Transcript gloStream and Meaningful Use PPT

gloStream and Meaningful Use
August, 2010
Table of Contents
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Final rule from the ONC and CMS
The gloStream path to truly meaningful use
Medicare payment schedule
Path to certified EMR technology and MU reporting
Review of the Core and Menu requirements
– Objective for each requirement
– How we’ll measure EMR usage
– How gloStream EMR technology addresses requirements
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Final CMS Rule
• Specifies criteria eligible professionals must
meet to demonstrate MU
• Includes both “core” and “optional” items
• Outlines a phased approach
• CMS will establish graduated criteria over time
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Final ONC Rule
• Sets initial standards, implementation criteria
and certification criteria for EMRs
• Coordinates the standards required of EMR
systems with MU criteria
• Providers can be assured that certified EMRs
can help them qualify as MU’s.
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gloStream’s Path to Meaningful Use
• We believe that MU is a minimum standard
– Product: we will develop and deliver a product
that is intuitive and easy to use.
– Process: our exclusive gloDNA process ensures
that we truly understand the Doctor’s needs.
– Partner: we only sell through Partners who
provide local, responsive, onsite support.
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gloStream’s Path to MU Reporting
• gloStream’s MU system will automatically
monitor MU statistics and provide usage
statistics to CMS.
• gloStream software will feature an MU
dashboard, so Doctors will always know how
they are performing against MU criteria.
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Core Objectives
Core Objectives
Objective
Measure
• Record patient demographics
• Required fields are sex, race, ethnicity,
DOB, preferred language
• More than 50% of patient’s demographic
data must be recorded as structured
data
gloStream Strategy
• gloEMR supports all required demographics
• Patient demographics usage report (5060)
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Core Objectives
Objective
• Record vital signs and chart changes
• Required measurements: height, weight,
blood pressure, BMI, growth chart for
children
Measure
• More than 50% of patient’s two years of
age and older must have height, weight
and blood pressure recorded as
structured data
gloStream Strategy
• gloEMR supports all required vitals and growth charts in vitals entry screen
• Patient vitals usage report (5060)
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Core Objectives
Objective
Measure
• Maintain up-to-date problem list of
current and active diagnosis
• More than 80% of patients must have at
least one entry recorded as structured
data
gloStream Strategy
• gloEMR problems list feature provides full support for ICD-9 based
problems
• Patient problem usage report (5060)
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Core Objectives
Objective
Measure
• Maintain an active medication list
• More than 80% of patients have at least
one entry recorded as structured data
gloStream Strategy
• gloEMR currently provides a list of prescribed drugs and patient
medication history
• Patient medications usage report (5060)
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Core Objectives
Objective
• Maintain an active medication allergy
list
Measure
• More than 50% of patients age 13 or
older have smoking status recorded as
structured data
gloStream Strategy
• gloEMR provides patient history which includes smoking status
• Patient history usage report (5060)
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Core Objectives
Objective
• Record smoking status for patients 13
and older
Measure
• More than 80% of patients have at least
one entry recorded as structured data
gloStream Strategy
• gloEMR currently supports drug allergies in the allergies module
• Patient allergy usage report (5060)
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Core Objectives
Objective
Measure
• Provide patients with clinical summaries
for each office visit
• Clinical summaries provided to patients
for more than 50% of all visits within
three business days
gloStream Strategy
• gloEMR currently supports templates and can provide patient summaries
on paper or PDF
• gloEMR will support export of a CCD document that meets interoperability
standards
• Clinical summary usage report (5070)
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Core Objectives
Objective
Measure
• Upon request, provide patients with an
electronic copy of their health
information
• Required data elements: diagnostic test
results, problem lists, medication lists,
medication allergies
• More than 50% of requesting patients
must receive an electronic copy within
three business days
gloStream Strategy
• gloEMR will support export of CCD document that provides a
comprehensive electronic medical history (5060)
• gloEMR also will support clinical document export, which can provide an
export of all exams and other documents for a patient
• CCD usage report (5070)
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Core Objectives
Objective
• Generate and transmit permissible
prescriptions electronically
Measure
• More than 40% must be transmitted
electronically using certified EMR
technology
gloStream Strategy
• gloEMR currently supports electronic prescribing of non-controlled
substance
• Electronic prescribing usage report (5060)
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Core Objectives
Objective
Measure
• Computerized Provider entry for
medication orders
• More than 30% of patients with at least
one medication in their medication list
must have at least one medication
ordered through CPOE
gloStream Strategy
• gloEMR currently supports order entry for prescriptions
• Patient prescription usage report (5070)
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Core Objectives
Objective
• Implement drug-drug and drug-allergy
formulary checks
Measure
• Functionality must be enabled for these
checks for the entire reporting period
gloStream Strategy
• gloEMR provides full drug interaction checking including drug allergies
• Reporting will be provided to support attestation (5070)
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Core Objectives
Objective
Measure
• Implement capability to electronically
