ slightly from those in stage 1, with some objectives combined and others eliminated. Mar 01, 2016 to align the first two stages with the planned introduction of stage 3, cms released a modified version of stage 2 requirements in 2015. Pdf background and objective upgrades to electronic health record ehr systems scheduled to be introduced in the usa in 2014 will advance document. More information about the vendor certification process can be found on the healthit website and the nhsn website. Dont wait for your ehr vendor to complete stage 2 requirements work on what you can as to not fall behind pay attention to percentage thresholds.
The meaningful use report can be found in traknet under the reports menu at the top of the screen, then meaningful use. Practices that are reporting for stage 2 in 2015 will now report on the reduced stage 2. All providers are now in stage 2 of meaningful use with a modified stage 2 for providers that were previously in stage 1. By promoting the widespread adoption and meaningful use of ehr, we hope to see n. Documentation to support attestation data for stage 2 meaningful use objectives. Proposed stage 2 meaningful use objectives for eligible professionals appendix c. The focus of stage 1 requirements is capturing health information in a structured format, tracking key. This applies whether attesting to modified stage 2 or to stage 3 meaningful use there are not specific thresholds that eps have to meet for the cqms they select. Eps, ehs, and cahs must continue to demonstrate they are meeting the objectives of stage 1. Barriers to meaningful use in medicaid focus group participant screener appendix d. This allows for stage 3 use to be potentially delayed until 2019 for those who want to defer on it. Exchange and access to health information expansion of meaningful use requirements.
This original timeline would have required medicare providers who first demonstrated meaningful use in 2011 to meet the stage 2 criteria in 20. Meaningful use stage 2 american academy of allergy. The table meaningful use stage 2 objectives and measures lists the core set. Describe the patient engagement requirements focusing on the potential provided by the new. Resources are also provided for further information on the requirements and enrollment of the program. Mitre analysis of stage 2 meaningful use proposed rules march 2012 3142012 page 1 of 14 line. It will cover stage 2 menu set objectives and clinical quality measure reporting. Each stage has its own set of requirements for meaningful use.
Cms recently published a final rule that specifies the stage 2 criteria that. Eps do not have to choose the cqms from 3 nqs health domains. Eps will choose 6 cqms instead of 9 cqms out of a total of 53. Nov 16, 2015 stage 2 stage 2s theme is the advancement of clinical processes.
The ep, eh or cah must use clinically relevant information from cehrt to identify patientspecific educational resources and provide electronic access to those materials to more than 35% of unique patients seen by the ep or discharged. These benefits can be achieved by leveraging clinical data, utilizing decision support tools, and improving care coordination through meaningful health information exchange. Background the cms rule on qualifying for medicare and medicaid payment incentives proposes a staged approach to the definition of meaningful use. The meaningful use mu criteria that unlock the american recovery and. Stage 1, stage 2 comparison in order to be ready for stage 2 meaningful use, providers need to take a hard look at how this next phase differs from its predecessor and what. The ehr incentive program asks providers to use the capabilities of their ehrs to achieve benchmarks that can lead to improved patient care. Meaningful use stage 2 objective 12 is related to summary of care. Add up to two optional email addresses for individuals, aside from the nhsn facility administrator, who. Pdf eps must select 2 from 3 meaningful use public health measures. The most uptodate requirements can be found on the cms website or by contacting your state medicaid agency. Discuss potential strategies for meeting the stage 3 care coordination related objectives. Practices that are reporting for stage 2 in 2015 will now report on the reduced stage 2 objectives based on the new cms requirements.
Achieve meaningful use stage 2 core and menu measures. As with the stage 1 requirements, meaningful use stage 2 will have a menu section and a core section of requirements, with core requirements mandatory and menu requirements chosen from a larger list. Stage 2 is effective january 1, 2014 for eps and all providers attesting to meaningful use will have a 90 day reporting period in 2014 regardless of the eps meaningful use stage. Most continue in stage 2 with the thresholds increased. Cms ehr incentive program stage 2 final rule rulemaking hie intersection with stage 2 meaningful use. Eligible hospital tip sheet for meaningful use stage 2 healthit. Meaningful use delaware health and social services.