Transcript achieving meaningful use for your practice

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ACHIEVING MEANINGFUL USE
FOR YOUR PRACTICE
Huong Le, DDS,MA
Yankee Dental Congress 2014
OBJECTIVES
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Overview and Updates of Meaningful Use
Incentive program: stage II
2. Oral health measures
3. How to report the data through EHR
1.
Overview
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President Bush began the EHR Initiative April 2004 , emphasizing
“innovations in electronic health records and the secure exchange of
medical information will help transform healthcare in America.”
Bush appointed the head of National Health Information
Infrastructure within DHHS (Dr Tommy Thompson) that will speed up
the adoption of technology
HL7 EHR was adopted
10-year plan, $50M in 2004 in grants to local and regional
organizations to create system to share healthcare information;
$100 M for demonstration projects to test effectiveness of HIT and
best practices and also create incentives and opportunities for
providers to use the EMR technology
Meaningful Use Program
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The American Recovery and Reinvestment Act of
2009 authorizes CMS to provide incentive
payments to eligible professionals (EPs) and
hospitals who adopt, implement, upgrade or
demonstrate meaningful use of certified electronic
health record (EHR) technology.
Providers have to meet specific requirements in
order to receive incentive payments
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Goals of Using Certified EHR to
Achieve Meaningful Use
Improve quality, safety, efficiency, and reduce health
disparities
Engage patients and families in their health care
Improve care coordination
Improve population and public health
All the while maintaining privacy and security
CMS definition
A Conceptual Approach to Meaningful
Use
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Improved
Outcomes
Advanced
clinical
Processes
Data
Capture
and
Sharing
Goals of Meaningful use
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•
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Regional Extension Centers
Medicaid EHR Program 1st year
incentive
Workforce Training
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Medicare and Medicaid EHR
Incentive Programs
State Grants for Health Information
Exchange
Medicaid Administrative Funding for HIE
Standards and Certification Framework
Privacy and Security Framework
Adoption
Improved Individual
and Population
Health Outcomes
Meaningful
Use
Increased
Transparency and
efficiency
Improved ability to
study and improve
care delivery
Exchange
Health IT Practice Research
Eligibility: Practices Predominantly & Needy
Individuals
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EP is also eligible when practicing predominantly in
FQHC/RHC providing care to needy individuals
Practicing predominantly is when FQHC/RHC is the
clinical location for over 50% of total encounters
over a period of 6 months in the most recent
calendar year
Needy individuals (specified in statute) include:
 Medicaid or CHIP enrollees;
 Patients furnished uncompensated care by the
provider; or
 Furnished services at either no cost or on a
sliding scale
The Medicaid EHR Incentive Program
Summary
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The Medicaid EHR Incentive Program provides incentive payments to
eligible professionals, eligible hospitals, and CAHs as they adopt,
implement, upgrade, or demonstrate meaningful use of certified EHR
technology in their first year of participation and demonstrate
meaningful use for up to five remaining participation years.
Eligible professionals can receive up to $63,750 over the six years
that they choose to participate in the program
The Medicaid EHR Incentive Program is voluntarily offered by 43
individual states and territories, and more states will begin offering
the program in 2012. Check with your State Medicaid Agency for
more information.
The EHR Incentive Program provides incentive payments for eligible
healthcare providers to use EHR technology in ways that can
positively impact patient care
Medicare vs. Medicaid
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Medicare EHR Incentive Program
Medicaid EHR Incentive Program
Run by CMS
Run by Your State Medicaid Agency
Maximum incentive amount is $44,000
Maximum incentive amount is $63,750
Payments over 5 consecutive years
Payments over 6 years, does not have to be
consecutive
Payment adjustments will begin in 2015 for providers
No Medicaid payment adjustments
who are eligible but decide not to participate
In the first year providers can receive an incentive
payment for adopting, implementing, or upgrading
Providers must demonstrate meaningful use every year
EHR technology. Providers must demonstrate
to receive incentive payments.
meaningful use in the remaining years to receive
incentive payments
REQUIREMENTS FOR MU
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Recommendations
for Health Center Dental programs
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Before embarking on Meaningful Use, Health Centers should
consider the following strategic roadmap questions:
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What are the implications of participating in Meaningful Use?
Are the dentists eligible for Meaningful Use incentives?
What external organizations can assist in the early planning,
implementation and achievement of Meaningful Use of EDR/EHR
systems?
