The Bill Aims to Accomplish Four Major Goals:

Transcription

1 The Bill Aims to Accomplish Four Major Goals: How? Health information technology infrastructure for interoperability in place Standards expanded by 00 Saving the government $8 billion Strengthening Federal privacy and security law through standards maturation An unprecedented investment in health IT The Result? The Congressional Budget Office estimates that 90% of doctors and 70% of hospitals will be using comprehensive EHR by 00 4

2 What is in the $9 Billion?! $30 $36 $46 billion Well, it isn t really $9 billion Physician Incentives Incentive Bonuses from Medicare/Medicaid ONC + $ billion - $8.5 billion = $9.5 billion HHS Discretionary Funds (Thru Office of National Coordinator of Health IT) Standards Development, Grants (AHRQ, HRSA, CMS), HIE Infrastructure, Loans to the States for EHR, Regional HIT Resource Centers, Telemedicine, Efficacy Studies Savings Through Improved Efficiencies, Tax Revenues, Penalties HRSA = Health Resources and Services Administration AHRQ = Agency for Healthcare Research and Quality

3 HITECH Act: Physician Incentives $36 Billion in Incentives Require Proof of "Meaningful Use The EHR must be a certified product and include eprescribing The EHR must be connected The provider must comply with submission of reports on clinical quality measures First Adopters Will Benefit The Most (Sliding Incentives) Physicians can earn between $44,000 to $64,000 over five years from Medicare / Medicaid if they are utilizing an EHR in 0 Late adopters will receive significantly less Providers may receive incentives under only one of the programs 05: reductions in Medicare fees for non-ehr users Those in Provider Shortage Areas can earn 0% more Hospitals can earn up to $,000,000 plus discharge bonuses (total payout to them could be $0 million +) 8

4 INCENTIVE AMOUNTS AND TIMETABLE Medicare FFS Incentives: EPs who are meaningful EHR users, are eligible for incentives based on an amount equal to 75 percent of their allowed Medicare Part B charges for covered professional services subject to the annual maximum limits specified below: What are the bonus payments that will be available to physicians under Medicare? Under Medicare, physicians will be eligible for up to the following amount as soon as they can demonstrate meaningful use (beginning in 0): Amount Physician Will Receive Each Year Year physician first files TOTAL 0 $8,000 $,000 $8,000 $4,000 $,000 $0 $44,000 0 $0 $8,000 $,000 $8,000 $4,000 $,000 $44, $0 $0 $5,000 $,000 $8,000 $4,000 $39, $0 $0 $0 $5,000 $,000 $8,000 $35, or Later $0 $0 $0 $0 $0 $0 $0 Note: Reimbursement penalty will be implemented by Medicare for non-users in 05 (%) and 06 (%). For example, a physician with a total of $5,000 in allowed Medicare Part B charges in 0 is eligible for up to $,50, while a physician with a total of $30,000 in allowed Medicare Part B charges in 0 is eligible for the maximum amount, $8,000.