exchange key clinical information
among providers and patientauthorized entities
• Must perform at least one test of the
EMR’s capacity to electronically
exchange information
gloStream Strategy
• gloEMR will support import and export of a CCD that meets
interoperability standards
• CCD export (5060)
• CCD and CCR import (5070)
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Core Objectives
Objective
Measure
• Implement one clinical decision support
rule and track compliance
• One rule must be implemented
gloStream Strategy
• Clinical decision support is provided via disease management rules and by
setting up guidelines, health plans, smart treatments, smart orders, and
smart diagnoses
• Reporting will be provided to support attestation (5070)
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Core Objectives
Objective
• Implement systems to protect privacy
and security of patient data in the EMR
Measure
• Must conduct or review a security risk
analysis, implement security updates as
necessary and correct identified security
deficiencies
gloStream Strategy
• gloEMR currently supports the security requirements as specified by HHS
• Partners and Providers will have to perform any additional security risk
analysis and remediation at the site
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Core Objectives
Objective
• Report clinical quality measures to CMS
or the States
Measure
• Eligible providers must submit 3 core
measures and select 3 additional
measures from the 44 available
• For 2011, provider numerator and
denominator through attestation
• For, 2012 submit measures electronically
gloStream Strategy
• gloEMR will provide a report to provider numerator and denominator
for all quality measures for which we have structured data (this
includes all core and alternative measures and the majority, if not all
of the 44 measures defined by CMS – 5070)
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Menu Set
Menu Set
Objective
Measure
• Implement drug formulary checks
• Drug formulary check system must be
implemented and access at least one
internal or external drug formulary
during the reporting period
gloStream Strategy
• gloEMR provides formulary checking
• Reporting will be provided to support attestation (5070)
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Menu Set
Objective
Measure
• Incorporate clinical laboratory test
results into EMRs as structured data
• More than 40% of clinical laboratory test
results are in positive/negative or
numerical format and are incorporated
into EMRs as structured data
gloStream Strategy
• gloEMR includes a labs module as of 5050 which includes electronic
ordering and electronic results to many national labs, regional labs, and inoffice lab systems
• Electronic results are also available via HL7 interface to unsupported labs
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Menu Set
Objective
• Generate lists of patients by specific
conditions for quality improvements,
reduction of disparities, research or
outreach
Measure
• Must generate one listing of patients
with a specific condition
gloStream Strategy
• gloEMR currently supports patient list reports based on history, problems,
and medication (5050)
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Menu Set
Objective
• Use EMR technology to identify patientspecific education resources and
provide those to the patient as
appropriate
Measure
• More than 10% of patients are provided
patient specific education resources
gloStream Strategy
• gloEMR currently supports printing patient education materials as part of
the guidelines feature
• Patient guidelines usage report (5070)
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Menu Set
Objective
• Perform medication reconciliation
between care settings
Measure
• Medication reconciliation must be
performed for more than 50% of
transitions of care
gloStream Strategy
• gloEMR provides medication reconciliation of the patient’s medication
history against RxHub and will provide reconciliation against a CCD (5070)
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Menu Set
Objective
Measure
• Provide summary of care record for
patients referred or transitioned to
another Provider or setting
• Summary of care record must be
provided for more than 50% of patient
transitions or referrals
gloStream Strategy
• gloEMR will support export of a CCD in 5060 that meets interoperability
standards
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Menu Set
Objective
• Submission of electronic immunization
data to immunization registries or
immunization information systems
Measure
• Must perform at least one test of data
submission and follow up submission
• Applies only where registries can accept
electronic submissions
gloStream Strategy
• gloEMR interfaces are able to send HL7 immunizations data to registries
which support he CDS IIS HL7 standard
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Menu Set
Objective
Measure
• Submission of electronic syndromic
surveillance data to public health
agencies
• Must perform at least one test of data
submission and follow up submission
• Applies only where public health
agencies can accept electronic
submissions
gloStream Strategy
• gloEMR interfaces are able to send HL7 syndromic surveillance data to
public health agencies that are able to receive it.
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Menu Set
Objective
• Send reminders to patients (per patient
preference) for preventative and followup care
Measure
• More than 20% of patients aged 65 or
older, or age 5 or younger, must be sent
appropriate reminders
gloStream Strategy
• gloEMR currently supports reminder letters
• This functionality will be extended to include a patient preference to
receive reminders (5070)
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Menu Set
Objective
• Provide patients with timely electronic
access to their health information
• Required data elements: laboratory
results, problem lists, medication lists,
medication allergies
Measure
• More than 10% of patients must be
provided with electronic access to
information within four days of its being
updated in the EMR
gloStream Strategy
• gloEMR will support expert of a CCD document in 5060 that meets
interoperability standards
• This CCD will be accessible to the patient via gloPortal or a HealthVault
account
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