Meaningful Use

Background

In 2011, the Centers for Medicare & Medicaid Services (CMS) established the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs to encourage Eligible Professionals (EPs), Eligible Hospitals, and Critical Access Hospitals (CAHs) to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified EHR technology (CEHRT).

The EHR Incentive Programs consist of three stages:

  • Stage 1 set the foundation for the EHR Incentive Programs by establishing requirements for the electronic capture of clinical data, including providing patients with electronic copies of health information.
  • Stage 2 expanded upon the Stage 1 criteria with a focus on advancing clinical processes and ensuring the continuous quality improvement at the point of care and the exchange of information in the most structured format possible.
  • In October 2015, CMS released a final rule that modified Stage 2 to ease reporting requirements and align with other quality reporting programs. The final rule also established Stage 3 in 2017 and beyond, which focuses on using CEHRT to improve health outcomes.

NOTE: The Medicare EHR Incentive Program for returning eligible professionals (EPs) ended with the 2016 reporting period. Starting in 2017, Medicare eligible clinicians will report to the Quality Payment Program .

Information on the Medicaid EHR Incentive Program for Eligible Professionals can be at CMS.gov

Important Dates to Remember

January 1 – December 31, 2017
  • 2017 EHR Incentive Programs Reporting Period
October 1, 2017
  • Deadline for first-time participants in the EHR Incentive Programs to attest to 2016 program requirements.
  • Deadline for EPs to submit an Exception Application for decertified EHR technology for the 2018 payment adjustment year.
  • Deadline for EPs who have not successfully demonstrated meaningful use in a prior year under the EHR Incentive Program and intend to transition to MIPS in 2017 to submit a hardship application for the 2018 payment adjustment.

How to Participate in the EHR Incentive Programs

Are you ready to register and/or attest? Visit the Registration and Attestation page and review these checklists to help you prepare to participate.

The Electronic Health Record (EHR) Information Center is open to assist you with all of your registration and attestation system inquiries. EHR Information Center Hours of Operation:

9:00 a.m. – 5:00 p.m. (Central Time) Monday through Friday, except federal holidays.

1-888-734-6433* (primary number) *(press option 1) or 888-734-6563 (TTY number)

Security Risk Analysis

Protect Electronic Health Information

  • For important information on Core Measure: Protect Electronic Health Information (Stage 1: #13; Stage 2: #9) of Meaningful Use, please review the following:
  • Top 10 Myths about HIPAAs Required Security Risk Analysis
  • Information Security Policy Template (Can be used as an office manual for Security Policy)
  •  
    Tools to Complete Your Assessment:

  • HIT Security Risk Assessment Questionnaire (Downloadable Excel Spreadsheet To Complete Assessment – ** MUST BE COMPLETED PRIOR TO THE END OF YOUR REPORTING PERIOD**)
  • HIT Security Risk Assessment Tool(Downloadable Tool To Complete Assessment -** MUST BE COMPLETED PRIOR TO THE END OF YOUR REPORTING PERIOD**)
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