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By Ginger - Site Admin on Wednesday, February 22, 2017 9:25 AM
Adverse drug events fell by 67,000 between 2010 and 2013 as the result of the federal “meaningful use” program that offered financial incentives to hospitals for using certified electronic health records (EHRs), according to a new Agency for Healthcare Research and Quality (AHRQ) study. Adverse drug events are harms experienced by a patient as a result of exposure to a medication. They affect nearly 5 percent of hospitalized patients and can be deadly. To minimize such harms, the Centers for Medicare and Medicaid Services (CMS) initiated the meaningful use program in 2010, awarding financial incentives to hospitals and physicians who adopted specific information technology (IT) capabilities, such as computerized prescriber order entry. The new AHRQ study in Journal of the American Informatics Association (JAMIA)...
By Ginger - Site Admin on Tuesday, February 14, 2017 11:05 AM
The deadline for Eligible Professionals (EPs) to submit Reconsideration forms for the 2017 payment adjustment — based on the 2015 electronic health record (EHR) reporting period — is February 28, 2017. No applications will be accepted after the deadline.

Please visit the Centers for Medicare and Medicaid Services (CMS) website to find the EP Reconsideration Application . Complete this application if you received a letter from CMS that stated you are subject to the 2017 Medicare EHR payment adjustment and you believe this payment adjustment is in error....
By Ginger - Site Admin on Tuesday, February 07, 2017 9:15 AM
The Centers for Medicare and Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare Electronic Health Record (EHR) Incentive Program to Monday, March 13, 2017, at 11:59 p.m. (PT).

Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017, to avoid a 2018 payment adjustment.

If you are participating in the Medicaid EHR Incentive Program, please refer to http://chfs.ky.gov/dms/EHR.htm...
By Ginger - Site Admin on Wednesday, January 18, 2017 10:16 AM
The Centers for Medicare and Medicaid Services (CMS) Registration and Attestation System is now open. Providers participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest to the ...
By Ginger - Site Admin on Friday, January 13, 2017 9:31 AM
CMS recently updated an FAQ to provide information about calculations for electronic health record (EHR) Incentive Programs objectives and measures requiring patient action.

...
By Ginger - Site Admin on Wednesday, August 31, 2016 9:03 AM
CMS issued an invitation the public to comment on the Calendar Year (CY) 2017 Changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule . Comments are due by 5:00 p.m. (ET) next Tuesday, September 6.

The CY 2017 OPPS ASC proposed rule includes the following changes to the Medicare and Medicaid EHR Incentive Programs:

Eliminates the Clinical Decision Support (CDS) and Computerized Provider Order Entry (CPOE) objectives and measures beginning in 2017 and reduces the...
By Ginger - Site Admin on Friday, August 19, 2016 8:29 AM
The Centers for Medicare and Medicaid Services (CMS) will host two webinars in August that highlight how to participate successfully in the Electronic Health Record (EHR) Incentive Programs in 2016 based on the criteria outlined in the October 2015 final rule. The first webinar will discuss criteria for eligible professionals (EPs) and the second will highlight requirements for eligible hospitals and critical access hospitals (CAHs). Please use the links below to register.

2016 EHR Incentive...
By Ginger - Site Admin on Tuesday, June 28, 2016 8:58 AM
The Medicare Electronic Health Record (EHR) Incentive Program 2017 hardship exception instructions and ...
By Ginger - Site Admin on Friday, June 10, 2016 7:39 AM
All Providers Must Take Action by July 1, 2016 to Avoid Payment Adjustments

Hardship exception applications are due by July 1 for eligible professionals (EPs), eligible hospitals and critical access hospitals (CAHs).

The Medicare EHR Incentive Program 2017 hardship exception instructions and ...
By Ginger - Site Admin on Wednesday, April 27, 2016 8:49 AM
A risk prediction model designed to forecast hospital readmissions based on patients’ electronic health records (EHR) for entire hospital stays was only modestly better than a model based on EHR data for just the day of admission, according to a new AHRQ-funded study. The study on predicting 30-day, all-cause hospital readmissions was based on data from nearly 33,000 hospital stays at six Dallas-Fort Worth hospitals from 2009 to 2010.

The authors stated their model was the first to use comprehensive EHR data from entire hospital stays. That model was shown to be only modestly better at predicting risk of readmission despite including many additional clinically relevant prognostic factors. The authors noted customized models that are disease-specific may be more effective in predicting readmission compared with the common multi-condition, readmission risk prediction model.

