Promoting Interoperability Meaningful Use Stage 3 for Medicaid 2020

This guide offers you explanations, links, and workflows you can use to report for Meaningful Use Stage 3 for Medicaid 2020.   REPORTING PERIOD AND REQUIREMENTS   The reporting period for 2020:  

• Objectives: Any consecutive 90 days in 2020.
• Clinical Quality Measures are to be reported for any consecutive 90 days in 2020.

  Who needs to report on Promoting Interoperability for 2019? Medicaid providers who have already been reporting Meaningful Use.   EPs must use 2015 Edition CEHRT to meet Stage 3 Meaningful Use.   ICANotes is a 2015 Edition CEHRT.     STEP 1: REQUEST GROUP RULES   Request that ICANotes enable these rules for your group:  

• Meaningful Use Measures
• Patient Portal Sync
• Direct Messaging
• Always Generate CCDA
• Clinical Quality Measures

  You can email this request to ticket@icanotes.com or call us at 443-569-8778. This should already have been done.       STEP 2: TURN ON SETTINGS   1. Go to the Chart Room 2. Click on the drawer labeled Settings & Directories 3. On the Personal Info tab, make sure the MU / MIPS / CQM field is checked (as shown in the screenshot above) This is a READ-ONLY field.        Turn on Clinical Decision Support Rules and Patient Education Material.   1. Click the Options Tab on the Specific to Individual tab. 2. Check the following boxes to allow the program to automatically prompt you to print these items:    

• Clinical Decision Support Rules
• Patient Education Material

      You will not comply with these measures unless you check these boxes.       STEP 3: WORKFLOW   Make sure that your workflow is set up so that the doctor’s id will be used to report on Objective 7.   Objective 7 (Health Information Exchange/Summary of Care/Medication Reconciliation) to ensure proper credit.   1. Go to the Chart Room 2. Click on the drawer labeled Settings & Directories 3. Fill in your National Provider ID (NPI)       1. Go to the Chart Room. 2. Click on the drawer labeled Settings & Directories. 3. Click on Group Level Settings & Directories (need to be a Group Administrator). 4. Click on Provider Directory tab. 5. The NPI for the consulting/referring provider can be added at the bottom of the window.            STEP 4: WHAT ARE THE OBJECTIVES?   A total of 8 objectives and 6 Clinical Quality Measures. There are changes to objectives for 2020.   Objectives for 2020:  

• Objective 1: Protect Electronic Health
• Objective 2: ePrescribing
• Objective 3: Clinical Decision Support
• Objective 4: CPOE
• Objective 5: Patient Electronic Access to Health
• Objective 6: Use CEHRT to Engage With Patients
• Objective 7: Health Information Exchange
• Objective 8: Public Health and Clinical Data

    PROMOTING INTEROPERABILITY ORDER OF MEASURES   1. Protect Electronic Health Information (yes/no, done within your practice) 2. ePrescribing (> 60%) Through the use of ePrescribe and DrFirst. 3. Clinical Decision Support (yes/no) 4. CPOE Rx, Radiology, Imaging (RX > 60%, Lab > 60%, Imaging > 60%) 5. Patient Electronic Access       Measure 1:  > 80% Patients can View, Download, Transmit and Access their health information AND their Information is available via API specifications of ICANotes       Measure 2: Provide Patient Electronic Access to relevant patient-specific education to > 35% of patients       Link to API: https://icanotes.com/api   6. Coordination of Care through Patient Engagement       Attest to all 3 measures & meet thresholds for at least 2 measures       Measure 1: > 5% of unique patients:                 a. View, Download or Transmit OR                 b. Access their patient health info through API OR                 c. Combination of 1 and 2         Measure 2: Secure message sent to > 5% of unique patients          Measure 3: Patient generated health data incorporated into EHR > 5% of patients   7. Health Information Exchange (Summary of Care/Referral/Med Rec)       Attest to all 3 measures & meet thresholds for at least 2 measures. If exclusions met for 2 measures, meet the threshold for the 3rd. If exclusions met for 3 measures, excluded from the entire objective         Measure 1: For > 50% of transitions of care and referrals sent/made, the EP 1) Creates a summary of care record and 2) Electronically exchanges summary of care record. (Exclusion: If 100 or fewer referral

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