Posts Tagged ‘ONC’

Changes from Meaningful Use Stage 1 to Stage 2

Posted on: October 30th, 2012 by admin 1 Comment


The Center for Medicare & Medicaid Services (CMS) has published the Meaningful Use (MU) Stage 2 criteria for eligible professionals. There are a number of changes from Stage 1 to Stage 2. There will now be 17 core objectives for Stage 2, instead of the 15 that were in Stage 1. The menu set objectives for Stage 2 are now reduced to six (instead of ten), and eligible professionals must select three (instead of five). Some of the other changes are described below:

Core Objectives
Implementing drug-drug and drug-allergy interaction checks are no longer a separate objective in Stage 2. This measure is incorporated into the Stage 2 Clinical Decision Support measure.

Maintaining an active medication list, maintaining active medication allergy lists, and maintaining an up-to-date problem list of current and active diagnoses are no longer separate objectives in Stage 2 either. These measures are incorporated into the stage 2 measure of Summary of Care Document at Transitions of Care and Referrals.

Reporting clinical quality measures (CQM) is no longer a separate objective for Stage 2, however providers must still submit CQMs to CMS or the States in order to achieve MU. In fact, beginning in 2014, all CQMs will need to be submitted electronically to CMS.

Capability to exchange key clinical information among providers of care and patient authorized entities electronically has been completely eliminated from Stage 2 and is actually eliminated from Stage 1 in 2013 as well.

Implementing drug-formulary checks is no longer a separate objective for Stage 2. Instead, it is included in the ePrescribing measure for Stage 2.

Providing patients with timely electronic access to their health information has been eliminated from Stage 2 and will also no longer be an objective from Stage 1 in 2014.

There is also a new core objective for stage 2 which requires eligible professionals to use secure electronic messaging to communicate with patients on relevant health information for more than 5% of unique patients seen during the EHR reporting period.

Menu Objectives
There are five new menu objectives which are:

Recording electronic notes in patient records for more than 30% of unique patients.

Imaging results consisting of the image itself and any explanation or other accompanying information are to be made accessible through certified EHRs.

Recording patient family health history as structured data for more than 20% of unique patients seen during the EHR reporting period.

Successful ongoing submission of cancer case information and another specific case from certified EHRs to registries for the entire EHR reporting period.

Now this is just a high level synopsis of the Stage 2 changes. For more details and to get the most recent updates, please visit the CMS Stage 2 Website. You can also download a comparison table for Stage 1 and Stage 2 for eligible professionals or a quick tip sheet on changes to Stage 1.

EHR MU Stage 2 Compliance Race

Posted on: October 29th, 2012 by admin 2 Comments

Stage 2 meaningful use requirements for electronic health records system compliance can be set to be akin to a race to me. 2014 is the year that it begins and EHR vendors need to update their systems to meet these new requirements. The key aspect of these new rules is that they will require more patient engagement within the EHR through patient health record portals. I really like that patient portals will basically be a given when providers go shopping for EHR systems. The new standards require hospitals and individual “eligible providers” to offer 50 percent of their patient’s access to their own health records through a portal, up from 10 percent in Stage 1 according to Neil Versel of Healthcare IT News. Also, 5 percent of patients actually have to use the portal. This is great because web-based electronic health record systems like Panacea have a patient portal as part of its standard offering. Do you think the Stage 2 rules for meaningful use of EHR will help further patient engagement or is only a surface level thing?