5 ONC CHPL Page of 4 /3/00 The Certified HIT Product List (CHPL) provides the authoritative, comprehensive listing of Complete EHRs and EHR Modules that have been tested and certified under the Temporary Certification Program maintained by the Office of the National Coordinator for Health IT (ONC). Each Complete EHR and EHR Module listed below has been certified by an ONC-Authorized Testing and Certification Body (ONC-ATCB) and reported to ONC. Only the product versions that are included on the CHPL are certified under the ONC Temporary Certification Program. Please note that the CHPL is a snapshot of the current list of certified products. The CHPL is updated frequently as newly certified products are reported to ONC. Using the CHPL Certified products are identified with the name of the certifying ONC-ATCB, the ONC certification number, vendor information, product information, and product version number. The CHPL is currently sorted alphabetically, by Product Name. EHR products classified as Complete EHR have been certified to meet all the mandatory certification criteria as identified in the Standards and Certification Criteria Final Rule (45 CFR Part 70 Part III). Complete EHR products listed on the CHPL have been certified to meet all of the General Criteria listed in Section 70.30, plus all of the criteria applicable to a type of practice setting. (In the Final Rule, the certification criterion for Accounting for Disclosures ( 70.30(w) ) is optional for systems or technologies seeking certification and may not appear.) The products identified as Inpatient EHR products and listed under the Inpatient Practice Setting additionally fulfill the specific criteria defined in 45 CFR Part The Certified EHR products identified as Ambulatory EHR products and listed under the Ambulatory Practice Setting additionally fulfill all of the specific criteria defined in 45 CFR Part EHR Modules are those technologies that are certified to at least one of the certification criteria as defined in the Standards and Certification Criteria Final Rule. Due to the regulatory requirement that EHR Module technologies be certified to the security criteria elaborated in the Final Rule, many EHR Modules will be certified to more than one of the regulatory criteria. To determine which criteria a particular product is certified to meet, click on the Certification Status link at the end of the row for that listed product. You will be taken to another table indicating which of the Certification Criteria a particular Complete EHR or EHR Module has been certified to meet. Please note: This is Version.0 of the Certified Health IT Product List (CHPL). Version.0 is under development and is expected to provide additional information, such as a list of the Clinical Quality Measures to which a given product was tested; and additional functionality, such as different ways to query and sort the data for viewing. The later version will also provide the above-mentioned reporting number that will be accepted by CMS for purposes of attestation under the EHR ("meaningful use") incentives programs. Please send suggestions and comments regarding the Certified Health IT Product List (CHPL) to ONC.certification@hhs.gov, with "CHPL" in the subject line. This list was last modified on November 9, 00. Product Certification Overview Certifying ATCB ONC Certification # Vendor Product Product Classification Practice Setting Product Version # Certification Status Drummind CC CC CC CC CC CC CC CC Pulse Systems 0 Pulse Complete EHR Complete EHR Ambulatory 0 View Criteria ABEL Medical Software Inc. ABELMed EHR - EMR / PM Complete EHR Ambulatory View Criteria Compulink Advantage/EHR Complete EHR Ambulatory 0 View Criteria Allscripts Allscripts ED Modular Inpatient 6.3 Service Release 4 View Criteria Allscripts Allscripts PeakPractice Complete EHR Ambulatory 5.5 View Criteria Allscripts Allscripts Professional EHR Complete EHR Ambulatory 9. View Criteria Aprima Medical Software, Inc Aprima Complete EHR Ambulatory 0 View Criteria athenahealth, Inc athenaclinicals Complete EHR Ambulatory 0. View Criteria Netsmart Technologies Avatar Modular Ambulatory 0 View Criteria Netsmart Technologies Avatar Modular Inpatient 0 View Criteria CC CC GE Healthcare IT CC CC CC CC CC Benchmark Systems Benchmark Clinical Complete EHR Ambulatory Version 6.0 View Criteria GE Healthcare Centricity Advance Complete EHR Ambulatory 0. View Criteria Centricity Enterprise, including any combination of Enterprise Orders, Gemini Orders, Centricity Enterprise Medication Reconciliation, Centricity Enterprise Discharge Instructions, Menon Medication Reconciliation, and Menon Discharge Instructions Complete EHR Inpatient View Criteria GE Healthcare Centricity Practice Solution Complete EHR Ambulatory 9.5 View Criteria Cerner Corporation Cerner Corporation Cerner Corporation Mighty Oak Technology, Inc. Prognosis Health Information Systems Cerner Millennium Powerchart, Cerner Millennium FirstNet, Cerner Millennium ProFile, Health Sentry, Healthe Exchange, Cerner Healthe Record, IQHealth and P Sentinel (Powered by Sensage) Cerner Millennium Powerchart, Cerner Millennium FirstNet, Cerner Millennium ProFile, Health Sentry, Healthe Exchange, Cerner Healthe Record, IQHealth and P Sentinel (Powered by Sensage) Cerner Millennium Powerchart, Cerner Millennium FirstNet, Cerner Millennium ProFile, Health Sentry, Healthe Exchange, Cerner Healthe Record, IQHealth and P Sentinel (Powered by Sensage) Complete EHR Complete EHR Complete EHR Inpatient Inpatient Inpatient Version , P Sentinel Version and P Sentinel v and P Sentinel v4.. View Criteria View Criteria View Criteria Chart Talk for Meaningful Use Modular EHR Ambulatory.0' View Criteria ChartAccess Complete EHR Inpatient 4.0 View Criteria ChartLogic, Inc. ChartLogic EMR Complete EHR Ambulatory 7 View Criteria Midwest Software, LLC Chiro QuickCharts Modular Ambulatory.5 View Criteria Forte Holdings Chiro8000/ForteEMR Modular EHR Ambulatory. View Criteria

