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5 TIPS

FOR HITTING STAGE 2
MEANINGFUL USE GOALS
Introduction
Since program inception, more than $15.8 billion has been paid to Eligible
Professionals (EPs), Eligible Hospitals, and Critical Access Hospitals (CAHs) under the
Centers for Medicare and Medicaid Services (CMS) Meaningful Use (MU) program.
With the launch of Stage 2 of the MU program, compliance gets more challenging.
It’s not just enough to attest to your use of EHR. Now it’s necessary to report levels of
Meaningful Use, and demonstrate that you’re keeping up with program core objectives
and menu objectives.
This handy guide will help you to make sure you hit your Meaningful Use objectives
and make it easier for you to submit certified reports to CMS as required under
program rules.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

1
Tip 1:
Get workflows and communication right

Tip 2:
Create a Standardized Data Architecture
for disparate systems

If you build or deploy an EHR that doesn’t map to your clinicians’
needs and workflows, and if you don’t communicate openly and
often, you won’t hit your adoption goals, and you’ll miss out on
many of the bigger benefits that EHR can offer.

Many healthcare providers are likely to have several separate
legacy systems in place that generate and store data in disparate
formats. These various data sources need to be standardized
and integrated so that data can be exchanged transparently, and
used to create reports and decision-support at the point of care.

To get started right, identify and recruit key spokespeople and
advocates among the clinical staff to act as liaisons and subject
matter experts. Consult with them on a regular basis, to make
sure you’re mapping to current workflows, and carefully, in
cooperation with clinical staff, look for opportunities to improve:
	
Look for sources of inefficiency, delay or duplication of 	
		 tasks so you can make work easier.
	
		
		
		

Look for costs that can be reduced. Are there costly 	
paper processes and resources that can be eliminated 	
such as exchanging supplies and postage for 		
secured patient emails through a Patient Portal?

To accomplish this, a set of standards must be established and
enforced for data exchange. Specific pieces of clinical data
need to be identified as being “important” (like medications,
allergies, immunizations, demographics, and lab values), a
standard format for import/export of these pieces of data needs
to be required of all vendors (the CCD and CCR standards), and
some data-interchange platforms need to be created where
this standardized data can be uploaded to and downloaded
from (regional Health Information Exchanges, or HIEs, and the
National Health Information Network, or NHIN).

	
Can HIPAA compliant workflows be automated to address 	
		 potential non-compliance and avoid associated, costly 	
		 risks or liabilities?
	
		
		
		

Can technology alert clinicians at the point-of-care to 	
outstanding preventive and chronic disease protocols so 	
that quality is improved and costly downstream services 	
such as emergency room visits can be eliminated?

Collaboratively building and configuring your system in close
cooperation with clinicians will not only accelerate adoption, it
will reduce costs and improve patient care.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

2
Tip 3:
Track your progress toward Meaningful Use
goals

Tip 4:
Perform analysis to identify the key variables
that impact performance

If you don’t have a good system for measuring and tracking your
progress toward Meaningful Use goals, you’ll be left guessing
about where you stand, and scrambling to determine progress
and verify it at reporting time. The last thing you want is to find
out that you’re lagging behind program objectives when it’s too
late to do anything to remedy the situation.

Many solutions store the detailed patient-level data behind
each summary report, so you can analyze and validate the data
behind each measure, including numerators, denominators and
exclusions. Having the detail data available for analysis allows
you to ensure that each measure is being accurately calculated
based on your clinical workflow practices. During reporting
periods, you can perform quality assurance on your meaningful
use measures and patient data, so you’ll be confident when that
your attestation is accurate.

A Meaningful Use dashboard and reporting system can help
tremendously in tracking compliance with core and menu set
items. Real-time tracking offers immediate access to information
without having to manually create reports.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

3
Tip 5:
Automate your compliance reporting
To qualify for payments, EPs, EHs, and CAHs are required to
report on specified clinical quality measures (CQMs). Beginning
in 2014, all EPs and EHs beyond their first year of meaningful
use will be required to submit CQMs electronically. In order to
report CQMs from an electronic health record (EHR), electronic
specifications (e-specifications) must be developed for each
CQM. The e-specifications include the data elements, logic
and definitions for that measure in a Health Level Seven (HL7)
standard known as the Health Quality Measures Format (HQMF)
which represents a clinical quality measure as an electronic
Extensible Markup Language (XML) document that can be
captured or stored in the EHR so that the data can be sent or
shared electronically.
If you’re using a single, certified EHR system, reporting may
be fairly straight forward. But if your EHR system is developed
in-house, or bridges multiple systems, you’ll need to put some
effort into configuring and creating reports for submission to
CMS. Packaged solutions exist which can easily combine inputs
from multiple systems for easy, automated reporting.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