The study “Predicting All-Cause Readmissions Using Electronic Health Record Data From the Entire Hospitalization: Model Development...
By Ginger - Site Admin on Wednesday, April 20, 2016 9:13 AM

The Centers for Medicare and Medicaid Services (CMS) recently participated in the 2016 Healthcare Information and Management Systems Society (HIMSS) Annual Conference and Exhibition in Las Vegas. CMS' education session presentations from this year’s conference are now available online.

Visit the Events page for the EHR Incentive program to view all five presentations from the Exhibition.

By Ginger - Site Admin on Wednesday, April 20, 2016 9:06 AM
The Kentucky Medicaid Electronic Health Record (EHR) Incentive Program began accepting program year 2015 meaningful use attestations on Thursday, April 7. Please keep in mind all attestations must be submitted for program year 2015 by 11:59 p.m. (ET) on May 31, 2016.
By Ginger - Site Admin on Wednesday, April 13, 2016 8:07 AM
To help eligible professionals, eligible hospitals, and critical access hospitals (CAHs) successfully participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs in 2016, the Centers for Medicare and Medicaid Services (CMS) has posted new resources on the CMS EHR Incentive Programs website .

These resources include:

...
By Ginger - Site Admin on Tuesday, March 08, 2016 9:23 AM
Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare and Medicaid EHR Incentive Program Registration and Attestation System no later than Friday, March 11 at 11:59 p.m. (ET).

Medicaid EHR Incentive Program participants should refer to their respective ...
By Ginger - Site Admin on Friday, March 04, 2016 9:12 AM
Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare and Medicaid EHR Incentive Program Registration and Attestation System by Friday, March 11 at 11:59 p.m. ET.

Medicaid EHR Incentive Program participants should refer to their respective ...
By Ginger - Site Admin on Friday, February 12, 2016 9:54 AM
The Centers for Medicare and Medicaid Services (CMS) extended the attestation deadline for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs to Friday, March 11 at 11:59 p.m. ET, from the original deadline of Monday, February 29.

Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare EHR Incentive Program can attest through the CMS Registration and Attestation System. Providers participating in the Medicaid EHR Incentive Program should refer to their respective ...
By Ginger - Site Admin on Wednesday, February 10, 2016 9:28 AM
Broadband access is required to meet certain objectives outlined in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs final rule. Therefore, The Centers for Medicare and Medicaid Services (CMS) has maintained exclusions for providers in areas with limited broadband availability as identified by the Federal Communications Commission (FCC):

Objective 8, Patient Electronic Access - Eligible providers (EPs) and eligible hospitals/CAHs Measure 2 Only:...
By Ginger - Site Admin on Tuesday, February 02, 2016 9:53 AM
The Centers for Medicare and Medicaid Services (CMS) has launched important changes to the Medicare Electronic Health Record (EHR) Incentive Program hardship exception process that will reduce burdens on clinicians, hospitals and critical access hospitals (CAHs). These changes are a result of recent Medicare legislation – the Patient Access and Medicare Protection Act (PAMPA), Pub. L. No. 114-115 – and the agency’s ongoing efforts to improve the program.

CMS has released an FAQ outlining the documentation requirements for submitting the new hardship application to avoid the 2017 payment adjustment.

FAQ #14113 - On the new hardship application form for the 2017 payment adjustment there is nothing which says documentation is required to be submitted with the application form. Does this mean that CMS will only require the selection of a hardship category and the completion of the provider’s identifying information in order to approve a hardship exception? Or will CMS be reviewing the application...
By Ginger - Site Admin on Tuesday, January 26, 2016 8:42 AM
On January 22, the Centers for Medicare and Medicaid Services (CMS) launched important changes to the Medicare Electronic Health Record (EHR) Incentive Program hardship exception process that will reduce burden on clinicians, hospitals and critical access hospitals (CAHs). These changes are a result of recent Medicare legislation – the Patient Access and Medicare Protection Act (PAMPA), Pub. L. No. 114-115 – and ongoing efforts to improve the program.