6 ONC CHPL Page of 4 /3/00 Certifying ATCB ONC Certification # Vendor Product Product Classification Practice Setting Product Version # Certification Status Group Inc Group Inc Group Inc Life Systems Software ChiroPad EMR Modular EHR Ambulatory 6 View Criteria Life Systems Software ChiroSuite EHR Modular EHR Ambulatory 6 View Criteria Medrium Inc. Complete Practice Management Modular Ambulatory MU Stage View Criteria CC--89- CC CC CC CPSI (Computer Programs and Systems), Inc. CPSI System Complete EHR Inpatient 7 View Criteria CureMD Corporation CureMD EHR Complete EHR Ambulatory Version 0 View Criteria Cyfluent, Inc. Cyfluent Chart Complete EHR Ambulatory.0 View Criteria DocPatientNetwork Doctations Complete EHR Ambulatory View Criteria e-mds, Inc. e-mds Solution Series Complete EHR Ambulatory 7 View Criteria CC CC CC eclinicalworks LLC eclinicalworks Complete EHR Ambulatory 9.0 View Criteria eclinicalworks LLC eclinicalworks Complete EHR Ambulatory View Criteria EDIMS, LLC EDIMS Modular Inpatient.6 View Criteria MEDHOST, Inc. EDIS Modular Inpatient 4. View Criteria CC CC CC CC ehealth Made EASY, LLC ehealth Made EASY, LLC ehealth Made EASY, LLC ehealth Made EASY Modular EHR Inpatient 3.0 View Criteria ehealth Made EASY Complete EHR Ambulatory 3.0 View Criteria ehealth Made EASY Modular EHR Ambulatory 3.0 View Criteria Office Ally EHR 4/7 Complete EHR Ambulatory View Criteria Emdeon Inc. Emdeon Clinician Complete EHR Ambulatory 7.4 View Criteria empowersystems empowersystems (ambulatory) Complete EHR Ambulatory..57 View Criteria empowersystems empowersystems (inpatient) Complete EHR Inpatient..57 View Criteria CC CC CC CC Epic Systems Corporation Epic Systems Corporation Epic Systems Corporation Epic Systems Corporation EpicCare Ambulatory - Core EMR Complete EHR Ambulatory Summer 009 View Criteria EpicCare Ambulatory - Core EMR Complete EHR Ambulatory Spring 008 View Criteria EpicCare Inpatient - Core EMR Complete EHR Inpatient Summer 009 View Criteria EpicCare Inpatient - Core EMR Complete EHR Inpatient Spring 008 View Criteria GEMMS, Inc. GEMMS ONE Complete EHR Ambulatory View Criteria CC CC glostream, Inc. gloemr Complete EHR Ambulatory 6.0 View Criteria Health Care Systems, Inc. HCS emr Complete EHR Inpatient 4.0 View Criteria McKesson Horizon Clinicals Complete EHR Inpatient 0.3. View Criteria McKesson Horizon Meds Manager Modular EHR Inpatient 8.7. View Criteria imedicware, Inc idoc Complete EHR Ambulatory 4..5 View Criteria ifa united i-tech Inc. ifa EMR Modular Ambulatory 6 View Criteria CC CC Meditab Software, Inc. IMS Complete EHR Ambulatory v. 4.0 View Criteria Ingenix Ingenix CareTracker Modular Ambulatory 7 View Criteria Intivia, Inc. InSync Complete EHR Ambulatory 5.4 View Criteria CC CC CC CC CC CC CC SuiteMed Intelligent Medical Software (IMS) Complete EHR Ambulatory V4 View Criteria Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc INVISION EHR Complete EHR Inpatient 00 View Criteria INVISION EHR B Modular EHR Inpatient 00 View Criteria INVISION EHR B3 Modular EHR Inpatient 00 View Criteria INVISION EHR B4 Modular EHR Inpatient 00 View Criteria IO Practiceware, Inc. IO Practiceware Complete EHR Ambulatory 7 View Criteria MCS - Medical Communication Systems, ipatientcare Complete EHR Ambulatory 0.8 View Criteria Inc MEDITECH, Inc. Magic Complete EHR Inpatient View Criteria CC CC First Insight Corp MaximEyes SQL Electronic Health Records Modular EHR Ambulatory..0.0 View Criteria Vision Infonet Inc., MDCare EMR Modular Ambulatory 4. View Criteria