4
Conclusion:

At its core, Meaningful Use is not about innovation or IT, but
about the overall improvement of patient care. In this context,
it’s exciting to consider that IT plays a huge role, not only in
the success of EHRs and compliance, but in creating better
outcomes for patients and providers. EHRs are a small, but vital
part of a larger infrastructure that will assist health organizations
to communicate medical information in a secure and timely
manner. Meaningful Use incentives and compliance, reduced
costs, and enhanced care are the major focus going forward into
Stage 2.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

5
DMI MUMentorTM
DMI offers a pre-packaged analytical reporting solution, the
MUMentor, that enables healthcare providers to monitor their
compliance against the core 15 measures in real time. Our
Meaningful Use dashboard includes a prebuilt data model and
reporting that makes it easy to evaluate your progress toward
program objectives, identify where the trouble spots are, and
quickly remedy them before they impede your progress toward
program goals.
The MUMentor incorporates a common set of operating
technologies that can tie an entire healthcare organization
together, automating long-running manual reporting and
facilitating higher efficiency. The MUMentor allows for a
single point of reference to a patient, clinician, payer, or
other healthcare entity within a healthcare organization or
across networks, and provides an all-inclusive platform for the
standardization, matching, cleansing, and profiling of individual
data silos, ensuring that data is capable of being retrieved
regardless of how many systems reference it.

The result: a single source of truth for improved decision
making and clinical performance across the organization.
With the MUMentor you can track compliance with core and
menu set items, and you’ll be able to easily collect and report
your Meaningful Use measures when it’s time to attest. In
addition to Meaningful Use reporting, organizations are able to
conduct other outcome measures for internal performance as
well as operational efficiency.

Solution Benefits:
Implement and Start Tracking- FAST!
	 Pre-defined back-end integration model speeds 		
		deployment
	

Low cost

	

Integrates seamlessly with any HIS system

	 Scalable and Fully Compliant process with
		 up-to-	 ate documentation and support
d
Track MU initiatives on a single dashboard
	 Track all MU events, compliance and action items 		
		 from an intuitive user-friendly dashboard
	

Single version of truth with drill down capabilities

	 Get real-time status with automated integration with 		
		EHR systems
	

Enables a structured tracking system

Meet Stage 1 and 2 Objectives
	 Our solution lets you monitor, view and report on 		
		 progress in each of the 24 objectives
	 Become eligible and receive your share of the $30B 		
		 in government incentives!

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS

6
DMI

About DMI

DMI Sales Team

One Rock Spring Plaza
6550 Rock Spring Dr
Bethesda, MD 20817

U.S. Sales: 855.963.2099
Int’l Sales: 240.200.5848
sales@DMInc.com

DMInc.com

DMI is a world-leading provider of solutions and services that leverage big data and mobile technologies to enhance business
performance. Our Big Data Insights solutions deliver better insights for better decisions and better results. Our mobile solutions
combine the award-winning user experience design that has made us one of the top creators of consumer apps with the deep
middleware and engineering expertise that we’ve used to build and manage enterprise applications for the most demanding IT
departments in the world. DMI mobility solutions improve business processes, tap new revenue streams, build customer loyalty,
and increase employee productivity. And we offer a full range of Managed Services to securely set up, configure, and manage your
mobile devices.
The proof:
Our Big Data Insights solutions drive enhanced business
performance and millions in incremental revenue for 	
companies like Cardinal Health, Luxottica, McKesson, 	
State Farm, Teradata, and Vantiv.

	

We provide 24 x 7 x 365 mobile service support for more 	
	 than 500,000 users. DMI is the one call our customers 	
	 need to make to resolve any issue—devices, apps, 	
	 infrastructure, even carriers.

We’ve built more than 400 mobile apps—in the past 12 	
	 months alone—for more than 150 leading organizations—	
	 like Disney, Coca-Cola, Toyota, Vodafone, P&G, The 	
	 National Guard, and Universal Studios.

We offer a full range of security options that include
	 Federal-grade hardware-based security, two-factor 	
	 authentication, secure container, and sophisticated 	
	 encryption solutions.

We offer brilliant creative and user experience: Our mobile 	
	 app development group was named the Best Branded 	
	 App Developer at the 2012 Mobile Entertainment Awards.

With our expertise and economies of scale, we can provide 	
	 mobility management at a higher service level and on 	
	 average 20% lower cost than most companies can do on 	
	 their own.

We have 500,000 devices under management for more
	 that 100+ clients, including many Fortune 500 		
	 companies—like BP, Johnson & Johnson, Sears, The 	
	 Associated Press, Allergan, and more. At BP, we’re 	
deploying 1,000 managed mobile devices each day.

