Changes to Modified Stage 2 for 2017 Affect Hospitals

Changes to Modified Stage 2 for 2017 Affect Hospitals

All eligible hospitals, critical access hospitals (CAHs), and dual-eligible hospitals seeking to demonstrate meaningful use of certified electronic health record technology (CEHRT) for the first time in 2017 must attest to Modified Stage 2 or Stage 3 objectives and measures. The EHR reporting period is a minimum of any continuous 90 days between Jan. 1, 2017, and Dec. 31, 2017.

In doing so, facilities can avoid the 2018 payment adjustment. An eligible hospital that does not meet meaningful use for the first time in 2018 will receive a 75 percent reduced update to the Inpatient Perspective Payment System standardized increased amount.

Objective Requirements

There are seven objectives to which providers must attest using 2014 and, if available, 2015 Edition CEHRT.

The EHR Medicare Incentive Program Modified Stage 2 objectives and measures for eligible hospitals and CAHs in 2017 are:

  1. Protect electronic protected health information (ePHI) created or maintained by the CEHRT through the implementation of appropriate technical capabilities.
  2. Generate and transmit permissible discharge prescriptions electronically (eRx).
  3. Health Information Exchange – Provide a summary care record for each transition of care or referral.
  4. Use clinically relevant information from CEHRT to identify patient-specific education resources and provide those resources to the patient.
  5. Perform medication reconciliation for patients received from another care setting or other relevant reason.
  6. Patient Electronic Access – Provide patients the ability to view online, download, and transmit their ePHI within 36 hours of hospital discharge.
  7. Public Health Reporting – Engage with a public health agency to submit ePHI from CEHRT, except where prohibited by law.

Changes to Objectives and Measures

Please be aware of the following changes for 2017 meaningful use reporting:

  • The Clinical Decision Support and Computerized Provider Order Entry objects and measures are removed.
  • The threshold requirement for View, Download or Transmit under the Patient Electronic Access objective is reduced to “at least one patient” (or patient-authorized representative).
  • New naming conventions for measures are added.
  • Specific measures affected by changes to the measure calculations policy are identified in the Additional Information section of the specification sheets (linked above).

The attestation deadline is Feb. 28, 2018; however, first time participants must attest by Oct. 1, 2017.


Sources:

https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/Stage2Modified_RequireEH.html

https://www.cms.gov/regulations-and-guidance/legislation/ehrincentiveprograms/downloads/paymentadj_hardshipexceptipsheetforhospitals.pdf

https://www.federalregister.gov/documents/2016/11/14/2016-26515/medicare-program-hospital-outpatient-prospective-payment-and-ambulatory-surgical-center-payment

Renee Dustman

Renee Dustman

Executive Editor at AAPC
Renee Dustman, BS, MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print production and content management, and has worked in a variety of capacities for several publications.
Renee Dustman

About Has 533 Posts

Renee Dustman, BS, MACRA Proficient, is an executive editor at AAPC. She holds a Bachelor of Science degree in Media Communications - Journalism. She has more than 20 years experience in print production and content management, and has worked in a variety of capacities for several publications.

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