Presentation is loading. Please wait.

Presentation is loading. Please wait.

Modified Stage 2 Meaningful Use: Objective #2 – Clinical Decision Support Massachusetts Medicaid EHR Incentive Payment Program July 7, 2016 Today’s presenter:

Published byDrusilla Collins Modified over 6 years ago

Similar presentations

Presentation on theme: "Modified Stage 2 Meaningful Use: Objective #2 – Clinical Decision Support Massachusetts Medicaid EHR Incentive Payment Program July 7, 2016 Today’s presenter:"— Presentation transcript:

1 Modified Stage 2 Meaningful Use: Objective #2 – Clinical Decision Support Massachusetts Medicaid EHR Incentive Payment Program July 7, 2016 Today’s presenter: Al Wroblewski, PCMH CCE, Client Services Relationship Manager

2 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

3 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

4 Agenda What is Meaningful Use (MU) Objective #2 all about?
Steps to meet MU Objective #2 Do the right thing Select Clinical Decision Support (CDS) interventions to be used Utilize CEHRT to automate CDS interventions Focus on consistent implementation Ensure Certified EHR Technology (CEHRT) can generate supporting documentation Create, capture, and retain supporting documentation Attesting for MU Objective #2 Common Issues Questions and Answers

5 What is MU Objective #2 all about?

6 What is MU Objective #2 all about?

7 What is MU Objective #2 all about?
Clinical Decision Support Objective Use clinical decision support to improve performance on high-priority health conditions. Measures EPs must satisfy both of the following measures in order to meet the objective: Measure 1: Implement five clinical decision support interventions related to four or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. Absent four clinical quality measures related to an EP’s scope of practice or patient population, the clinical decision support interventions must be related to high priority health conditions. Measure 2: The EP has enabled and implemented the functionality for drug-drug and drug allergy interaction checks for the entire EHR reporting period. Exclusion For the second measure, any EP who writes fewer than 100 medication orders during the EHR reporting period. Alternate Objective For an EHR reporting period in 2015 only, an EP who is scheduled to participate in Stage 1 in 2015 may satisfy the following in place of Measure 1: Objective: Implement one clinical decision support rule relevant to specialty or high clinical priority, along with the ability to track compliance with that rule. Alternate Measure Measure: Implement one clinical decision support rule.

8 What is MU Objective #2 all about?
Clinical Decision Support - Attestation Requirements MEASURE 1 – Yes, 5 clinical decision support interventions related to 4 Clinical Quality Measures (CQMs) have been implemented ALTERNATE OBJECTIVE AND ALTERNATE MEASURE 1 – Yes, Eligible Professionals (EPs) scheduled to attest to Stage 1 have implemented 1 clinical decision support rule MEASURE 2 – Yes, drug-drug and drug-allergy checks were enabled and implemented for the entire EHR reporting period EXCLUSION – Any EP who writes fewer than 100 orders during the EHR reporting period

9 What is MU Objective #2 all about?
Clinical Decision Support – Additional Information If CQMs that apply to EP’s scope of practice are limited, implement interventions that drive improvements in care delivery for relevant high-priority health conditions Drug-drug and drug-allergy interaction alerts are in addition to clinical decision support rules

10 Steps to meet MU Objective #2

11 Meeting MU Objective #2 Do the right thing
The right information (evidence-based guidance, response to clinical need) To the right people (entire care team, including patient) Through the right channels (e.g., EHR, mobile device, patient portal) In the right intervention formats (e.g., order sets, flow-sheets, dashboards, patient lists) At the right points in workflow (for decision- making or action)

12 Select CDS interventions and format to be used, such as:
Meeting MU Objective #2 Select CDS interventions and format to be used, such as: Computerized alerts and reminders for providers and patients Clinical guidelines Condition-specific order sets Focused patient data reports and summaries Documentation templates Diagnostic support Contextually relevant reference information

