Meaningful use: Electronic health records can provide many benefits for providers and their patients, but the benefits depend on how they're used. Meaningful use is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific criteria. he Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Eligible professionals can receive up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program. The benefits of the meaningful use of EHRs include: Complete and accurate information. With electronic health records, providers have the information they need to provide the best possible care. Providers will know more about their patients and their health history before they walk into the examination room. Better access to information. Electronic health records facilitate greater access to the information providers need to diagnose health problems earlier and improve the health outcomes of their patients. Electronic health records also allow information to be shared more easily among doctors' offices, hospitals, and across health systems, leading to better coordination of care. Patient empowerment. Electronic health records will help empower patients to take a more active role in their health and in the health of their families. Patients can receive electronic copies of their medical records and share their health information securely over the Internet with their families.

1. by Rakesh
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MEANINGFUL USE

2. Agenda
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 What is meaningful use?
 CMS incentive program.
 Benefits.
 Legislation.
 Stages of meaningful use.
 Barriers.
 Penalties

3. EHR
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 Electronic health information about patients that
is capable of being shared across different
health care settings.
 EHR can provide many benefits for providers and
their patients, but the benefits depend on how
they're used.

4. What is meaningful use?
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 Set of standards by the CMS Incentive
Programs that
 governs the use of electronic health records and
 Allows eligible providers and hospitals to earn
incentive payments by meeting specific criteria.

5. The Medicare & Medicaid EHR
Incentive Program
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 Provide incentive payments to eligible
professionals, eligible hospitals and critical
access hospitals (CAHs).
 Can receive up to
 $44,000 (Medicare, 2011 through 2016)
 $63,750 (Medicaid, 2011 through 2021)
 Maximum incentive payment - participation by
2012.

6. Goal
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To promote the spread of electronic health records to
improve health care in the United States.

7. Benefits
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 Complete and accurate information:
 provide the best possible care.
 Providers will know more about their patients.
 Better access to information:
 diagnose health problems earlier.
 Information can be shared among hospitals.
 Patient empowerment:
 Patients role.
 Records can be shared securely to their families.

8. Legislation
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HITECH Act
HHS
Programs to improve
health care quality
Promotion of health IT like
EHR
Authority
To
establish

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 Incentive Program for EHR: Issued by CMS,
define the minimum requirements that providers
must meet through their use of certified EHR
technology in order to qualify for the payment.
 Standards and Certification Criteria for
EHR: Issued by ONC, defines the technical
capabilities for certified EHR technology.

10. Stages of meaningful use
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11. Stage-1 (2011-2012)
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 Details the requirements for the use of
requirements for the use of EHR systems by
hospitals and eligible health care professionals.
 MU criteria for eligible professionals
 15 core objectives (mandatory)
 5 out of 10 from menu set objectives(choice)
 MU criteria for eligible hospitals
 14 core objectives (mandatory)
 5 out of 10 from menu set objectives (choice)

12. Core Requirements
(mandatory)
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 Use computerized order entry for medication orders.
 Implement drug-drug, drug-allergy checks.
 Generate and transmit permissible prescriptions electronically.
 Record demographics.
 Maintain an up-to-date problem list of current and active diagnoses.
 Maintain active medication list.
 Maintain active medication allergy list.
 Record and chart changes in vital signs.
 Record smoking status for patients 13 years old or older.
 Implement one clinical decision support rule.
 Report ambulatory quality measures to CMS or the States.
 Provide patients with an electronic copy of their health information
upon request.
 Provide clinical summaries to patients for each office visit.
 Capability to exchange key clinical information electronically among
providers and patient authorized entities.
 Protect electronic health information (privacy & security)

13. Menu Requirements (optional)
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 Implement drug-formulary checks.
 Incorporate clinical lab-test results into certified EHR as structured data.
 Generate lists of patients by specific conditions to use for quality
improvement, reduction of disparities, research, and outreach.
 Send reminders to patients per patient preference for preventive/ follow-
up care
 Provide patients with timely electronic access to their health information
(including lab results, problem list, medication lists, allergies)
 Use certified EHR to identify patient-specific education resources and
provide to patient if appropriate.
 Perform medication reconciliation as relevant
 Provide summary care record for transitions in care or referrals.
 Capability to submit electronic data to immunization registries and
actual submission.
 Capability to provide electronic syndromic surveillance data to public
health agencies and actual transmission.

14. Stage-2 (2014)
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 Released in August 2012.
 Some stage-1 menu list items will move to the
stage 2 core list.
 MU criteria for eligible professionals
 17 core objectives (mandatory)
 3 out of 6 from menu set objectives(choice)
 MU criteria for eligible hospitals
 16 core objectives (mandatory)
 3 out of 6 from menu set objectives (choice)

15. Stage-3 (2016)
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 Objectives has not yet defined.
 Likely to follow the same format as its
predecessors.

16. Milestone Timeline
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17. Barriers to adoption
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 Start-up costs
 Maintenance costs
 Training costs

18. Penalties
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 Medicare:
 No payments after 2014.
 1% to 5% penalty of Medicare reimbursement after
2015.
 Medicaid:
 There are no penalties.

19. THANK YOU
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