meaningful use stage 1 - nuemd · 2015-06-02 · to more efficient, streamlined patient care. by...

Meaningful Use Stage 1What is Meaningful Use?Meaningful Use is a government incentive program to encourage care providers to switch to an electronic health record (EHR) or electronic medical record (EMR) system, and use it in a way that leads to more efficient, streamlined patient care. By attesting for Meaningful Use objectives, you can receive payments of up to $44,000 over a four-year period.

Stages of Meaningful UseThere are four stages, and we are currently in Stage 1. Stage 2 is set to begin in 2014. Attestation for each stage takes place over a two-year period. In the first year, providers must attest for a 90-day period, while in the second year, they must attest for an entire year. October 3, 2013 is the last day you can begin your 90-day attestation period for Stage 1.

You cannot move to subsequent stages without first attesting for the previous stage. For example, if you’re still attesting for Stage 1, you must finish before moving on, even once Stage 2 requirements are in effect.

What are the incentives?For years 1–4 , you can receive up to $18,000, $16,000, $12,000, and $4,000 respectively. The incentive payment you receive depends on Medicare payables for the year. You receive 75% of these payables.

What are the penalties?In 2015, any providers who choose not to participate in the incentive program, or who cannot meet the requirements, will be penalized. If you don’t meet Meaningful Use by then, you’ll receive a 1% deduction in your payback. For each following year, if you don’t meet Meaningful Use, you’ll receive an additional 1% deduction. In total, you could lose up to 5% in your payback from Meaningful Use.

Stage 1 breakdownFor Stage 1, you must attest to 14 core objectives, and 5 of 10 menu objectives. Most objectives have a numerator and denominator, and a threshold you must meet for each measure. You may be excluded from some of these measures, depending on the data present during the reporting period. In addition, you must attest to 6 Clinical Quality Measures (see core objective 10 for more). NueMD has everything you need to meet all measures, so keep reading to see how you can increase your profits while fostering greater patient care.

Register for Meaningful UseBefore receiving your incentive payments, you must register to make sure you’re eligible. You can easily do so from the CMS website.

1. Go to cms.gov

2. In the top-right search bar, type registration and attestation, then click Search.

3. Click Registration and & Attestation – Centers for Medicare & Medicaid Services.

4. Click Click Here to Register or Attest for the Medicare and/or Medicaid EHR Incentive Program.

5. If needed, read any system announcements, then click Continue.

6. Click Continue again.

7. Mark the checkbox to show you’ve read the needed statements, then click Continue.

8. Scroll to the bottom of the screen, and enter your NPPES user ID and password.

Meaningful Use Table of Contents

Core Objectives Menu Objectives

1. CPOE for medication orders 1. Drug formulary checks

2. Drug interaction checks 2. Clinical lab test results

3. Maintain problem list 3. Patient lists

4. ePrescribe 4. Patient reminders

5. Active medication list 5. Patient electronic access

6. Medication allergy list 6. Patient-specific education resources

7. Record demographics 7. Medication reconciliation

8. Record vital signs 8. Transition of care summary

9. Record smoking status 9. Immunization registries data submission

10. Report ambulatory CQMs 10. Syndromic surveillance reporting

11. Clinical decision support

12. Electronic patient health info

13. Clinical summaries of office visits

14. Exchange key clinical info

15. Protect electronic health info

Meaningful Use Stage 1 | Core Objectives 3 of 27

Core 1: CPOE for medication ordersComputerized provider order entries electronically cross-check prescribed drugs with other patient info, like allergies or lab results, and alert you to potential problems. This reduces errors before ordering medications, ensuring patients don’t run into any adverse reactions. NueMD interfaces with Emdeon’s Clinician product to bring you this service.

Objective: Use computerized provider order entry (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.

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.

Numerator: The number of patients in the denominator that have at least one medication prescribed using eClinician by the ordering provider.

Denominator: Number of patients with at least one medication in their medication list seen by the EP during the EMR Reporting period.

