Template of Converse

Document Sample
Template of Converse Powered By Docstoc
					                                                                                                                                                                                                      DRAFT




Meaningful Use (MU) & Patient Centered Medical Home (PCMH) Crosswalk - DRAFT
                                                                                          Level of Relationship                                Level of Relationship




                                                                            MU Rank
                                                                                          Success MU to PCMH                                   Success PCMH to MU




                                                                                                                                PCMH Rank
                           Stage 1 2011 MU    Related PCMH
                              Measures     element(s)/ factor(s)
                                                                                      3=Meets PCMH 2=Somewhat                               3=Meets MU 2=Somewhat
         2011 MU                                                                        meets PCMH 1=Does not                               meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                            meet PCMH                                               MU                  MU and PCMH
OBJECTIVE A: Improve quality, safety, efficiency, and reduce health disparities
1   Use CPOE for all      For EPs, CPOE is      PPC-5A: electronic                    If a practice meets the MU                            PPC-5A 1 or 2 are necessary, but Implement electronic prescribing
    order types including used for at least 80% prescription writing                  requirements, it is likely that it will               not sufficient, to meet the      system/module.
                                                                             3                                                  1
    medications           of all orders                                               meet the requirements for either                      requirements for MU A-1.
                                                                                      PPC-5A 1 or 2.
                                                PPC-6B 1, 2: order lab                If a practice meets the MU                            PPC6B 1 and 2 are necessary,         Implement CPOE
                                                and imaging tests                     requirements, it is likely that it will               but not sufficient, to meet the
                                                                             3                                                  1
                                                                                      meet the requirements for PPC6B                       requirements for MU A-1.
                                                                                      1 and 2.
                                                PPC-6B 3-5: retrieve                  If a practice meets the MU                            PPC6B 3-5 are necessary, but         Implement CPOE
                                                lab results, imaging text             requirements, it is likely that it will               not sufficient, to meet the
                                                reports, and images          3        meet the requirements for PPC6B           1           requirements for MU A-1.
                                                directly from source                  3-5.

                                                PPC-7A: referral                       MU requires that all orders are                      PCMH only requires that a            Implement electronic referral
                                                tracking                              made electronically. If a practice                    practice have a system for           tracking system. Effectiveness
                                                                                      meets the MU requirements, it is                      referral tracking (can be paper-     may depend upon HIE and RHIO
                                                                             2        likely that it will meet the              1           based or electronic);                capabilities
                                                                                      requirements for some of the
                                                                                      factors in PPC-7A.
2   Implement drug-       The EP/eligible      PPC-2B 2: searchable                   To effectively utilize the drug-                      Meeting PPC-2B2: will satisfy MU Record accurate, up-to-date
    drug, drug-allergy,   hospital has enabled data field for allergies               allergy checks available in the                       A-2 provided that all the required allergy lists for all patients as
    drug-formulary        this functionality   and adverse reactions                  system, it is critical that all                       data elements for allergies and structured data.
    checks                                                                   3        patients' allergy lists are accurate      3           adverse reactions are available
                                                                                      and up-to-date in the electronic                      and used
                                                                                      system.




                                                                                               Page 1 of 13                                                                            MU/PCMH Crosswalk
                                                                                                                                                                                                    DRAFT
                                                                                           Level of Relationship                             Level of Relationship




                                                                             MU Rank
2   Implement drug-        The EP/eligible                                                 Success MU to PCMH                                Success PCMH to MU




                                                                                                                              PCMH Rank
    drug, drug-allergy,     Stage 1 2011 MU
                           hospital has enabled    Related PCMH
    drug-formulary               Measures
                           this functionality   element(s)/ factor(s)
                                                                                       3=Meets PCMH 2=Somewhat                            3=Meets MU 2=Somewhat
    checks
         2011 MU                                                                         meets PCMH 1=Does not                            meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                             meet PCMH                                            MU                  MU and PCMH
                                                 PPC-2D 2, 3:                          In order to sucessfully implement                  PCMH doesn't require that this         EMRs can capture this either by
                                                 documents OTC meds,                   drug to drug etc. formulary checks                 info is captured electronically, but   design or through user defined
                                                 supplements, alternative              and as an extension of thorough                    just that the practice captures it     fields or through establishing P&P
                                                 therapies and all                     medication reconcilliation (which is               (e.g., could be done by a paper-       that directs specific usuage of
                                                 prescribed meds                       important to formlary checks)                      based system)                          specific fields and forms in EMR
                                                                              2        meeting this objective to the letter   1                                                  to accomplish this task
                                                                                       of the law increases lilihood of
                                                                                       meeting PPC-2D2,3



