MU Takes the Stage at RSNA 2013

In this month’s post, we take a look at news and industry updates from RSNA 2013.

Meaningful use is one of the most discussed topics across all health care specialties—and radiology is no exception. The challenges that the imaging community faces, and experiences of those that have already tackled this government program, were shared at the recent Radiological Society of North America annual conference.

RSNA 2013 offered a number of educational tracks and sessions dedicated to the subject. From information packed sessions for radiology IT providers, to discussions with leaders in the field, there was something for everyone impacted by the CMS EHR Incentive Programs. What’s more, this year’s conference featured dozens of new solutions designed for, and used for attestation by, radiology professionals.

Furthermore, a number of feature articles have been published over the past 2 weeks that focus on the topic of meaningful use and provide an excellent recap of the sessions and discussions that took place at the conference.

MU News from RSNA 2013

  • HealthDataManagement.com: Radiologists Share Diverse Meaningful Use Experiences –Read more…
  • DiagnosticImaging.com: Should Hospital-based Radiologists Pursue Meaningful Use? – Read more…
  • DiagnosticImaging.com: Some Radiologists Embrace Meaningful Use, Others Wait –Read more…
  • ImagingBiz.com: Take a Long View of MU –Read more…
  • TechTarget.com: New RIS workflows making EHRs look low-tech – Read more…

Ready to learn more, buy a book today! 

Go to http://www.theMUguide.com to learn more. Buy a book from the official e-store (http://buy.theMUguide.com) or Amazon.com (http://amazon.theMUguide.com).

Meaningful Use at RSNA 2013

In this month’s post, we take a look at meaningful use sessions and lectures at RSNA 2013.

Nearly 55,000 radiology professionals from around the world will converge on Chicago to witness the latest discoveries, techniques and innovations for diagnostic imaging – 2,000 education exhibits, 300 peer-reviewed refresher courses, and 2,500 scientific presentations. Below is a list of lectures and sessions about meaningful use that will support your participation in the CMR EHR Incentive Programs.

Monday 12/02/13 (4:30-6:00PM/ICII24): Meaningful Use for Radiology IT Vendors: What your Customers will Demand, and your Competition will Provide

Presenter(s): David E Avrin MD, PhD; Keith J Dreyer DO, PhD 

Even with Phase II rules of Meaningful Use, the fit with Radiology remains a challenge. The focus of the federal agencies remains on the primary care practices of internal medicine, family practice, and pediatrics. However, with recent refinement of the US Federal Health IT rulings for Meaningful Use (MU), it is hoped that some US radiologists will be eligible for substantial CMS incentives. Collectively, these incentives could total over $1 billion for radiologists alone. Up to $44,000 is available per qualifying Eligible Provider. As important, incentives may turn to penalties within a few years. MU was initially targeted towards primary care specialties, but under certain circumstances could apply to diagnostic radiology.  Eligibility for MU will depend upon the individual radiologist’s practice scenario. Some technology will come from existing infrastructure (including RIS, PACS, Reporting Systems) and others will come from new purchases (including Decision Support, Data Mining, Image Sharing and Patient Portals).

In this lecture, the presenters will describe ways to analyze your existing portfolio of products to determine which MU measures they should be eligible for, and to define a pathway toward MU certification of these modules.

Further, we will discuss the ability to determine what additional functionality might be added to your existing products to expand your MU certification offerings. Finally, we will explore ways for your company to provide all remaining MU measures, beyond your existing product portfolio, so that your existing and future customers can achieve Meaningful Use. We will also review results of an RSNA sponsored survey to propose a set of criteria that more appropriately define true MU for radiology to affect future federal rule setting when they move beyond primary care specialties.

Tuesday 12/03/13 (12:30-2:00PM/ICII32): Meaningful Use: Experience from Private Radiology Practices

Presenter(s): J. Raymond Geis MD; James Whitfill MD; Alberto F Goldszal PhD, MBA; Alan D Kaye MD

Learning objectives for this course include: 1) Learn how various radiology practices have approached Meaningful Use to date. 2) Understand the challenges of achieving Meaningful Use compliance with existing vendor products available today. 3) Explore ways to participate with either your hospital or multi-specialty practice to achieve Meaningful Use.

Wednesday 12/04/13 (12:30-2:00PM/ICII42): Meaningful Use: Experience from Radiology Practices in Hospitals and Health Systems

Presenter(s): Ramin Khorasani MD; Curtis P Langlotz MD, PhD 

Learning objectives for this course include: 1) Understand the meaningful use program. 2) Learn how hospitals and health systems have achieved meaningful use for their radiologists. 3) Decide how your practice should respond to the program. 

Thursday 12/05/13 (8:30-10:00AM/RC626): Latest Developments in Meaningful Use: Ask the Experts

Presenter(s): Curtis P Langlotz MD, PhD; Keith J Dreyer DO, PhD; Michael Peters

Learning objectives for this course include: 1) Understand the meaningful use program. 2) Learn how hospitals and health systems have achieved meaningful use for their radiologists. 3) Gain insight into recent and upcoming regulatory changes, and 4) Decide how your practice should respond to the program. 