Workflow:

Add the ePrescription template

1. Double-click a visit in the Appointments grid.

2. Go to the Encounter tab.

3. Add the ePrescription template.

4. Click New Order, then save the encounter.

5. Complete sig as needed.

6. Save when done.

Build the sig

1. Pick a formulary if needed.

2. To search for a drug, click the Search icon.

3. Enter a description, then click Search.

4. Find the target dosage, then click Select.

5. If needed, choose an alternate drug by clicking Select.

6. Click SIG Builder, then complete the SIG.

7. Enter other needed info, then click Issue. Once exiting the Clinician interface, the drug appears in the ePrescription template’s Medication History grid.


Core 2: Drug interaction checksWith many patients taking nutritional supplements or medications from multiple providers, checking how drugs interact with certain allergies or other drugs in the patient’s medication lists lets you stop adverse effects before they start, and prevents any prescriptions from doing more harm than good.

Objective: Implement drug-drug and drug-allergy checks throughout entire reporting period.

Measure: The EP has enabled this functionality for the entire EHR reporting period.

Workflow:

1. Go to EMR.



4. Add the Allergies template, and complete allergy info as needed.


6. Click New Order.


8. Save when done.


Core 3: Maintain problem listMaintaining a problem list is a long-time medical practice, and with today’s technology, this is made even easier. Moreover, other staff of your choosing can easily access it. Past problems may recur, so keep a list of active and inactive diagnoses to know what to expect.

Objective: Maintain an up-to-date problem list of current and active diagnoses.

Measure: More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data.

Numerator: Number of patients in the denominator who have at least one entry or an indication that no problems exist recorded as structured data in their problem list.

Denominator: Number of unique patients seen by the EP during the reporting period.

Workflow:

1. Go to EMR.



4. Add the Problems template.

5. Add entries as needed.

6. Save when done.


Core 4: ePrescribingGo paperless with your prescriptions to speed up drug ordering, and say goodbye to errors resulting from lost prescriptions, misread handwriting, and missing info.

Objective: Generate and transmit permissible prescriptions electronically (eRx).

Measure: More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using NueMD.

Exclusions: Any EP who writes fewer than 100 prescriptions during the EHR reporting period or if no pharmacies within 10 miles accept electronic prescriptions at the start of the reporting period.

Numerator: Number of prescriptions in the denominator generated and transmitted electronically.

Denominator: Number of prescriptions written for drugs requiring a prescription in order to be dispensed during the EHR reporting period.

Workflow:





4. Click New Order, then save the encounter.


6. Save when done.

Build the sig





5. If needed, choose an alternate drug by clicking Select.

6. Click SIG Builder, then complete the SIG.

7. Enter other needed info, then click Issue. Once exiting the Clinician interface, the drug appears in the ePrescription template’s Medication History grid.


Core 5: Active medication listKeeping a live list of medications streamlines office visits, letting you instantly view patient medication history. Keeping a list handy lets you know the correct drug and dosage to prescribe should they need to go back on any medications. Plus, knowing patient medication history helps with prescribing future drugs.

Objective: Maintain active medication list.

Measure: More than 80 percent of all unique patients seen by the EP have at least one entry recorded as structured data.

Numerator: Number of patients in the denominator who have a medication (or indication the patient is not currently prescribed any medication) recorded as structured data.

Denominator: Number of unique patients seen by the EP during the EHR reporting period.

Workflow:





4. Click New Order, then save the encounter


6. Save when done.

Build the sig





Note: If there are no entries, No Known Medications appears in the Medication History grid, assuring you meet the requirement.


Core 6: Medication allergy listKeeping an allergy record lets you and other providers easily see drugs that cause adverse effects. NueMD automatically checks this list in the ePrescription template, and alerts you if patients are allergic to your prescribed medication.

Objective: Maintain active medication allergy list.

Measure: More than 80 percent of all unique patients seen by the EP have at least one entry (or indication the patient has no known medication allergies) recorded as structured data.

Numerator: Number of patients in the denominator who have at least one entry (or indication the patient has no known medication allergies) recorded as structured data in the medication allergy list.


