©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon EHR Falcon EHR Meaningful Use Training

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon’s commitment to its EHR users Falcon EHR is Meaningful Use (MU) Certified We have new features that support nephrologists’ MU needs and more Our training team will provide your practice with resources relating functionality to MU All MU information is from the CMS website –all EPs are responsible for understanding the requirements – –for updates visit cms.gov regularly

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Medicare Meaningful Use & other incentive programs Can the Medicare incentive program be combined with other government incentives? PQRS eRx

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Achieving Meaningful Use Registration at the CMS website Demonstrating Meaningful Use Attesting results over a 90 day period to CMS

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Registration Go to ms/20_RegistrationandAttestation.asp ms/20_RegistrationandAttestation.asp Register with CMS –If you do not have an account, register with NPPES (requires 24 hours to registation to be updated for MU)

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Registration EHR ID

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Demonstration

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objectives CPOE of Medication Orders Drug Interaction Check Maintain Problem List for 80% of active patients eRx for 40% of active patients Medication List for 80% of patients Drug Allergy List for 80% of patients Demographics for 50% of patients Record Vitals for 50% of patients Record smoking status for 50% of patients Record 6 CQM Implement one CDS Rule eHealth information for 50% of patients Clinical Summaries for 50% of patients Exchange health information Protect ePHI 15 OBJECTIVES

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objectives Drug Formulary Check Lab Test Results for 40% of patients Generate a Patient List Patient reminders for 20% of patients Patient timely access for 10% of patients Education Resources for 10% of patients Medication reconciliation for 50% of patients Transition of care summary Immunization Registry* Syndromic Surveillance* * Required to submit to 1 of 2 public registries 5 OBJECTIVES

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use: A Nephrologist’s view 1.ePrescribe / CPOE 2.Clinical Decision Support 3.Clinical Quality Measures 4.Drug Interaction Checks 5.Drug Formulary Checks 6.Problem List 7.Medication List 8.Record Smoking Status 9.Patient Educational Materials 1.Medication Allergy List 2.Vital Signs 3.Medication Reconciliation 1.Record Demographics 2.Electronic Copy of Health Information 3.Clinical Summaries 4.Transition of Care Summary 5.Patient Reminders 1.Electronic Exchange of Health Information 2.Privacy/Security 3.Generate Patient List 4.Patient Electronic Access 5.Clinical Lab Tests 1.Immunizations 2.Syndromic Surveillance Data Physician MA / MT Office Staff Misc. / One Time Likely Exclusions Core Measures Must meet all 15 Menu-Set Measures Must meet 5 of 10

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon EHR Falcon EHR ONCHIT Release Training Demonstration Details

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Encounters vs Patients Become familiar with the 50% rule and which measures require tracking of unique patients “To be a meaningful EHR user, an EP must have 50 percent or more of their patient encounters during the EHR reporting period at a practice/location or practices/locations equipped with certified EHR technology. For the purpose of calculating this 50 percent threshold, any encounter where a medical treatment is provided and/or evaluation and management services are provided should be considered a "patient encounter.” 50% rule is different from the requirements for specific Objectives Quote Source:

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Worksheet

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon EHR Falcon EHR MU Release Training Meaningful Use

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon MU Scorecard

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Object #1 Computerized physician order entry (CPOE) –More than 30 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #2 Drug-drug and drug-allergy interaction checks –The EP has enabled this functionality for the entire EHR reporting period. –[Yes/No: Did you have this enabled for the reporting period]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #3 Maintain an up-to-date problem list of current and active diagnoses –More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #4 E-Prescribing (eRx) –More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #5 Maintain active medication list –More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #6 Maintain active medication allergy list –More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #7 Record demographics –More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #8 Record and chart changes in vital signs –For more than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data.* * for patients 2-20 that have ICD-9 V85.5 recorded

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #9 Record smoking status for patients 13 years or older –More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #10 Successfully report to CMS ambulatory clinical quality measures selected by CMS in the manner specified by CMS CMS defined 3 core and 3 alternate core CQM measures; Falcon EHR defined 3 additional measures that were most pertinent to our providers

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #11 Implement one clinical decision support rule –Setup one clinical decision support rule. [Yes/No: have you implemented the rule?]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Falcon MU CQM Scorecard

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #12 Provide patients with an electronic copy of their health information, upon request –More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #13 Provide clinical summaries for patients for each office visit –Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days.* * Exempted from dialysis patient summary

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective #14 Capability to exchange key clinical information among providers of care and patient-authorized entities electronically –Performed at least one test of certified EHR technology’s capacity to electronically exchange key clinical information. [Yes/No: did you send at least clinical summary to another provider?]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Meaningful Use Objective 15 Protect electronic health information –Conduct or review a security risk analysis in accordance with the requirements under 45 CFR (a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process. [Yes/No: Have you conducted or reviewed a security risk analysis?]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Help Aids

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objectives Required 5 Objectives + 1 Public Registry (MS #09 or MS #10)

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #1 Drug-formulary checks –The EP has enabled this functionality and has access to at least one internal or external formulary for the entire EHR reporting period. [Yes/No: Have you enabled this functionality?]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #2 Incorporate clinical lab test results as structured data –More than 40 percent of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #3 Generate lists of patients by specific conditions –Generate at least one report listing patients of the EP with a specific condition. [Yes/No: Have you run at least 1 report]

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #4 Send reminders to patients per patient preference for preventive/follow up care –More than 20 percent of all patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #5 Provide patients with timely electronic access to their health information –At least 10 percent of all unique patients seen by the EP are provided timely (available to the patient within four business days of being updated in the certified EHR technology) electronic access to their health information subject to the EP’s discretion to withhold certain information.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #6 Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate –More than 10 percent of all unique patients seen by the EP are provided patient-specific education resources.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #7 Medication reconciliation –The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #8 Summary of care record for each transition of care/referrals –The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent of transitions of care and referrals.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Menu Set Objective #10 Capability to provide electronic syndromic surveillance data to public health agencies* –Performed at least one test of certified EHR technology’s capacity to provide electronic syndromic surveillance data to public health agencies and follow- up submission if the test is successful.* [Yes/No OR Exclusion....AND BTW, the exclusion counts as meeting the measure] * Unless none of the public health agencies to which an EP submits such information has the capacity to receive the information electronically.

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Attestation

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Thank you Falcon EHR looks forward to supporting you and your practice as you meet MU requirements

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. Medicare Incentives

©2011 Falcon, LLC. All rights reserved. Proprietary. May not be copied or distributed without the express written permission of Falcon, LLC. M EDICAID I NCENTIVES