Intergy EHR v9 Deep Dive Meaningful Use Stage II
Intergy EHR v9 Deep Dive Meaningful Use Stage II Confidential and Proprietary Information of Vitera Healthcare Solutions, LLC. Presentations are for informational purposes only. 1 GETTING THERE TOGETHER • During this presentation, we will help you: • Understand key objective changes with the MUII Final Rule • Accurately capture and report data for MUII Objectives • Apply role-based MUII workflows to your practice 2 2 OVERVIEW ● What Stage 2 Means to You ● Stage 1 Objective Changes ● Stage 2 Objectives – Attesting with Intergy v9 ● Appendix – Stage 2 Objectives, detailed breakdown 3 3 WHAT STAGE 2 MEANS TO YOU With Stage 2 the focus of Meaningful Use shifts from data capture to usability ● New Criteria – Starting in 2014, providers participating in the EHR Incentive Programs who have met Stage 1 two or more years will need to meet Stage 2 criteria ● Improving Patient Care – Stage 2 includes new objectives to improve patient care through better clinical decision support, care coordination and patient engagement ● Interoperability – There is a greater emphasis on interoperability and patient engagement, with the latter requiring action on the patient’s end in order for the objective to be met 4 4 Meaningful Use Stage II STAGE 1 OBJECTIVES 5 5 STAGE 1 OBJECTIVE CHANGES Stage 1 Objective CPOE Changes to Objective • Change: Addition of an alternative measure Effective Year • Optional 2013+ • More than 30% of medication orders are recorded using CPOE eRx • Change: Additional exclusion • Required 2013+ • Any EP who does not have a pharmacy within their organization and there are no pharmacies that accept eRx within 10 miles of the EP’s practice at the start of his/her EHR reporting period Vital Signs • Change: Age Limitations on Growth Charts and Blood Pressure increased from 2 to 3 • Optional 2013 • Required 2014+ • Change: Splitting the EP exclusion so that BP and Height/Weight are evaluated separately in terms of relevance to scope of practice • More than 50% of all patients seen by the EP have BP (age 3+) and/or height and weight (for all ages) recorded Electronic Exchange of Key Clinical Information • Requirement removed effective 2013 • Required 2013+ 6 6 STAGE 1 OBJECTIVE CHANGES Stage 1 Objective Changes to Objective Effective Year Public Health Objectives • Change: Addition of "except where prohibited" to the objective regulation text for the public health objectives under § 495.6 • Required 2013+ Report ambulatory clinical quality measures to CMS or the States • Change: Objective is incorporated directly into the definition of a meaningful EHR user and eliminated as an objective because it is redundant • Required 2013+ Electronic Copy of Health Information (Stage 1 Core Objective) • Change: Replace these 2 objectives with the Stage 2 objective and one of • Required 2014+ the two Stage 2 measures • New Objective: Provide patients the ability to view online, download and transmit their health information within 4 business days of the information being available to the EP. Timely Electronic Access to Health Information (Stage 1 • New Measure: More than 50% of all are provided timely (within 4 Menu Set Objective) business days after the information is available to the EP) online access to their health information subject to the EP's discretion to withhold certain information. 7 7 STAGE 1 OBJECTIVE CHANGES Stage 1 Objective Clinical Summaries Changes to Objective • Change: New IEHR workflow. Visit Summary must be provided in CCD format and can no longer be generated as clinical correspondence. Effective Year • Required 2014+ • New Clinical Summary window on patient chart summary page. Provider can provide the CCD as a printed document or electronically via portal secure messaging or external media. 8 8 Meaningful Use Stage 2 Objectives ATTESTING WITH INTERGY V9 9 9 MEANINGFUL USE STAGE 2 WITH INTERGY V9 Overview ●Patient Visit workflow – Hands on Intergy ●Post Visit workflows – Hands on Intergy ●Reporting workflow – Hands on MU Dashboards 10 10 ACHIEVING MEANINGFUL USE WITH INTERGY Patient Visit Post Visit Reporting 11 11 PATIENT VISIT - REGISTRATION Core 3 - Record demographics for >80% of patients including language, sex, race, ethnicity and DOB. Select this link to see the full language for the MU requirement Intergy has been enhanced to support multiple patient races and to include additional language codes 12 12 PATIENT VISIT - NURSE Core 4 - Record Vitals for more than 80% of patients for BP (age 3+) or height/weight • Age Limits on growth charts and BP increased from 2 to 3 • Splitting the EP exclusion so that BP and height/weight are evaluated separately in terms of relevance to scope of practice No enhancements were needed for this measure 13 13 PATIENT VISIT - NURSE Core 5 - Record Smoking Status for more