Modified Stage 2 Meaningful Use: Objective #4 – ePrescribing (eRx) Massachusetts Medicaid EHR Incentive Payment Program July 12, 2016 Today’s presenter:

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Presentation transcript:

Modified Stage 2 Meaningful Use: Objective #4 – ePrescribing (eRx) Massachusetts Medicaid EHR Incentive Payment Program July 12, 2016 Today’s presenter: Thomas Bennett, Client Services Relationship Manager

Disclaimer This presentation was current at the time it was presented, published or uploaded onto the web. This presentation was prepared as a service to the public and is not intended to grant rights or impose obligations. This presentation may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage attendees to review the specific statutes, regulations, and other interpretive materials for a full and accurate statement of their contents. Massachusetts eHealth Institute

The attestation deadline for Program Year 2015 is August 14, 2016 Reminder The attestation deadline for Program Year 2015 is August 14, 2016 Massachusetts eHealth Institute

Agenda What is Meaningful Use (MU) Objective #4 all about? Steps to meet MU Objective #4 Do the right thing Ensure data is entered correctly Ensure data is captured correctly Ensure Certified EHR Technology (CEHRT) can report data correctly (EHR dashboard) Generate supporting documentation Retain supporting documentation Attesting for MU Objective #4 Common Issues Questions and Answers

What is MU Objective #4 all about?

What is MU Objective #4 all about?

What is MU Objective #4 all about? Electronic Prescribing (eRx) Objective Generate and transmit permissible prescriptions electronically (eRx). Measure More than 50 percent of all permissible prescriptions written by the EP are queried for a drug formulary and transmitted electronically using CEHRT. Alternate Measure For Stage 1 providers in 2015, more than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using CEHRT. Exclusions Any EP who: Writes fewer than 100 permissible prescriptions during the EHR reporting period; or Does not have a pharmacy within his or her organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of his or her EHR reporting period.

What is MU Objective #3 all about? ePrescribing (eRx) - Attestation Requirements DENOMINATOR: Number of permissible prescriptions written during the EHR reporting period for drugs requiring a prescription to be dispensed. NUMERATOR: The number of prescriptions in the denominator generated, queried for a drug formulary, and transmitted electronically using CEHRT. THRESHOLD: The resulting percentage must be more than 50% (or 40% for Stage 1 EPs) in order for an EP to meet this measure. EXCLUSIONS: Any EP who writes fewer than 100 permissible prescriptions during the EHR reporting period, or does not have a pharmacy within his or her organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of his or her EHR reporting period. What is MU Objective #3 all about?

What is MU Objective #3 all about? ePrescribing (eRx) – Additional Information Can limit the measure of this objective to those patients whose records are maintained using CEHRT. Instances where patients specifically request a paper prescription may not be excluded from the denominator of this measure. The EP must include all prescriptions written during the EHR reporting period. EPs may choose to include prescriptions for controlled substances in their permissible prescriptions where feasible and allowable by state and local law. EPs who are part of an organization that owns or operates its own pharmacy within the 10 mile radius are not eligible for the exclusion, regardless of whether that pharmacy can accept electronic prescriptions. What is MU Objective #3 all about?

Steps to meet MU Objective #4

Meeting MU Objective #4 Do the right thing Generate and transmit permissible prescriptions electronically.

Meeting MU Objective #4 Ensure data is entered correctly

Ensure data is captured correctly Meeting MU Objective #4 Ensure data is captured correctly Is there any “faulty logic” in the EHR? i.e. if you uncheck a box on an apparently unrelated screen, does the EHR stop capturing eRx data correctly?

Ensure CEHRT can report the data correctly (EHR dashboard) Meeting MU Objective #4 Ensure CEHRT can report the data correctly (EHR dashboard) Test EHR reports (or regularly check EHR dashboard) to ensure accuracy

Generate supporting documentation Meeting MU Objective #4 Generate supporting documentation An EHR-generated MU dashboard or report for the selected EHR reporting period that shows: EP’s name Numerator Denominator Resulting percentage

Retain supporting documentation Meeting MU Objective #4 Retain supporting documentation Attestation purposes vs. audit purposes

Attesting for MU Objective #4

Attesting for MU Objective #4

Common Issues

Common Issues: Objective #4

Common Issues: Objective #4 Drug formulary check was turned off, resulting in ePrescription not being captured by CEHRT Previous separate MU objective (drug formulary check) has been rolled into Objective #4, so drug formulary checks are required in order to count eRx in the numerator for this measure In nursing home setting, EPs were required to use the facility’s pharmacy which does not accept ePrescriptions CMS rule: EPs who are part of an organization that owns or operates its own pharmacy within the 10 mile radius are not eligible for the exclusion, regardless of whether that pharmacy can accept electronic prescriptions Controlled substances can be included in numerator, where allowed by state and local laws

Questions Questions?

Helpful Links CMS 2015 Program Requirements page CMS 2015 Objectives and Measures – Table of Contents MeHI Medicaid EHR Incentive Program page MeHI 2015 Supporting Documentation Requirements Guide

Contact Us Thomas Bennett Client Services Relationship Manager (508) 870-0312, ext. 403 tbennett@masstech.org Brendan Gallagher Client Services Relationship Manager (508) 870-0312, ext. 387 gallagher@masstech.org Al Wroblewski, PCMH CCE Client Services Relationship Manager (508) 870-0312, ext. 603 wroblewski@masstech.org