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How to Achieve Meaningful Use Using

I-Patient Care from CompSysGrp/AutoMED

 Second Edition

CCHIT 2011 Certified ● ONC-ATCB 2011/2012 Certified● Complete EHR System +Child Health

Summary: 

The American Recovery and Reinvestment Act (ARRA) of 2009 set aside nearly $20 billion in incentive payments for physicians who adopt EHR technology over the next five years. In order to qualify for the incentive monies, physicians must be using “certified HER technology” in a “meaningful manner.”

 

On July 13, 2010, The Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicaid & Medicare Services (CMS) released final rulings on the definitions of meaningful use and certified HER technology. These documents tell physicians what software features their EHR will require, what goals they should be using the software to reach, and how the government will measure the meaningful use of EHR technology.

What is Meaningful Use?

Meaningful use isn’t a term defined in one sentence. Rather, it is a set of goals that the

government wants accomplished by physicians using EHR software. Using an EHR in a

meaningful manner means you are working towards these high-level goals: 

Improving quality, safety, efficiency, care coordination, and public health;

• Reducing health disparities;

• Engaging patients and their families

• Ensuring adequate privacy and security protections for personal health information.

These goals encompass 25 more granular objectives, of which 15 are mandatory and 10 are optional. Only 5 of the optional objectives need to be fulfilled by the medical provider.

 What is Certified EHR Technology?

 In early January 2010, the ONC released this definition of “certified EHR technology:”

“A Complete EHR or a combination of EHR Modules, each of which (1) meets the

requirements included in the definition of a Qualified EHR; and (2) has been tested and

certified in accordance with the certification program established by the National Coordinator as having met all applicable certification criteria adopted by the [ONC].”

As long as your EHR software has the 15 required software capabilities and can perform at least 5 optional capabilities, an integrated EHR software suite or combination of best of breed EHR modules is going to fall under the ONC’s definition of “certified EHR technology.” As will be demonstrated I-Patient CARE fulfills these objectives, is on the certification track and includes an ARRA warrantee.

 How Will the Government Determine Meaningful Use?

 When the ONC and CMS released their final rulings, they included for a set of metrics to

measure meaningful use during the Stage 1 (2011) adoption year. Some of the

measurements require a certain percentage of a meaningful use goal to be achieved while others merely require that certain functions are enabled on your EHR software.

The government will begin measuring meaningful use in 2011. A certification process has been created, and I-Patient CARE is onboard!

 On the following pages are the 15 required goals for achieving meaningful use and the 10 optional requirements, of which 5 need to be performed, and its procedure for fulfillment in I-Patient CARE.

 

Required Goals Software Features and Measurements

 Use Computer Provider Order Entry (CPOE)

 Feature: The software will need to manage the electronic storage and retrieval of these order types: medications; laboratory; radiology/imaging; provider referrals; blood bank; physical, occupational, respiratory, and rehabilitation therapy; dialysis; and provider consults.

Measurement: CPOE is used for at least 30% of all orders.

 Fulfilling this goal In I-Patient CARE

 Implement drug/allergy checks

 Feature: The software will need to support real-time alerts at the point of care for drug contraindications; electronically check formulary or preferred drug list; support modifiable user rights; and track user actions.

Measurement: The drug/allergy check function must be enabled in the software.

Fulfilling this goal In I-Patient CARE

 Maintain a problem list of diagnoses

Feature: The software must allow the provider to record, modify, and retrieve a patient’s problem list over multiple visits.

 Measurement: At least 80% of all unique patients have at least one entry on their problem list.

 Fulfilling this goal In I-Patient CARE

E-prescribing

 Feature: The software must allow the provider to electronically transmit prescriptions.

 Measurement: At least 40% of all permissible prescriptions written are transmitted electronically.

 Fulfilling this goal In I-Patient CARE

 Maintain active medication list

 Feature: The software will need support the recording, modification, and retrieval a patient’s active medication list.

 Measurement: At least 80% of patients have at least one entry or “none” indicated on their medication list.

 Fulfilling this goal In I-Patient CARE

 Maintain active allergy list

 Feature: The software must support recording, modifying, and retrieving a patient’s active allergy list.

 Measurement: At least 80% of patients have at least one entry or an indication of “none” on their allergy list.

 Fulfilling this goal In I-Patient CARE

 Record demographics

 Feature: The software must support electronically recording, modifying, and retrieving patient demographic data.

 Measurement: Demographics are recorded for at least 50% of all unique patients.

 Fulfilling this goal In I-Patient CARE

 Demographics

 Record and chart vital signs

 Feature: The software needs to electronically record, modify, and retrieve a patient’s vital signs; automatically calculate BMI; and plot growth charts for patients 2-years old and older.

Measurement: At least 50% of patients age 2 and over have blood pressure, BMI, and plot growth charts recorded.

Fulfilling this goal In I-Patient CARE

 Vitals and Reporting

 Record smoking status for patients 13 years old or older

 Feature: The software must support recording, modifying, and retrieving the smoking status for patients 13 years old or older.

