MEANINGFUL USE AND PQRS Understanding the Measures Presented By: Morgan Kuper, Customer Service Supervisor
2016 Meaningful Use Overview Objectives and Measures Exclusions Changes to Specific Objectives Reporting Period Registration and Attestation 2
Measure: Protect Electronic Protected Health Information Attestation Requirements: YES / NO Measure: Eligible Professionals (EP s) must conduct or review a security risk analysis of CEHRT Exclusion: NONE 3
Measure: Clinical Decision Support Attestation Requirements: YES / NO / Exclusion Measure 1: Eligible Professionals (EP s) must attest YES to implementing five clinical decision support interventions Measure 2: EPs must attest YES to enabling and implementing the functionality for drug-to-drug and drug-allergy interaction checks for the entire EHR Reporting Period Exclusion: Any EP who writes fewer than 100 medication orders during the EHR Reporting Period 4
Measure: Computerized Order Entry (CPOE) Measure 1: More than 60% of medication orders created during the reporting period are recorded using CPOE Measure 2: More than 30% of lab orders created during the reporting period are recorded using CPOE Measure 3: More than 30% of radiology orders created during the reporting period are recorded using CPOE Exclusion: Any EP who writes fewer than 100 medication, lab and radiology orders during the EHR Reporting Period 5
Measure: Electronic Prescribing (erx) Measure: More than 50% of all permissible prescriptions written are queried for a rug formulary and transmitted electronically using CEHRT Exclusion: Any Provider who: Writes fewer than 100 permissible prescriptions Does not have a pharmacy within his or her organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the practice 6
Measure: Health Information Exchange Measure: Provider who refers or transfers care must: Use CEHRT to create a summary of care record Electronically transmit summary to receiving provider for more than 10% of transitions of care and referrals Exclusion: Any provider who transfers a patient to another setting or refers a patient to another provider less than 100 times during reporting period 7
Measure: Patient-Specific Education Measure: Provide patient-specific education for more than 10% of all patients with office visits seen by the EP during the reporting period Education materials must be recognized through the use of Fast Plans in EyeMD EMR Exclusion: Any provider who has no office visits during the reporting period 8
Measure: Medication Reconciliation Measure: Provider performs medication reconciliation for more than 50% of transitions of care Exclusion: Any provider who did not receive any transitions of care during the reporting period 9
Measure: Patient Electronic Access Measure 1: More than 50% of all patients seen during the reporting period are provided timely access to view, download and transmit their health information Measure 2: At least 1 patient seen during the reporting period views, downloads or transmits his or her health information Exclusion: No FoxFire clients will qualify for the exclusion for Secure Electronic Messaging 10
Measure: Secure Electronic Messaging Measure: At least 1 patient seen in the reporting period sends a secure message to their provider using patient portal Exclusion: No FoxFire clients will qualify for the exclusion for Secure Electronic Messaging 11
Measure: Public Health Reporting Measure 1: Immunization Registry Reporting active engagement with a public health agency to submit immunization data Measure 2: Syndromic Surveillance Reporting active engagement with a public health agency to submit syndromic surveillance data Measure 3: Specialized Registry Reporting active engagement to submit data to a specialized registry Exclusions to follow 12
Exclusions: Measure: Public Health Reporting Measure 1: Does not administer any immunizations to any of the populations for which data is collected by its jurisdiction s immunization registry or immunization information system during the EHR reporting period Operates in a jurisdiction for which no immunization registry or immunization information system is capable of accepting the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or Operates in a jurisdiction where no immunization registry or immunization information system has declared readiness to receive immunization data from the EP at the start of the EHR reporting period. Measure 2: Is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction's syndromic surveillance system; Operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data from EPs in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or Operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data from EPs at the start of the EHR reporting period. Measure 3: Does not diagnose or treat any disease or condition associated with, or collect relevant data that is required by a specialized registry in their jurisdiction during the EHR reporting period; Operates in a jurisdiction for which no specialized registry is capable of accepting electronic registry transactions in the specific standards required to meet the CEHRT definition at the start of the EHR reporting period; or Operates in a jurisdiction where no specialized registry for which the EP is eligible has declared readiness to receive electronic registry transactions at the beginning of the EHR reporting period. 13
PQRS Overview This presentation will cover basic answers regarding PQRS and does not serve as a full PQRS educational training. FoxFire Systems Group will be providing PQRS webinars in the near future What is PQRS? 2018 Payment Adjustments Why PQRS? Reporting Options PQRS Information 14
What is PQRS? PQRS is a reporting program that promotes the reporting of quality information by individual eligible professionals or group practices participating via group practice reporting option 15
2018 Payment Adjustments 16
Why PQRS? EPs are provided the opportunity to assess the quality of care provided to patients, helping ensure patients get the right care at the right time EPs are able to quantify how often particular care metrics are met EPs are able to access feedback reports comparing their performance on a given measure with other participating EPs 17
Reporting Options Available Reporting Options for providers Claims Qualified Registry EyeMD EMR 18
PQRS Information FoxFire will be offering PQRS webinars to cover specific measure requirements and reporting options. CMS PQRS Website https://www.cms.gov/medicare/quality-initiatives- Patient-Assessment-Instruments/PQRS/ 19
QUESTIONS Please write additional questions on the Question Form - BREAK - COMING UP NEXT Image Management or FoxFire PM Training Chris Stemwedel Art Schott