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Meaningful Use
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Meaningful use is using certified electronic health record technology to improve quality, safety, efficiency, and reduce health disparities; engage patients and family; improve care coordination, and population and public health; and maintain privacy and security of patient health information. – HealthIT.gov

The Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs provide a financial incentive for the "meaningful use" of certified EHR technology to achieve health and efficiency goals. By putting into action and meaningfully using an EHR system, Health Centers will reap benefits beyond financial incentives—such as reduction in errors, availability of records and data, reminders and alerts, clinical decision support, and e-prescribing/refill automation.

 

Meaningful Use News

 


 

 

UPDATE: From CMS on November 1, 2016:  Today, CMS is making changes under the Medicare EHR Incentive Program for eligible hospitals and critical access hospitals attesting to CMS, including hospitals that are eligible to participate in both the Medicare and Medicaid EHR Incentive Programs (dual-eligible hospitals), by eliminating the Clinical Decision Support (CDS) and Computerized Order Entry (CPOE) objectives and measures beginning in 2017. CMS is reducing a subset of thresholds for the remaining objectives and measures for Modified Stage 2 and Stage 3. Additional changes include allowing all returning participants in the EHR Incentive Programs to report on a 90-day EHR reporting period in 2016 and 2017. CMS is also finalizing an application process for a one-time significant hardship exception to the Medicare EHR Incentive Program for certain eligible professionals in 2017 who are also transitioning to MIPS. These additions both increase flexibility,  lower the reporting burden for providers, and focus on the exchange of health information and using technology to support patient care.

Programs' Overview

Michigan Medicaid EHR Incentive Program

To receive Michigan Medicaid EHR Incentive Program payments, EPs must show that they are “meaningfully using” certified EHR technology.  For more detailed information, and to see how MU applies specifically to the Michigan Medicaid EHR Incentive Program, download the EP Guide below:

EP Guide to the Medicaid EHR Incentive Program

  • Voluntarily offered by 43 individual states and territories, including Michigan, and administered by the State Medicaid agency
  • Michigan launched its program in January 2011 and distributed first payments in June 2011
  • Provides financial incentives to eligible Medicaid providers (eligible professionals and eligible hospitals) to adopt and meaningfully use a certified EHR technology
  • Eligible professionals can receive up to $63,750 over the six years that they choose to participate in the program (does not have to be consecutive
  • In the first 16 months of the Medicaid EHR Incentive Program, a total of 1,566 eligible professionals and 86 eligible hospitals have been paid more than $100 million in financial incentives through the program

Registration & Attestation: https://michiganhealthit.org/hospitals/eh-registration

 

Providers seeking to register or attest for Modified Meaningful Use Stage 2 in the 2016 program year may sign up starting June 1, 2016. Attestations and registrations for the 2016 program year will be accepted from June 1, 2016 through March 1, 2017 at 11:59PM ET.

 

eMIPP Program Availability

Start

End

AIU registrations and attestations

1/1/2015

4/30/2016 at 11:59PM

Program Year 2015:Modified Stage 2 registrations and attestations

2/14/2016

4/30/2016 at 11:59PM

Program Year 2016:Modified Stage 2 registrations and attestations

6/1/2016

3/1/2017 at 11:59PM

Registering for the Medicaid EHR Incentive Program is a two-step process:  Click on Registration & Attestation link above for more details.

Step 1: Federal-level Registration

Step 2: State-level Registration

 For more information, contact Michigan’s Medicaid EHR Incentive Program Outreach Coordinator, Robin Hepfinger, during regular business hours. Robin can be contacted at info@MichiganHealthIT.org  or (517) 324-8366.

Please review the 2015 Tipsheet and the table below to understand how to meet the the EHR Incentive Program requirements. 

 

EP Modified Stage 2 Meaningful Use Objectives for 2015 Through 2017

Re  1. PROTECT PATIENT HEALTH INFORMATION

Protect electronic health information created or maintained by the CEHRT through the implementation of appropriate technical capabilities.

2. CLINICAL DECISION SUPPORT
Use clinical decision support to improve performance on high priority health conditions.

3. COMPUTERIZED PROVIDER ORDER ENTRY
Use computerized provider order entry for medication, laboratory, and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines.

4. ELECTRONIC PRESCRIBING
Generate and transmit permissible prescriptions electronically (eRx); (Eligible hospitals/CAHs) Generate and transmit permissible discharge prescriptions electronically (eRx).

5. HEALTH INFORMATION EXCHANGE
The EP, eligible hospital or CAH who transitions their patient to another provider or setting of care or refers their patient to another provider provides a summary care record for each transition of care or referral.

6. PATIENT-SPECIFIC EDUCATION
Use clinically relevant information from CEHRT to identify patient specific education resources and provide those resources to the patient.

7. MEDICATION RECONCILIATION
The EP, eligible hospital, or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant performs medication reconciliation.

8. PATIENT ELECTRONIC ACCESS (VDT)
Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. (Eligible hospitals/CAHs) Provide patients the ability To view online, download, and transmit their health information within 36 hours of hospital discharge.

9. SECURE MESSAGING
Use secure electronic messaging to communicate with patients on relevant health information.

10. PUBLIC HEALTH REPORTING
The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT, except where prohibited and in accordance with applicable law and practice.

Reporting Table

 

 

Medicare EHR Incentive Program

  • Administered by the Centers for Medicare & Medicaid Services (CMS)
  • Provides incentive payments to eligible professionals, eligible hospitals, and critical access hospitals that demonstrate meaningful use of certified EHR technology
  • Eligible professionals can receive up to $44,000 over five years
  • There's an additional incentive for eligible professionals who provide services in a Health Professional Shortage Area (HPSA)
  • To get the maximum incentive payment, Medicare eligible professionals must begin participation by 2012
  • Payment adjustments will begin in 2015 for providers who are eligible but decide not to participate
  • Providers must demonstrate meaningful use every year to receive incentive payments

Meaningful Use Resources

Housed within the MPCA website is a wealth of educational and resource materials on a variety of topics relevant to Michigan Health Centers and the delivery of primary and preventive care to medically underserved areas and populations. To access Meaningful Use Resources you may search the website by keyword using the search field at the top of this page, or you may search the Meaningful Use Resources webpage.

 

More Information

Faiyaz Syed, MD, MPH

Associate Director, Clinical Services

fsyed@mpca.net

517.827.0887

 

Debbie Kristy

Health Information Technology Specialist

dkristy@mpca.net

517.827.0476

 
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