7 ONC CHPL Page 3 of 4 /3/00 Certifying ATCB ONC Certification # Vendor Product Product Classification Practice Setting Product Version # Certification Status InfoGard InfoGard HHT International, Inc. MDFlow EHR and Patient Care Workflow Management System Modular EHR Ambulatory 3 View Criteria Enable Healthcare Inc., (EHI) Mdnet Modular Ambulatory 3 View Criteria MediRec, LLC MDrec Modular EHR Ambulatory 0 View Criteria Hospital Systems MedClient Complete EHR Inpatient 8. View Criteria CC--93- Community Computer Service, Inc. MEDENT Complete EHR Ambulatory 9.5 View Criteria EHR Doctors, Inc. MediBridge for VistA/CPRS Modular Inpatient View Criteria CC Advanced Data Systems Corporation Medics DocAssistant Complete EHR Ambulatory Version 5. View Criteria MedInformatix, Inc MedInformatix Complete EHR Ambulatory 7.5 View Criteria HealthFusion MediTouch EHR Complete EHR Ambulatory 3 View Criteria CC CC Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc MedSeries4 EHR Complete EHR Inpatient 00 View Criteria MedSeries4 EHR B Modular EHR Inpatient 00 View Criteria Mitochon Systems, Inc. memr/mconnect/mphr Modular EHR Ambulatory.5 View Criteria CC CC CC CC Cerner Corporation Cerner Corporation Cerner Corporation Cerner Corporation Millennium Powerchart, Healthe Exchange, IQHealth, Health Sentry, Cerner Health Record and P Sentinel Millennium Powerchart, Healthe Exchange, IQHealth, Health Sentry, Cerner Health Record and P Sentinel Millennium Powerchart, Healthe Exchange, IQHealth, Health Sentry, Cerner Health Record and P Sentinel Millennium PowerWorks, Healthe Exchange, IQHealth, Health Sentry, Cerner Health Record and P Sentinel Complete EHR Complete EHR Complete EHR Complete EHR Ambulatory Ambulatory Ambulatory Ambulatory and P Sentinel v and P Sentinel v and P Sentinel v and P Sentinel v4.. View Criteria View Criteria View Criteria View Criteria Secure Infosys LLC MYEMR Complete EHR Ambulatory.4 View Criteria CC CC CC CC CC CC CC CC IG IG NeoDeck Software NeoMed EHR Complete EHR Ambulatory 3.0 View Criteria NexTech Systems Inc. NexTech Practice 0 Complete EHR Ambulatory 9.7 View Criteria nextemr, LLC nextemr, LLC Complete EHR Ambulatory.5 View Criteria NextGen Healthcare NextGen Ambulatory EHR Complete EHR Ambulatory 5.6 SP View Criteria Nortec Software Inc Nortec EHR Complete EHR Ambulatory 7.0 View Criteria Eyefinity/OfficeMate OfficeMate/ExamWRITER Complete EHR Ambulatory 0.0 View Criteria Altos Solutions, Inc. OncoEMR Complete EHR Ambulatory.6 View Criteria Keane, Inc. Healthcare Solutions Division Healthcare Clinical Consultants, dba, Theronyx Healthcare Clinical Consultants, dba, Theronyx Optimum Complete EHR Inpatient V3..0 View Criteria OPUS-RT Modular EHR Impatient View Criteria OPUS-RT Modular EHR Ambulatory View Criteria QRS, Inc. PARADIGM Modular Ambulatory 8.3 View Criteria CC CC CC CC CC CC CC CC PeriGen PeriBirth Modular Inpatient View Criteria Universal EMR Solutions Physician's Solution Complete EHR Ambulatory 5 View Criteria Cerner Corporation Cerner Corporation Cerner Corporation Cerner Corporation Cerner Corporation Cerner Corporation Powerchart, Cerner Healthe, IQHealth, HealthSentry, Cerner Health Record and P Sentinel Powerchart, Cerner Healthe, IQHealth, HealthSentry, Cerner Health Record and P Sentinel Powerchart, Cerner Healthe, IQHealth, HealthSentry, Cerner Health Record and P Sentinel Powerchart, FirstNet, Cerner ProFile, HealthSentry, Cerner Healthe, Cerner Health Record, IQHealth and P Sentinel (Powered by Sensage) Powerchart, FirstNet, Cerner ProFile, HealthSentry, Cerner Healthe, Cerner Health Record, IQHealth and P Sentinel (Powered by Sensage) Powerchart, FirstNet, Cerner ProFile, HealthSentry, Cerner Healthe, Cerner Health Record, IQHealth and P Sentinel (Powered by Sensage) Complete EHR Complete EHR Complete EHR Complete EHR Complete EHR Complete EHR Ambulatory Ambulatory Ambulatory Inpatient Inpatient Inpatient and P Sentinel v and P Sentinel v and P Sentinel v and P Sentinel v and P Sentinel v4.. Version , P Sentinel Version 4.. View Criteria View Criteria View Criteria View Criteria View Criteria View Criteria Practice Fusion Practice Fusion Modular Ambulatory View Criteria CC CC CC CC CC PriMedx Solutions, LLC PriMedx EHR Complete EHR Ambulatory 0.8 View Criteria Greenway Medical Technologies, Inc. PrimeSuite Complete EHR Ambulatory 0 View Criteria BizMatics Inc PrognoCIS Complete EHR Ambulatory Version.0 View Criteria ACOM Health RAPID Modular EHR Ambulatory 7 View Criteria DrFirst Rcopia MU Modular EHR Ambulatory 3.x View Criteria

