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Safari File Edit View History Bookmarks Window Help 51% [ Tue 4:51 PM myapple E kennesaw.view.usg.edu Assignment 2- Foundations Health Inf Tech XLS Group ID Fall Semester 2018 Co Che gg l Guided Solutions and Study Help | Chegg.com Background To complete this assignment, you will need to have reviewed the class lecture on drivers of Health Information Technology. You will also need to do some research on meaningful use. Be sure to cite your references properly. While you certainly may read the final rules as published in the Federal Register, there are easier ways to find the material needed to complete this assignment. (Google is your friend.) Assignment Instructions The discussion of drivers of HIT brought out that the HITECH act provided incentives to install electronic medical records. Not discussed was the concept of meaningful use. Briefly describe the concept of meaningful use as it relates to the incentives of the HITECH act. (Doing an adequate job will take at least a couple of long paragraphs.) 1. 2. Summarize the most important specific measurements were required for the first two stages of meaningful use 3. Describe the process and most important measurements for Stage Three Meaningful use. Caution: be sure you refer to material that is "current" as of 2017. "Current" does not necessarily mean "published in 2017 or later"; it means "not outdated as of 2017": no new material (s) superseded the material you refer to O Quicklink to assignment dropbox Course Name-Date Go to topExplanation / Answer
1.
Meaningful Use Definition :
Meaningful use (MU), in a health information technology (HIT), defines standards to be followed for using electronic health records (EHR) and for exchanging patient clinical data between healthcare providers, between health care providers and patients and between health care providers and insurers by U.S. government
Its a set of rules, known as meaningful use measures or meaningful use criteria, determine whether or not a health care provider may receive federal funds from the Medicare EHR Incentive Program.
The meaningful use of electronic health record (EHR) technology was defined in 2009's Health Information Technology for Economic and Clinical Health, or HITECH Act,
The concept of meaningful use rested on the '5 pillars' of health outcomes policy priorities, namely:
Improving quality, safety, efficiency, and reducing health disparities.
Engage patients and families in their health.
Improve care coordination.
Improve population and public health.
Ensure adequate privacy and security protection for personal health information.
Healthcare providers can only prove compliance with meaningful use while using government-certified EHR technology, commonly referred to as CEHRT. Meaningful use criteria for healthcare providers are written by CMS, with input from the Office of the National Coordinator for Health IT (ONC). EHR vendors, however, get their systems certified under rules written by the ONC, which currently are updated yearly. Some years CEHRT rules are voluntary, in other years they're mandatory.
Meaningful Use stages
Meaningful Use is implemented in a phased approach over a series of 3 stages.
Stage 1
Promotes basic EHR adoption and data gathering: This mostly includes Data capture and sharing
Stage 2
Emphasizes care coordination and exchange of patient information: Advanced clinical processes
Stage 3
Improves health care outcomes: Improved outcomes
These MU will led by Centers for Medicare & Medicaid Services (CMS ) and the Office of the National Coordinator for Health IT (ONC).
Following is the details of MU announcemnt..
Meaningful Use Stage 1
On July 13, 2010, CMS/ONC displayed the final rules as related to meaningful use in the context of objectives and measures and standards, implementation and vocabulary respectively. The final rules were published in the Federal Register on July 28, 2010, and became effective on September 26, 2010. The CMS final rule requirements have been divided into 15 core set objectives, and 10 menu set objectives (where there is an option to pick 5 of 10. However, it is mandatory to include at least one population/public health measure). In the future, ONC and CMS intend to propose expansion on the stage 1 criterion where it is likely that the currently proposed menu set of measures will be transitioned into the core set for stage 2.
Meaningful Use Stage 2
On August 23, 2012 the Centers for Medicare & Medicaid Services and Office of the National Coordinator for Health IT released 1) final requirements for Stage 2 Meaningful Use (MU) that hospitals and health care providers must meet in order to qualify for incentives during the second stage of the program, and 2) the criteria that electronic health records must meet to achieve certification
Meaningful Use Stage 3
On October 16, 2015, the Centers for Medicare & Medicaid Services (CMS) released the final rule on Medicare and Medicaid Programs, Electronic Health Record Incentive Program—Stage 3 and Modifications to Meaningful Use in 2015 through 2017. This final rule specifies the requirements that eligible professionals (EPs), eligible hospitals, and critical access hospitals (CAHs) must meet in order to qualify for Medicare and Medicaid electronic health record (EHR) incentive payments and avoid downward payment adjustments under the Medicare EHR Incentive Program.
2.
MU1 core measures.
1.Computerized provider order entry (CPOE)
Use CPOE for medication orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local, and professional guidelines
2. E-Prescribing (eRx)
Generate and transmit permissible prescriptions electronically (eRx)
3. Implement one clinical decision support rule
Implement one clinical decision support rule and the ability to track compliance with the rule
4. Provide patients with an electronic copy of their health information, upon request
Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, discharge summary, procedures), upon request
5. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
Capability to exchange key clinical information (ex: problem list, medication list, medication allergies, diagnostic test results), among providers of care and patient authorized entities electronically
MU2 Core Measures
1.Capability to identify and report cancer cases to a State cancer registry, except where prohibited, and in accordance with
applicable law and practice.
2.Capability to identify and report specific cases to a specialized registry (other than a cancer registry), except where
prohibited, and in accordance with applicable law and practice
3. Record patient family health history as structured data.
4. Imaging results consisting of the image itself and any explanation or other accompanying information are accessible through CEHRT
3.
1.Protect Electronic Health Information
Protect electronic protected health information (ePHI) created or maintained by the CEHRT through the implementation of appropriate technical, administrative, and physical safeguards.
2.Electronic Prescribing (eRx)
Providers must generate and transmit permissible prescriptions electronically.
3.Clinical Decision Support.
Implement clinical decision support(CDS) interventions focused on improving performance on high priority health conditions.
4.Computerized Provider Order Entry (CPOE)
Use computerized provider order entry (CPOE) for medication, laboratory, and diagnostic imaging orders.
5.Patient Electronic Access to Health Information
The EP, eligible hospital or CAH provides patients (or patient-authorized representative) with timely electronic access to their health information and patient-specific education.
6.Coordination of Care through Patient Engagement
Use CEHRT to engage with patients or their authorized representatives about the patient's care.
7.Health Information Exchange
The EP, eligible hospital, or CAH provides a summary of care record when transitioning or referring their patient to another setting of care, receives or retrieves a summary of care record upon the receipt of a transition or referral or upon the first patient encounter with a new patient, and incorporates summary of care information from other providers into their EHR using the functions of CEHRT.
8. Public Health Reporting
The EP, eligible hospital or CAH is in active engagement with a public health agency to submit electronic public health data from CEHRT.
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