Difference between revisions of "2015-2017- Modified Stage 2- Final Ruling"
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In October-2015, CMS/ONC released the final ruling for the 2015-2017 Modified Stage 2 program. Below are the key items of the ruling. | In October-2015, CMS/ONC released the final ruling for the 2015-2017 Modified Stage 2 program. Below are the key items of the ruling. | ||
| − | * All providers attest to modified measure | + | * All providers attest to modified measure set of 10 Objectives for 2015-2017 with alternative metrics for Stage 1 providers. |
* Reporting period for 2015 is any, continuous 90 day period for all Eligible Providers (EP's) | * Reporting period for 2015 is any, continuous 90 day period for all Eligible Providers (EP's) | ||
| − | What existed before this ruling? | + | ==What existed before this ruling?== |
* Previously Stage 1 was 13 Core objectives and 5 of 9 Menu objectives for EP's | * Previously Stage 1 was 13 Core objectives and 5 of 9 Menu objectives for EP's | ||
* Previously Stage 1 was 11 Core objectives and 5 of 10 Menu objectives to include 1 public health for Eligible Hospitals (EH's) | * Previously Stage 1 was 11 Core objectives and 5 of 10 Menu objectives to include 1 public health for Eligible Hospitals (EH's) | ||
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* Previously Stage 2 was 16 Core objectives and 3 of 6 Menu objectives for EH's | * Previously Stage 2 was 16 Core objectives and 3 of 6 Menu objectives for EH's | ||
| − | What is required today for 2015 reporting year and moving forward? | + | ==What is required today for 2015 reporting year and moving forward?== |
* 10 objectives for all EP's | * 10 objectives for all EP's | ||
* 9 objectives for all EH's | * 9 objectives for all EH's | ||
| Line 16: | Line 16: | ||
* No change to Clinical Quality Measure (CQM) reporting, previous standard are in place for EP's and EH's | * No change to Clinical Quality Measure (CQM) reporting, previous standard are in place for EP's and EH's | ||
| − | What Core measures were modified in the 2015-2017 ruling? | + | ==What Core measures were modified in the 2015-2017 ruling?== |
* Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. | * Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. | ||
| + | |||
* Use secure electronic messaging to communicate with patients on relevant health information. | * Use secure electronic messaging to communicate with patients on relevant health information. | ||
| + | |||
* 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 except where prohibited and in accordance with applicable law and practice. | * 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 except where prohibited and in accordance with applicable law and practice. | ||
| − | What Core measures were removed for EP's? | + | ==What Core measures were removed for EP's?== |
* Record demographics: More than 80% of all unique patients seen by the eligible professional (EP) have | * Record demographics: More than 80% of all unique patients seen by the eligible professional (EP) have | ||
demographics recorded as structured data. | demographics recorded as structured data. | ||
| + | |||
* Capture vitals: More than 80% of all unique patients seen by the EP during the EHR reporting period have | * Capture vitals: More than 80% of all unique patients seen by the EP during the EHR reporting period have | ||
blood pressures (for patients age 3 and over only) heights or lengths, and weights (for all | blood pressures (for patients age 3 and over only) heights or lengths, and weights (for all | ||
ages) recorded as structured data. | ages) recorded as structured data. | ||
| + | |||
* Smoking status-More than 80% of all unique patients 13 years old or older seen by the eligible professional (EP) | * Smoking status-More than 80% of all unique patients 13 years old or older seen by the eligible professional (EP) | ||
have “smoking status” recorded as s tructured data. | have “smoking status” recorded as s tructured data. | ||
| + | |||
* Provide Office Visit summaries for patients for each office visit.Clinical summaries provided to patient or patient-authorized representatives within 1 business day for more than | * Provide Office Visit summaries for patients for each office visit.Clinical summaries provided to patient or patient-authorized representatives within 1 business day for more than | ||
50% of office visits. | 50% of office visits. | ||
| + | |||
* Lab results- More than 55% of all clinical lab test results ordered by the eligib le professional (EP) during | * Lab results- More than 55% of all clinical lab test results ordered by the eligib le professional (EP) during | ||
the EHR Reporting Period (RP)whose results are expressed in a positive/negative affirmation | the EHR Reporting Period (RP)whose results are expressed in a positive/negative affirmation | ||
or numerical format are incorporated in the certified EHR technology (CEHRT) as structured | or numerical format are incorporated in the certified EHR technology (CEHRT) as structured | ||
| + | |||
* Generate patient lists- Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach. | * Generate patient lists- Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach. | ||
| + | |||
* Patient Reminders- More than 10% of all unique patients who have had 2 or more office visits with the eligible | * Patient Reminders- More than 10% of all unique patients who have had 2 or more office visits with the eligible | ||
professional (EP) within the 24 months before the beginning of the EHR reporting period (RP) | professional (EP) within the 24 months before the beginning of the EHR reporting period (RP) | ||
was sent a reminder, according to each patient’s preference, when it has bee n recorded. | was sent a reminder, according to each patient’s preference, when it has bee n recorded. | ||
Revision as of 17:46, 16 October 2015
In October-2015, CMS/ONC released the final ruling for the 2015-2017 Modified Stage 2 program. Below are the key items of the ruling.
- All providers attest to modified measure set of 10 Objectives for 2015-2017 with alternative metrics for Stage 1 providers.
- Reporting period for 2015 is any, continuous 90 day period for all Eligible Providers (EP's)
What existed before this ruling?
- Previously Stage 1 was 13 Core objectives and 5 of 9 Menu objectives for EP's
- Previously Stage 1 was 11 Core objectives and 5 of 10 Menu objectives to include 1 public health for Eligible Hospitals (EH's)
- Previously Stage 2 was 17 Core objectives and 3 of 6 Menu objectives for EP's
- Previously Stage 2 was 16 Core objectives and 3 of 6 Menu objectives for EH's
What is required today for 2015 reporting year and moving forward?
- 10 objectives for all EP's
- 9 objectives for all EH's
- Menu objectives no longer exist
- No change to Clinical Quality Measure (CQM) reporting, previous standard are in place for EP's and EH's
What Core measures were modified in the 2015-2017 ruling?
- Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP.
- Use secure electronic messaging to communicate with patients on relevant health information.
- 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 except where prohibited and in accordance with applicable law and practice.
What Core measures were removed for EP's?
- Record demographics: More than 80% of all unique patients seen by the eligible professional (EP) have
demographics recorded as structured data.
- Capture vitals: More than 80% of all unique patients seen by the EP during the EHR reporting period have
blood pressures (for patients age 3 and over only) heights or lengths, and weights (for all ages) recorded as structured data.
- Smoking status-More than 80% of all unique patients 13 years old or older seen by the eligible professional (EP)
have “smoking status” recorded as s tructured data.
- Provide Office Visit summaries for patients for each office visit.Clinical summaries provided to patient or patient-authorized representatives within 1 business day for more than
50% of office visits.
- Lab results- More than 55% of all clinical lab test results ordered by the eligib le professional (EP) during
the EHR Reporting Period (RP)whose results are expressed in a positive/negative affirmation or numerical format are incorporated in the certified EHR technology (CEHRT) as structured
- Generate patient lists- Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach.
- Patient Reminders- More than 10% of all unique patients who have had 2 or more office visits with the eligible
professional (EP) within the 24 months before the beginning of the EHR reporting period (RP) was sent a reminder, according to each patient’s preference, when it has bee n recorded.