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Meaningful Use Stage 2
Meeting Meaningful Use Stage 2 with InstantPHRTM
www.getrealhealth.com
Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM
© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013
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Meaningful Use Overview
We are at the forefront of the patient engagement era.
The American Recovery and Reinvestment Act of 2009
included the Health Information Technology for Economic
and Clinical Health (HITECH) Act, which gives the
Department of Health & Human Services (HHS) the authority
to establish programs to improve healthcare quality, safety,
and efficiency through the promotion of health IT, including
electronic health records and private and secure electronic
health information exchange (HIE). In order to accomplish
these goals, the Centers for Medicare & Medicaid Services
(CMS) and the Office of the National Coordinator for Health
Information Technology (ONC) established Meaningful Use
(MU), which uses a combination of financial incentives and
penalties to encourage healthcare providers to comply with
recommended standards. MU Stage 1 laid the foundation
for EHR technology, and in Stage 2, we are seeing more
of a push to focus on improving clinical outcomes.
MU Stage 2 has led to an increased focus on consumer
engagement, including requirements that providers meet
consumer uptake percentages.
InstantPHRTM was developed to enable healthcare providers
to deliver high quality patient care. The product’s ONC
2014 Edition Modular EHR Certification designates that
the software is capable of supporting healthcare providers
with Stage 1 and Stage 2 Meaningful Use objectives and
measures. Meaningful Use requires the utilization of ONC
Certified Health IT products.
The last year to begin participation in the Medicare EHR
Incentive Program is 2014 with the last payments disbursed
in 2016, and the last year to begin participation in the
Medicaid EHR Incentive Program is 2016 with the last
payments disbursed in 2021. With $27 billion available for
incentive payments from CMS, eligible professionals (EPs)
can receive up to $44,000 in Medicare payments and
$63,750 in Medicaid payments. Hospitals can potentially
qualify for incentive payments of $2 million or more.
InstantPHRTM MU Summary
Get Real Health’s InstantPHRTM is an ONC 2014 Edition
Modular Certified EHR Technology (CEHRT) that meets both
ambulatory and inpatient criteria for:
170.314(a) Clinical
170.314(a)(15) Patient-specific education resources
170.314(d) Privacy and Security
170.314(d)(1) Authentication, access control, and authorization
170.314(d)(5) Automatic log-off
170.314(d)(8) Integrity
170.314(e) Patient Engagement
170.314(e)(1) View, download and transmit to 3rd party
170.314(e)(3) Secure messaging (Ambulatory only)
170.314(g) Utilization
170.314(g)(1) Automated numerator recording
170.314(g)(4) Quality management system
InstantPHRTM provides EPs and hospitals with an ONC 2014
Edition CEHRT to fulfill core patient-centric objectives
and measures. Additionally, InstantPHRTM is a certified
technology for automated numerator recording. This feature
enables EPs and hospitals to accurately track and report
percentage-based objectives.
Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM
© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013
The chart below depicts the correlation between Stage 2 objectives and measures that are required criteria for 2014 Edition
EHR certification.
Eligible Professionals
Core Measure 7
Stage 2 Objective Stage 2 Measure 2014 Edition EHR
Certification Criteria
Provide patients the ability to view,
download, and transmit their health
information within 4 business days
of the information being available to
the EP.
Measure 1: More than 50 percent of
all unique patients seen by the EP
during the EHR reporting period
are provided timely (available to
the patient within 4 business days
after the information is available
to the EP) online access to their
health information.
Measure 2: More than 5 percent of
all unique patients seen by the EP
during the EHR reporting period (or
their authorized representatives)
view, download, or transmit to a third
party their health information.
170.314(e)(1) View, download and
transmit to 3rd party.
Core Measure 13
Stage 2 Objective Stage 2 Measure 2014 Edition EHR
Certification Criteria
Use clinically relevant information
from Certified EHR Technology to
identify patient-specific education
resources and provide those
resources to the patient.
Patient-specific education resources
identified by Certified EHR
Technology are provided to more
than 10 percent of all unique patients
with office visits seen by the EP
during the EHR reporting period.
170.314(a)(15) Patient-specific
education resources
Core Measure 17
Stage 2 Objective Stage 2 Measure 2014 Edition EHR
Certification Criteria
Use secure electronic messaging
to communicate with patients on
relevant health information.
