Meaningful Use (MU) is a specific type of incentive program under the American Recovery and Reinvestment Act (ARRA). This incentive program is used to encourage the implementation of Health Information Technology (HIT). The goal is to offset financial burdens to Eligible Professional’s (EP) implementing an EHR. Thus, ensuring HIT, in the form of an EHR, continuously progresses the ARRA mandate forward. Utilization of the EHR in a meaningful way, such as health information exchange allows for improved quality of patient care. MU Clinical Quality Measures (CQM) requires qualitative data collection. Thus, allowing a consistent data collection process for analyzing and determining compliance rates, per measure. Capturing the CQM lends many nurses
The goal of meaningful use Stage 1is to motivate providers to implement EHRs, and it sets baseline criteria; hospitals must meet 14 required core objectives and 5 menu set objectives from 10 options to achieve meaningful use. Eligible professionals must meet 15 required core objectives and 5 menu set objectives from 10 options to achieve meaningful use. Stage 2 and 3 will expand on the baseline criteria. Stage 2 “emphasized care coordination and exchange of patient information,” and Stage 3 “improves healthcare outcomes.” (What is Meaningful Use?, 2017).
This Stage 1 started from 2011-2012, its objective dealt with data capture and sharing, these sheets are providing these services to assist professionals and hospitals understand the requirements of each objective and demonstrate meaningful use success. This stage also allows qualified providers to receive their payment after fulfilling nine core objectives and one public health objective. The second stage of the Meaningful Use is Stage 2 started in 2014; it dealt with the advanced clinical processes. This Stage introduces new aims and measures, as well as higher entries; it also required health care providers to prolong EHR capabilities to a greater portion of their patient populations. The last stage of the Meaningful Use is Stage 3, this Stage it still in a building phase. Its objective will be focusing on improving quality, safety, efficiency, and leading to improved outcomes. Even though the details of this program have not been finalized, Meaningful Use Stage 3 will work to make the program easier to understand. It will provide the professionals (EPs) and hospitals the ability to exchange and use information between electronic health records, and improve patient outcomes. Based on the current timeline, healthcare providers have the choice to begin Stage 3 Meaningful Use in 2017 but are not permitted to use it until
Meaningful Use engages patients and families in their health care, improve care coordination, improve population and public health and maintain privacy and security ("CMS," 2015, para. 1). Healthcare providers must show CMS that they are using their EHRs in ways that can positively affect the care of their patients. To do this, providers must meet all of the requirements established by CMS for this program and be able to demonstrate Meaningful Use of their EHRs to receive incentive reimbursement. The Meaningful Use program is divided into 3 stages which span 2011 (data capture and sharing), 2013 (advanced clinical processes) and 2015 (improved outcomes).
Meaningful use is used in the EHR system, and it is used to improve quality and safety of healthcare. It improves privacy and can benefit health care management care. The facility that I work at is in the first stage of even getting an EHR system they do not receive any incentive’s, because it is a long-term care faculty. If I was working in a hospital and they wanted to have a meaningful use, they would need 14 core objectives, 5/10 from a set menu of objectives and 15 quality measures.(HEALTHIT.GOV
It is important to understand that, meaningful use regulation established objectives that healthcare organizations such as hospitals and other healthcare facilities have to meet in order to be qualified for the center for Medicare and Medicaid services. Many healthcare organizations are making progress when it comes to meaningful regulations. There was a recent survey that shows that a lot of healthcare organization began using some type of electronic health record so as to be able to input patients, data, information, allows healthcare providers to establish clinical notes and to be able to write prescription and transfer patients’ information from one provider to another (Lopez, 2014).
The American Recovery and Reinvestment Act was created to improve the efficiency of how health organizations will improve patient outcomes and accountability, aid in coordination of that care; improve and promote effective health management across organizations, as well as align incentives with good patient outcomes. It was designed to use electronic health records with in and across health organizations in order to improve the outcomes of medical care. In order to do this correctly, health and medical organizations must “meaningfully” use the programs that are available in order to receive any incentives given by Medicaid and Medicare.
In addition to the core elements, providers will have to choose any five of the ten additional tasks to implement in 2011-2012. Some examples of these might be clinical lab results, patient appointment reminders and drug-formulary checks. This gives the providers a chance to choose their own path toward full EHR implementation and meaningful use. Legislation ties payments to the achievement of advances in health care processes and outcomes. The regulations are specific as to when providers will have to use particular functions in order to be considered meaningful users. The meaningful use rule acknowledges the urgency of adopting the electronic health record and recognizes the challenges it will pose on all providers.
