Dentrix Enterprise 8.0 CE (Certified Edition) 7/7/2014 Dentrix Enterprise 8.0 Meaningful Use Certified Edition Presented by Christine Geary Dentrix Enterprise Certified Trainer Dentrix Enterprise 8.0 Meaningful Use Certified Edition Presented by Christine Geary Dentrix Enterprise Certified Trainer Meaningful Use: Defined • The Medicare and Medicaid EHR Incentive Programs provide financial incentives for the meaningful use of certified EHR technology to improve patient care. • To receive an EHR incentive payment, providers have to show that they are meaningfully using their EHRs by meeting thresholds for a number of objectives. • The EHR Incentive Programs are phased in three stages with increasing requirements. http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Meaningful_Use.html 1 7/7/2014 Meaningful Use: Requirements Core Objectives These are objectives that everyone who participates in the program must meet. Some of the core objectives have exclusions that could exemptt you from f h i having tto meett them, th but b t many of them do not. You have to report on all 13 Core Objectives in Stage 1 and meet the thresholds established by those objectives. In Stage 2, there are 17 Core Objectives. Meaningful Use: Requirements Menu Objectives You only have to report on 5 out of the 9 available Menu Objectives in Stage 1, including at least one public health-related objective. You can choose objectives that make sense for your workflow or practice. Again, some of these objectives have exclusions that could exempt you from having to meet them. In Stage 2, you must meet 3 out of 6 Menu Objectives. Meaningful Use: Requirements Clinical Quality Measures Clinical quality measures do not have thresholds that you have to meet—you simply have to report data on them. them You don’t have to do any calculations for the clinical quality measures. Your certified HER will produce a report with clinical quality measure data, and you must enter that data exactly as your certified EHR produced it. 2 7/7/2014 Meaningful Use: Requirements Stage 1 Stage 2 • 13 Core Objectives • 17 Core Objectives • 5 Menu Objectives • 3 Menu Objectives • 9 CQM’s in 2014 • 9 CQM’s in 2014 Meaningful Use: Reporting Meaningful Use: Reporting 3 7/7/2014 What is a Visit? Completed Dental Procedure(s) What is a Visit? Completed Medical Encounter What is a Visit? Completed Patient Health Assessment 4 7/7/2014 Core Objectives Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Stage 2: This increases to 60% 5 7/7/2014 Core Objectives CPOE-Medications Core Objectives • CPOE-Medications (%) • • Drug-Drug/Drug• Allergy Checks (Y/N) • • Problem List (%) This is((%))a Yes/No / • • ePrescribe • Medication List (%) • • Medication Allergy List (%) • • Record Demographics (%) Record Vital Signs (%) Smoking Status (%) Implement Clinical Decision Support (Y/N) attestation VDT A and B-Health Information (%) Clinical Summary (%) Protect Electronic Health Info(Y/N) Core Objectives Drug-Drug and Drug-Allergy Checks 6 7/7/2014 Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Core Objectives Problem List Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Stage 2: This increases to 50% 7 7/7/2014 Core Objectives ePrescribe Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Core Objectives Medication List 8 7/7/2014 Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Core Objectives Medication Allergy List Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Stage 2: This increases to 80% 9 7/7/2014 Core Objectives Record Demographics Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Stage 2: This increases to 80% Core Objectives Record Vital Signs 10 7/7/2014 Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Stage 2: This increases to 80% Core Objectives Smoking Status Core Objectives • CPOE-Medications (%) • • Drug-Drug/Drug• Allergy Checks (Y/N) • • Problem List (%) This is((%))a Yes/No / • • ePrescribe • Medication List (%) • • Medication Allergy List (%) • • Record Demographics (%) Record Vital Signs (%) Smoking Status (%) Implement Clinical Decision Support (Y/N) attestation VDT A and B-Health Information (%) Clinical Summary (%) Protect Electronic Health Info(Y/N) 11 7/7/2014 Core Objectives Implement Clinical Decision Support Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) VDT, Measure A B Core Objectives VDT Measure A & B-Access to Health Information 12 7/7/2014 Core Objectives VDT Measure A & B-Access to Health Information Core Objectives • CPOE-Medications (%) • Drug-Drug/DrugAllergy Checks (Y/N) • Problem List (%) • ePrescribe ((%)) • Medication List (%) • Medication Allergy List (%) • Record Demographics (%) • Record Vital Signs (%) • Smoking Status (%) • Implement Clinical Decision Support (Y/N) • VDT A and B-Health Information (%) • Clinical Summary (%) • Protect Electronic