Practice Management System

1. Stage 1 Meaningful Use with MVE 2014 Accelerate Your Practice Practice Management & EHR Practice Management System Electronic Medical Records www.MyVisionExpress.com

2. Meaningful Use is best defined as demonstrating the use of a certified EHR in ways that can be measured as being used in a “meaningful” way This includes using e-Prescribe, using EHR technology for electronic exchange of health information, and to submit clinical quality and other measures What is Meaningful Use?

3. 24 Measures (14 Core Measures and 10 Menu Measures) 7 require Yes/No 16 Require a numerator and denominator In addition, you must attest to 6 Clinical Quality Measures Reporting Period for the first year is 90 days minimum Subsequent years is the entire year What is Meaningful Use?

4. The incentive is 75% of Medicare Part B The penalties are: 1-3%, 2015-2017 and 3-5%, 2018-2019 There are no penalties for Medicaid providers. Incentive payments are a fixed amount each year and remain constant as long as you meet all eligibility requirements for program participation Incentives and Penalties

5. Medicare: Doctors of Optometry Medicaid: Physicians (primary doctors of medicine) Five states now offer Medicaid EHR incentives to Doctors of Optometry (Alabama, Illinois, Kentucky, Ohio, and South Carolina) Who is Eligible?

6. Medicare & Medicaid Registration and Attestation System You need: An individual NPI number and user account with a National Plan & Provider Enumeration System (NPPES) web user account. You must also enroll with PECOS Who is Eligible?

7. Physicians can set up the Meaningful Use report according to what they are individually attesting to Physicians can also set up vital signs and CPOE exclusions Changes with 2014

8. Core #1 CPOE

9. Core #2 Drug Interaction Checks

10. Core #2 Drug Interaction Checks • This objective has no exclusions • E-Prescribe is absolutely needed in order to satisfy this objective • You will need to contact your MVE Regional Account Manager to purchase eRx

11. Core #3 Maintain Problem List

12. Core #4 e-Prescribing (eRx)

13. Core #5 Active Medication List

14. Core #6 Active Drug Allergy List

15. Core #7 Demographics

16. Core #8 Record Vital Signs

17. Core #8 Record Vital Signs

18. Core #8 Record Vital Signs

19. Core #9 Record Smoking Status

20. Core #10 Clinical Quality Measures CQM is now a separate objective for reporting ambulatory or hospital clinical quality measures as part of meaningful use. EPs, eligible hospitals, and CAHs will still be required to report on clinical quality measures in order to achieve meaningful use. CMS is removing the standalone objectives that requires providers to attest that they plan to report CQMs because it is redundant.

21. CQM’s branches off to 6-9 additional measures 3 Core CQM: Adult Weight Screening and Follow up Blood Pressure Measurement Preventative Care and Screening Measure Pair: a. Tobacco Use Assessment b. Tobacco Cessation Intervention Core# 10 Clinical Quality Measures

22. NQF 0421 Adult Weight Screening and Follow-Up Description: Percentage of patients aged 18 years and older with a calculated BMI in the past six months or during the current visit documented in the medical record AND if the most recent BMI is outside parameters, a follow-up plan is documented. Core# 10 Clinical Quality Measures

23. NQF 0013 Hypertension: Blood Pressure Measurement Description: Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits, with blood pressure (BP) recorded. Core# 10 Clinical Quality Measures

24. NQF 0028: Preventative Care and Screening Measure Pair: a. Tobacco Use Assessment, b. Tobacco Cessation Intervention Description: Percentage of patients aged 18 years and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months b. Percentage of patients aged 18 years and older identified as tobacco users Core# 10 Clinical Quality Measures

25. CQM’s branches off to 6-9 additional measures 3 Core Alternative CQM: NQF 0041: Preventative Care and Screening: Influenza Immunization for Patients > 50 years old NQF 0024: Weight Assessment and Counseling for Children and Adolescents NQF 0038: Childhood Immunization Status Core# 10 Clinical Quality Measures

26. The attestation will prompt you to choose these three measures if you get a 0/0 in either one of your Core CQMs No percentages are tied to each measurement Attesting to a 0/0 will not effect your attestation Core# 10 Clinical Quality Measures

27. CQM’s branches off to 6-9 additional measures 4 Alternative available CQM related to Optometry or Ophthalmology: NQF 0086: Primary Open Angle Glaucoma NQF 0089: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy NQF 0088: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy NQF 0055: Diabetes Eye Exam Core# 10 Clinical Quality Measures

28. NQF 0086: Primary Open Angle Glaucoma (POAG) Description: Percentage of patients aged 18 years and older with a diagnosis of primary open angle glaucoma (POAG) who have been seen for at least two office visits within the last 12 months. Core# 10 Clinical Quality Measures

29. NQF 0089: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Description: Percentage of patients 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed with documented communication to the physician during one or more office visits within the last 12 months. Core# 10 Clinical Quality Measures

30. NQF 0088: Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy Description: Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilation macular or fundus exam performed during one or more office visits within the last 12 months. Core# 10 Clinical Quality Measures

31. NQF 0055: Diabetes Eye Exam Description: Percentage of patients 18-75 years of age with diabetes who have had an eye exam Core# 10 Clinical Quality Measures

32. Core# 10 Clinical Quality Measures

33. Core #11 Clinical Decision Support

34. Core #12 Electronic Copy of Health Information

35. Core #13 Clinical Summaries

36. Core #14 Protect Electronic Health Information

37. Contact your local Regional Extension Center • Each state has their own Regional Extension Center • You can email or call them to find out how much a Risk Analysis costs and if they are able to do it for your office • Prices vary depending on each center Core #14 Protect Electronic Health Information

38. The Risk Analysis Document is available through our Support Central page under Meaningful Use • This is an alternative to the Regional Extension Center • Carefully Fill out the document and include any documentations needed to explain why a certain procedure or task is not done in your practice • The Risk Analysis will need to be provided if you are chosen during an audit Core #14 Protect Electronic Health Information

39. Out of the ten remaining objectives, you must report 5. • One out of the five must be a public health objective; • Menu #9 Immunization Registry Reporting • Menu # 10 Syndromic Surveillance • Exclusions no longer accepted for Menu objectives until attempt to do objectives you can is done. Menu Objectives

40. Menu #1 Drug Formulary Checks

41. Menu #2 Clinical Lab Test Results

42. Menu #3 Patient Lists

43. Menu #4 Patient Reminders

44. Menu #5 Patient Electronic Access

45. Menu #6 Patient-specific Education Resources

46. Menu #7 Medication Reconciliation

47. Menu #8 Transition of Care Summary

48. Menu #9 Immunization Registries Data Submission

49. Menu #10 Syndromic Surveillance Data Submission

50. Visit Support Central to view more Video Tutorials and How-to Guides in our Knowledgebase. Support.MyVisionExpress.com Support Central