than 80% of patients 13+ • New Statuses • Increase threshold . Intergy has been enhanced to include the additional smoking statuses Tip: The additional smoking status options will be automatically available on forms that currently use the smoking status dropdown 14 14 PATIENT VISIT - NURSE Menu 4 - Record Family Hx for first degree relatives for more than 20% of patients. • New Menu Objective Encounter note forms and Visit note templates can be used to capture family history. Tip: Specific family prefixes must be used to count towards the measure (ie: paternal, maternal) 15 15 PATIENT VISIT - NURSE Core 14 - Record Medication Reconciliation for more than 50% of patients who have been transitioned into the care of the EP. • Former menu objective Intergy has been enhanced with a new option on the Meds List for ‘Mark as Reconciled’. Selecting this option will count towards the numerator for the measure Tips: Adding a reported med while on an encounter will auto-set the reconciled flag for that encounter Users must still indicate that the patient has been transitioned into EP’s care for counting in the denominator 16 16 PATIENT VISIT - NURSE Medication Reconciliation - Enhanced CCD Import Enhanced CCD Import for clinical information reconciliation • Side-by-side comparison with CCD and patient chart • Consolidated view for importing medications, problems and allergies • Data import based on industry standard coding systems (SNOMED, RxNorm), giving the ability to import a CCDA from any other practice 17 17 PATIENT VISIT - NURSE Core 16 - Submit to Immunization Registries. • Former menu objective • Successful submission required, not just a test • Exclusions exist based on Registry availability Vitera will offer submission to State Registries through the Vitera Clinical Exchange. Enhanced Immunizations to allow entry of Immunity as a reason to not administer a vaccine • Vaccine will show as Immune in EHR • Immunity will prevent recalls for the vaccine from being generated 18 18 PATIENT VISIT - NURSE Immunization Administration Enhancements . Additional Enhancements for Immunizations: New fields for: Admin Route, Amount, and VIS Sheets • Route uses same default logic as Site does • Amount is defaulted from setup • VIS sheets are defaulted based on last VIS sheets used for the vaccine 19 19 PATIENT VISIT - PROVIDER Core 6 - 1) Implement 5 CDS interventions related to 4+ CQMs or high priority health condition 2) Enable and implement drug-drug and drug-allergy interaction checks • Changed from 1 CDS rule to 5 CDS rules Health Management can be used to satisfy the first requirement. Specific CQM data can be setup as needed Rx DUR can be used to satisfy the second requirement. Tip: the practice can manage which DUR warnings appear in Practice configuration 20 20 PATIENT VISIT - PROVIDER Core 1 Record more than 60% of Meds, 30% of Labs and 30% Radiology Orders with CPOE. – Now includes Lab and Radiology – Threshold increase for medications To count towards this measure, Providers can either: • Enter the Orders themselves or • A User who has been assigned a “Scribe” User Role (in Practice Maintenance) can enter the Orders for the provider 21 21 PATIENT VISIT - PROVIDER Core 2 More than 50% of permissible Rx are queried for a formulary and transmitted electronically. • Threshold increase • New Exclusion - Does not have a pharmacy within organization and no pharmacies that accept e-Rx within 10 miles of the EP's practice location EHR has been enhanced to perform a formulary check for Rx Renewals and Rx Authorizations Tip: If using RxHub formulary, no patient setup is required to perform formulary checking. 22 22 PATIENT VISIT - PROVIDER Core 13 - Patient Education is provided to more than 10% of unique patients. • Former menu objective Intergy EHR has been enhanced to include right click access to patient education from problems, meds and labs • Uses NIH’s Medline Plus as default website • Automated capture in MU numerator when using this option Can also continue to use Forms to access education and indicate education was given 23 23 PATIENT VISIT - PROVIDER Supporting - Problem based Care Plan Intergy EHR has been enhanced to allow Problem based Care Plan entry. • New Page on Problem screen to enter Care Plan • Full history is saved when the Care Plan is changed • Care Plans can be inserted into the Encounter Note and Visit note, and the CCDA • Multiple options to Cite Care Plans into notes • Quick Text for Care Plans are stored at the Problem type level (ie: ICD code or Finding ID) 24 24 PATIENT VISIT - PROVIDER Supporting – Personal Quick Text Intergy has been enhanced to support User level Quick Text • This is now available in ALL Places where quick text is used. • The system will remember the “shared” and “personal” quick text checkboxes for each type of quick text • Quick