CMS has posted new, streamlined hardship applications, reducing the amount of information that eligible professionals (EPs), eligible hospitals and CAHs must submit to apply for an exception. The new applications and instructions for a hardship exception from the Medicare Electronic Health Records Incentive Program 2017 payment adjustment are available here....
By Ginger - Site Admin on Thursday, December 10, 2015 9:06 AM
The Centers for Medicare and Medicaid Services (CMS) on October 16 published a final rule with comment for the Electronic Health Record (EHR) Incentive Program that makes modifications to meaningful use requirements in 2015 through 2017 and sets the start date for Stage 3 of the program. For more details on the rule, see the AHA Regulatory Advisory.

CMS is accepting comments on the provisions of the meaningful use Stage 3 final rule through December 15. AHA will submit comments, and hospitals are strongly encouraged to submit their own comments to the agency. AHA has also provided a model comment letter to assist you. The model comment letter includes recommendations on how to improve the structure of the meaningful use program and increase flexibility to ensure program success by the greatest number of eligible providers. It also includes specific comments on the Stage 3 objectives.

...
By Ginger - Site Admin on Friday, December 04, 2015 8:41 AM
To help eligible professionals, eligible hospitals, and critical access hospitals (CAHs) successfully participate in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs in 2015, CMS has posted new resources on the CMS EHR Incentive Programs website.

Eligible Professionals and Eligible Hospitals/CAHs: What You Need to Know for 2015 Overview of the EHR Incentive Programs in 2015-2017 What’s Changed for the EHR Incentive Programs in 2015-2017 Eligible Professionals and Eligible Hospitals/CAHs Attestation Worksheets Alternate Exclusions and Specifications Fact Sheet Eligible Professionals and Eligible Hospitals/CAHs Objectives and Measures Tables Eligible Professionals and Eligible Hospitals/CAHs Specification Sheets CMS will continue to update the EHR Incentive Programs website to include additional information and resources for eligible professionals and...
By Ginger - Site Admin on Wednesday, November 18, 2015 8:56 AM
On October 6, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. To support provider participation in 2015, CMS has released two additional FAQs in response to inquiries about the public health reporting objective in 2015.

FAQ 13409 Question: For 2015, how should a provider report on the public health reporting objective if they had planned to be in Stage 1 meaningful use which required sending a test message and continued submission if successful, but did not require registration of intent?

Answer: We did not intend to require providers to engage in new activities during 2015, which may not be feasible after the publication of the final rule in order to successfully demonstrate meaningful use in 2015. Since providers in Stage 1 in 2015 were not previously required to submit a registration of intent to submit data to meet Objective 10 measures, providers may meet the measures by having...
By Ginger - Site Admin on Wednesday, November 11, 2015 8:37 AM
On October 6, the Centers for Medicare and Medicaid Services (CMS) released the final rule with comment for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. To keep providers informed of changes to the programs and how to participate in 2015, CMS has also released three new FAQs providing clarification on how to attest to certain measures for health information exchange, patient electronic access and other objectives that require patient action.

FAQ 12817 Question: For the Health Information Exchange objective for meaningful use in 2015 through 2017, may an eligible professional (EP), eligible hospital or critical access hospital (CAH) count a transition of care or referral in its numerator for the measure if they electronically create and send a summary of care document using their Certified Electronic Health Record Technology (CEHRT) to a third party organization that plays a role in determining the next provider of care and ultimately delivers the summary of care document?...
By Ginger - Site Admin on Thursday, November 05, 2015 9:25 AM
On October 16, the Centers for Medicare and Medicaid Services (CMS) published a final rule with comment for the Electronic Health Record (EHR) Incentive Program that makes modifications to meaningful use requirements in 2015 through 2017 and sets the required start date for Stage 3 of the program as January 1, 2018. Although this is a final rule, CMS seeks comment on the final policies for the Stage 3 objectives and measures and the EHR reporting period for Stage 3 in 2017 and subsequent years. Public comments received may be considered as CMS plans for the incorporation of meaningful use into implementation of the new physician payment models introduced by the Medicare Access and CHIP Reauthorization Act of 2015 and in future hospital payment rulemaking. The deadline for comments...
By Ginger - Site Admin on Wednesday, September 23, 2015 8:01 AM
The Centers for Medicare and Medicaid Services (CMS) has posted a new Medicare Electronic Health Record (EHR) Incentive Program fact sheet on the 2016 payment adjustments for Medicare eligible hospitals.