What features and capabilities should be included beyond
suggested requirements?
What is the Center’s capital and operating budget for an EDR/EHR
solution?
What EDR/EHR selection process and deployment model should be
used?
Requirements for MU Reporting
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15 Core Objectives
Objective
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Record patient demographics (sex,
race, ethnicity, date of birth, preferred
language)
Record vital signs and chart changes
(height, weight, blood pressure, bodymass index, growth charts for
children)
Maintain up-to-date problem list of
current and active diagnoses
Maintain active medication list
Measure
Exclusion
More than 50% of patients’ demographic
data recorded as structured data
None
More than 50% of patients 2 years of age
or older have height, weight, and blood
pressure recorded as structured data
An EP who either sees no
patients 2 years or older, or
who believes that all three
vital signs of height, weight,
and blood pressure of their
patients have no relevance
to their scope of practice
More than 80% of patients have at least
one entry recorded as structured data
More than 80% of patients have at least
one entry recorded as structured data
Maintain active medication allergy list More than 80% of patients have at least
one entry recorded as structured data
Record smoking status for patients 13 More than 50% of patients 13 years of age
years of age or older
or older have smoking status recorded as
structured data
Provide patients with clinical
Clinical summaries provided to patients for
summaries for each office visit
more than 50% of all office visits within 3
business days
On request, provide patients with an More than 50% of requesting patients
electronic copy of their health
receive electronic copy within 3 business
information (including diagnostic test days
results, problem list, medication lists,
medication allergies)
Dentist
Routine
Yes
Yes: Blood
pressure
No: Other
vitals
None
Yes
None
Yes
None
Yes
An EP who sees no
patients 13 years or older
Potential
An EP who has no office
visits during the EHR
reporting period
An EP that has no requests
from patients or their
agents for an electronic
copy of patient health
information during the EHR
reporting period
Potential
Potential
15 Core Objectives… continued
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Objective
Measure
Exclusion
Generate and transmit permissible
prescriptions electronically
Dentist Routine
More than 40% are transmitted electronically An EP who writes fewer
using certified EHR technology
than 100 prescriptions
during the EHR reporting
period
Computer provider order entry
More than 30% of patients with at least one An EP who writes fewer
(CPOE) for medication orders
medication in their medication list have at
than 100 prescriptions
least one medication ordered through CPOE during the EHR reporting
period
Implement drug-drug and drug-allergy Functionality is enabled for these checks for None
interaction checks
the entire reporting period
Implement capability to electronically Perform at least one test of EHR’s capacity None
exchange key clinical information
to electronically exchange information
among providers and patientauthorized entities
Implement one clinical decision
One clinical decision support rule
None
support rule and ability to track
implemented
compliance with this rule
Implement systems to protect privacy Conduct or review a security risk analysis,
None
and security of patient data in the
implement security updates as necessary,
EHR
and correct identified security deficiencies
Potential
Report clinical quality measures
(CQMs) to CMS or states
Potential
For 2011, provide aggregate numerator and None
denominator through attestation; for 2012,
electronically submit measures. Note:
NNOHA has proposed additional CQMs for
consideration that are relevant to oral health.