Text security is confined to Shared Quick Text. 25 25 PATIENT VISIT - PROVIDER Menu 2 More than 30% of Visits contain an Electronic Note signed by the provider. • The electronic note is text searchable and may contain drawings and other content • New menu objective The following types of documents will count for the measure: • Encounter Note – signed by the provider • Visit Note – signed by the provider • Transcription Docs – approved by the provider 26 26 PATIENT VISIT - PROVIDER Core 8 - Clinical Summaries are provided within one day for more than 50% of patient visits. • Now required to generate Clinical Summary in the CCDA format. Intergy has been enhanced to provide a one click workflow for meeting this measure. There is a new option on the patient summary page to Print the Clinical Summary. This option will generate a CCD with all required sections. If the patient is registered for secure messaging, then a Send option also displays Once the summary has been generated, the area will turn green to indicate it has been done. 27 27 PATIENT VISIT - PROVIDER Core 15 1) Generate a Referral Summary for more than 50% of transitions of care. 2) Electronically send >10% of referral summaries. ⁃ electronically transmitted using CEHRT to a recipient or ⁃ where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with NwHIN standards. 3) An EP must satisfy one of the following criteria: ⁃ Conducts one or more successful electronic exchanges of a summary of care document, with a recipient who has EHR technology from a different EHR technology developer than the sender's EHR technology. ⁃ Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period. Exclusion: Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the EHR reporting period is excluded from all three measures. Referral Summaries also require CCDA technology. Intergy workflow for Referral Summaries is similar to that for Visit Summaries 28 28 PATIENT VISIT - PROVIDER Clinical Summary and Referral Summary - Generate Exchange Documents Enhanced CCD generation screen • Document type will default based on recipient • Sections will default for each document type based on MU requirements • Sections can be changed for a single visit or permanently. • Send option is available if patient is registered for secure messaging, or if sending to Referring Provider. 29 29 ACHIEVING MEANINGFUL USE WITH INTERGY Patient Visit Post Visit Reporting 30 30 AFTER PATIENT VISIT Core 7 • • • • 1) More than 50% of patients are provided timely online access to their info 2) More than 5% of patients view, download or transmit their info. Former menu objective Consolidated patient electronic info request with timely access New exclusion Threshold increase Practice portal has been enhanced to support Download and Transmit options. • These options are available to the patient when viewing their clinical summary • When download or sent, the CCD will be delivered in both XML and a Viewable format. Tip: Once a patient has been given a PIN letter for the portal, they have access to the portal and will meet the first requirement. 31 31 AFTER PATIENT VISIT Supporting – Practice Portal Report Intergy has been enhanced to include a New Report to let you manage Practice Portal patients Report is based on appointments, so you can discover the Portal status of patients either before or after their visit. 32 32 AFTER PATIENT VISIT Core 11 Generate at least 1 report listing patients with a specific condition. • Former menu objective Using the Practice Analytics’ Patient Care Conditions list will satisfy this requirement. In addition you can export the list of patients that are generated from this screen for Posting Recalls. To create recalls using this method: • Generate the list for the condition(s) desired, • Export to Excel (the XL button). • From Excel, save the file as a CSV file. • Import the file in Intergy 33 33 AFTER PATIENT VISIT Core 12 More than 10% of patients with 2+ visits within 24 months before reporting period were sent a Reminder (recall) per patient preference. • Former menu objective Intergy has been enhanced to allow posting of recalls from a file. • This option is intended to work with files exported from Practice Analytics • A single recall reason will be used for all recalls posted. • All other options on the screen work the same as with the other modes 34 34 AFTER PATIENT VISIT Core 17 A secure message was sent using the electronic messaging function of CEHRT by more than 5% of unique patients (or their authorized representatives) seen by the EP • New Objective Most Secure messages sent by the patient are counted towards the measure. The following are NOT counted: Appointment Requests New Patient Request Billing and Payment messages 35 35 AFTER PATIENT VISIT Menu 1 - Capability to submit Electronic Syndromic Surveillance data. • New