Resources from ONC on Becoming a Meaningful User of EHRs

The Office of the National Coordinator for Health Information Technology (ONC) and the Centers for Medicare & Medicaid Services (CMS) want to help you on your journey to becoming a meaningful user of certified electronic health record (EHR) technology.  Here are resources about meaningful use, Medicare and Medicaid EHR Incentive Programs, and the EHR certification process to help guide you:

Meaningful Use and Medicare and Medicaid EHR Incentive Programs

1) Meaningful Use Overview
https://www.cms.gov/EHRIncentivePrograms/01_Overview.asp

2) Path to Payment
https://www.cms.gov/EHRIncentivePrograms/10_PathtoPayment.asp

3) PowerPoint Presentation: Medicare and Medicaid EHR Incentive Programs Final Rule
https://www.cms.gov/EHRIncentivePrograms/Downloads/EHR_Incentive_Program_Agency_Training_v8-20.pdf

4) Timeline: Medicare and Medicaid EHR Incentive Programs
https://www.cms.gov/EHRIncentivePrograms/Downloads/EHRIncentProgtimeline508V1.pdf

5) Being a Meaningful User of Electronic Health Records
http://www.healthit.gov/providers-professionals/ehr-incentives-certification

6) Meaningful Use Specification Sheets
https://www.cms.gov/EHRIncentivePrograms/Downloads/EP-MU-TOC-Core-and-MenuSet-Objectives.pdf

7) Flow Chart – Determine Eligibility for Medicare and Medicaid EHR Incentive Programs
https://www.cms.gov/EHRIncentivePrograms/downloads/eligibility_flow_chart.pdf

Certification

1) Certification Programs Overview
http://www.healthit.gov/providers-professionals/certification-process-ehr-technologies

2) Standards and Certification Criteria Final Rule Fact Sheet
http://www.healthit.gov/sites/default/files/pdf/ONC_FS_EHR_Stage_2_Final_082312.pdf

3) HITECH Temporary Certification Program for EHR Technology
http://www.healthit.gov/policy-researchers-implementers/temporary-certification-program

4) Temporary Certification Program Final Rule Frequently Asked Questions
http://www.healthit.gov/policy-researchers-implementers/standards-certification-regulations-faqs

5) Permanent Certification Program
http://www.healthit.gov/policy-researchers-implementers/certification-and-ehr-incentives

6) Certified Health IT Product List
http://www.healthit.gov/chpl

Privacy and Security

1) Advancing Privacy and Security in the Health Information Exchange
http://www.healthit.gov/policy-researchers-implementers/advancing-privacy-and-security-health-information-exchange

2) Health Information Privacy and Information on HIPAA
http://www.hhs.gov/ocr/privacy/

For additional resources on certification and meaningful use check out ONC’s Meaningful Use resources:
http://www.healthit.gov/policy-researchers-implementers/meaningful-use-resources.

ONC has also funded 62 Regional Extension Centers, located across the country, to offer customized, on-the-ground assistance for providers who need help adopting and meaningfully using certified EHR technology.

You can also stay up to date on ONC and CMS activities by:

What resources or tools from ONC, CMS, or other organizations have you or your practice used to help you become a meaningful user? What challenges have you faced on your road to meaningful use? We encourage you to start a dialogue and share your comments below.

2 Comments

  1. Rod Baird says:

    Our practice has employed a CCHIT EMR since 2000. We have our own IT department, and write custom interfaces for our providers. We do eRx, PQRI, and securely distribute encrypted clinical notes to other provider locations.

    Inspite of that experience and level of capability, we have a set of continuing, unresloved, problems with achieving meaningful use. They are specific to the locations where our providers (35 in number) practice – Nursing Homes(75 in number). These facilities have the statutory responsibility for procuring all patient services (e.g. prescription meds, labs, etc.).

    Our providers interact with these facilities 24×7, but are only on site a few hours to several days a week. Many orders are given via telephone from the side of the road, or from the bed during the middle of the night.

    Very few of the facilities have open internet connections, and many are in remote locations or have heavy concrete construction which makes it difficult/impossible to procure a decent cell phone signal, much less an wireless internet connection.

    Even a reatively simple exercise like eRx is fraught with complexity. No nursing facility is equiped to receive/sent eRx orders, so creating a scheme where our providers could demonstrate compliant behavior required an arrangement of Rube Goldberg complexity. Even then, when we tried to perform eRx in 2010, it failed at many locations. Why? Because the largest LTC pharmacy and the Surescripts Hub do not talk to each other (we assume this based on fees).

    We understand from the clinical staff at some of the larger EHR vendors that the ONC is aware of these issues – but there is no documentation of the steps we could take to ‘work around’ the Meaningful Use criteria until CMS sets standards for LTC facilities and the pharmacies that serve them.

    We assume our problems should be of significant concern to CMS- the population we serve in nearly 100% Medicare/Medicaid, a significant portion are near the end of life and are in the top quarter of expenses per beneficiary.

    Unfortunately, we have raised this and similar questions with CMS over the past year with NO response.

    Happy New Year

    • A Cavale says:

      Excellent points. We have been electronic since 2002 as a solo practice. Of course CCHIT only came into being in 2007, so we have been certified since then. I totally agree with your issues. Surescripts having monopoly with e-Rx has been a huge problem ever since I began interacting with them in 2008. Besides, the MU criteria are simply one-size-fits-all, which is what we could expect from a government mandate! If ONC truly wants “meaningful use” of IT, let the consumers/patients and their physicians/hospitals decide that constitutes meaningful use for them. In my opinion, all this noise is an exercise in futility. We probably already satisfy most criteria, but I will choose not to sign up because I simply don’t agree with the premise that some govt agency can decide what is meaningful use. We have had enough non-clinicians deciding about “medically necessary” criteria; we don’t need another govt agency telling how to use IT.

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