Falcon EHR Meaningful Use Training

1. Falcon EHR Meaningful Use Training

2. 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 • http://cms.gov/EHRIncentivePrograms/ • for updates visit cms.gov regularly

3. Medicare Meaningful Use & other incentive programs PQRS eRx • Can the Medicare incentive program be combined with other government incentives?

4. Achieving Meaningful Use Registration at the CMS website Demonstrating Meaningful Use Attesting results over a 90 day period to CMS

5. Registration • Go to https://www.cms.gov/EHRIncentivePrograms/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)

6. Registration EHR ID

7. Demonstration

8. Meaningful Use Objectives 15 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

9. Menu Set Objectives 5 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

10. Core Measures Must meet all 15 Meaningful Use: A Nephrologist’s view Menu-Set Measures Must meet 5 of 10 • Immunizations • Syndromic Surveillance Data • ePrescribe / CPOE • Clinical Decision Support • Clinical Quality Measures • Drug Interaction Checks • Drug Formulary Checks • Problem List • Medication List • Record Smoking Status • Patient Educational Materials Likely Exclusions • Electronic Exchange of Health Information • Privacy/Security • Generate Patient List • Patient Electronic Access • Clinical Lab Tests Misc. / One Time Physician MA / MT Office Staff • Record Demographics • Electronic Copy of Health Information • Clinical Summaries • Transition of Care Summary • Patient Reminders • Medication Allergy List • Vital Signs • Medication Reconciliation

11. Falcon EHR ONCHIT Release Training Demonstration Details

12. Encounters vs Patients Quote Source: http://questions.cms.hhs.gov/app/answers/detail/a_id/10592/kw/50%25/session/L3NpZC9qajR0blNCaw%3D%3D • 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

13. Meaningful Use Worksheet

14. Falcon EHR MU Release Training Meaningful Use

15. Falcon MU Scorecard

16. 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.

17. 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]

18. 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.

19. 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.

20. 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.

21. 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.

22. Meaningful Use Objective #7 • Record demographics • More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data.

23. 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

24. 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.

25. 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

26. Meaningful Use Objective #11 • Implement one clinical decision support rule • Setup one clinical decision support rule.[Yes/No: have you implemented the rule?]

27. Falcon MU CQM Scorecard

28. 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.

29. 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

30. 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?]

31. Meaningful Use Objective 15 • Protect electronic health information • Conduct or review a security risk analysis in accordance with the requirements under 45 CFR 164.308(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?]

32. Help Aids

33. Menu Set Objectives Required 5 Objectives + 1 Public Registry (MS #09 or MS #10)

34. 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?]

35. 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.

36. 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]

37. 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.

38. 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.

39. 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.

40. 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.

41. 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.

42. 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.

43. Attestation http://www.cms.gov/apps/ehr/meaningful-use-calculator-professionals.aspx

44. Thank you Falcon EHR looks forward to supporting you and your practice as you meet MU requirements https://www.cms.gov/EHRIncentivePrograms/

45. Medicare Incentives

46. Medicaid Incentives