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Meaningful use basics
1. Meaningful Use Stage 1
Basic Concepts and Requirements
Dr. Jose I. Delgado, Taino Consultants Inc.
2. What is Meaningful Use
โข Established by the Health Information
Technology for Economic and Clinical
Health (HITECH) Act of 2009
โข Defines the use of electronic health
records (EHR)
โข Requirement before an organization
may request payments under the EHR
incentive program
3. Requirements
โข Eligible Professional
โ Providers eligible for incentives
โข Certified EHR
โข Meaningful Use
โ Three Stages
โข Specific Program
โ Medicare
โ Medicaid
4. Eligible Providers
Medicare Medicaid
โข Doctor of medicine โข Physicians
โข Doctor of osteopathy โข Dentists
โข Doctor of dental surgery โข Certified nurse midwives
โข Doctor of dental medicine โข Nurse practitioners
โข Doctor of podiatric medicine โข Physicians assistants (in rural
โข Doctor of optometry health clinic or FQHC led by a
โข Chiropractor physician assistant)
5. Certified Electronic Health Record
โข EHR that is certified specifically for the
EHR Incentive Programs
โข Must have met CMS and the Office of
the National Coordinator for Health
Information Technology (ONC)
established standards
โข Must be on the Certified Health IT
Product List (CHPL)
โ http://healthit.hhs.gov/chpl
6. Meaningful Use Stages
Stage 1 Stage 2 Stage 3
2011-2012 2014 2016
Data Capture and Advance Clinical Improved Outcomes
Sharing Processes
Using the information to track Disease management, clinical Focusing on decision support
key clinical conditions decision support for national high priority
conditions
Communicating captured Quality measurement Achieving improvements in
information for care quality, safety and efficiency
coordination purposes
Reporting of clinical quality Support for patient access to Access to comprehensive
measures and public health their health information patient data
information
Capturing health information Bi-directional communication Patient access to self-
in a coded format with public health agencies management tools
*Not all Inclusive.
7. Medicare vs Medicaid
Medicare Medicaid
Starts in calendar year 2011 Starts in calendar year 2011
Up to $44,000 over five years Up to $63,750 over six years
Maximum of $18,000 on the first based on up to 85% of state-
year if EP bills Medicare $24,000 or calculated global average costs for
more. EHR
For maximum reimbursement 1st 1st yr cost no later than 2016
year cost no later than 2012
No payments made after 2015 No payments made after 2021 or
more than 5 years
Penalties start in 2015 (1%) and No Medicaid penalty for failure to
increases by 1% every year until demonstrate Meaningful Use
2019 with a max of 5%.
8. Other Issues to Consider
โข Core Measure number 12
โ Responsibilities for both the HIPAA
Privacy Rule and other applicable laws
โข Read about HIPAA Privacy Rule, HITECH,
Omnibus Rule
โข Core Measure number 15
โ Security Risk Analysis
โข perform a security review and correct any
potential vulnerabilities
9. Reminders
โข Meaningful use requirements go
beyond the implementation of a
certified EHR.
โข Meaningful use is not for all healthcare
professionals.
โข EPs may only choose Medicare or
Medicaid incentives.
10. Recommendations
โข Familiarize yourself with the
requirements
โข Select which program is more
convenient to you
โข Look for professional assistance
โข Change operational practices to meet
the requirements
11. Summary
โข Meaningful Use defines the use on
Electronic Health Records
โข Meaningful use must be met in order to
receive financial incentives
โข Failure to meet Meaningful use
requirements may result in Medicare
penalties by 2015