Connecting Michigan for Health 2013

1. Meaningful Use Stage 2 and
Beyond
June 6, 2013

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Outline
▲Why Meaningful Use?
▲Progress to date
▲Meaningful Use Stage 2
▲Stage 2 Preparation
▲Conclusion

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Why Meaningful Use?
The Department of Health and Human Services
(HHS) envisions “an information rich, person-
centered, high performance health care system
where every health care provider has access to
longitudinal data on patients they treat to make
evidence-based decisions, coordinate care and
improve health outcomes.”

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Meaningful Use as the foundation
Meaningful use is using certified electronic health
record (EHR) technology to:
▲Improve quality, safety, efficiency, and reduce
health disparities
▲Engage patients and family
▲Improve care coordination, and population and
public health
▲Maintain privacy and security of patient health
information

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Why Meaningful Use?

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Meaningful Use: Progress to Date

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Progress to Date: Nationwide

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Progress to Date: Michigan
Eligible Hospitals paid: 93
Eligible Professionals paid: 10,600+

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Meaningful Use: Stage 2 and Beyond
Stage 1:
Data Capture
and Sharing
Stage 2:
Advance
Clinical
Processes
Stage 3:
Improved
Outcomes

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Stage 2 and Beyond
Stage 1 Stage 2 Stage 3
Electronically capturing health
information in a standardized
format
More rigorous health
information exchange (HIE)
Improving quality, safety, and
efficiency, leading to improved
health outcomes
Using that information to track
key clinical conditions
Increased requirements for e-
prescribing and incorporating
lab results
Decision support for national
high-priority conditions
Communicating that
information for care
coordination processes
Electronic transmission of
patient care summaries across
multiple settings
Patient access to self-
management tools
Initiating the reporting of
clinical quality measures and
public health information
More patient-controlled data
Access to comprehensive
patient data through patient-
centered HIE
Using information to engage
patients and their families in
their care
Improving population health

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Stage 2
Interoperability is key!
▲Transitions of Care
▲Lab Exchange
▲Patient & Family Engagement
▲Public Health

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Stage 2: Transitions of Care
The Transition of Care objective includes 3
measures:
▲ Measure #1 requires the provision of
a summary of care record for more
than 50% of transitions of care and
referrals.
▲ Measure #2 requires that the
provision of a summary of care record
using electronic transmission through
CEHRT or eHealth Exchange
participant for more than 10% of
transitions of care and referrals
▲ Measure #3 requires at least one
summary care record electronically
transmitted to recipient with different
EHR vendor or to CMS test EHR
Stage 1Stage 2
Stage 2
Stage 2

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Stage 2: Lab Exchange
▲ Objective: Incorporate clinical lab
test results into CEHRT as structured
data
▲ Measure: More than 40% of all
clinical lab test results ordered by the
EP are incorporated in CEHRT as
structured data
▲ Measure: More than 55% of all
clinical lab test results ordered by the
EP are incorporated in CEHRT as
structured data
Stage 1 (Menu)Stage 2
Stage 1
Stage 2

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Stage 2: Patient Engagement
Provide patients the ability to
view online, download and
transmit their health information
Requirements for Patient Action:
▲More than 5% of patients must
send secure messages to their
EP
▲More than 5% of patients must
view, download, or transmit
their health information

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Stage 2: Public Health
Includes 4 Core and Menu Objectives for EPs:
▲ (Core) Immunization Registry: Successful
ongoing submission of electronic immunization
data from CEHRT to an immunization registry
or IIS for the entire EHR reporting period
▲ (Menu) Syndromic Surveillance: Successful
ongoing submission of electronic syndromic
surveillance data from CEHRT to a PHA for the
entire EHR reporting period
▲ (Menu) Cancer Registry: Successful ongoing
submission of cancer case information from
CEHRT to a state cancer registry for the entire
EHR reporting period
▲ (Menu) Specialty Registry: Successful
ongoing submission of clinical and case
information from CEHRT to a specialty registry
for the entire EHR reporting period
Stage 1 (Menu)
Stage 1
Stage 2
Stage 2
Stage 2
Stage 2

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Most commonly deferred Stage 1 Menu
Objectives:
▲ Providing a summary of care to
patients at transitions to other
physicians or hospitals — 84%
▲ Using the EHR to send reminders to
specific groups of patients about
preventive care — 80%
▲ Sending information to public health
agencies or syndromic surveillance —
68%
▲ Being able to give patients electronic
access to their records — 66%
Stage 2: Preparation
Transitions of Care
Patient Engagement
Public Health
Patient Engagement

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Stage 2: Preparation
▲Stage 1
–Look ahead!
▲2014 CEHRT
–Required for all stages in 2014
–3-month reporting period
▲Health Information Exchange
–Connect!

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Stage 2: Preparation
First
Year
of
MU
Stages of Meaningful Use
2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
2011 1 1 1 2 2 3 3 TBD TBD TBD TBD
2012 1 1 2 2 3 3 TBD TBD TBD TBD
2013 1 1 2 2 3 3 TBD TBD TBD
2014 1 1 2 2 3 3 TBD TBD
2015 1 1 2 2 3 3 TBD
2016 1 1 2 2 3 3
2017 1 1 2 2 3

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Conclusion
Information rich, person-centered, high
performance connected health care system

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Additional Information:
ONC Interoperability Training Courses:
http://www.healthit.gov/providers-
professionals/interoperability-training-courses
Centers for Medicare & Medicaid Services:
http://www.cms.gov/Regulations-and-
Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
Michigan Health IT:
https://www.michiganhealthit.org/mu/
M-CEITA:
http://www.mceita.org/

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