                                                 PPC-5B: e-prescribing                 The PCMH and MU requirement is                     PCMH distinguishes between             Ensure that EMR provides
                                                 decision support - safety             similar                                            general and specific alerts.           general and specific alerts (in
                                                 checks                       3                                               3                                                  current state of technology most
                                                                                                                                                                                 EMRs do both and more)

                                                 PPC-5C 2: drug-                       The PCMH and MU requirement is                     Satisfying the MU requirement
                                                 formulary checks             3        similar.                               3           will likely satisfy the PCMH
                                                                                                                                          requirement and vice versa.
3   Maintain an up-to-     At least 80% of all   PPC-2A 13: searchable                 If meets MU requirement, will                      However, PCMH requires current         Record current, active, and past
    date problem list of   unique patients seen data field for current and             likely satisfy PCMH requirement                    and past diagnoses, while MU           diagnoses as structured data
    current and active     by the EP have at     past diagnoses                        for PPC-2A 13.                                     requires current and active            based on ICD-9-CM or SNOMED
    diagnoses based on     least one entry or an                              3                                               3           diagnoses.                             CT ® in EMR. Most EMRs track
    ICD-9-CM or            indication of none                                                                                                                                    diagnosis history either
    SNOMED CT ®            recorded as                                                                                                                                           structurally or in audit trails
                           structured data
                                                 PPC-2D 1: documents                   If meets MU requirement, will                      However, since PCMH does not Record problem lists as structured
                                                 problem lists                         likely satisfy PCMH requirement                    require that this is documented     data based on ICD-9-CM or
                                                                                       for PPC-2D 1.                                      electronically or the form it needs SNOMED CT ® in EMR
                                                                              3                                               1           to be documented in, the
                                                                                                                                          converse is not true.




                                                                                               Page 2 of 13                                                                            MU/PCMH Crosswalk
                                                                                                                                                                                            DRAFT
                                                                                        Level of Relationship                            Level of Relationship




                                                                          MU Rank
                                                                                        Success MU to PCMH                               Success PCMH to MU




                                                                                                                          PCMH Rank
                          Stage 1 2011 MU    Related PCMH
                             Measures     element(s)/ factor(s)
                                                                                    3=Meets PCMH 2=Somewhat                           3=Meets MU 2=Somewhat
         2011 MU                                                                      meets PCMH 1=Does not                           meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                          meet PCMH                                           MU                  MU and PCMH
4 Generate and           At least 75% of all   PPC-5A1,2: electronic                If practice meets MU requirement,                 PPC-5A 1 or 2 are necessary, but Generate and transmit
    transmit permissible permissible           prescription writing                 will satisfy either PPC-5A 1 or 2.                not sufficient, to meet the      prescriptions electronically.
    prescriptions        prescriptions written                                                                                        requirements for MU A-4 since
    electronically (eRx) by the EP are                                                                                                PCMH does not require not
                         transmitted                                                                                                  prescriptions are transmitted
                                                                           3                                              1           electronically.
                         electronically using
                         certified EHR
                         technology


5   Maintain active      At least 80% of all     PPC-2D 2: documents                MU does not specify that these                    PCMH does not require this      Record OTC meds, supplements
    medication list      unique patients seen    OTC meds,                          types of medications need to be                   information to be documented as and alternative therapies as
                         by the EP have at       supplements and                    documented.                                       structured data.                structured data in EMR. See
                         least one entry or an   alternative therapies     1                                              1                                           second recommendation for MU A-
                         indication of none                                                                                                                           2
                         recorded as
                         structured data
                                                 PPC-2D 3: documents                If practice meets MU requirement,                 However, the converse is not true Record all prescribed medications
                                                 all prescribed meds                will satisfy PPC-2D 3.                            since PCMH does not require this as structured data.
                                                                           3                                              1           information to be documented as
                                                                                                                                      structured data.

6 Maintain active        At least 80% of all     PPC-2B 2: searchable               The PCMH and MU requirement is                    The PCMH and MU requirement
    medication allergy   unique patients seen, data field for allergies             similar. Satisfying the MU                        is similar. Satisfying the MU
    list                 by the EP have at       and adverse reactions              requirement will likely satisfy the               requirement will likely satisfy the
                         least one entry or (an                                     PCMH requirement and vice                         PCMH requirement and vice
                         indication of “none” if                                    versa.                                            versa.
                         the patient has no                                3                                              3
                         medication allergies)
                         recorded as
                         structured data




                                                                                            Page 3 of 13                                                                       MU/PCMH Crosswalk
                                                                                                                                                                                                     DRAFT
                                                                                               Level of Relationship                            Level of Relationship