A secure message was sent using
the electronic messaging function of
CEHRT by more than 5 percent of
unique patients (or their authorized
representatives) seen by the EP
during the EHR reporting period.
170.314(e)(3) Secure messaging
(Ambulatory only)
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Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM
© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013
Eligible Hospitals/Critical Access Hospitals
Core Measure 6
Stage 2 Objective Stage 2 Measure 2014 Edition EHR
Certification Criteria
Provide patients the ability to
view online, download, and
transmit information about a
hospital admission.
Measure 1: More than 50 percent
of all unique patients discharged
from the inpatient or emergency
departments of the eligible hospital
or CAH (POS 21 or 23) during the
EHR reporting period have their
information available online within
36 hours of discharge.
Measure 2: More than 5 percent of all
unique patients (or their authorized
representatives) who are discharged
from the inpatient or emergency
department (POS 21 or 23) of
an eligible hospital or CAH view,
download or transmit to a third party
their information during the EHR
reporting period.
170.314(e)(1) View, download and
transmit to 3rd party.
Core Measure 10
Stage 2 Objective Stage 2 Measure 2014 Edition EHR
Certification Criteria
Use clinically relevant information
from Certified EHR Technology to
identify patient-specific education
resources and provide those
resources to the patient.
More than 10 percent of all unique
patients admitted to the eligible
hospital’s or CAH’s inpatient or
emergency departments (POS 21
or 23) are provided patient-specific
education resources identified by
Certified EHR Technology.
170.314(a)(15) Patient-specific
education resources.
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Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM
© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013
InstantPHR’s Automated Numerator Recording
InstantPHRTM is a certified technology for automated
numerator recording. This feature enables EPs and hospitals
to accurately track percentage-based objectives by
providing the number of unique patients who have used the
patient portal to:
1. View, download and/or transmit their health information
2. Securely message their provider
3. View educational material
CMS Definitions of Unique Patient for EP
Reporting Purposes
If a patient is seen by an EP more than once during the
EHR reporting period, then for purposes of measurement,
that patient is only counted once in the denominator for
the measure. All the measures relying on the term ‘‘unique
patient’’ relate to what is contained in the patient’s medical
record. Not all of this information will need to be updated or
even be needed by the provider at every patient encounter.
This is especially true for patients whose encounter
frequency is such that they would see the same provider
multiple times in the same EHR reporting period.
CMS Definitions of Unique Patient for EH
and CAH’s Reporting Purposes
If a patient is admitted to an eligible hospital’s or CAH’s
inpatient or emergency department (POS 21 or 23)
more than once during the EHR reporting period, then
for purposes of measurement that patient is only counted
once in the denominator for the measure. All the measures
relying on the term ‘‘unique patient’’ relate to what is
contained in the patient’s medical record. Not all of this
information will need to be updated or even be needed by
the provider at every patient encounter. This is especially
true for patients whose encounter frequency is such that
they would see the same provider multiple times in the
same EHR reporting period.
Using InstantPHR’s Automated Numerator
Recording Reports Assists with Attestation
InstantPHR’s automated numerator site enables providers
to easily run reports to track unique patients that have
used the patient portal to engage in Core Meaningful Use
patient engagement objectives. The reporting site is linked
to specific EPs’ and hospitals’ instance of InstantPHRTM
upon purchase. Users are able choose a reporting period by
selecting desired dates and MU2 objective(s). For hospitals
that are attesting for inpatient and ambulatory incentives,
reports are run separately as the criteria has different
requirements. InstantPHR’s numerator recording, provides
a downloadable CSV file.
Note: EPs, EHs, and CAHs will be required to provide
the denominator when attesting for Meaningful Use.
This is not provided by InstantPHRTM as the platform will
only have access to data related to the patient portal,
not the full patient population.
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Meaningful Use Stage 2 Meeting Meaningful Use Stage 2 with InstantPHRTM
© 2013 Get Real Health. Proprietary and confidential. Updated 9/20/2013
Additional Resources
CMS EHR Incentive Program:
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/index.html
Meaningful Use Stage 2:
http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage_2.html
Meeting Stage 1 with the 2014 Edition Criteria:
http://www.healthit.gov/sites/default/files/meaningfulusetablesseries1_110112.pdf
Providers & Professionals Information on EHRs:
http://www.healthit.gov/providers-professionals
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