Objective Intergy has been enhanced to include a New Report to let you create Syndromic Surveillance files for submission. • The Report is based on signed encounter/visit notes. • Will report on selected assessments via the ICD code. • HL7 2.5.1 Compliant 36 36 AFTER PATIENT VISIT Core 10 More than 55 % of Lab Orders contain structured results. Lab Orders Groups are counted as a single entry for the denominator for Labs If the Lab Order has at least one Lab Result linked to a Test or Favorite, the Lab Order will be counted in the Numerator Tip: Manually entered results will be counted as structured data 37 37 AFTER PATIENT VISIT Menu 3 More than 10% of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT. Radiology Order Groups are counted for the denominator. If the Order Group has at least one Image linked to the Order, the Radiology Order Group will be counted in the Numerator Tip: For proper counting, Order Types can be changed in Practice Analytics if needed. 38 38 ACHIEVING MEANINGFUL USE WITH INTERGY Patient Visit Post Visit Reporting 39 39 REPORTING Meaningful Use Dashboard Enhancements The Meaningful Use Dashboards have been enhanced to include the 2014 MU Measures for both Stage 1 and Stage 2 To toggle between Stage 1 and Stage 2, select the appropriate tab in the middle of the screen. Some measures have two requirements. If multiple requirements exist, a dropdown will display for selection 40 40 REPORTING Dashboard Auditing Enhancements The Dashboards have been Enhanced to allow a scorecard to be saved for future review Once the Scorecard is prepared, select the Export Audit Scorecard and the Save Audit Scorecard buttons. (both options must be selected to generate the Audit) When you want to review Scorecards later, you can select the Audit Scorecard History option, and select a file to review. 41 41 REPORTING Dashboard Auditing Enhancements 42 42 REPORTING Dashboard CQM Enhancements The CQM Dashboard has been enhanced to allow creation of a file for submission to CMS. Select the measures for the Scorecard and the provider the score card is for, then select Prepare Scorecard Submission 43 43 REPORTING Dashboard CQM Enhancements These screens will walk you through the process of creating the score card. On the third screen, enter the file name to save the CQM Scorecard under. 44 44 Appendix STAGE 2 OBJECTIVES 45 45 STAGE 2 CORE OBJECTIVES Core Objective 1. CPOE Measure • More than 60% of medication, 30% of laboratory, and 30% of radiology orders are created using CPOE Exclusion • Any EP who writes fewer than 100 medication, radiology, or laboratory orders during the EHR reporting period. 2. e-Prescribing (eRx) • More than 50% of Rx are queried for a drug formulary and transmitted electronically Change from Stage 1 • Order-centric • Inclusion of lab and radiology • Threshold increase from more than 30% for medications • Threshold increase from more than 40% • New Exclusion Exclusion: • Any EP who: • (1) Writes fewer than 100 permissible prescriptions during the EHR reporting period. • (2) Does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EP's practice location at the start of his/her EHR reporting period. 46 46 STAGE 2 CORE OBJECTIVES Core Objective 3. Record Demographics Measure • More than 80% of all unique patients seen by the EP have the following demographics recorded: Language, Sex, Race, Ethnicity, DOB Change from Stage 1 • Threshold Increase from more than 50% • No Exclusion 4. Record Vital Signs • More than 80 percent of all unique patients seen by the EP have blood pressure (for patients age 3 and over only) and/or height and weight (for all ages) recorded as structured data. • Threshold Increase from more than 50% Exclusion • Any EP who: • (1) Sees no patients 3 years or older is excluded from recording blood pressure. • (2) Believes that all 3 vital signs of height/length, weight, and blood pressure have no relevance to their scope of practice is excluded from recording them. • (3) Believes that height/length and weight are relevant to their scope of practice, but blood pressure is not, is excluded from recording blood pressure. • (4) Believes that blood pressure is relevant to their scope of practice, but height/length and weight are not, is excluded from recording height/length and weight. 47 47 STAGE 2 CORE OBJECTIVES Core Objective 5. Record Smoking Status Measure • More than 80% of all unique patients 13+ seen by the EP have smoking status recorded Exclusion • Any EP that neither sees nor admits any patients 13 years old or older. 