13 Meeting MU Objective #2 Utilize CEHRT to automate CDS interventions

14 Meeting MU Objective #2 Focus on consistent implementation

15 Meeting MU Objective #2 Ensure CEHRT can generate supporting documentation

16 Create, capture, and retain supporting documentation
Meeting MU Objective #2 Create, capture, and retain supporting documentation Attestation purposes vs. audit purposes

17 Attesting for MU Objective #2

18 Attesting for MU Objective #2

19 Attesting for MU Objective #2
Supporting Documentation requirements Measure 1: Screen prints of 5 CDS interventions generated from CEHRT dated within the selected EHR reporting period. The screen prints must display profile information about the EP & facility/organization. Documentation that shows how the 5 CDS interventions relate to four or more CQMs related to the EP's scope of practice. Absent the four CQMs, a letter from the EP or EP's Supervising MD, Clinical Director or Medical Director is required, explaining how the selected interventions relate to the EP's patient population and high-priority health conditions. If an organization has multiple EPs and has selected Global CDS interventions that are used by all EPs across all specialties, a screenshot with the practice name and enabled date is required along with a letter confirming the CDS intervention’s relevance to the attesting EPs. If the screenshot does not display the enabled date, either a) submit a copy of the certified EHR system’s audit log showing the selected CDS interventions were enabled for the entire EHR reporting period, or b) provide a Vendor letter stating when the alerts were enabled and confirming that providers do not have the ability to deactivate an alert.

20 Attesting to MU Objective #2
Supporting Documentation requirements, continued Alternate Measure: EPs who select the alternate measure are required to upload a screen print of 1 CDS intervention generated from the certified EHR system dated within the selected EHR reporting period. Measure 2: Documentation from CEHRT showing the EP enabled and implemented drug-drug and drug-allergy interaction checks for the entire EHR reporting period. The screen prints must display profile information about the EP & facility/organization.

21 Common Issues

22 Common Issues: Objective #2

23 Common Issues: Objective #2
Practice defines CDS too narrowly Not just alerts Not just for physicians CEHRT does not have relevant CDS interventions Alert fatigue After there is an alert, notification or explicit care suggestion, follow-through implementation is lacking Getting proper documentation

24 Questions Questions?

25 Helpful Links CMS 2015 Program Requirements page
MeHI Medicaid EHR Incentive Program page MeHI 2015 Supporting Documentation Requirements Guide CMS Clinical Decision Support Tipsheet

26 Contact Us Thomas Bennett Client Services Relationship Manager
(508) , ext. 403 Brendan Gallagher Client Services Relationship Manager (508) , ext. 387 Al Wroblewski, PCMH CCE Client Services Relationship Manager (508) , ext. 603

Download ppt "Modified Stage 2 Meaningful Use: Objective #2 – Clinical Decision Support Massachusetts Medicaid EHR Incentive Payment Program July 7, 2016 Today’s presenter:"

Similar presentations

Understanding Meaningful Use Presented by: Allison Bryan MS, CHES December 7, 2012 Purdue Research Foundation 2012 Review of Stage 1 and Stage 2.

Understanding Meaningful Use Presented by: Allison Bryan MS, CHES December 7, 2012 Purdue Research Foundation 2012 Review of Stage 1 and Stage 2.
Meeting Stage 1 Meaningful Use Criterion Carlos A. Leyva, Esq. Digital Business Law Group, P.A. www.digitalbusinesslawgroup.com.

Meeting Stage 1 Meaningful Use Criterion Carlos A. Leyva, Esq. Digital Business Law Group, P.A.
TWS July2011 Stimulation Part 2. TWS July 2011 Objective: Implement drug formulary checks. Measure: The EP has enabled this functionality and has access.