Visit the Payment Adjustments & Hardship Exceptions...
By Ginger - Site Admin on Wednesday, July 01, 2015 9:23 AM
To keep providers updated with information on the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, the Centers for Medicare and Medicaid Services (CMS) has recently updated an FAQ about the Stage 2 Summary of Care objective.

An important update was added regarding the NIST EHR-Randomizer Application:

Question: When reporting on the Summary of Care objective in the Medicare and Medicaid EHR Incentive Program, how can eligible professionals and eligible hospitals meet measure 3 if they are unable to complete a test with the CMS designated test EHR (Randomizer)?

...
By Ginger - Site Admin on Monday, June 08, 2015 8:58 AM
Payment adjustments for eligible professionals that did not successfully participate in the Medicare Electronic Health Records (EHR) Incentive Program in 2014 will begin on January 1, 2016. Medicare-eligible professionals can avoid the 2016 payment adjustment by taking action by July 1 and applying for a 2016 hardship exception.

The hardship exception applications and instructions for an individual...
By Ginger - Site Admin on Wednesday, May 06, 2015 8:54 AM
The Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) are inviting the public to submit comments on the recently released notices of proposed rulemaking (NPRMs).

Due May 29:

Stage 3 of Meaningful Use NPRM – Specifies the Stage 3 requirements for eligible professionals, eligible hospitals and critical access hospitals in the electronic health records...
By Ginger - Site Admin on Tuesday, March 10, 2015 7:45 AM
Payment adjustments for eligible hospitals that did not successfully participate in the Medicare Electronic Health Record (EHR) Incentive Program in 2014 will begin on October 1, 2015. Medicare-eligible hospitals can avoid the 2016 payment adjustment by taking action by April 1 and applying for a 2016 hardship exception.

The hardship exception application and instructions for Medicare-eligible hospitals are available on the EHR Incentive Programs website, and outline the specific types of circumstances that the centers for Medicare and Medicaid Services (CMS) considers to be barriers to achieving meaningful use, and how to apply.

To file a hardship exception, Medicare-eligible hospitals must:

Show proof of a circumstance beyond the hospital’s control. Explicitly outline how the circumstance significantly impaired the hospital’s ability to meet meaningful use. Supporting documentation must also be provided. CMS will review applications to determine...
By Ginger - Site Admin on Tuesday, March 03, 2015 9:01 AM
Eligible professionals now have until 11:59 p.m. (ET) on March 20 to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year.

The Centers for Medicare and Medicaid Services (CMS) extended the deadline to allow providers extra time to submit their meaningful use data. CMS continues to urge providers to begin attesting for 2014 as soon as they can.

This extension also allows eligible professionals, who have not already used their one “switch,” to switch programs (from Medicare to Medicaid, or vice versa) for the 2014 payment year until 11:59 p.m. (ET) on March 20. After that time, eligible professionals will no longer be able to switch programs.

Medicare eligible professionals must attest to meaningful use every year to receive an incentive and avoid a payment adjustment. Providers who successfully attest for the 2014 program year will:

Receive an incentive payment Avoid the Medicare payment adjustment,...
By Ginger - Site Admin on Friday, October 10, 2014 8:44 AM
In recent months, KHA staff has had many requests to host meetings of hospital quality data users, using common Health Information Technology (HIT) systems.  KHA will host a pilot meeting on October 23 for quality data users from Kentucky hospitals using McKesson as their HIT/EHR vendor.  

The meeting will allow quality leaders, quality data extractors and reporters, and other staff working in IT the opportunity to discuss challenges and solutions and share both standard and customized reports with the goal to:

Promote streamlining data access; Improve compliance with reporting requirements for quality improvement programs; and  Provide better data for hospital leaders to take informed steps on performance improvement.   Please share the Health IT Quality Data User Meeting sign-up sheet with appropriate people in your office....
By Ginger - Site Admin on Wednesday, October 01, 2014 8:37 AM
On September 16, Representatives Renee Ellmers (R-North Carolina) and Jim Matheson (D-Utah) introduced the Flexibility in Health Information Technology (IT) Reporting Act (H.R. 5481), AHA-supported legislation that would give hospitals and eligible professionals more flexibility in meeting meaningful use requirements for electronic health records (EHRs) in fiscal year 2015. Specifically, the legislation would shorten the 2015 reporting period to 90 days from the current 365 for Medicare and Medicaid EHR Incentive Program participants using the 2014 Edition Certified EHR. Without this change, the vast majority of hospitals are required to meet all Stage 2 requirements on October 1.