6. Clinical Decision Support Rule • Measure 1: Implement 5 CDS interventions related to 4 or more CQMs. Absent 4 CQMs related to an EP’s scope of practice or patient population, the CDS interventions must be related to high-priority health conditions. • Measure 2: The EP has enabled and implemented the functionality for drug-drug and drug-allergy interaction checks Exclusion • For the second measure, any EP who writes fewer than 100 medication orders during the EHR reporting period. Change from Stage 1 • 2 new statuses • Threshold increase from more than 50% • 1 rule attestation increased to 5 rules • Consolidated drugdrug/drug-allergy objective into a measure for this objective • New Audit options 48 48 STAGE 2 CORE OBJECTIVES Core Objective 7. Patient Electronic Access Measure Change from Stage 1 • Measure 1: More than 50% of all unique patients seen are provided • Former menu objective timely (within 4 business days after the information is available to the • Consolidated patient EP) online access to their health information subject to the EP's discretion to withhold certain information. electronic info request with timely access • Measure 2: More than 5% of all patients seen(or their authorized • Patient accountability representatives) view, download, or transmit to a third party their health information. • New exclusion Exclusion • Any EP who: • New IEHR workflow • (1) Neither orders nor creates any of the information listed for inclusion as part of both measures, except for "Patient name" and "Provider's name and office contact information, may exclude both measures. • (2) Conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period may exclude only the second Measure 49 49 STAGE 2 CORE OBJECTIVES Core Objective 8. Clinical Summaries Measure • Clinical summaries provided to patients within one business day for more than 50% of office visits. Change from Stage 1 • Must provide CCD • New IEHR workflow Exclusion • Any EP who has no office visits during the EHR reporting period. 9. Protect Electronic Health Information • Conduct or review a security risk analysis, implement security updates as necessary and correct identified security deficiencies 10. Clinical Lab-Test Results • More than 55% of all lab tests ordered are linked to structured results • Threshold increase from more than 40% Exclusion • Any EP who orders no lab tests where results are either in a • PA logic change positive/negative affirmation or numeric format during the EHR reporting period. Unchanged • No Exclusion 50 50 STAGE 2 CORE OBJECTIVES Core Objective Measure Changes from Stage 1 11. Patient Lists • Generate at least one report listing patients of the EP with a specific condition. • No Exclusion • Former menu objective 12. Preventive Care • More than 10% of all unique patients who have had 2 or more office visits with the EP 2 years during or prior to the reporting period were sent a reminder, per patient preference when available. • Former menu objective Exclusion • Any EP who has had no office visits in the 24 months before the EHR reporting period. 13. PatientSpecific Education Resources • No age thresholds • Can utilize Batch Recall Posting • New IEHR workflow • Patient-specific education resources are provided for more than 10% of all unique patients with office visits seen by the EP • Former menu objective Exclusion • Any EP who has no office visits during the EHR reporting period. • New IEHR workflow • Infobutton standard 51 51 STAGE 2 CORE OBJECTIVES Core Objective 14. Medication Reconciliation Measure • The EP who performs medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the care of the EP. Exclusion • Any EP who was not the recipient of any transitions of care during the EHR reporting period. Change from Stage 1 • Former menu objective • PA logic update-automated numerator capture • New IEHR workflow 52 52 STAGE 2 CORE OBJECTIVES Core Objective 15. Summary of Care Measure • Measure 1: Provide a summary of care record for more than 50% of transitions of care and referrals. • Measure 2: Provide a summary of care record for more than 10% of transitions of care and referrals either: (a) electronically transmitted using CEHRT to a recipient or (b) where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or in a manner that is consistent with NwHIN standards. Change from Stage 1 • Former menu objective • New electronic measure • New measure requiring receipt • New IEHR workflow • Measure 3: An EP must satisfy one of the following criteria: (a)Conducts one or more successful electronic exchanges of a summary of care document, with a recipient who has EHR technology from a different EHR technology developer than the sender's EHR technology. (b)Conducts one or more successful tests with the CMS designated test EHR during the EHR reporting period. Exclusion • Any EP who transfers a patient to another setting or refers a patient to another provider less than 100 times during the EHR reporting period is excluded from all three measures. 