Health Info(Y/N) Core Objectives Clinical Summary 13 7/7/2014 Core Objectives • CPOE-Medications (%) • • Drug-Drug/Drug• Allergy Checks (Y/N) • • Problem List (%) This is((%))a Yes/No / • • ePrescribe • Medication List (%) • • Medication Allergy List (%) • • Record Demographics (%) Record Vital Signs (%) Smoking Status (%) Implement Clinical Decision Support (Y/N) attestation VDT A and B-Health Information (%) Clinical Summary (%) Protect Electronic Health Info(Y/N) Core Objectives Protect Electronic Health Information Menu Objectives 14 7/7/2014 Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit electronic syndromic surveillance data to public health agencies • Drug formulary checks • Incorporate clinical lab-test results • Generate lists of patients by specific conditions *Public Health Objective Menu Objectives: Stage 1 • Send reminders to patients for preventive/follow-up care • Patient-specific education resources • Medication Reconciliation • Summary of care record for transitions of care Menu Objectives: Stage 2 • *Submit electronic data to immunization registries • Electronic Clinical Notes • Family Health History *Public Health Objective 15 7/7/2014 Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit electronic syndromic surveillance is a Yes/No / agencies attestation dataThis to public health Dentists Exempt? • Drug formulary checks • Incorporate clinical lab-test results • Generate lists of patients by specific conditions *Public Health Objective Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit electronic syndromic surveillance is a Yes/No / agencies attestation dataThis to public health Dentists Exempt? • Drug formulary checks • Incorporate clinical lab-test results • Generate lists of patients by specific conditions *Public Health Objective Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit syndromic surveillance Thiselectronic is a Yes/No attestation data to public health agencies • Drug formulary checks • Incorporate clinical lab-test results • Generate lists of patients by specific conditions *Public Health Objective 16 7/7/2014 Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit electronic syndromic surveillance 40% of Results Received data to public health agencies El t Electronically i ll • Drug formulary checks Dentists Exempt? • Incorporate clinical lab-test results • Generate lists of patients by specific conditions Becomes a Core Objective in Stage 2 Menu Objectives: Stage 1 • *Submit electronic data to immunization registries • *Submit syndromic surveillance Thiselectronic is a Yes/No attestation data to public health agencies • Drug formulary checks • Incorporate clinical lab-test results • Generate lists of patients by specific conditions Becomes a Core Objective in Stage 2 Menu Objectives: Stage 1 • Send reminders to patients for preventive/follow-up care • Patient-specific education resources This is a Yes/No attestation • Medication reconciliation • Summary of care record for transitions of care Becomes a Core Objective in Stage 2 17 7/7/2014 Menu Objectives: Stage 1 • Send reminders to patients for preventive/follow-up care • Patient-specific education resourcesfor Document Patient Education • Medication 10%reconciliation of your Patients • Summary of care record for transitions of care Becomes a Core Objective in Stage 2 Menu Objectives: Stage 1 • Send reminders to patients for preventive/follow-up care • Patient-specific Document education Review ofresources Current • Medication Reconciliation Medications for 50% of Referrals • Summary of care record for transitions of care Becomes a Core Objective in Stage 2 Menu Objectives: Stage 1 • Send reminders to patients for preventive/follow-up care • Provide Patient-specific education resources a Clinical Summary for 50% • Medication Reconciliation of Patients Referred Out • Summary of care record for transitions of care Becomes a Core Objective in Stage 2 18 7/7/2014 Clinical Quality Measures Clinical Quality Measures • Documentation of Current Medications • Preventive Care and Screening: BMI Screening and Follow-Up • Primary i C Care C Caries i Intervention t ti • Children Who Have Dental Decay or Cavities • Preventive Care and Screening: Influenza Immunization Clinical Quality Measures • Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention g Assessment and Counseling g for • Weight Nutrition and Physical Activity for Children and Adolescents • Use of High Risk Medications in the Elderly • Controlling High Blood Pressure 19 7/7/2014 Special Thanks to Gentry Winn, HSPS Technical Writer, for some of the content in this presentation. Pl Please refer f to t the th Dentrix D ti Enterprise 8.0 Meaningful Use Task Guide for more detailed information. Thank you for attending!! 20 Notes
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