4 Ways MU Stage 2 will Impact EHR Vendors

Posted on: October 18th, 2012 by admin No Comments

Stage 2 of Meaningful Use rules for EHRs are finally here! I am excited for the implementation of these rules into EHRs because they align more with the most pressing issue facing the industry today: interoperability. According to Benjamin Harris of Healthcare IT News, the following are some key areas of impact that these new rules will have on us vendors:

  • Transport
  • Gap Testing
  • Base EHR and additional modules
  • Transparency

Basically, with a focus on “transport”, electronic health records (EHR), the transmission of information through documents and internal system generated messages will be addressed through establishment of security standards and cross enterprise document media interchange. An EMR will be transported as a requirement. With gap testing, an EHR will still be able to maintain previous years certification (i.e. 2011), if nothing has changed in the product, but still has the opportunity to get certified against the new criteria for subsequent years. Third, vendors can streamline their EHR products so that a provider can achieve meaningful use without having to use or forced to use all the components offered in the system that may or may not be useful to a particular provider. Lastly, EHR systems can become more transparent  by making all testing criteria that an EHR is certified against made public as well as  the costs associated with the newly certified EHR. The EHR vendor may face some pushback from customers now that they will know the estimated pricetag of an EHR system but nonetheless, transparency makes both parties lives easier. We at OA Systems will now have to make sure Panacea, our web-based EHR, is not only compliant, but cost effective, when the new Stage 2 criteria is incorporated.

Last day to begin 90-Day Reporting Period for 2012 was October 03, 2012

Posted on: October 10th, 2012 by admin No Comments
The last day for eligible professionals to begin their 90-day reporting period for calendar year 2012 was last Wednesday. If you have missed the target date, 2013 is only a few months away. This gives you enough time to start Meaningful Use Stage 1 at the beginning of 2013 instead of waiting to start towards the end of the 2013 year. By getting started at the beginning of the year, you allow more time for implementation and training. As a result, a much better transition from paper chart to the electronic health record. If you want an even smoother transition from paper records to electronic health records, adopting a web-based EHR can make your practices workflow much more efficient and less costly.

Regina Holliday Features OA Systems’ CEO in New Painting

Posted on: December 7th, 2010 by admin No Comments

Regina Holliday, a renowned artist and patient rights advocate, has produced a new painting called “The Menu Set,” which highlights some familiar faces in the Health IT world.

Some of the more prominent faces are Secretary of Health and Human Services Kathleen Sebelius and National Coordinator for Health Information Technology David Blumenthal.

Secretary Sebelius appears to be offering pie and water to a patient seated at the bar of a restaurant while  Dr. Blumenthal appears to be holding the restaurant’s menu.

Interestingly, Omar Ahmed, the CEO of OA Systems, is depicted as the one taking the patient’s order.

When asked about him being portrayed in this painting, Omar said, “This is quite an honor for me as I am included amongst some of the most important figures in our industry, but I would like to think that it is not a depiction of just me, rather it represents our company OA Systems, and our philosophy of wanting to understand what patients’ needs are and our willingness to work towards improving their lives.”

We sincerely thank Regina for including our CEO in this esteemed group of people and for continuously being a championed supporter for concerned patients.

You can view this painting in person as it is on display throughout the month of December at Politics and Prose Bookstore and Coffeehouse, located at 5015 Connecticut Ave, NW in Washington, DC.

The Charter for a Meaningful Electronic Revolution

Posted on: July 13th, 2010 by admin No Comments

Today is an unprecedented day and will be known in history for a monumental achievement. People will look back at Tuesday July 13, 2010 as a day which started an electronic revolution of sorts. Today marked the release of what thousands around the nation were eagerly waiting for: the final rule on certification criteria for electronic health records (EHR), better known as “meaningful use.”

We at OA Systems would like to applaud HHS and ONC for the publication of the final rule. Meaningful use will have a major impact on the health IT industry for years to come and thus is a key step in the right direction towards improving our healthcare system. We are still in the process of reading through the final rule, all 864 pages of it, so we will respond with more details as we discern them.

On the e-prescribing front, one thing is for sure: Dr. David Blumenthal, the national coordinator for health IT at ONC said in this morning’s briefing that the new rule has relaxed the amount of prescriptions that must be sent electronically. Instead of the proposed interim guidelines which suggested that seventy-five percent of all prescriptions be sent electronically in order to qualify for meaningful use; that number has now been decreased to forty percent.

Let the electronic revolution begin!