8 ONC CHPL Page 4 of 4 /3/00 Certifying ATCB ONC Certification # Vendor Product Product Classification Practice Setting Product Version # Certification Status Group Inc CC CC RelayHealth, a division of McKesson Corporation Health Innovation Technologies, Inc. Networking Technology dba RxNT RelayClinical Platform Complete EHR Ambulatory 0.3 View Criteria RevolutionEHR Modular EHR Ambulatory 5..0 View Criteria RxNT EHR Modular Ambulatory 7 View Criteria Sage Sage Intergy Meaningful Use Edition Complete EHR Ambulatory 6. View Criteria CC Sammy Systems SammyEHR Modular Ambulatory 5.. View Criteria Sequel Systems, Inc. Sequelmed EMR Complete EHR Ambulatory 8 View Criteria CC CC CC CC CC CC CC CC CC Surgical Information Systems Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc Siemens Medical Solutions USA Inc SIS Perioperative Modular EHR Inpatient 5 View Criteria Soarian EHR Complete EHR Inpatient 00 View Criteria Soarian EHR B Modular EHR Inpatient 00 View Criteria Soarian EHR B3 Modular EHR Inpatient 00 View Criteria StreamlineMD, LLC StreamlineMD Complete EHR Ambulatory 0.8 View Criteria SuccessEHS SuccessEHS Complete EHR Ambulatory 6.0 View Criteria T-System Technologies, Ltd. T-System Technologies, Ltd. BioMedix Vascular Solutions Intuitive Medical Software T SystemEV Modular Ambulatory.7 View Criteria T SystemEV Modular Inpatient.7 View Criteria TRAKnet Practice Management Software Complete EHR Ambulatory.0 View Criteria UroChartEHR Complete EHR Ambulatory 4.0 View Criteria Kabot Systems VistA++ EHR Office Edition Complete EHR Ambulatory.0.0. View Criteria CC CC CC Medical Informatics Engineering WebChart EHR Complete EHR Ambulatory Version 5. View Criteria WellCentive WellCentive Registry Modular EHR Ambulatory View Criteria Wellsoft Corporation Wellsoft EDIS Modular Inpatient v View Criteria Workflow.com, LLC workflowehr Complete EHR Ambulatory.5 View Criteria Addison Health Systems, Inc. WritePad EHR Modular EHR Ambulatory 7.8 View Criteria ONC HIT Website Privacy Policy Last Modified Date: /9/00 The information on this page is currently hosted by the HITRC and its Partners under contract with the Office of the National Coordinator for Health Information Technology.

