APMA News - April 2013 - (Page 42)

IT Consultant By James R. Christina, DPM Meaningful Use—What Stage Are We in Now? CMS provides incentive payments for eligible providers (EP) who demonstrate meaningful use of a certified electronic health record (EHR) product. The program of incentive payments began in 2011, and podiatrists have been actively involved. In fact, CMS statistics through December 2012 indicate 7,689 podiatrists have registered a certified EHR, and between 2011 and 2012, 3,934 unique podiatry providers have received a total of $80,919,023 in payments. The program is designed to have various stages of meaningful use. All providers must meet the requirements of stage 1 of meaningful use. In a nutshell, that means meeting 15 core objectives and five out of 10 menu set objectives, and reporting on clinical quality measures (three core or alternate core measures and then three out of 38 additional measures). In 2014, stage 2 of meaningful use will begin for those who began the process in either 2011 or 2012. Other providers will remain in stage 1 or start in stage 1, if they are just beginning the process. The following chart summarizes the stages of meaningful use: Stages of Meaningful Use (Based on First Year Attesting) 2011 2012 2013 2014 2015 2016 Stage 1 Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 1 Stage 1 Stage 2 Stage 2 Stage 3 Stage 1 Stage 1 Stage 2 Stage 2 Stage 1 Stage 1 Stage 2 While stage 2 does not begin until 2014, the final rule that established stage 2 of meaningful use also made some changes to stage 1. Most of those changes are optional in 2013, meaning that the EP can either continue with stage 1 requirements as they were in 2012 and 2011 or make the changes in 2013. The choice is left up to the provider, but in 2014, the requirements will no longer be optional. Below is a summary of the changes to stage 1 of meaningful use (optional in 2013, required in 2014): Computerized Physician Order Entry: Beginning in 2013, CMS added an optional alternate measure to the objective for computerized provider order entry (CPOE). The current measure • 42 APMA News April 2013 for CPOE is based on the number of unique patients with a medication in their medication list that was entered using CPOE. The new, alternate measure is based on the total number of medication orders created during the EHR reporting period. Record and Chart Changes in Vital Signs: CMS is changing the measure of the objective for recording and charting changes in vital signs. The current measure specifies that vital signs must be recorded for more than 50 percent of all unique patients ages two and older. The new measure amends that age limit to recording blood pressure for patients ages three and older and height and weight for patients of all ages. The exclusions for this objective for EPs are also changing. The current exclusions only allow an EP to claim the exclusion if all three vital signs (height, weight, and blood pressure) are not relevant to their scope of practice, or if the EP sees no patients two years of age or older. However, under the new stage 1 changes, an EP can claim an exclusion if the EP sees no patients ages three years or older (the EP would not have to record blood pressure), if all three vital signs are not relevant to his or her scope of practice (the EP would not record any vital signs), if height and weight are not relevant to his or her scope of practice (the EP would still record blood pressure), or if blood pressure is not relevant to his or her scope of practice (the EP would still record height and weight). • • Electronic Prescribing: Beginning in 2013, CMS added an 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. • Electronic Exchange of Key Clinical Information: Beginning in 2013, the objective for electronic exchange of key clinical information will no longer be required for stage 1. •

Table of Contents for the Digital Edition of APMA News - April 2013

APMA News - April 2013
President’s Message
Contents
Beat Bunion Blues: APMA’s Spring PR Campaign
Matthew G. Garoufalis, DPM: Presidential Inaugural Speech to the APMA House of Delegates
Nuts and Bolts of the House of Delegates and Resoultions Outcomes
State Advocacy in Focus: Building Relationships
Medicare Advantage: Answering Questions about Coverage
2012 Podiatric Practice Survey: Corporation Type
Podiatric Medical Assistants’ Program at The National Promotes Team Learning
Annual Scientifi c Meeting Registration Forms
Annual Scientifi c Meeting Sponsors
Team APMA 5K Run/Walk
Seeking Award Nominations
Reimbursement
Federal Advocacy Forum
APMAPAC Chair Report
IT Consultant
Inside APMA’s Social Media
Website Wisdom
On the Road with APMA
Small Business 101
CPME Update
In Short
Worthy of Note
Insurance Advisor
New Members
Death Notices
APMAPAC Update
Development Update
Classifi ed Advertising
Dates to Remember
Advertising Index
10 Questions
Your APMA

APMA News - April 2013

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