The HIE 5 is a new alternative measure that was released for 2021 that will allow us to skip or replace both HIE 1 and 4 to export data to a referral provider and import data from a referring provider.  However what can we use to meet this measure?  Has to be a bi-directional HIE that can pull in discharge summaries and incorporate into our progress notes.  This may be to comply with the new PEN notifications.  Sounds like the p2p network should work, but eCW says that they do not have a solution.  Is anyone else trying to meet this measure?

TIA
Lacs

- What does a patient actually have to do on the portal to be considered VDT (can you break it down in terms of what areas they would need to click on)?

- I’ve been told that using the Healow app does NOT count, and that the portal must be accessed through the website, with no explanation on why this would be the case. This sounds really odd. Any truth to this?

- While we are at it, what constitutes Obj 9 Secure Electronic Messaging? I try to send patients messages through the telephone encounter “Reply to patient” button, but this doesn’t seem to be counting. When I am composing a message to a patient, there is a checkbox about “Follow up care” or something. What is that box all about? Also, do patients actually get a notification that they have a message? I tried testing it with a staff member, and she didn’t get any notification that I had messaged her back.

Thanks!

In 10e, from Report Console, right click on MIPS, click Open Link in New Chrome Tab. It opens a full-screen view of the MIPS dashboard! 

Doesn’t take much to blow my mind… 

The document is on myeclinicalworks under mu documentation, titled MU Modified Stage 2 for EPs Demonstrating Stage 2 from 2015

Area to Document within eCW

Appointment window > W check box
Appointment window > set visit status to arrived > enter their email address in the email field or check the don’t web enable box and select a reason from the reason drop-down list.

I asked my SAM what specific table / field is being referenced in the MAQ dashboard for this measure and they noted a “separate appointment table” that is used to capture a timestamp but would not provide detail. I have looked in the enc table and do not see this info.

My concern is that we are an interfaced environment pm / ehr and do not follow this workflow but today we still have data in the MAQ dashboard. Additional I am concerned for any customers using the ecw kiosk for check in as theoretically this work flow would not be possible to complete.

thoughts?

Starting in 2018, all providers who see Medicare and Medicaid patients must meet certain requirements in order to (a) receive Medicare and Medicaid EHR incentive payment; and (b) avoid downward payment adjustments under the Medicare EHR Incentive Program.

Providers who only see Medicaid patients and thereby only participate in the Medicaid EHR Incentive Program are not subject to the Medicare downward payment adjustments. 

The Stage 3 requirements were optional in 2017, but are now required for all participants beginning in 2018. 

The goal of Stage 3 is to move all participants in the Medicare program and all those in the Medicaid program into one single set of requirements

There are 8 objectives for providers:  https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Downloads/TableofContents_EP_Medicaid_Stage3.pdf

The objectives and measures that will be required will be standardized starting in 2018 – regardless of prior participation in either the Medicare or the Medicaid programs

Stage 3 requires that all providers use technology certified to the 2015 edition.  In some instances technology that is a mix of 2015 and 2014 certifications may meet Stage 3 requirements.