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Understanding Meaningful Use

This presentation by Allison Bryan, MS, CHES, explores the fundamentals of "Meaningful Use" as put forth by the Purdue Research Foundation. It details the financial incentives for healthcare providers to adopt certified EHR technology, emphasizing the compliance thresholds necessary for core and menu objectives. The discussion highlights privacy and security cases, including hefty fines for HIPAA violations. Progress is noted with substantial monetary incentives awarded to eligible professionals. Looking ahead, the transition to Stage 2 regulations will introduce new requirements for patient engagement in healthcare.

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Understanding Meaningful Use

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

  2. Meaningful Use Purdue Research Foundation 2012 • Financial incentives for the “meaningful use” of certified EHR technology to improve patient care • Providers have to meet thresholds for certain objectives • Required core objectives • Choice of menu objectives • Meaningful use must be demonstrated for all patients, not just Medicare or Medicaid subscribers

  3. Meaningful Use Stages Purdue Research Foundation 2012

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  7. Security Purdue Research Foundation 2012 Providers fined $100,00 for Internet privacy violations • 2 physician cardiology practice • The physician practice was posting clinical and surgical appointments for its patients on an Internet-based calendar that was publicly accessible • OCR findings: • Few policies and procedures to comply with the HIPAA Privacy and Security Rules • Limited safeguards in place to protect ePHI • Outcome: • $100,000 penalty • Required to adopt a Corrective Action Plan

  8. Security Purdue Research Foundation 2012 Massachusetts provider settles HIPAA case for $1.5 million • 300 Physician Eye and Ear Institute • Result of a theft of an unencrypted personal laptop containing ePHI of patients and research subjects • OCRfindings: • No thorough analysis of the risk to the confidentiality of ePHI maintained on portable devices • Did not Implement security measures sufficient to ensure the confidentiality of ePHI • Did not implement policies and procedures to restrict access to ePHI to authorized users of portable devices • Outcome: • $1.5 million penalty • Required to adopt a Corrective Action Plan

  9. Purdue Research Foundation 2012

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  12. Progress to Date Purdue Research Foundation 2012 • Incentives according to CMS: • More than 110,000 Eligible Professionals have received incentive payments from the Medicare and Medicaid EHR Incentive Programs • From May 2011 to July 31, 2012, more than $3.6 billionin Medicare payments • From January 2011 to August 31, 2012, more than $3.3 billionin Medicaid payments • Release of Stage 2 Meaningful Use • Begins 2014

  13. Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Secure Messaging (Core) • Use secure electronic messaging to communicate with patients on relevant health information • Threshold: greater than 5% • 2 exclusions apply • Timely Online Access: View, Transmit or Download(Core) • 2 portions, must achieve both for Meaningful Use • Timely Online Access • Measure: 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 or 36 hours after discharge from an inpatient or emergency department of an EH or CAH • Threshold: greater than 50% • View Transmit or Download • Measure: Number of unique patients seen by the EP during the reporting period (or authorized representative), who view, download, or transmit health information. • Threshold: greater than 5% • 1 exclusion applies to each portion

  14. Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Imaging Results(Menu) • Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT. • Threshold: The resulting percentage must be more than 10 percent in order to meet this measure. • 2 exclusions apply • Family History(Menu) • More than 20% of all unique patients seen by the EP during the EHR reporting periods have a structured data entry for one or more first-degree relatives • 1 exclusion applies

  15. Meaningful Use: Stage 2 Purdue Research Foundation 2012 • Cancer Registry (Menu) • Successful ongoing submission of cancer case information from CEHRT to a public health central cancer registry for the entire EHR reporting period. • No threshold, pass/fail • 4 exclusions apply • Specialized Registry (Menu) • Successful ongoing submission of specific case information from CEHRT to a specialized registry for the entire EHR reporting period • No threshold, pass/fail • 4 exclusions apply

  16. Summary Purdue Research Foundation 2012 • Meaningful Use is here to stay • Advanced stages become more challenging • Resources are available • Allison Bryan • 765-496-9791 • abryan@purdue.edu

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