Workflow:

Add Allergies

1. Go to EMR.




5. Click New Order.

6. Pick a formulary, or use none.

7. Click Rx History.

8. Go to the Drug Allergies tab.

9. In the drop-down menu, pick whether the patient has allergies or has no known allergies.

10. Click Add Allergen(s).

11. Pick an allergy type, enter search terms in the description, then Search.

12. Mark the target allergies, then click Use Selected.

13. Save when done.

Expire Allergies

From the Drug Allergies tab in the ePrescription template, mark the added allergies, then click Expire Selected.


Core 7: Record patient demographicsNot only are patient demographics essential for accurate billing, but they also let you spot any commonalities among groups. Even the most basic demographics can go a long way toward spotting similarities between groups.

Objective: Record preferred language, gender, race, ethnicity, and date of birth.

Measure: More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data.

Numerator: Number of patients in the denominator who have their preferred language, gender, race, ethnicity, and date of birth recorded as structured data.

Denominator: Number of unique patients seen during the EHR reporting period.

Workflow:

1. Go to Patient > Patient Info tab.

2. Enter Gender and DOB.

3. Go to the Miscellaneous tab.

4. Enter language, race, and ethnicity.

5. Save when done.


Core 8: Record vital signsTracking vitals is crucial to treating patients and predicting future behavior. Monitoring vitals lets you spot potential problems early, and take necessary measures to prevent them.

Objective: Record and chart changes in height, weight, blood pressure, calculate and display body mass index (BMI) and plot and display growth charts for children 2–20 years, including BMI.

Measure: More than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data.

Exclusion: Providers who do not see patients age two years or older, or who believe that all three vital signs (height, weight, and blood pressure) have no relevance to their scope of practice.

Numerator: Number of patients in the denominator who have at least one entry of their height, weight, and blood pressure recorded as structured data.

Denominator: Number of unique patients over the age of 2 seen by the EP during the EHR reporting period.

Workflow:

1. Go to EMR.



4. Add the Vitals template.

5. Add height, weight, and blood pressure. BMI is auto-calculated. Growth charts are applied to patients ages 20 and younger.

6. Save when done.


Core 9: Record smoking statusTobacco-related illnesses are a major health risk to the entire U.S. Taking an interest in patient tobacco use is an important first step in weaning them off it, leading to healthier lifestyle choices.

Objective: Record smoking status for patients 13 years old or older.

Measure: More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data.

Exclusion: Any EP who does not see patients over the age of 13.

Numerator: Number of patients in the denominator with smoking status recorded as structured data.

Denominator: Number of unique patients over the age of 13 seen by the EP during the EHR reporting period.

Workflow:

In Practice Setup

1. Go to Practice Setup > EMR > Template Builder.

2. Enter a template name, description, and tab name.

3. Pick a template layout.

4. Add the Smoking Status and Smokeless Tobacco questions. These question are hard-coded into all accounts.

5. Save when done.

In the EMR

1. Double-click a visit in the Appointments grid


3. Add your template with the Tobacco Use questions.

4. Pick an answer in both.

5. Save when done.


Core 10: Report ambulatory CQMsCMS uses clinical quality measures (CQMs) to understand and improve quality of care. They’re used for quality improvement, public reporting, and pay-for-reporting programs for certain providers. EMRs are one of the many tools CMS uses to collect this data, and submitting this data to them assures they can deliver programs that are safe, effective, patient-centered, and timely.

Objective: Report ambulatory clinical quality measures to CMS.

Measure: Successfully report to CMS ambulatory clinical quality measures selected by CMS in the manner specified by CMS.

Workflow:

In the EMR

1. Go to EMR.



4. Add the CQM template, then click Perform CQM Check.

5. Answer any questions that appear.

In the Reports module

1. Go to Reports > EMR > CQM Report.

2. Pick a CQM from the report type menu.

3. Pick a reporting period and provider. To properly attest, you can only filter by one provider.

4. Click Preview, then click Export to PQRI.

5. Repeat for needed providers and CQMs.


Core 11: Clinical decision supportClinical decision support alerts ensure you give the right care to the right patients. With medicine becoming more and more complex and fast-paced, these alerts can save you much-needed time when deciding treatment methods.