For more information, search the full RSNA 2013 Meeting Program.

Ready to learn more, buy a book today! 

Go to http://www.theMUguide.com to learn more. Buy a book from the official e-store (http://buy.theMUguide.com) or Amazon.com (http://amazon.theMUguide.com).

Stage 1 Changes in 2013 and What’s Coming in 2014

In this month’s post, we take a look at Stage 1 changes that took effect this year and what’s to come next year. 

As the end of 2013 draws near, we examine Stage 1 changes that went into effect, those that were optional, and those that will take effect in 2014. It is important to familiarize yourself as you prepare to begin, or continue, participation in the program next year.

Removed in 2013

  • Electronic Exchange of Key Clinical Information: This objective was removed for Stage 1 for EPs, EHs, and CAHs.

Required in 2013

  • Public Health Reporting Objectives: Clarification that providers must perform at least one test of their CEHRT’s capability to send data to public health agencies, except where prohibited.

Optional in 2013+

  • Computerized Physician Order Entry (CPOE): Alternative measure added based on the total number of medication orders created during the EHR reporting period (option to choose the alternative measure in 2013 and beyond).
  • ePrescribing: Additional exclusion to the objective for electronic prescribing for providers who are not within a 10 mile radius of a pharmacy that accepts electronic prescriptions (optional to select the additional exclusion starting in 2013 and beyond).

Required in 2014

  • Public Health Reporting Objectives: Clarification that providers must perform at least one test of their CEHRT’s capability to send data to public health agencies, except where prohibited.
  • Electronic Copy of and Electronic Access to Health Information: In order to better align Stage 1 objectives with the new 2014 capabilities of CEHRT, CMS is replacing several Stage 1 objectives for providing electronic copies of and electronic access to health information with objectives to provide patients the ability to view, download, or transmit their health information or hospital admission information online. The capability to provide patients online access to this information will be a part of CEHRT beginning in 2014, therefore new Stage 1 objectives will be required beginning in 2014.
  • Record and Chart Changes in Vital Signs: Increase in age limit for recording blood pressure in patients to age 3; removal of age limit requirement for height and weight (optional in 2013; required in 2014+)
  • Menu Objective Exclusions: Beginning in 2014, eligible professionals (EPs), eligible hospitals (EHs), and critical access hospitals (CAHs) will no longer be permitted to count an exclusion toward the minimum of 5 menu objectives on which they must report if there are other menu objectives which they can select. EPs, EHs, and CAHs will not be penalized for selecting a menu objective and claiming the exclusion if they would also qualify for the exclusions for all the remaining menu objectives.

In addition to the updates above, beginning this year, the Stage 1 objective requiring clinical quality measure (CQM) reporting has been incorporated directly into the definition of a meaningful EHR user.

For more information, visit the CMS EHR Incentive Programs website.

Ready to learn more, buy a book today!

Go to http://www.theMUguide.com to learn more. Buy a book from the official e-store (http://buy.theMUguide.com) or Amazon.com (http://amazon.theMUguide.com).

Office of the Inspector General MU Report

In this month’s post, we take a look at the HHS Office of the Inspector General’s (OIG) early (November 2012) assessment of the CMS oversight of the Medicare EHR Incentive Program. The following is an excerpt from the executive summary of the report, Early Assessment Find That CMS Faces Obstacles In Overseeing The Medicare EHR Incentive Program (OEI-05-11-00250).

Why did the OIG do this study?

This study is an early assessment of CMS’s oversight of the Medicare electronic health record (EHR) incentive program, for which CMS estimates it will pay $6.6 billion in incentive payments between 2011 and 2016. Because professionals and hospitals self- report data to demonstrate that they meet program requirements, CMS’s efforts to verify these data will help ensure the integrity of Medicare EHR incentive payments.

How did the OIG do this study?

This study reviewed CMS’s oversight of professionals’ and hospitals’ self-reported meaningful use of certified EHR technology in 2011, the first year of the program. To address our objective, OIG analyzed self-reported information to ensure it met program requirements. OIG also reviewed CMS’s audit planning documents, regulations, and guidance for the program, and conducted structured interviews with CMS staff regarding CMS’s oversight.

What did the OIG find?

CMS faces obstacles to overseeing the Medicare EHR incentive program that leave the program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements. Currently, CMS has not implemented strong prepayment safeguards, and its ability to safeguard incentive payments postpayment is also limited. The Office of the National Coordinator for Health Information Technology (ONC) requirements for EHR reports may contribute to CMS’s oversight obstacles.

To read the entire report, and learn about the OIG’s recommendation, go to https://oig.hhs.gov/oei/reports/oei-05-11-00250.asp

Ready to learn more, buy a book today!

Go to http://www.theMUguide.com to learn more. Buy a book from the official e-store (http://buy.theMUguide.com) or Amazon.com (http://amazon.theMUguide.com).