For many physicians pursuing the EHR incentives, 2014 means moving on to Stage 2 of Meaningful Use. Stage 2 is much more complex than Stage 1, with higher thresholds for most Stage 1 measures; core (i.e., mandatory) requirements that were formerly menu (i.e., optional); and totally new measures related to interoperability and patient engagement that will require revised workflows.
Use this quiz to test your basic knowledge of 2014 and Stage 2.
2. What is the meaningful use reporting period in 2014?
4. Do providers need to re-enter data for Stage 2 measures for which they already entered data in Stage 1?
5. Which of the following is not true regarding the Stage 2 Patient Electronic Access measure?
6. Is it necessary to conduct another privacy and security risk analysis in 2014?
1. B. EHR certification is tied to year, not stage of meaningful use. Everyone attesting to MU in 2014 must use a 2014 Certified Edition EHR to report meaningful use, whether he or she is at Stage 1 or Stage 2. Although the Stage 1 requirements in 2014 are very similar to those of past years, there are a few changes that require capabilities not necessarily supported by 2011-certified EHRs, (e.g., providing patients with online access to their health information).
2. B. There is good news for providers at Stage 2 and those in their second year of Stage 1, all of whom were expecting to report for a full year in 2014. CMS acknowledged the challenges of upgrading to a new EHR version (both for vendors and for providers) by relaxing the reporting period in 2014, so that everyone attests for just 90 days. The only limitation is that these providers are constrained to a calendar quarter. Providers in their first year of meaningful use can choose any 90 day period, but must complete their attestation by October 1, 2014 to avoid incurring a 1% penalty in 2015.
3. A. Physicians must report on 17 of 17 Core Measures (including those to which they claim an exclusion) and 3 of 6 Menu Measures. In Stage 2, Menu Measure exclusions do not count toward the required 3 unless the provider legitimately qualifies for 4 or more exclusions. The Clinical Quality Measures (CQMs) are no longer considered Core Measures, but still must be reported—providers will report on 9 CQMs, which may simultaneously satisfy other quality measure reporting programs such as PQRS.
4. B. No, for most repeat measures, this data carries over and does not need to be re-entered. Updating is at the providers’ discretion. Unless the measure specifications state that the action must be completed during the 2014 reporting period, much of the data entered for meaningful use does not have to be re-documented, (e.g., Demographics and Smoking Status). Updating of medical data, such as vital signs, is at the discretion of the physician.
5. C. It is not true that the electronic copy of the patient health record can be provided in any form of electronic media—USB drive, CD, or portal.Unlike the corresponding Stage 1 measure in effect from 2011 to 2013, this measure now requires online access, typically provided by a patient portal—Providing an electronic copy of the patient health record in any other form of electronic media (e.g., USB drive, CD, or portal) no longer satisfies this measure. For Stage 2, providing Electronic Access to Health Information is a two-part measure. Part 1 requires that at least 50% of all unique patients are provided with online access to their health information (within 4 business days of the information becoming available to the physician). Part 2 requires that 5% of the patients seen during the reporting period actually do access this information, i.e., view, download or transmit it to a third party.
6. B. Yes, a security risk analysis must be conducted or reviewed each reporting period: To satisfy the Protect Electronic Health Information measure, physicians must conduct or review a privacy and security risk analysis and implement updates as necessary at least once prior to the end of each EHR reporting period.
Source: HIT Consultant
For additional information about Stage 2 Meaningful Use, contact Kentucky REC at 1-888-KY-REC-EHR.