	
	
	
	
	

Pervasive excellence is our commitment to quality service. 	
DMI is one of only a handful of companies that is CMMI L3
appraised for both application development and services, 	
as well as ISO 9001:2008, ISO 27001:2005, and 		
ISO 20000-1:2011 certified. Our average D&B Open 	
Ratings performance score from our clients is 94/100.

GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
©2013 Digital Management, Inc. All right reserved.

7

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5 Tips for Hitting Stage 2 Meaningful Use Goals

  • 1. 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS
  • 2. Introduction Since program inception, more than $15.8 billion has been paid to Eligible Professionals (EPs), Eligible Hospitals, and Critical Access Hospitals (CAHs) under the Centers for Medicare and Medicaid Services (CMS) Meaningful Use (MU) program. With the launch of Stage 2 of the MU program, compliance gets more challenging. It’s not just enough to attest to your use of EHR. Now it’s necessary to report levels of Meaningful Use, and demonstrate that you’re keeping up with program core objectives and menu objectives. This handy guide will help you to make sure you hit your Meaningful Use objectives and make it easier for you to submit certified reports to CMS as required under program rules. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 1
  • 3. Tip 1: Get workflows and communication right Tip 2: Create a Standardized Data Architecture for disparate systems If you build or deploy an EHR that doesn’t map to your clinicians’ needs and workflows, and if you don’t communicate openly and often, you won’t hit your adoption goals, and you’ll miss out on many of the bigger benefits that EHR can offer. Many healthcare providers are likely to have several separate legacy systems in place that generate and store data in disparate formats. These various data sources need to be standardized and integrated so that data can be exchanged transparently, and used to create reports and decision-support at the point of care. To get started right, identify and recruit key spokespeople and advocates among the clinical staff to act as liaisons and subject matter experts. Consult with them on a regular basis, to make sure you’re mapping to current workflows, and carefully, in cooperation with clinical staff, look for opportunities to improve: Look for sources of inefficiency, delay or duplication of tasks so you can make work easier. Look for costs that can be reduced. Are there costly paper processes and resources that can be eliminated such as exchanging supplies and postage for secured patient emails through a Patient Portal? To accomplish this, a set of standards must be established and enforced for data exchange. Specific pieces of clinical data need to be identified as being “important” (like medications, allergies, immunizations, demographics, and lab values), a standard format for import/export of these pieces of data needs to be required of all vendors (the CCD and CCR standards), and some data-interchange platforms need to be created where this standardized data can be uploaded to and downloaded from (regional Health Information Exchanges, or HIEs, and the National Health Information Network, or NHIN). Can HIPAA compliant workflows be automated to address potential non-compliance and avoid associated, costly risks or liabilities? Can technology alert clinicians at the point-of-care to outstanding preventive and chronic disease protocols so that quality is improved and costly downstream services such as emergency room visits can be eliminated? Collaboratively building and configuring your system in close cooperation with clinicians will not only accelerate adoption, it will reduce costs and improve patient care. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 2
  • 4. Tip 3: Track your progress toward Meaningful Use goals Tip 4: Perform analysis to identify the key variables that impact performance If you don’t have a good system for measuring and tracking your progress toward Meaningful Use goals, you’ll be left guessing about where you stand, and scrambling to determine progress and verify it at reporting time. The last thing you want is to find out that you’re lagging behind program objectives when it’s too late to do anything to remedy the situation. Many solutions store the detailed patient-level data behind each summary report, so you can analyze and validate the data behind each measure, including numerators, denominators and exclusions. Having the detail data available for analysis allows you to ensure that each measure is being accurately calculated based on your clinical workflow practices. During reporting periods, you can perform quality assurance on your meaningful use measures and patient data, so you’ll be confident when that your attestation is accurate. A Meaningful Use dashboard and reporting system can help tremendously in tracking compliance with core and menu set items. Real-time tracking offers immediate access to information without having to manually create reports. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 3
  • 5. Tip 5: Automate your compliance reporting To qualify for payments, EPs, EHs, and CAHs are required to report on specified clinical quality measures (CQMs). Beginning in 2014, all EPs and EHs beyond their first year of meaningful use will be required to submit CQMs electronically. In order to report CQMs from an electronic health record (EHR), electronic specifications (e-specifications) must be developed for each CQM. The e-specifications include the data elements, logic and definitions for that measure in a Health Level Seven (HL7) standard known as the Health Quality Measures Format (HQMF) which represents a clinical quality measure as an electronic Extensible Markup Language (XML) document that can be captured or stored in the EHR so that the data can be sent or shared electronically. If you’re using a single, certified EHR system, reporting may be fairly straight forward. But if your EHR system is developed in-house, or bridges multiple systems, you’ll need to put some effort into configuring and creating reports for submission to CMS. Packaged solutions exist which can easily combine inputs from multiple systems for easy, automated reporting. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 4
