MDNews - Central New York

+++++++++++++++++++++++ + +++ +MEANiNGFul uSE +++ +++++++++++++++++++++++ Preparing for an EhR By John Netti BY N Ow, M O S T M E D I - practices have already wrestled with whether to start down the road of using an electronic health record (EHR) system. The vast majority have decided to make the jump. Few, however, really understood, when starting out, all that is involved in staying CAL MEANINGfuL uSE ObjECTIvE on the EHR road — including the need to meet three stages of meaningful use, the requirement to implement a patient portal and secure messaging, and, of course, compliance audits. We are now seeing significant numbers of EHR incentive audits that fall into two categories: pre- and postpayment. There is also a HIPAA type, which will be a subject for another time. The Centers for Medicare & Medicaid Services (CMS), the agency responsible for the EHR incentive program, has subcontracted the auditing initiative to Figliozzi and Company, an independent, national accounting firm. As would be expected, numerous audit checks are built into the CMS system to detect AudIT vALIdATION SuGGESTEd dOCuMENTATION drug-drug/drug-Allergy Interaction Checks and Clinical decision Support Functionality is available, enabled and active in the system for the duration of the eHR reporting period. One or more screenshots from the certified eHR system that are dated during the eHR reporting period selected for attestation Report ambulatory or hospital clinical quality measures Clinical quality measure data is reported directly from certified eHR systems. Report from the certified eHR system to validate all clinical quality measure data entered during attestation Protect Electronic Health Information Security risk analysis of the certified eHR technology was performed prior to the end of the reporting period. Report that documents the procedures performed during the analysis and the results. Report should be dated prior to the end of the reporting period and should include evidence to support that it was generated for that provider's system (e.g., identified by National Provider identifier (NPi), CMS Certification Number (CCN), provider name, practice name, etc.) drug formulary Checks Functionality is available, enabled, and active in the system for the duration of the eHR reporting period. One or more screenshots from the certified eHR system that are dated during the eHR reporting period selected for attestation Generate Lists of Patients by Specific Conditions One report listing patients of the provider with a specific condition Report from the certified eHR system that is dated during the eHR reporting period selected for attestation. Patient-identifiable information may be masked/blurred before submission. Immunization Registries data Submission, Reportable Lab Results to Public Health Agencies and Syndromic Surveillance data Submission One test of certified eHR technology's capacity to submit electronic data and follow-up submission if the test is successful Dated screenshots from the eHR system that document a test submission to the registry or public health agency (successful or unsuccessful). Should include evidence to support that it was generated for that provider's system (e.g., identified by National Provider identifier (NPi), CMS Certification Number (CCN), provider name, practice name, etc.). A dated record of successful or unsuccessful electronic transmission (e.g., screenshot from another system, etc.). Should include evidence to support that it was generated for that provider (e.g., identified by National Provider identifier (NPi), CMS Certification Number (CCN), provider name, practice name, etc.). Letter or email from registry or public health agency confirming the receipt (or failure of receipt) of the submitted data, including the date of the submission, names of parties involved and whether the test was successful. Exclusions Documentation to support each exclusion to a measure claimed by the provider Source: cms.gov 14 | Central New York MD News ■ MDNEwS.COM Report from the certified eHR system that shows a zero denominator for the measure or otherwise documents that the provider qualifies for the exclusion

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