Potential
Yes
Yes
Yes
Yes
Select 5 out of 10 menu objective
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Objective
Measure
Implement drug formulary checks
Drug formulary check system is
None
implemented and has access to at
least one internal or external drug
formulary for the entire reporting period
Incorporate clinical laboratory test
results into EHRs as structured data
More than 40% of clinical laboratory
test results whose results are in
positive/negative or numerical format
are incorporated into EHRs as
structured data
Generate at least one listing of patients
with a specific condition
Generate lists of patients by specific
conditions to use for quality
improvement, reduction of
disparities, research, or outreach
Use EHR technology to identify
patient-specific education resources
and provide those to the patient as
appropriate
Perform medication reconciliation
between care settings
Provide summary of care record for
patients referred or transitioned to
another provider or setting
Exclusion
An EP who orders no lab tests
whose results are either in a
positive/negative or numeric format
during the EHR reporting period
Dentist
Routine
Yes
Potential
None
Yes
More than 10% of patients are provided None
patient-specific education resources
Yes
Medication reconciliation is performed An EP who was not the recipient of
for more than 50% of transitions of care any transitions of care during the
EHR reporting period
Summary of care record is provided for An EP who neither transfers a
more than 50% of patient transitions or patient to another setting nor refers
referrals
a patient to another provider during
the EHR reporting period
Potential
Potential
Select 5 out of 10 menu objectives
continued
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Objective
Measure
Exclusion
Send reminders to patients (per
patient preference) for preventive
and follow-up care
More than 20% of patients 65 years of
age or older or 5 years of age or
younger are sent appropriate
reminders
An EP who has no patients 65 years
old or older or 5 years old or
younger with records maintained
using certified EHR technology
Potential
Provide patients with timely
electronic access to their health
information (including laboratory
results, problem list, medication
lists, medication allergies)
More than 10% of patients are
provided electronic access to
information within 4 days of its being
updated in the EHR
An EP that neither orders nor
creates any of the information listed
at 45 CFR 170.304(g) during the
EHR reporting period
Potential
*PH* Submit electronic immunization Perform at least one test of data
data to immunization registries or
submission and follow-up submission
immunization information systems
(where registries can accept electronic
submissions)
An EP who administers no
immunizations during the EHR
reporting period or where no
immunization registry has the
capacity to receive the information
electronically
No
*PH* Submit electronic syndromic
surveillance data to public health
agencies
An EP who does not collect any
reportable syndromic information on
their patients during the EHR
reporting period or does not submit
such information to any public health
agency that has the capacity to
receive the information electronically
Perform at least one test of data
submission and follow-up submission
(where public health agencies can
accept electronic data)
Dentist
Routine
Potential
CORE #2: COMPUTER PROVIDER
ORDER ENTRY (CPOE)
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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.
Generate and transmit permissible prescriptions
electronically (eRx).
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Implement drug-drug and drug-allergy interaction
checks
Maintain an up-to-date problem list of current and
active diagnoses.
REPORTABLE CORE MEASURES
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SMOKING STATUS: 13 y.o. and older
VITALS:
A) Height.
(B) Weight.
(C) Blood pressure.
(D) Calculate and display body mass index (BMI).
(E) Plot and display growth charts for children 2–20
years, including BMI.
REPORTABLE CORE MEASURES
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1.
2.
3.
4.
Maintain an up-to-date problem list of current and
active diagnoses.
Provide patients with an electronic copy of their
health information including:
Diagnostics test results
Problem list
Medication lists
Medication allergies
REPORTABLE CORE MEASURES
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Provide clinical summaries for patients for each
office visit.
Recall reminders: eMessage or letter
EXAMPLE OF CLINICAL SUMMARIES
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Objectives: Provide clinical summaries for patients for each office
visit.
Measure: Clinical summaries provided to patients for more than 50
percent of all office visits within 3 business days.
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DENOMINATOR: Number of office visits by the EP during the EHR
reporting period.
NUMERATOR: Number of office visits in the denominator for which the
patient is provided a clinical summary within three business days.
The resulting percentage (Numerator ÷ Denominator) must be more than
50 percent in order for an EP to meet this measure.
Exclusion: Any EP who has no office visits during the EHR reporting
period. EPs must enter ‘0’ in the Exclusion box to attest to exclusion
from this requirement
Information in visit summary
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the patient name,
provider’s office contact information,
date and location of visit,
an updated medication list,
updated vitals,
reason(s) for visit,
procedures and other instructions based on clinical discussions that took place during the office
visit,
any updates to a problem list,
immunizations or medications administered during visit,
summary of topics covered/considered during visit,
time and location of next appointment/testing if scheduled, or a recommended appointment
time if not scheduled,
list of other appointments and tests that the patient needs to schedule with contact information,
recommended patient decision aids, laboratory and other diagnostic test orders,
test/laboratory results (if received before 24 hours after visit), and symptoms.
LET’S TALK ABOUT MONEY!
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Stages of payments
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Payments: EP Adoption Timeline
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2011
2012
2013
2014
2015
2016
2011 $21,250
2012 $8,500
$21,250
2013 $8,500
$8,500
$21,250
2014 $8,500
$8,500
$8,500
$21,250
2015 $8,500
$8,500
$8,500
$8,500
$21,250
2016 $8,500
$8,500
$8,500
$8,500
$8,500
$21,250
2017
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
$8,500
2018
2019
2020
2021
TOT
AL
$8,500
$63,750 $63,750
$63,750
$63,750
$63,750
$63,750
Payment schedule
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Medicaid: Payments began in 2011, as determined by
each state and continue to pay on a diminishing scale
over six years, through 2021.