Measurement: Smoking status is recorded for at least 50% of patients age 13 years and older.

 Fulfilling this goal In I-Patient CARE

 Report ambulatory quality measures

 Feature: The software must support the calculation and display of quality measure results specified by CMS or states and electronically submit calculated quality measures.

 Measurement: The eligible provider will attest that this has been done.

 Fulfilling this goal In I-Patient CARE

 Provide patients with an electronic copy of their health information

 Feature: The software must enable a user to create an electronic copy of a patient’s clinical information and provide it to the patient through electronic means.

 Measurement: At least 50% of all patients who request an electronic copy of their health information are provided it within three business days.

 Fulfilling this goal In I-Patient CARE

 This can fulfilled via the I-Patient CARE Portal which allows patients an electronic copy of their health information.

 Provide clinical summaries to patients

 Feature: The software will have the ability to provide patients with clinical summaries of each office visit in paper or electronic form.

 Measurement: Clinical summaries provided to patients for at least 50% of all office visits within three business days.

 Fulfilling this goal In I-Patient CARE

 This can fulfilled via the I-Patient CARE Portal

 Exchange clinical information

 Feature: The software will enable a provider to electronically exchange key clinical information with other providers and organizations.

 Measurement: The eligible provider must perform at least one test of the certified EHR technology's capacity to electronically exchange key clinical information.

 Fulfilling this goal In I-Patient CARE

 Implement clinical decision support rules

 Feature: The software will need to support the implementation of clinical decision support rules; generate real-time alerts based on those rules; and electronically generate a list of alerts responded to by each user.

 Measurement: One clinical decision support rules must be implemented.

 Fulfilling this goal In I-Patient CARE

Protect electronic health information

 Feature: The software will allow verified users access to health information in an emergency; terminate a session after a period of inactivity; encrypt and decrypt information; and track a user's actions.

Measurement: A security risk analysis is conducted or reviewed and security updates are implemented as necessary.

 Fulfilling this goal In I-Patient CARE

 Optional Goals Software Features and Measurements

 Perform medication reconciliation

 Feature: The software must be able to generate a complete medication reconciliation of two or more medication lists into a single medication list that can be displayed in real-time.

 Measurement: Medication reconciliation is performed for at least 50% of relevant encounters and transitions of care.

Fulfilling this goal In I-Patient CARE

Submit electronic data to immunization registries

 Feature: The software must support the record, retrieval, and transmission of immunization information to immunization registries.

 Measurement: The eligible provider will perform at least one test submission is performed to immunization registries and public health agencies.

 Fulfilling this goal In I-Patient CARE

 Provide electronic syndromic surveillance data to public health agencies

 Feature: The software will support the recording, retrieval, and transmission of syndrome-based (e.g., influenza like illness) public health surveillance information.

 Measurement: The eligible provider will perform at least one test is performed of the the certified HER technology's capacity to provide electronic syndromic surveillance data to public health agencies.

 Fulfilling this goal In I-Patient CARE

 Provide patients with timely electronic access to their health information

 Feature: The software must provide patients with online access to their clinical information within four business days.

 Measurement: At least 10% of all unique patients are provided electronic access to their health information within four business days.

 Fulfilling this goal In I-Patient CARE

 Identify patient-specific education resources

 Feature: The software must be able to identify patient-specific education resources and provide those resources to the patient if appropriate.

 Measurement: More than 10% of all unique patients are provided patient-specific education resources.

Fulfilling this goal In I-Patient CARE

 Incorporate clinical lab-test results into EHR as structured data

 Feature: The software allows the provider to receive clinical lab test results; display test reports and tests that have been received with LOINC® codes; and electronically update a patient's record based upon lab results.

 Measurement: At least 40% of all clinical lab tests results are incorporated as structured data.

 Fulfilling this goal In I-Patient CARE

 Generate lists of patients by specific conditions

 Feature: The software must electronically select, sort, retrieve, and output a list of patients and patients’ clinical information.

 Measurement: Generate at least one report listing patients with a specific condition.

 Fulfilling this goal In I-Patient CARE

 Send reminders to patients 

Feature: The software will need to have the ability to electronically generate a patient reminder list for preventive or follow-up care.

 Measurement: Reminders are sent to at least 20% of all unique patients that are 50 and over.

 Fulfilling this goal In I-Patient CARE

 Provide summary of care record

 Feature: The software will need to generate a summary of care record for patients that are transitioned or referred to another care setting or provider of care.

 Measurement: A summary of care record is provided for more than 50% of patients that are referred or transitioned.

 Fulfilling this goal In I-Patient CARE

Implement drug-formulary checks

 Feature: The software must be able to query at least one formulary.

 Measurement: The eligible provider has enabled this functionality and has access to at least one internal or external drug formulary for the entire EHR reporting period.

Fulfilling this goal In I-Patient CARE

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