Objective: Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule.

Measure: Implement one clinical decision support rule.

Workflow:

1. Go to Settings > Account > EMR tab.

2. Mark Enable CDS Alerts, then pick the needed CDS alerts to implement.

3. Save when done.

Note: Individual users can enable/disable alerts for their own patients in Settings > User > EMR tab. CDS alerts appear if you access a patient in the EMR who meets the requirements for triggering them.


Core 12: Electronic patient health infoGiving patients a copy of their health info increases communication between you and them, and provides them access to it whenever they need it. Moreover, they’ll have it on hand should they need to give it to another physician or specialist.

Objective: Provide patients with an electronic copy of their health info upon request.

Measure: More than 50 percent of all patients who request an electronic copy of their health info receive it within 3 business days.

Exclusion: Any EP that has no requests from patients or their agents for an electronic copy of patient health info during the EHR reporting period.

Numerator: Number of patients in the denominator who receive an electronic copy of their electronic health info within three business days.

Denominator: Number of patients who request an electronic copy of their electronic health info four business days prior to the end of the EHR reporting period.

Workflow:

1. Go to EMR.


3. Go to the Summary tab.

4. Click Export CCD > Patient Requested CCD.

5. Enter a requested date.

6. Mark Provided within 3 business days.

7. Click OK.

8. Save the file to your computer.

9. Set a password. This is required for you and recipients to open the file.

10. Export when done.


Core 13: Clinical summaries of office visits Care summaries include basic clinical info provided during each office visit (labs, medications, problems, and diagnoses). Giving patients their own copy increases awareness of what transpired during their encounter, and lets them take a more active role in understanding their health.

Objective: 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 three business days.

Exclusion: Any EP that has no office visits 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.

Denominator: Number of office visits by the EP during the EHR reporting period.

Workflow:

1. Go to EMR.



4. Click Export CCD > Clinical Summary.

5. Pick an encounter.



8. Export when done. NueMD looks at the encounter date and compares it to the date you print the summary. Summaries printed in three business days are counted toward the numerator.

Note: If patients request a clinical summary during an encounter, simply click Print > Print Encounter and hand it to them to satisfy this measure.


Core 14: Exchange key clinical infoThis measure is no longer required for Stage 1 in 2013.

Core 15: Protect electronic health infoKeeping health info confidential and secure is one of the greatest responsibilities physicians have. As you transfer this data to an electronic format, you must make sure you can continue meeting your own requirements for maintaining this protection, as well as the government’s. Applying safeguards found in the HIPAA Privacy Rule can help avoid common security gaps that lead to cyber attack or data loss.You must conduct a security risk assessment as required by 45 CFR 164.308(a)(1), and implement updates as needed. Analyses and updates must occur once before the end of the reporting period.

Objective: Protect electronic health info created or maintained by NueMD through the implementation of appropriate technical capabilities.

Measure: Conduct a security risk analysis and implement security updates as necessary.

Menu 1: Drug formulary checksFormulary checks let you pick medications while staying plugged into the patient’s health plan formulary. Using them, you can pick the best treatment option at the time of prescribing, avoiding callbacks from patients and pharmacies later.

Objective: Implement drug formulary checks.

Measure: The EP has enabled this functionality and has access to at least one internal or one external formulary for the entire EHR reporting period.

Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR reporting period.

Workflow:

1. Go to EMR.




5. Add medications as needed. Clinician checks formularies before you prescribe medications, listing drug alternatives by tier.

6. Save when done.

Meaningful Use Stage 1 | Menu Set Objectives 17 of 27

Menu 2: Clinical lab test resultsIncomplete or misplaced test results make clinical decision-making difficult. Having lab results in patient records lets you reference them whenever you need them, contributing to office efficiencies while helping you make critical patient care decisions.

Objective: Incorporate clinical lab test results into EHR as structured data.

Measure: More than 40 percent of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive/negative or numerical format are recorded as structured data.

Exclusion: An EP who does not order lab tests with results in either a positive/negative or numeric format during the EHR reporting period.