Stage I Year 1: Under the Medicaid EHR Incentive
Program, incentives can also be paid for the adoption,
implementation, or upgrade of certified EHR technology
which can qualify your practice for the first year.
Stage I Year 2: meaningful use must be maintained for
90 days and for year 3, the eligible providers must be
meaningfully using their certified EHR technology for
the entire 12 month period (calendar year for EPs,
federal fiscal year for hospitals) (stage II).
PAYMENT SCHEDULE
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Payment Information
Adopt, implement, or upgrade in 2012/2013.
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Demonstrate 90 days of Stage 1 of meaningful use in year 2 -2014.
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Year 4 Payment: $8,500.00
Demonstrate a full year of Stage 2 of meaningful use in year 5.
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Year 3 Payment: $8,500.00
Demonstrate a full year of Stage 2 of meaningful use in year 4.
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Year 2 Payment: $8,500.00
Demonstrate a full year of Stage 1 of meaningful use in year 3-2015.
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Year 1 Payment: $21,250.00
Year 5 Payment: $8,500.00
Demonstrate a full year Stage 3 of meaningful use in year 6.
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Year 6 Payment: $8,500.00
Payment Methodology
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How will the EHR incentive payments actually be
distributed to the eligible professionals?
 They are distributed and taxed as income to the
Tax ID number that the eligible providers uses when
they register at the CMS registration system for
both Medicare and Medicaid’s EHR Incentive
Programs, which went live on January 3, 2011.
 Taxable income unless signing over to health
centers.
CALCULATIONS
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COMPUTERIZED PHYSICIAN ORDER
ENTRY (CPOE)
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Measure Information and Measure Values
1. Objective: Use computerized provider order entry (CPOE) for medication orders
directly entered by a licensed healthcare professional who can enter orders into the
medical record per state, local and professional guidelines
Measure: More than 30 percent of all unique patients with at least one medication in
their medication list seen by the EP have at least one medication order entered using
CPOE Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR
reporting period would be excluded from this requirement
Does this exclusion apply to you?
Numerator: The number of patients in the denominator that have at least one
medication order entered using CPOE
Denominator: Number of unique patients with at least one medication in their
medication list seen by the EP during the EHR reporting period
2. Objective: Implement drug-drug and drug-allergy interaction checks
Measure: The EP has enabled this functionality for the entire EHR reporting period
Note: This measure only requires a yes/no answer
Numerator: N/A
Denominator: N/A
Stage I reporting changes
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2014- Reporting periods for meaningful use will be
three months long regardless of what stage an
eligible professional is following ( Rob Anthony, a
health specialist with the CMS Office of E-Health
Standards and Services)
Also beginning in 2014, a physician group can
submit a meaningful use attestation for all of its
eligible professionals in one file, saving the practice
from entering each individual’s information
separately.
From Stage I to Stage II
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Stage I: 70% of physicians who achieved stage 1
requested an exclusion to the requirement that
practices needed to provide, to 50% of patients
who requested them, an electronic copy of their
records within three days, according to CMS data.
They qualified for exemptions because no patients
asked for the records
Stage II: require at least 5% of patients to
download their records.
From Stage I to Stage II
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Stages 1 and 2 each require meeting 20 total objectives,
but stage 2 makes mandatory some EHR measures that are
optional for stage 1, such as whether the electronic systems
can incorporate clinical laboratory test results.
Other measures stay the same but have higher thresholds,
such as a requirement that EHRs send more than 50% of
applicable prescriptions electronically, up from more than
40%.
The number of required core set measures goes up to 17
in stage 2 from 15 in stage 1.
Physicians also must choose and comply with three out of
six additional “menu” set measures, as well as report at
least nine clinical quality measures.
Stage I vs. stage II
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STAGE I
 15 core objectives
 5 objectives out of 10 from
menu set
 6 total Clinical Quality
Measures (3 core or alternate
core, and 3 out of 38 from
additional set)
STAGE II 2014 and beyond
 17 core objectives
 3 of 6 menu objectives
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1.
2.
3.
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Complete set for Stage II can
be found on www.cms.gov
4.
5.
6.
9 out of 64 CQMs
3 of the 6 key health care
policy domains
Patient and Family Engagement
Patient Safety
Care Coordination
Population and Public Health
Efficient Use of Healthcare
Resources
Clinical
Processes/Effectiveness
Stage II MU Core set
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1.
