Northeast Kentucky Regional Health Information Organization

Kayla D. Rose, M.A., RRTExecutive Director

k.rose@nekyrhio.orgGet Equipped Get Connected Get on the path to Meaningful Use

West Liberty, Kentucky is the home of Northeast Kentucky

RHIO.

NeKY RHIO19 counties in Northeastern Kentucky402 total providers259 primary care providers as part of original REC grant – majority Medicaid

68 other specialty providers in Ashland area - Medicare75 Medicaid specialty providers Planning Guide and Meaningful Use pilot: work with additional providers

NeKY RHIOOver 87% of our initial primary care providers were on an electronic health record

259 signed providers 193 providers can pull quality reports and e-RX31 providers have attested to Medicare

Majority of our 259 will be attesting via Medicaid

Basic InformationDid you know that Medicaid is handled by each state which can make this process different in each state?

Meaningful Use and Quality Measures are the same for Medicare and Medicaid

Meaningful Use Calculator for Medicare https://www.cms.gov/apps/ehr/

Kentucky Medicaid

KY Medicaid will be asking for additional information for the following MU measures

Meaningful Use 3, 4, 5, 6, 7, 11 and 14

MU Menu 1, 2 and 7

Example of Additional Attestation Questions

3 Objective: Maintain an up-to-date problem list of current and active diagnoses. Measure: More than 80% of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data. Numerator: Number of patients in the denominator who have at least one entry or an indication that no problems are known for the patient recorded as structured data in their problem list.

Denominator: Number of unique patients seen by the EP during the EHR reporting period.

Enter the number of patients in the numerator above that have the entry of no problems indicated as their structured data.

4 Objective: Generate and transmit permissible prescriptions electronically (eRx). Measure: More than 40% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology. Exclusion: Any EP who writes fewer than 100 prescriptions during the EHR reporting period would be excluded from this requirement. Does this Exclusion apply to you? __ Y __ N Numerator: Number of prescriptions in the denominator generated and transmitted electronically.

Denominator: Number of prescriptions written for drugs requiring a prescription in order to be dispensed other than controlled substances during the EHR reporting period.

Which eRx service is used? Name a pharmacy that you transmit to.

Example of Additional Attestation Questions

Information about Kentucky

Kentucky was among one of the first states to begin issuing checks to providers

To date, Kentucky has issued $19,932,500 to 939 providers

Information about Kentucky

Guides to registration and attestation can be found on http://chfs.ky.gov/dms/EHR.htm

First day a provider can attest to Medicaid Year 2 in Kentucky is April 1, 2012

90 day period of Jan 1, 2012 – March 31, 2012

What do I need to AttestYear 1 (End of A/I/U)

Proof of Adopting, Implementing or Upgrading to a certified EHR

Vendor contract/invoice/letter

90-day Patient Volume Report for any 90 day period in previous year. *KCHIP

PDF format

Meaningful Use Attestation Program Year 2

Patient Volume Report – this will be required each year of the program

Meet all MU Core and Menu items

Meet Quality Measures

Meaningful Use Attestation Program Year 2

Proof of a test exchange of key clinical information (core measure 14).

Different vendors can provide different “proof” (i.e. email of encrypted message)

But for upload as proof an examples can be a screen shot of a message that states test email message was sent

MU Attestation Year 2To qualify for an Exclusion for MU Measure 1 (immunization registry), upload one of the following documents:

A letter from the provider stating they did not provide immunizations during the EHR reporting period

orA signed Participation Agreement with KHIE along

with a letter explaining why he/she is awaiting connection and expected connection date.

Further Attestation ToolsIf you haven’t sought assistance from the REC in your area….do so. Attestation Year 2 additional information for Kentucky – NeKY RHIO has a tool we developed to help with those additional questions.

k.rose@nekyrhio.org

For more informationContact: Kayla D. Rose, Executive Directork.rose@nekyrhio.org606-743-4005 ext. 311www.nekyrhio.org