Numerator: Number of lab tests with results expressed as positive/negative or numeric format recorded as structured data.

Denominator: Total number of lab tests ordered during the EHR reporting period.

Workflow:

1. Go to EMR.



4. Add the Lab template.

5. Order labs as needed.

6. Save when done.


Menu 3: Patient listsGenerating lists of patients by specific conditions helps you manage your patient population. Use these lists to monitor patient health and progress. They also help you focus on areas in which to educate your staff or patients, as well as identifying outreach areas.

Objective: Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach.

Measure: Generate at least one report listing patients of the EP with a specific condition.

Workflow:

1. Go to Reports > EMR > EMR Patient List.

2. Set filters, then click Preview. You can now analyze results as needed.

Note: You only need to generate this report once.


Menu 4: Patient remindersChildren and seniors are more prone to illness or disability than others, and will likely have follow-up visits to monitor their health. Sending them reminders for these appointments can go a long way in making sure they arrive for you to give them the care they need.

Objective: Send reminders to patients per patient preference for preventive/follow-up care.

Measure: More than 20 percent of all patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the EHR reporting period.

Exclusion: An EP who has no patients 65 years old or older or 5 years old or younger with records maintained using NueMD.

Numerator: Number of patients in the denominator who were sent the appropriate reminder.

Denominator: Number of unique patients over 65 and under 5 with records maintained in NueMD.

Workflow:

In the EMR

1. Go to EMR.



4. Add the Procedure template.

5. Add the Recall transaction.

6. Pick a contact preference. Options are those added in Patient > Patient Info tab. If they’re blank, they don’t appear in the drop-down menu.

7. Choose an EMR template. Options are Problems, ePrescription, Allergies, and Labs.

8. Select the recall reason. Options are entries in your chosen template.

9. Save the encounter when done.

10. Click Ticket in the taskbar, then click Create to push diagnoses/procedures to the Ticket module.

In the Reports module

Run the EMR Recall report to see who needs a reminder, as well as their preferred contact method. Send reminders as needed.

In the Ticket module

Find the ticket with the recall reminder added, then mark Complete in the Recall transaction. Save when done. Only tickets reminders marked complete are counted toward the numerator.


Menu 5: Patient electronic accessInstead of making patients wait until their next visit, give them electronic access to key health record details so they can see them any time. With their health info only a click away, patients will be more likely to make better lifestyle decisions.

Objective: Provide patients with timely electronic access to their health info within 4 business days of the info being available to the EP.

Measure: At least 10 percent of all unique patients seen by the EP are provided timely electronic access to their health info subject to the EP’s discretion.

Exclusion: Any EP that does not order lab tests or create other info that would be contained in the problem list, medication list, or medication allergy list during the EHR reporting period.

Numerator: Number of patients in the denominator who have timely electronic access to their health info online.


Workflow:

In the Patient Portal

1. Go to Practice Setup > Portal Setup > General tab.

2. In the Portal Features frame, mark Allow patients to view their clinical information.

Lab results

State restrictions may apply when sending lab results to patients, so be sure to discuss with them whether or not to post them online.

Make all lab results available online

1. Go to Practice Setup > Portal Setup > General tab.

2. Mark Make any new verified lab result available online by default. After completing lab tasks, they’re automatically added to the Patient Portal. You can later hide individual results.

Show individual lab results online

If you choose not to show all lab results online, you can make individual labs available in the Patient Portal.

1. In the top menu bar, go to Modules > Messages.

2. Pick a lab result task, then mark Show Offline.

3. Click Complete.

Change online lab results settings

At any time, you can show or hide individual lab results from the Patient Portal. This action may be performed from the Lab History grid or from the ECM.


From the Lab History grid

1. Go to EMR.

2. Pick a visit in the Appointments grid.


4. Add the Labs template.

5. In the Lab History grid, mark Online. If you’re showing all lab results online, this checkbox is already marked. Unmark it to hide this result.