53 53 STAGE 2 CORE OBJECTIVES Core Objective 16. Immunization Registries Data Submission Measure • Successful ongoing submission of electronic immunization data from CEHRT to an immunization registry or immunization information system for the entire EHR reporting period. Change from Stage 1 • Former menu objective • Successful submission required, not just a test Exclusion • Any EP that meets one or more of the following criteria may be • New IEHR workflow excluded from this objective: • (1) the EP does not administer any of the immunizations to any of the populations for which data is collected by their jurisdiction's immunization registry or information system during the EHR reporting period; • (2) the EP operates in a jurisdiction for which no immunization registry or information system is capable of accepting the specific standards required for CEHRT at the start of their EHR reporting period; • (3) the EP operates in a jurisdiction where no immunization registry or information system provides information timely on capability to receive immunization data; or • (4) the EP operates in a jurisdiction for which no immunization registry or information system that is capable of accepting the specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs. 54 54 STAGE 2 CORE OBJECTIVES Core Objective 17. Use Secure Electronic Messaging Measure • A secure message was sent using the electronic messaging function of CEHRT by more than 5% of unique patients (or their authorized representatives) seen by the EP Change from Stage 1 • New objective Exclusion • Any EP who has no office visits during the EHR reporting period, or any EP who conducts 50 percent or more of his or her patient encounters in a county that does not have 50 percent or more of its housing units with 3Mbps broadband availability according to the latest information available from the FCC on the first day of the EHR reporting period. 55 55 STAGE 2 MENU OBJECTIVES Starting in 2014 exclusions claimed for menu objectives will no longer count towards the number of menu objectives needed Menu Objective 1. Syndromic Surveillance Data Submission Measure Change from Stage 1 • Successful ongoing submission of electronic syndromic • Successful surveillance data from CEHRT to a public health agency for submission required, the entire EHR reporting period. not just a test Exclusion • Any EP that meets one or more of the following criteria may • New IEHR workflow be excluded from this objective: • (1) the EP is not in a category of providers that collect ambulatory syndromic surveillance information • (2) the EP operates in a jurisdiction for which no public health agency is capable of receiving electronic syndromic surveillance data in the standards required by CEHRT at the start of their reporting period; • (3) the EP operates in a jurisdiction where no public health agency provides information timely on capability to receive syndromic surveillance data; or • (4) the EP operates in a jurisdiction for which no public health agency that is capable of accepting the specific standards required by CEHRT at the start of their EHR reporting period can enroll additional EPs. 56 56 STAGE 2 MENU OBJECTIVES Menu Objective 2. Electronic Notes Measure • Enter at least one electronic progress note created, edited and signed by an EP for more than 30% of unique patients with at least one office visit during the reporting period. Change from Stage 1 • New objective • New IEHR workflow • The text of the electronic note must be text searchable and may contain drawings and other content • No exclusion. 3. Imaging Results • More than 10% of all tests whose result is one or more images ordered by the EP during the EHR reporting period are accessible through CEHRT. • New objective • New IEHR workflow Exclusion • Any EP who orders less than 100 tests whose result is an image during the EHR reporting period; or any EP who has no access to electronic imaging results at the start of the EHR reporting period. 57 57 STAGE 2 MENU OBJECTIVES Menu Objective 4. Family Health History Measure • More than 20% of all unique patients seen by the EP during the EHR reporting period have a structured data entry for one or more first-degree relatives. Change from Stage 1 • New objective Exclusion • Any EP who has no office visits during the EHR reporting period. 5. Report Cancer Cases • This is an optional criterion which we will not be certified to and is not required to be considered a complete certified EHR. • New objective 6. Report Specific Cases • Capability to submit to a registry “other than a cancer or immunization registry.” • New objective • The specialized registry cannot be duplicative of any of the other registries included in other meaningful use objectives and measures. • EPs will attest YES/NO to successfully submitting specific case information from their CEHRT to a specialized registry for the entire reporting period. 58 58
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