Hospitals continue to be challenged with the current regulatory timeline for EHR delivery, installation and implementation. Additionally, they are challenged to find enough other providers capable of receiving a summary of...
By Ginger - Site Admin on Tuesday, September 23, 2014 9:08 AM
Don’t miss an opportunity to receive incentive payments for the Medicare Electronic Health Record (EHR) Incentive Program. The last day to begin a 2014 reporting period for first-year Medicare eligible professionals (EPs) is October 3. Medicare EPs must attest to demonstrating meaningful use every year to receive an incentive and avoid a payment adjustment. A few key points for EPs who have not yet started participation in the Medicare EHR Incentive Program: Earning Incentives

October 3 is the last day to start the 90-day reporting period in 2014 for the Medicare EHR Incentive Program. If you start participation by October 3, you will have the opportunity to receive an incentive for 2014, and if you continue to achieve meaningful use, can earn incentive payments for 2015 and 2016 participation. If you wait and start participation in 2015, you will not be eligible to receive incentive payments, but can avoid payment adjustments. Avoiding Adjustments You will not avoid the payment adjustment in 2015,...
By Ginger - Site Admin on Tuesday, September 02, 2014 11:41 AM
On Friday, August 29, the Department of Health and Human Services (HHS) published a final rule that would provide physicians, hospitals and critical access hospitals (CAHs) more flexibility in implementing certified electronic health record technology (CEHRT) in 2014 to meet the meaningful use standards of the Medicare and Medicaid Electronic Health Record Incentive Programs. The final rule, jointly issued by the Centers for Medicare and Medicaid Services (CMS) and the Office of the National Coordinator (ONC), will allow providers to use the 2011 Edition CEHRT or a combination of 2011 and 2014 Edition CEHRT for the reporting period in 2014 for the Incentive Programs. Beginning in 2015, all eligible physicians and hospitals would be required to attest using the 2014 Edition CEHRT. In addition, the rule finalizes a provision that would formalize CMS’ and the ONC’s previously stated intention to extend Stage 2 of the program one additional year through 2016, and to begin Stage 3 in 2017. The rule is available...
By Ginger - Site Admin on Wednesday, August 27, 2014 9:14 AM
To keep providers updated with information on the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs, the Centers for Medicare and Medicaid Services (CMS) has recently added three new FAQs to the CMS FAQ system.

New FAQs:

For the certification criteria that providers must have in place to meet the Clinical Decision Support (CDS) objective, what type of interventions must the EHR technology trigger to meet the criteria? For this and for the Eligible Provider and Eligible Hospital Core Measures related to the Objective “use clinical decision support to improve performance on high-priority health conditions,” are “pop-up” alerts the only type of intervention that a provider can use to meet the CDS objective? Read the answer. I am an eligible professional. What should I do if my patients...
By Ginger - Site Admin on Thursday, March 20, 2014 3:47 PM
From the Centers for Medicare and Medicaid Services (CMS):

Payment adjustments for eligible hospitals that have not successfully participated in the Medicare Electronic Health Record (EHR) Incentive Program will begin on October 1. Hospitals can avoid the payment adjustment by taking action by April 1.

Hospitals that have never participated in the Medicare EHR Incentive Program can:

Submit a hardship exception application for experiencing circumstances that posted a significant barrier to achieving meaningful use Begin 90 days of meaningful use for the 2014 reporting year...
By Ginger - Site Admin on Friday, January 17, 2014 12:22 PM
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule in the Federal Register that establishes national emergency preparedness requirements for Medicare and Medicaid providers and suppliers to ensure that they adequately plan for both natural and man-made disasters.

The proposed rule addresses emergency preparedness requirements that 17 provider and supplier types must meet in order to participate in the Medicare and Medicaid programs.

This proposed rule could have a significant impact on hospitals. For example, the rule includes language that relates to the behavior of the new electronic health record (EHR) systems during a disaster or emergency, and a requirement that EHR systems be redundantly backed up both in region and out of region.

KHA Emergency Preparedness Director Richard Bartlett has prepared resources for hospitals to educate themselves regarding the proposed changes and to prepare in case the rule is approved. Visit http://www.kyha.com/proposed-rule-change-on-cop-related-to-emergency-preparedness/...
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