Meaningful Use Overview

 

Meaningful Use Overview​


The American Recovery and Reinvestment Act of 2009 (ARRA) was signed into law by President Obama on February 17, 2009. The law includes the Health Information Technology for Economic and Clinical Health ACT (HITECH Act), which was intended to accelerate the adoption of health information technology (HIT) and the use of qualified electronic health record systems (EHRs). 

In fall 2018, CMS changed the name of the EHR Incentive Program to “Promoting Interoperability.” The Promoting Interoperability program (Meaningful Use) provides payment to eligible professionals, eligible hospitals, and critical access hospitals (CAHs) when they meet a set of standards for the use of federally certified EHR technology (CEHRT) as part of their practice. Meaningful Use was established as a progressive, 3-stage program:

  • Stage 1: Use of CEHRT for data capturing & sharing (began in 2011 - complete)

  • Stage 2: Use of CEHRT to advance clinical processes (began in 2014 - complete)

  • Stage 3: Use of CEHRT to move toward improved health outcomes. Beginning with the 2019 reporting year, all Meaningful Use participants will attest to Stage 3 requirements.

MEANINGFUL USE REQUIREMENTS FOR STAGE 3 (REPORTING YEARS 2019-2021)

Please note that the 2019 Medicare Physician Fee Schedule (PFS) Final Rule included some substantive changes to Stage 3. All Eligible Providers (EPs) participating in Meaningful Use in 2019-2021 must adhere to the following requirements:

  • The EHR reporting period for EPs attesting in 2019 and 2020 is any 90 continuous days, January 1-December 31.

  • All participants in the Medicaid Promoting Interoperability Program must use 2015 Edition CEHRT.

  • The eCQM reporting period is one year. Eligible Professionals (EPs) must report on any 6 eCQMs and 1 outcome or high-priority measure related to their scope of practice. The 2019 Medicaid Promoting Interoperability Program eCQMs are aligned with the 2019 MIPS eCQMs. EPs can choose from the eCQMs available.

STAGE 3 OBJECTIVES FOR MEDICAID PROMOTING INTEROPERABILITY PROGRAMS EPS

Full descriptions of the objectives are available. 

Objective 1: Protect Patient Health Information

Objective 2: Electronic Prescribing

Objective 3: Clinical Decision Support

Objective 4: Computerized Provider Order Entry

Objective 5: Patient Electronic Access to Health Information

Objective 6: Coordination of Care through Patient Engagement

Objective 7: Health Information Exchange

Objective 8: Public Health and Clinical Data Registry Reporting 

STAGE 3 OBJECTIVES FOR MEDICAID PROMOTING INTEROPERABILITY PROGRAMS ELIGIBLE HOSPITALS AND CRITICAL ACCESS HOSPITALS

Full descriptions of the objectives are available. 

Objective 1: Protect Patient Health Information

Objective 2: Electronic Prescribing

Objective 3: Clinical Decision Support

Objective 4: Computerized Provider Order Entry

Objective 5: Patient Electronic Access to Health Information

Objective 6: Coordination of Care through Patient Engagement

Objective 7: Health Information Exchange

Objective 8: Public Health and Clinical Data Registry Reporting

ADDITIONAL RESOURCES FOR THE MEDICAID PROMOTING INTEROPERABILITY PROGRAM

State Medicaid Agencies Promoting Interoperability Program Contact Information

2019 Medicare Physician Fee Schedule (PFS) Final Rule fact sheet

Promoting Interoperability Programs Audit Overview

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