Tuesday, July 27, 2010

Meaningful Use, Standards, and Quality Measures

To help all stakeholders who want to better understand the latest HIT regulations:

1. Here's a quick summary of the Meaningful Use Core and Menu Set Objectives and Measures compiled by Robin Raiford.

2. Here's a quick summary of the Standards cross referenced to the Code of Federal Regulations Citations compiled by Robin Raiford.

3. I've been asked to summarize the Quality Measures as simply as possible

a. The Core Measures for All Eligible Professionals, Medicare and Medicaid are in the Final Rule Table 7, page 287. The Measures are

*Hypertension: Blood Pressure Measurement
*Tobacco Use Assessment and Tobacco Cessation Intervention
*Adult Weight Screening and Follow-up

b. If the denominator for one or more of the Core Measures is zero, EPs will be required to report results for up to three Alternate Core Measures. The Alternate Core Measures for Eligible Professionals are in the Final Rule Table 7, page 287. The Measures are

*Weight Assessment and Counseling for Children and Adolescents
*Preventive Care and Screening: Influenza Immunization for Patients ≥ 50 Years Old
*Childhood Immunization Status

c. The Clinical Quality Measures for Submission by Medicare or Medicaid EPs for the 2011 and 2012 Payment Year (EPs must choose 3) are in the Final Rule Table 6, page 272 . Here's a summary of the 44 quality measures that CMS posted last week.

d. The Clinical Quality Measures for Submission by Eligible Hospitals and Critical Access Hospitals for Payment Year 2011-2012 are in the Final Rule Table 10, page 303. The Measures are

*Emergency Department Throughput – admitted patients Median time from ED arrival to ED departure for admitted patients
*Emergency Department Throughput – admitted patients Admission decision time to ED departure time for admitted patients
*Ischemic stroke – Discharge on anti-thrombotics
*Ischemic stroke – Anticoagulation for A-fib/flutter
*Ischemic stroke – Thrombolytic therapy for patients arriving within 2 hours of symptom onset
*Ischemic or hemorrhagic stroke – Antithrombotic therapy by day 2
*Ischemic stroke – Discharge on statins
*Ischemic or hemorrhagic stroke – Stroke education
*Ischemic or hemorrhagic stroke – Rehabilitation assessment
*VTE prophylaxis within 24 hours of arrival
*Intensive Care Unit VTE prophylaxis
*Anticoagulation overlap therapy
*Platelet monitoring on unfractionated heparin
*VTE discharge instructions
*Incidence of potentially preventable VTE

I hope these help!

1 comment:

Josie said...

I have been following your blog for some time. As my current role includes "HITECH Coordinator," I was wondering if you had any thoughts on the Final Rule's addition of POS 23. It seems that this will make achievement more difficult for many organizations who do not have a full ED EMR as the denominator is greatly increased by adding in ED patients. For us, the only way we might stand a chance is if for the measures that allow the alternate denominator of patients with an EHR record, we can exclude the ED patients because they don't have an eHR record. My organization is fully adopted on CPOE, nursing documentation, barcode med admin and many other HIT functions, but NOT on a ED system except for a tracking board. Is the final rule bad news for us?