Meaningful use means in simple providers need to show they are using certified EHR technology in ways that can be measured significantly in quality and in quantity.
The American Recovery and Reinvestment Act made an investment in the year 2009 to encourage the adoption and implementation of the electronic health records (EHRs)(Cite). EHRs incentive payments were authorized through Medicare and Medicaid to clinicians and hospitals when they privately and securely used EHRs for achieving improvements in care delivery by the Health Information Technology for Economic and Clinical Health Act (HITECH). The healthcare organizations are expected to demonstrate meaningful use of EHRs. This rule of meaningful use has been implemented to strike a balance between acknowledging the urgency of adopting EHRs for improving the healthcare system and identifying the challenges that would be put forth
The American Recovery and Reinvestment Act (ARRA) of 2009 identified three main components of meaningful use: the use of a certified EHR in a meaningful manner, electronic exchange of health information to improve quality of care, and the use of technology to submit clinical outcomes and quality measures (Heath Resources and Service Administration, n.d.). ARRA includes many measures to modernize our nation’s infrastructure, with the “Health Information Technology for Economic and Clinical Health (HITECH) Act” being an example. The HITECH Act is an effort led by Centers for Medicare and Medicare Services (CMS) in support of electronic health records and meaningful use (Centers for Disease Control and Prevention, CDC 2016). According to Galbraith (2013), the HITECH Act aims to promote the use of EHRs by providing over $27 billion in monetary incentives for health care providers that become “meaningful users”. CMS uses these core objectives to determine if a health care provider has satisfied meaningful use and is eligible to receive financial incentives (Galbraith, 2013).
For over 10 years, all areas of industry have been investing in informational technology (IT). IT offers faster and more proficient care especially for the healthcare industry. Health information technology (HIT) is making significant changes in how care is being delivered and addressed for patients and healthcare workers. HIT includes electronic health records (EHR), personal health records (PHI), electronic prescribing and more. The potential list is endless. HIT provides for more accurate and efficient documentation, prescriptions, and education. The Obama administration came up with an answer to help in HIT by instituting the meaningful use. This paper will discuss the overview of meaningful use, its’ core criteria, and recommendations for additional criteria.
In 2009, more than $30 billion dollars in incentives was allocated by congress for hospitals to institute meaningful use of electronic health records (EHRs) by 2011 (Adler-Milstein, Bates, & Jha, 2011) (Murphy, 2010). The Meaningful Use Act is a complicated principle that is part of the American Recovery and Reinvestment Act (ARRA) as well as the Health Information Technology for Economic and Clinical Health (HITECH) act.
Meaningful use is defined as using certified electronic health record (EHR) technology. It is important to healthcare because of the following; quality, safety and efficiency which reduces health disparities by having computerized physician order entry (CPOE) to document all medical orders that other health care providers inside and outside the hospital to be aware of health management. Maintaining an active medication lists ensuring that any health care provider working with a patient is aware of most or all the medications that a patient is being treated with, and allows the EHR system to make the health care provider aware of any controlled medications, allergies, or drug-drug interactions. Implementation of clinical decision support rules
The goal in healthcare today is to achieve better patient outcomes. Technology is changing daily that affects how patient care is provided. As the world around us continues to move into a more advanced technology based healthcare system incentives are offered to qualifying healthcare entities, provided they are utilizing approved health information technology (IT) to comply with standards set by the Centers for Medicare & Medicaid Services (CMS) (Jones, Rudin, Perry, & Shekelle, 2014). Standards such as meaningful use help ensure with the use of electronic health records (EHR) that patients are receiving quality care (Centers for Disease Control and Prevention [CDC], n.d.). This paper will define and discuss the importance and implications of meaningful use relating to healthcare. Several key points will be discussed including an overview of meaningful use, analysis, further recommendations and a conclusion.
This Practice Brief focuses on the challenges of establishing and maintaining quality data in the Electronic Health Record. Beginning with citing statistics of adverse events that are directly linked with poor quality data, the author further discusses how Health Information Exchanges, performance improvement initiatives, and payment are closely tied to data quality. The success of Electronic Health Record Incentive programs and ICD-10