From the ECM

1. Go to Patient > Patient Info tab.

2. Search for a patient by last name.

3. Click View > ECM.

4. Find the Labs folder, then right-click the target lab.

5. Click Show Online. To hide the result, right click the lab again, then click Hide Online.

Menu 6: Patient-specific education resourcesSince you can’t monitor patients 24/7, give them the tools they need to make informed lifestyle decisions and continue their treatment at home. Educational resources are available for further information about conditions, treatments, and medications.

Objective: Use NueMD to identify patient-specific education resources and provide those resources to the patient if appropriate.

Measure: More than 10 percent of all unique patients seen by the EP are provided patient-specific education resources.

Numerator: Number of patients in the denominator who are provided patient-specific education resources.


Workflow:

1. Go to EMR.



4. Add the Labs, Problems, ePrescription, or Diagnosis template.

5. Add entries as needed. These entries are hyperlinked to Medline Plus info on that subject. Clicking an entry counts toward the numerator. Entries in each template also appear in the Encounter Summary to the right.


Menu 7: Medication reconciliationToday, it’s common for patients to change locations frequently, or visit specialists for specific problems. With new patients constantly moving in and out, as well as changing pharmacies, chances are, you don’t know their medication history right off the bat. Having a complete electronic list that’s easily updated, however, fixes this problem, and prevents you from prescribing medications they’re currently taking, or stopped taking.

Objective: The EP who receives a patient from another care provider or believes an encounter is relevant should perform medication reconciliation.

Measure: The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transferred into the care of the EP.

Exclusion: An EP who was not the recipient of any transitions of care during the EHR reporting period.

Numerator: Number of transitions of care in the denominator where medication reconciliation was performed.

Denominator: Number of transitions of care during the EHR reporting period for which the EP was the receiving party of the transition.

Workflow:

Check medication list

1. Go to EMR.




5. Mark Medication Reconciliation Performed.

Note referrals

To fully attest for this measure, you must not that the patient was referred to you. Remember, the numerator counts referrals for whom you’ve checked medications, while the denominator counts all referrals.

1. Go to Patient > Billing Manager > General tab.

2. Pick an option in the Referral field. These are added in Practice Setup > Referral Sources.


Menu 8: Transition of care summaryProviding discharge summaries to receiving care teams is key to coordinating care between you, other providers, and patient-authorized entities. Sending it electronically in standard protected formats ensures a safe and speedy arrival, and lets the new team pick up where you left off.

Objective: The EP who transitions their patient to another care provider should provide summary of care records for each transition or referral.

Measure: The EP who transitions their patient to another care provider provides a summary of care record for more than 50 percent of transitions of care or referrals.

Exclusion: An EP who does not transfer any patients nor refers a patient to another provider during the EHR reporting period.

Numerator: Number of transitions of care and referrals in the denominator where a summary of care record was provided.

Denominator: Number of transitions of care and referrals during the EHR reporting period for which the EP was the transferring or referring provider.

Workflow:

1. Go to EMR.



4. Click Export CCD > Continuity of Care Document.



7. Add a Referral transaction.

8. Mark CCD Provided.


10. Click Ticket in the bottom taskbar, then click Create.

Note: The following two measures are public health measures of which you must attest to at least one. If you are excluded from one, you must attest to the other measure. If you are excluded from both measures, you will only claim an exclusion to one of these measures during attestation. However, you should be prepared to prove that you were eligible for exclusions from both measures.


Menu 9: Immunization registries data submissionReport patient vaccines to immunization registries so other providers and institutions like colleges can easily access them. Making this info available lets providers throughout the community keep vaccinations up-to-date. You must attest to this measure, or to syndromic surveillance.

Objective: Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice.

Measure: Performed at least one test of NueMD’s capacity to submit electronic data to immunization registries and follow-up submission if the test is successful, except where prohibited.

Exclusion: An EP who administers no immunizations during the EHR reporting period, where no immunization registry has the capacity to receive info electronically, or where it is prohibited.

Workflow:

Create immunization codes

Before reporting on immunizations, you must create them in your system:

1. Go to Practice Setup > Immunizations > Immunization Codes.

2. Click New, then enter a code.

3. Link immunizations to the CDC’s HL7 vaccine code set by marking Apply next to the needed CVX codes. Only vaccines with CVX codes are included in the report.