9 Ó» ² ²¹º«Ë»á Stage Objectives and Measures Reporting Must complete: 5 core objectives 5 objectives out of 0 from menu set 6 total Clinical Quality Measures (3 core or alternate core, and 3 out of 38 from menu set)

10 Ó» ² ²¹º«Ë»á Eligible Professionals 5 Core Objectives. Computerized physician order entry (CPOE). E-Prescribing (erx) 3. Report ambulatory clinical quality measures to CMS/States 4. Implement one clinical decision support rule 5. Provide patients with an electronic copy of their health information, upon request 6. Provide clinical summaries for patients for each office visit 7. Drug-drug and drug-allergy interaction checks 8. Record demographics

11 Ó» ² ²¹º«Ë»á Eligible Professionals 5 Core Objectives (continued) 9. Maintain an up-to-date problem list of current and active diagnoses 0. Maintain active medication list. Maintain active medication allergy list. Record and chart changes in vital signs 3. Record smoking status for patients 3 years or older 4. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically 5. Protect electronic health information

12 Ó» ² ²¹º«Ë»á Menu objectives must complete 5 of 0 Eligible Professionals 0 Menu Objectives. Drug-formulary checks. Incorporate clinical lab test results as structured data 3. Generate lists of patients by specific conditions 4. Send reminders to patients per patient preference for preventive/follow up care 5. Provide patients with timely electronic access to their health information

13 Ó» ² ²¹º«Ë»á Eligible Professionals 0 Menu Objectives (continued) 6. Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate 7. Medication reconciliation 8. Summary of care record for each transition of care/referrals 9. Capability to submit electronic data to immunization registries/systems* 0. Capability to provide electronic syndromic surveillance data to public health agencies*

14 Ó» ² ²¹º«Ë»á An Eligible Professional who works at multiple locations, but does not have certified EHR technology available at all of them would: Have to have 50% of their total patient encounters at locations where certified EHR technology is available Would base all meaningful use measures only on encounters that occurred at locations where certified EHR technology is available

15 Ý ² ½ Ï«Ó» Clinical Quality Measures Core Set NQF Measure Number & PQRI Implementation Number NQF 003 NQF 008 NQF 04 PQRI 8 Clinical Quality Measure Title Hypertension: Blood Pressure Measurement Preventive Care and Screening Measure Pair: a) Tobacco Use Assessment, b) Tobacco Cessation Intervention Adult Weight Screening and Follow-up

16 Ý ² ½ Ï«Ó» Clinical Quality Measures Alternate Core Set NQF Measure Number & PQRI Implementation Number NQF 004 NQF 004 PQRI 0 NQF 0038 Clinical Quality Measure Title Weight Assessment and Counseling for Children and Adolescents Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older Childhood Immunization Status

17 Ý ² ½ Ï«Ó» Clinical Quality Measures Alternate Core Set NQF Measure Number & PQRI Implementation Number NQF 004 NQF 004 PQRI 0 NQF 0038 Clinical Quality Measure Title Weight Assessment and Counseling for Children and Adolescents Preventive Care and Screening: Influenza Immunization for Patients 50 Years Old or Older Childhood Immunization Status

18 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of 38. Diabetes: Hemoglobin Ac Poor Control. Diabetes: Low Density Lipoprotein (LDL) Management and Control 3. Diabetes: Blood Pressure Management 4. Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) Therapy for Left Ventricular Systolic Dysfunction (LVSD) 5. Coronary Artery Disease (CAD): Beta-Blocker Therapy for CAD Patients with Prior Myocardial Infarction (MI) 6. Pneumonia Vaccination Status for Older Adults 7. Breast Cancer Screening

19 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Colorectal Cancer Screening 9. Coronary Artery Disease (CAD): Oral Antiplatelet Therapy Prescribed for Patients with CAD 0. Heart Failure (HF): Beta-Blocker Therapy for Left Ventricular Systolic Dysfunction (LVSD). Anti-depressant medication management: (a) Effective Acute Phase Treatment, (b)effective Continuation Phase Treatment. Primary Open Angle Glaucoma (POAG): Optic Nerve Evaluation

20 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy 4. Diabetic Retinopathy: Communication with the Physician Managing Ongoing Diabetes Care 5. Asthma Pharmacologic Therapy 6. Asthma Assessment 7. Appropriate Testing for Children with Pharyngitis 8. Oncology Breast Cancer: Hormonal Therapy for Stage IC-IIIC Estrogen Receptor/Progesterone Receptor (ER/PR) Positive Breast Cancer