Use computerized physician order entry (>60% medication, 30% lab and 30% radiology
orders)
2.
Prescribe permissible drugs electronically (>50%)
3.
Record patient demographics (>80%)
4.
Record and chart changes in vital signs (>80%)
5.
Record smoking status (>80%)
6.
Use clinical decision support (at least five interventions)
7.
Incorporate clinical lab results into EHR (more than 55%)
8.
Generate lists of patients by specific conditions (at least one list)
Stage II MU Core set (cont.)
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9. Identify patients who need reminders for preventive or follow-up
care (>10%)
10. Provide at least half of patients with access to health information
(>5% use access)
11. Provide clinical summaries for patients within one business day
(>50%)
12. Identify patient-specific education resources (>10%)
13. Communicate with patients on relevant health information (>5%)
14. Perform medication reconciliation during care transitions (>50%)
15. Send summaries of care during referrals (more than 50%)
16. Submit electronic data to immunization registries (ongoing
submissions during reporting period)
17. Protect EHR information
WHAT DO DENTISTS NEED TO DO?
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From the CMS Final Rule
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Dentists must report on 6 clinical measures; 3 core measures and 3
additional measures . ***Please refer to NNOHA Guide to the
Future or CMS website
If any of the core measures have a 0 as the denominator because it
is not within the dentists’ scope of practice to capture that
information then (s)he must choose from the alternates list. If the
alternates don’t apply he/she must verify that the alternates are not
applicable to his/her scope of practice. **It is possible that the EP
because of his/her specialty will not report on 3 of the
core/alternate measures.
If a dentist cannot find three measures within the menu set of 38
quality measures on which to report because it falls outside of
his/her scope of practice, dentist has the option of sending a
statement attesting to that fact. **It is possible that the dentist will
not report on 3 menu clinical measures.
NNOHA’S PROPOSED CQMS
Proposed
Top Three Alternate Core Set Measures for
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Dentists (substitute when any of the
current CQMs do not apply)
Dentist Routine
Annual Oral Health Visit
Yes
Topical Fluoride or Fluoride Varnish Treatment
Yes
Periodontal Disease Assessment
Yes
Proposed Other Alternate Core Set Measures for Dentists
Dentist Routine
Dental Sealant
Yes
Oral Cancer Risk Assessment & Counseling
Yes
Completed Comprehensive Treatments Plan
Yes
Stage 2 CQM: NQF ORAL HEALTH MEASURES
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Measure 1: Children who have dental decay or cavities
Description: Percentage of children ages 0-20, who have had
tooth decay or cavities during the measurement period.
Measure 2: Primary Caries Prevention Intervention as Offered
by Primary Care Providers, including Dentists
Description: Percentage of children, age 0-20 years, who
received a fluoride varnish application during the measurement
period.
Accepted Oral Health Measures
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I. Oral Evaluation
 Measure Concept: Children who received a comprehensive or periodic
oral evaluation
 Aligned Administrative Measure: Percentage of enrolled children who
accessed [dental/ oral health] care (received at least one service) who
received a comprehensive or periodic oral evaluation within the
reporting year.
II. Prevention: Fluoride or sealants
 Measure Concept: Children who received topical fluoride or sealants
 Aligned Administrative Measure: Percentage of enrolled children at
elevated risk who accessed [dental/ oral health] care (received at least
one service) who received topical fluoride or sealants within the
reporting year.
DENTAL QUALITY ALLIANCE (DQA)
PROPOSED MEASURES
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III. Prevention: Sealants for 6 – 9 years-To be tested
 Measure Concept: Children aged 6-9 years who receive sealants in the
first molar
 Aligned Administrative Measure: Percentage of enrolled children aged 69 years at elevated risk who accessed [dental/ oral health] care (received
at least one service) who received a sealant in the first molar within the
reporting year.
IV. Prevention: Sealants for 10 – 14 years
 Measure Concept: Children aged 10-14 years who receive sealants in the
second molar
 Aligned Administrative Measure: Percentage of enrolled children at
elevated risk aged 10-14 years who accessed [dental/ oral] health care
(received at least one service) who received a sealant in the second molar
within the reporting year
DENTAL QUALITY ALLIANCE
PROPOSED MEASURES
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V. Prevention: Topical Fluoride –Already tested
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Measure Concept: Children who receive topical fluoride
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Aligned Administrative Measure: Percentage of enrolled children at elevated risk who accessed [dental/
oral] health care (received at least one service) who received topical fluoride within the reporting year.