TWS July2011 Stimulation Part 2. TWS July 2011 Objective: Implement drug formulary checks. Measure: The EP has enabled this functionality and has access.
CMS Proposals for Quality Reporting Programs Under the 2015 Medicare Physician Fee Schedule Proposed Rule PQRS, EHR Incentive Program, Physician Compare,

CMS Proposals for Quality Reporting Programs Under the 2015 Medicare Physician Fee Schedule Proposed Rule PQRS, EHR Incentive Program, Physician Compare,
MEANINGFUL USE UPDATE 2014 Mark Huang, M.D. Chief Medical Information Officer Rehabilitation Institute of Chicago Associate Professor Department of PM.

MEANINGFUL USE UPDATE 2014 Mark Huang, M.D. Chief Medical Information Officer Rehabilitation Institute of Chicago Associate Professor Department of PM.
Medicare & Medicaid EHR Incentive Programs

Medicare & Medicaid EHR Incentive Programs
August 12, 20151 Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.

August 12, Meaningful Use *** UDOH Informatics Brown Bag Robert T Rolfs, MD, MPH.
A First Look at Meaningful Use Stage 2 John D. Halamka MD.

A First Look at Meaningful Use Stage 2 John D. Halamka MD.
Audits for the Medicare and Medicaid EHR Incentive Programs Vidya Sellappan HIT Initiatives Group, CMS 1.

Audits for the Medicare and Medicaid EHR Incentive Programs Vidya Sellappan HIT Initiatives Group, CMS 1.
2015 User Conference Surviving an MU Audit April 24, 2015 1:15 pm Guest Speaker: Grace Bell NYC REACH, New York City Regional Extension Center Co-presenter:

2015 User Conference Surviving an MU Audit April 24, :15 pm Guest Speaker: Grace Bell NYC REACH, New York City Regional Extension Center Co-presenter:
Medicaid EHR Incentive Program For Eligible Professionals Overview of the Proposed 2015 Modification Rule Kim Davis-Allen Outreach Coordinator

Medicaid EHR Incentive Program For Eligible Professionals Overview of the Proposed 2015 Modification Rule Kim Davis-Allen Outreach Coordinator
Affordable Healthcare IT Solutions. MU RX Compliance with Meaningful Use Stage 2.

Affordable Healthcare IT Solutions. MU RX Compliance with Meaningful Use Stage 2.
Implementation 60-120 days 10 Days Onsite Training Additional Hardware Automated Workflow Paperless Environment MD with PC Tablet / iPad Workflow Analysis.

Implementation days 10 Days Onsite Training Additional Hardware Automated Workflow Paperless Environment MD with PC Tablet / iPad Workflow Analysis.
Data Intermediaries and Meaningful Use: Quality Measure Innovation, Calculation and Reporting Recommendations from Data Intermediary Tiger Team.

Data Intermediaries and Meaningful Use: Quality Measure Innovation, Calculation and Reporting Recommendations from Data Intermediary Tiger Team.
Meaningful Use: Stage 2 Changes An overall simplification of the program aligned to the overarching goals of sustainability as discussed in the Stage.

Meaningful Use: Stage 2 Changes An overall simplification of the program aligned to the overarching goals of sustainability as discussed in the Stage.
CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview 1 Robert Anthony.

CMS Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs Final Rule Overview 1 Robert Anthony.
Configuring axiUm for Meaningful Use

Configuring axiUm for Meaningful Use
Physician Quality Reporting System (PQRS) Reporting with MeHI’s Registry and Services February 10, 2015 Today’s presenters: Al Wroblewski, Client Services.

Physician Quality Reporting System (PQRS) Reporting with MeHI’s Registry and Services February 10, 2015 Today’s presenters: Al Wroblewski, Client Services.
CDSS, queries and statistics FLL July 2011 Claudia Wente-Waedlich.

CDSS, queries and statistics FLL July 2011 Claudia Wente-Waedlich.
Medicaid EHR Incentive Program Updates eHealth Services and Support September 24, 2014 Today’s presenter: Nicole Bennett, Provider Enrollment and Verification.

Medicaid EHR Incentive Program Updates eHealth Services and Support September 24, 2014 Today’s presenter: Nicole Bennett, Provider Enrollment and Verification.

Similar presentations

Ads by Google