  • 6. Conclusion: At its core, Meaningful Use is not about innovation or IT, but about the overall improvement of patient care. In this context, it’s exciting to consider that IT plays a huge role, not only in the success of EHRs and compliance, but in creating better outcomes for patients and providers. EHRs are a small, but vital part of a larger infrastructure that will assist health organizations to communicate medical information in a secure and timely manner. Meaningful Use incentives and compliance, reduced costs, and enhanced care are the major focus going forward into Stage 2. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 5
  • 7. DMI MUMentorTM DMI offers a pre-packaged analytical reporting solution, the MUMentor, that enables healthcare providers to monitor their compliance against the core 15 measures in real time. Our Meaningful Use dashboard includes a prebuilt data model and reporting that makes it easy to evaluate your progress toward program objectives, identify where the trouble spots are, and quickly remedy them before they impede your progress toward program goals. The MUMentor incorporates a common set of operating technologies that can tie an entire healthcare organization together, automating long-running manual reporting and facilitating higher efficiency. The MUMentor allows for a single point of reference to a patient, clinician, payer, or other healthcare entity within a healthcare organization or across networks, and provides an all-inclusive platform for the standardization, matching, cleansing, and profiling of individual data silos, ensuring that data is capable of being retrieved regardless of how many systems reference it. The result: a single source of truth for improved decision making and clinical performance across the organization. With the MUMentor you can track compliance with core and menu set items, and you’ll be able to easily collect and report your Meaningful Use measures when it’s time to attest. In addition to Meaningful Use reporting, organizations are able to conduct other outcome measures for internal performance as well as operational efficiency. Solution Benefits: Implement and Start Tracking- FAST! Pre-defined back-end integration model speeds deployment Low cost Integrates seamlessly with any HIS system Scalable and Fully Compliant process with up-to- ate documentation and support d Track MU initiatives on a single dashboard Track all MU events, compliance and action items from an intuitive user-friendly dashboard Single version of truth with drill down capabilities Get real-time status with automated integration with EHR systems Enables a structured tracking system Meet Stage 1 and 2 Objectives Our solution lets you monitor, view and report on progress in each of the 24 objectives Become eligible and receive your share of the $30B in government incentives! GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS 6
  • 8. DMI About DMI DMI Sales Team One Rock Spring Plaza 6550 Rock Spring Dr Bethesda, MD 20817 U.S. Sales: 855.963.2099 Int’l Sales: 240.200.5848 sales@DMInc.com DMInc.com DMI is a world-leading provider of solutions and services that leverage big data and mobile technologies to enhance business performance. Our Big Data Insights solutions deliver better insights for better decisions and better results. Our mobile solutions combine the award-winning user experience design that has made us one of the top creators of consumer apps with the deep middleware and engineering expertise that we’ve used to build and manage enterprise applications for the most demanding IT departments in the world. DMI mobility solutions improve business processes, tap new revenue streams, build customer loyalty, and increase employee productivity. And we offer a full range of Managed Services to securely set up, configure, and manage your mobile devices. The proof: Our Big Data Insights solutions drive enhanced business performance and millions in incremental revenue for companies like Cardinal Health, Luxottica, McKesson, State Farm, Teradata, and Vantiv. We provide 24 x 7 x 365 mobile service support for more than 500,000 users. DMI is the one call our customers need to make to resolve any issue—devices, apps, infrastructure, even carriers. We’ve built more than 400 mobile apps—in the past 12 months alone—for more than 150 leading organizations— like Disney, Coca-Cola, Toyota, Vodafone, P&G, The National Guard, and Universal Studios. We offer a full range of security options that include Federal-grade hardware-based security, two-factor authentication, secure container, and sophisticated encryption solutions. We offer brilliant creative and user experience: Our mobile app development group was named the Best Branded App Developer at the 2012 Mobile Entertainment Awards. With our expertise and economies of scale, we can provide mobility management at a higher service level and on average 20% lower cost than most companies can do on their own. We have 500,000 devices under management for more that 100+ clients, including many Fortune 500 companies—like BP, Johnson & Johnson, Sears, The Associated Press, Allergan, and more. At BP, we’re deploying 1,000 managed mobile devices each day. Pervasive excellence is our commitment to quality service. DMI is one of only a handful of companies that is CMMI L3 appraised for both application development and services, as well as ISO 9001:2008, ISO 27001:2005, and ISO 20000-1:2011 certified. Our average D&B Open Ratings performance score from our clients is 94/100. GUIDE: 5 TIPS FOR HITTING STAGE 2 MEANINGFUL USE GOALS ©2013 Digital Management, Inc. All right reserved. 7