4. Save when done.

Link immunization codes to transaction codes

After creating immunization codes, link them to CPT codes so you can add them to encounters and report on them

1. Go to Practice Setup > Transaction Codes.

2. Pick a charge transaction, or add a new one.

3. Mark Immunization, then pick your code. If you link an immunization to multiple transactions, each transaction appears on the Immunization Export report.

4. Save when done.

Add MVX code

For vaccines to count toward Meaningful Use, you must note manufacturers by their MVX code. These appear on the Immunization Export report, as well as the Inventory and Manufacturer List reports.

1. Go Practice Setup > Inventory > Manufacturer Setup.

2. Click New.

3. Enter a Manufacturer Code.

4. Enter other needed info, like name, address, or office number.

5. Enter an MVX code. For vaccines to count toward Meaningful use, you must note manufacturers by their MVX code.

6. Save when done.


Add inventory items

1. Go Practice Setup > Inventory > Management.

2. Click New.

3. Enter the following:

z Manufacturer

z Brand

z Lot number

z Expires

z Pkg type (optional)

z Units/pkg (optional)

z On hand

z Cost unit

z Total cost

4. Save when done.

Link inventory items to transaction codes

Like with immunizations, you must link inventory items to CPT codes so you can add them to encounters.

1. Go Practice Setup > Transaction Codes.

2. Pick the target code.

3. Mark Inventory Item.

4. Go to the new Inventory tab.

5. Click Add Inv.

6. Search for items by brand, lot number, or expiration date.

7. Save when done.

Add vaccines to encounters

After adding immunizations to Practice Setup, you can add them to encounters as needed.

1. Go to EMR.




5. Search for the immunization, then add it.


Add transaction details

1. In the Immunization transaction row, click Details.

2. In the Immunization tab, enter a quantity administered, unit of measurement, and time the vaccine was administered.

3. In the Inventory tab, enter the quantity administered, and price per unit.

4. Click Done.


6. Click Ticket in the taskbar, then click Create.

Run immunization report

1. Go to Reports > EMR > Immunization Export.

2. Set report filters.

3. Click Export to HL7.




Menu 10: Syndromic surveillance reportingSyndromic surveillance lets health departments analyze data from multiple sources, and take preventive actions if needed. EMRs are now one of those sources. With multiple EMRs reporting this data, health departments can assess potential outbreaks in a timely manner, and stop them before they start. Remember, you must report on this or patient vaccines.

Objective: Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice.

Measure: Performed at least one test of NueMD’s capacity to provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful, except where prohibited.

Exclusion: An EP who does not collect any reportable syndromic info on their patients during the EHR reporting period, does not submit such info to any pubic health agency, or if it is prohibited.

Workflow:

1. Go to EMR.



4. Click Print > Print Syndromic Surveillance.




Meaningful Use Stage 1 | Meaningful Use Report & Attestation 27 of 27

Meaningful Use ReportBefore attesting to Meaningful Use, see how you stack up with our built-in Meaningful Use report. After generating the report, simply use the numbers it returns when you attest.

1. Go to Reports > EMR > Meaningful Use Report.

2. Pick a reporting period. If you’re attesting for year 1, pick custom, then set a 90-day date range. If you’re attesting for year 2, pick Year To Date.

3. Pick your provider code.

4. Click Preview.

AttestationHere’s where things start to pay off. After your attestation period, run NueMD’s Meaningful Use report, then insert the numbers into the attestation website. Attest for Meaningful Use from the same website where you registered, then sit back and let the cash roll in!

1. Go to cms.gov

2. In the top-right search bar, search for registration and attestation.

3. Click Registration and & Attestation.

4. Click Click Here to Register or Attest for the Medicare and/or Medicaid EHR Incentive Program.

5. Click Continue.

6. Mark the checkbox to show you’ve read the needed statements, then click Continue.

7. Scroll to the bottom of the screen, and enter your NPPES user ID and password.

meaningful use stage 1 - nuemd · 2015-06-02 · to more efficient, streamlined patient care. by...

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