21 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Oncology Colon Cancer: Chemotherapy for Stage III Colon Cancer Patients 0. Prostate Cancer: Avoidance of Overuse of Bone Scan for Staging Low Risk Prostate Cancer Patients. Smoking and Tobacco Use Cessation, Medical Assistance: a) Advising Smokers and Tobacco Users to Quit, b) Discussing Smoking and Tobacco Use Cessation Medications, c) Discussing Smoking and Tobacco Use Cessation Strategies. Diabetes: Eye Exam 3. Diabetes: Urine Screening

22 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Diabetes: Foot Exam 5. Coronary Artery Disease (CAD): Drug Therapy for Lowering LDL-Cholesterol 6. Heart Failure (HF): Warfarin Therapy Patients with Atrial Fibrillation 7. Ischemic Vascular Disease (IVD): Blood Pressure Management 8. Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antithrombotic

23 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Initiation and Engagement of Alcohol and Other Drug Dependence Treatment: a) Initiation, b) Engagement 30. Prenatal Care: Screening for Human Immunodeficiency Virus (HIV) 3. Prenatal Care: Anti-D Immune Globulin 3. Controlling High Blood Pressure 33. Cervical Cancer Screening 34. Chlamydia Screening for Women

24 Ý ² ½ Ï«Ó» Additional set CQM must complete 3 of Use of Appropriate Medications for Asthma 36. Low Back Pain: Use of Imaging Studies 37. Ischemic Vascular Disease (IVD): Complete Lipid Panel and LDL Control 38. Diabetes: Hemoglobin Ac Control (<8.0%) Clinical Quality Measures align with Physicians Clinical Quality reporting (PQRI) Alignment between 4 HITECH CQM and the CHIPRA initial core set that providers report to States

25 Ý ² ½ Ï«Ó» Details of Clinical Quality Measures 0 Eligible Professionals seeking to demonstrate Meaningful Use are required to submit aggregate CQM numerator, denominator, and exclusion data to CMS or the States by ATTESTATION. 0 Eligible Professionals seeking to demonstrate Meaningful Use are required to electronically submit aggregate CQM numerator, denominator, and exclusion data to CMS or the States.

26 MEANINGFUL USE CRITERIA WILL BUILD UP (OVER TIME) IN 3 STAGES Source: Federal Register, July 8, 00 (Final Rule, HITECH Act)

27 É Ç±«Ò»»¼ ± Ð ½» All providers must: Register via the EHR Incentive Program website Be enrolled in Medicare FFS, MA, or Medicaid (FFS or managed care) Have a National Provider Identifier (NPI) Use certified EHR technology Medicaid providers may adopt, implement, or upgrade in their first year All Medicare providers and Medicaid eligible hospitals must be enrolled in PECOS

28 TIMELINES PAYMENT CYCLE Each calendar year (provider is paid for that calendar year s EMR useage). REGISTRATION: Starts //; Ends // for the 0 Payment Cycle (useage year). If you do not register and submit your 0 data by //, you will not be able to get the incentive payment for 0. EMR USE & DATA COLLECTION: 90 consecutive days of Meaningful Use (MU) must be achieved at any time in CY 0. Data needs to be collected and submitted to CMS to prove that the criteria for Meaningful Use were met. REPORTING & ATTESTING TO MEANINGFUL USE: Once the 90 days have been achieved in CY 0, you can submit the proof of 0 meaningful use at any time up until //. CMS PAYMENT TIMEFRAME: If physician has registered and his/her data has been submitted from the 90 day meaningful use period, CMS will pay a lump sum incentive. It will be paid after $4,000 in Medicare allowable charges have been submitted for all FFS Medicare patients, or in February/March of the following year, which ever comes sooner.

29 WEB-BASED RESOURCES MMS Web site on EMR s/ehr s and HITECH Act incentive program - ggedpage/taggedpagedisplay.cfm&tplid=56&contentid=356 MMS biweekly newsletter on HITECH Act- MMS s ARRA Advisor AMA Web site on EHR incentive programs CMS Web site on EHR incentive programs- HHS Web site on health IT (ONC Web site) -