1. Northeast Kentucky Regional Health Information Organization Kayla D. Rose, M.A., RRT Executive Director k.rose@nekyrhio.org  Get Equipped  Get Connected  Get on the path to Meaningful Use

2. West Liberty, Kentucky is the home of Northeast Kentucky RHIO.

3. NeKY RHIO  19 counties in Northeastern Kentucky  402 total providers  259 primary care providers as part of original REC grant – majority Medicaid  68 other specialty providers in Ashland area - Medicare  75 Medicaid specialty providers  Planning Guide and Meaningful Use pilot: work with additional providers

4. NeKY RHIO  Over 87% of our initial primary care providers were on an electronic health record  259 signed providers  193 providers can pull quality reports and e-RX  31 providers have attested to Medicare  Majority of our 259 will be attesting via Medicaid

5. Basic Information Did you know that Medicaid is handled by each state which can make this process different in each state?  Meaningful Use and Quality Measures are the same for Medicare and Medicaid  Meaningful Use Calculator for Medicare https://www.cms.gov/apps/ehr/ https://www.cms.gov/apps/ehr/

6. Kentucky Medicaid  KY Medicaid will be asking for additional information for the following MU measures  Meaningful Use 3, 4, 5, 6, 7, 11 and 14  MU Menu 1, 2 and 7

7. Example of Additional Attestation Questions

9. Information about Kentucky  Kentucky was among one of the first states to begin issuing checks to providers  To date, Kentucky has issued $19,932,500 to 939 providers

10. Information about Kentucky  Guides to registration and attestation can be found on http://chfs.ky.gov/dms/EHR.htmhttp://chfs.ky.gov/dms/EHR.htm  First day a provider can attest to Medicaid Year 2 in Kentucky is April 1, 2012  90 day period of Jan 1, 2012 – March 31, 2012

11. What do I need to Attest Year 1 (End of A/I/U)  Proof of Adopting, Implementing or Upgrading to a certified EHR  Vendor contract/invoice/letter  90-day Patient Volume Report for any 90 day period in previous year. *KCHIP  PDF format

12. Meaningful Use Attestation Program Year 2  Patient Volume Report – this will be required each year of the program  Meet all MU Core and Menu items  Meet Quality Measures

13. Meaningful Use Attestation Program Year 2  Proof of a test exchange of key clinical information (core measure 14).  Different vendors can provide different “proof” (i.e. email of encrypted message)  But for upload as proof an examples can be a screen shot of a message that states test email message was sent

14. MU Attestation Year 2  To qualify for an Exclusion for MU Measure 1 (immunization registry), upload one of the following documents:  A letter from the provider stating they did not provide immunizations during the EHR reporting period or  A signed Participation Agreement with KHIE along with a letter explaining why he/she is awaiting connection and expected connection date.

15. Further Attestation Tools  If you haven’t sought assistance from the REC in your area….do so.  Attestation Year 2 additional information for Kentucky – NeKY RHIO has a tool we developed to help with those additional questions. k.rose@nekyrhio.org

16. For more information Contact: Kayla D. Rose, Executive Director k.rose@nekyrhio.org 606-743-4005 ext. 311 www.nekyrhio.org