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Hi, I’m Steve Posnack, Director of ONC’s Federal Policy Division.
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It’s my pleasure to welcome you to our first “meaningful use
personal pace education module.”
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This education module will cover “transitions of care”
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from both a meaningful use and EHR technology certification perspective.
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Over the next sixteen minutes I'll be
using these slides to walk you through the
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requirements for the meaningful use “transitions of care” objective and measures
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as well as their relationship to EHR technology certification.
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This education model assumes you have general familiarity with:
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The Medicare and Medicaid EHR Incentive Programs
(“meaningful use”)
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The Standards and Certification Criteria 2014 Edition final rule
and standards terminology.
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and; The relationship between meaningful use and
Certified EHR Technology (CEHRT).
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This education module was created to speak to a broad audience.
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So while it takes you through some of the specific regulatory
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requirements published by ONC and CMS,
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it does not dive deep into a lot of technical details.
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At the end of this slide deck
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I've included hyperlinks to access other
CMS and ONC education resources
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This slide shows meaningful use measures side-by-side
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and the supportive 2014 Edition EHR certification criteria.
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On the left and inclusive of both Stages 1 and 2,
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there are three measures associated with the
Transitions of Care (ToC) objective.
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For Stage 1, only the first measure (outlined in red) is required.
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For Stage 2, all three measures (outlined in blue)
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need to be met by eligible providers.
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On the right, are the
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two 2014 Edition EHR certification criteria
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adopted to support transitions of care.
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Regardless of meaningful use stage,
eligible providers will need to have and use
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EHR technology certified to these certification criteria.
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This training module will use the second of these certification criteria
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in all of the examples that follow because the meaningful use measures
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for ToC focus on transmissions from eligible providers to other parties.
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The first measure, which was part of
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the original Stage 1 final rule, can be met through a combination
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of paper and electronic exchange transmissions.
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The second measure, which is only
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required of eligible providers in Stage 2, can only be met
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through electronic exchange. More specifically, an eligible provider
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must use their Certified EHR Technology or
an eHealth Exchange participant
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to successfully transmit a summary care record for
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more than 10% of transitions of care and referrals.
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The third measure, which again is only required
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of eligible providers in Stage 2, can be satisfied in two ways.
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The first way would be for an eligible provider to electronically
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transmit a summary care record to a recipient with an EHR technology
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designed by a different EHR technology vendor than
they have as part of meeting measure 2.
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The second way would be to conduct an electronic transmission test
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with a CMS-designated test EHR. CMS will make more information available about this “test” process prior to the start of Stage 2.
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Eligible providers who have less than 100 transitions of care
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and referrals in the reporting period
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