VI.Care Continuity-Ready to be tested
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Measure Concept: Children who received a comprehensive or periodic oral evaluation in two consecutive
years
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Aligned Administrative Measure: Percentage of enrolled children who accessed [dental/ oral health]
services (received at least one service) who received a comprehensive or periodic oral evaluation in the
year prior to the measurement, who also received a comprehensive or periodic oral evaluation within the
reporting year.
VII. Dental caries-Already Tested
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Measure Concept: Children who have new caries or untreated caries
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Aligned administrative measure: NA.
Stage III
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Public comment period opened in January 2013
Mystery as only a handful of proposed measures
AMA is asking to delay
No date has been set
Likely to follow the same format with a divide core
(mandatory) and menu (optional) requirements, with
continuation of stage I and II and some new ones
HOW TO ATTEST
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Varies state by state. Please check your Medicaid
website
Registration & Attestation process
 NPI
Registry
 CMS Identify and Access
 CMS Registration and Attestation
HOW TO ATTEST (CONT)
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STEP 1: Select and adopt a certified EHR
STEP 2: Register at the CMS Registration Portal
STEP 3: Obtain EHR certification code (instructions)
STEP 4: Attest through the Medicaid portal.
STEP 5: Receive incentive payment
STEP 6: Year two: "meaningfully use" for 90 days
and attest.
You can skip years. The last year is 2021
STEP #1
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Select a certified product listed in the Certified EHR
list
STEP #2
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Log in to the site using your National Plan and Provider
Enumeration System (NPPES) web user account. If you
do not already have an NPPES account, visit the NPPES
website to register. (Note: If you have an NPI number,
you automatically have an NPPES account.)
CMS has a Medicaid EHR Incentive Program registration
user’s guide (PDF) for the registration and attestation
system.
Before you can proceed with the attestation process,
you will be prompted for a certification ID. This number
is a unique identifier assigned to each certified EHR
(see step 3).
STEP #3
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Visit the Certified Health IT Product List (CHPL) to
obtain your unique CMS EHR Certification ID.
STEP #4
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Attest through the Medicaid portal.
In addition to reporting your EHR Certification ID, this website will require you to
attest to the required 30% Medicaid patient volume. The patient volume will be
calculated based on any continuous 90 days in the year previous to applying for
the incentive.
You will have the ability to choose one of the following two options to calculate
patient volume:
Patient Encounters – The total number of Medicaid encounter divided by the total
patient encounters.
Patient Panel – The total number of Medicaid Panel Assignments and Encounters
divided by total panel assignments and total panel encounters.
The following events are considered Medicaid Encounters
Services rendered on any one day to an individual where Medicaid paid for any
portion, or all of the service provided.
Services rendered on any one day to an individual where Medicaid paid all or part
of their premium, co-payment, or cost-sharing.
STEP #5
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Incentive Payment
The federal Medicaid EHR incentive is $21,250 in
the first year of program participation and $8,500
over program years 2-6. The total incentive is
$63,750 over six years
STEP #6
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Complete 90 days of "meaningful use" in the second year of program
participation.
$8,500,: complete 90 days of meaningful use. EPs must complete a set of
15 core criteria and choose 5 from 10 criteria on a menu set for Stage 1
meaningful use criteria.
E-prescribe. If you are eligible, you can receive both the Medicaid EHR
incentive and the e-prescribing incentive in the same year. Meaningful use
requires you to generate and transmit permissible prescriptions for more
than 40 percent of all permissible prescriptions. If you only accept
Medicaid, there are no punitive penalties scheduled for failure to comply
with meaningful use or e-prescribing.
Once you've successfully completed a 90 day period of meaningful use,
log back on to the CMS Registration and Attestation website to enter
attestation data. If you have not successfully met each required measure,
you will be required to resubmit.
Additional resources
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Get information, tip sheets and more at CMS’ official
website for the EHR incentive programs:
http://www.cms.gov/EHRIncentivePrograms
Follow the latest information about the EHR Incentive
Programs on Twitter at http://www.Twitter.com/CMSGov
Learn about certification and certified EHRs, as well as
other ONC programs designed to support providers as
they make the transition
http://healthit.hhs.gov
www.nnoha.org
THANK YOU!
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QUESTIONS?