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Meaningful Use
Quest for Excellence - Modified Stage 2

Join the Quest for Excellence community for MU and MIPS discussion with other RevolutionEHR customers

CMS made the Meaningful Use program less complicated for all involved parties by reducing the number of objectives providers must report on and reshaping them to provide better alignment for the future.  As part of this realignment, the traditional concept of Stage 1 and Stage 2 were eliminated.  In 2018, eligible professionals (EPs) are required to demonstrate success in either Modified Stage 2 or Stage 3 criteria.

However, the number of doctors that actually need to demonstrate traditional MU has decreased significantly.  The Medicare Access and CHIP Reauthorization Act of 2015 made 2016 the final year of Meaningful Use as it has traditionally been known.  Instead of participating in MU and having a penalty two years later if each of the criteria was not met, Meaningful Use in the Medicare arm of the program has been modified and incorporated into the Merit-based Incentive Payment System (MIPS) as Advancing Care Information.  In turn, the only doctors that need to attest to Meaningful Use are those participating in the Medicaid EHR Incentive Program and are still due bonus money.

This is likely to cause confusion so let’s answer the question: “What am I supposed to do in 2018?”

If you are not involved in the Medicaid EHR Incentive Program, turn your attention to MIPS.  We’ve built a resource center for you here: https://insight.revolutionehr.com/?cat=185

If and only if you are in the Medicaid arm of the Incentive Program and are still due bonus money, you’ll need to achieve MU success over an “any 90 consecutive day” period between 1/1/18 and 12/31/18.

MU reporting periods in 2018 can involve either the same modified Stage 2 measures as 2017 OR the increased expectations of Stage 3.  We anticipate that most will continue with modified Stage 2 until Stage 3 becomes an absolute requirement.

“MU success” not only includes success on the measures below, but also reporting clinical quality measure (CQM) data for 6 measures over the full calendar year.  The CQMs are tracked automatically by RevolutionEHR based on the ideas discussed in this guide.  While statistical performance on these measures is not important for MU success (i.e. there are no thresholds to meet), it can be involved in scoring determinations for other programs such as the Merit-based Incentive Payment System (MIPS).

The attestation deadline for 2018 reporting periods is specific to each state agency but, since it will include a full calendar year of CQM data, it will not be available until early 2019.  In other words, you very well might complete your 90 days of MU early in the year, but you cannot complete attestation without 365 days worth of CQM data.  Please contact your state for official attestation guidance.

Modified Stage 2 Meaningful Use Resource Center

RevolutionEHR Modified Stage 2 MU Resources:

Official CMS Meaningful Use Resources:

Registration and Attestation Process Resources:

Audit and Security Resources:

Related RevolutionEHR Resources

Modified Stage 2 Meaningful Use Requirements

Below is a listing of the Modified Stage 2 Meaningful Use objectives, their measures, and discussion. There is no longer a differentiation between core and menu objectives.  Instead, all ten objectives are required.  2018 Modified Stage 2 measures are identical to 2017.

 


Protect Patient Health Information
Posted: January 1, 2018

Overview

EHR technology is expected to deliver a very high standard of data security.  While the EHR vendor is responsible for ...  read more


Clinical Decision Support
Posted: January 1, 2018

Overview

EHR technology is expected to allow the use of clinical decision support to improve performance on high-priority health conditions.

MU Objective ...  read more


Computerized Provider Order Entry
Posted: January 1, 2018

Overview

CPOE is defined as the provider’s use of a computer to enter medication, laboratory, and radiology orders.  The CPOE process requires ...  read more


Electronic Prescribing
Posted: January 1, 2018

Overview

Use of e-Prescribing technology is at the core of EHR meaningful use to assure that the transmission of medication orders ...  read more


Health Information Exchange
Posted: January 1, 2018

Overview

When a patient is transitioned from the provider’s practice to that of another provider, a summary of care record should ...  read more


Patient Specific Education
Posted: January 1, 2018

Overview

EHR technology should enable a provider to identify patients eligible for education resources specific to their health information as it ...  read more


Medication Reconciliation
Posted: January 1, 2018

Overview

Medication reconciliation is the process of identifying the most accurate list of all medications that the patient is taking, including ...  read more


Patient Electronic Access
Posted: January 1, 2018

Overview

EHR technology should enable a provider to deliver patients with timely access to their health information as it is logged ...  read more


Secure Messaging
Posted: January 1, 2018

Overview

EHR technology must have the capability to allow secure messaging and communications between patients and providers.

MU Objective and Calculation

The provider ...  read more


Public Health Reporting
Posted: January 1, 2018

Overview

Reporting data to public health agencies (PHA) and clinical data registries (CDR) via certified EHR technology can assist providers in ...  read more




  


  


  


  

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Updates Prior to 2018