                                                                                 MU Rank
                                                                                               Success MU to PCMH                               Success PCMH to MU




                                                                                                                                 PCMH Rank
                              Stage 1 2011 MU    Related PCMH
                                 Measures     element(s)/ factor(s)
                                                                                           3=Meets PCMH 2=Somewhat                           3=Meets MU 2=Somewhat
         2011 MU                                                                             meets PCMH 1=Does not                           meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                 meet PCMH                                           MU                  MU and PCMH
7 Record primary        At least 80% of all            PPC-2A 2, 3, 5, 17:                 If practice meets MU requirement,                 However, the converse is not true   Record as many data elements as
    language, insurance unique patients seen           searchable data fields              will likely satisfy requirement for               since PCMH does not require         possible as structured data in
    type, gender, race, by the EP have at              for DOB, gender,                    PPC-2A 2, 3, 5, 17.                               race and ethnicity to be recorded   EMR and understand how EMR
    ethnicity, DOB      least one entry or an          language preference                                                                   as structured data.                 reports and queries on these
                        indication of none             and health insurance       3                                              1                                               elements
                        recorded as                    coverage
                        structured data

8   Record vital signs       For at least 80% of all   PPC-2B 3-6: searchable              If practice meets MU requirement,                 If practice meets PCMH
    including height,        unique patients age       data fields for BP,                 will satisfy requirements for PPC-                requirement, will satisfy
                                                                                  3                                              3
    weight, blood            2 and over seen by        height, weight and BMI              2B 3-6.                                           requirements for MU A-8
    pressure, BMI; Plot      the EP, record blood
    and display growth       pressure and BMI;         PPC-2D 7: uses growth               MU requires that growth charts                    PCMH requires growth charts for     Plot and display growth charts for
    charts for children 2-   additionally plot         charts to plot height,              are for children 2-20 years                       children less than 18 years.        children <= 20 years, including
    20 years, including      growth chart for          weight, head                                                                          PCMH does not require that this     BMI in an electronic system.
    BMI.                     children age 2-20         circumference and BMI                                                                 information is recorded in an       Search EMR for field and form
                                                       if less than 18 years                                                                 electronic system.                  that captures head circumference
                                                                                                                                             PCMH also requires that head        or create user defined field and/or
                                                                                  2        Satisfying the requirments for MU     1           circumference is recorded.          create P&P
                                                                                           does not automatically guarantee                  Satisfying the requirments for
                                                                                           that a practice would satisfy those               PCMH does not automatically
                                                                                           for PCMH.                                         guarantee that a practice would
                                                                                                                                             satisfy those for MU


9   Record smoking        At least 80% of all          PPC-2D 4: uses                      May no completely fulfill PCMH                    PCMH requires that a practices      Develop structured template and
    status for patients   unique patients 13           structured template for             because this is structured around                 assess at least 3 age-appropriate   P&P for at least 3 age-appropriate
    13 years old or older years old or older           age-appropriate risk                on risk factor and PCMH requires                  risk factors, one of which could    risk factors, one of which should
                          seen by the EP or            factors (at least 3)                3                                                 be smoking. If a practice met the   be smoking status for all patients
                          admitted to the                                                                                                    requirements for PPC-2D 4 and       13 years or older.
                          eligible hospital have                                  2                                              3           one of the risk factors assessed
                          “smoking status”                                                                                                   was smoking for all patient over
                          recorded                                                                                                           13 years, it would meet the
                                                                                                                                             requirements for MU A-9.




                                                                                                   Page 4 of 13                                                                        MU/PCMH Crosswalk
9   Record smoking        At least 80% of all
    status for patients   unique patients 13
    13 years old or older years old or older
                          seen by the EP or                                                                                                                                                             DRAFT
                          admitted to the                                                       Level of Relationship                              Level of Relationship




                                                                                  MU Rank
                          eligible hospital have                                                Success MU to PCMH                                 Success PCMH to MU




                                                                                                                                    PCMH Rank
                           Stage 1 status”
                          “smoking 2011 MU               Related PCMH
                                Measures
                          recorded                    element(s)/ factor(s)
                                                                                            3=Meets PCMH 2=Somewhat                             3=Meets MU 2=Somewhat
         2011 MU                                                                              meets PCMH 1=Does not                             meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                  meet PCMH                                             MU                  MU and PCMH
                                                      PPC-3B 3 uses a paper-                will not satisfy in both directions;                Risk assessment would require       Must develop P&P that includes
                                                      based or electronic                   Cannot assume record of smoking                     smoking status and would assist     risk assessment in EMR to
                                                      system with guideline-                status equivalent to risk                           in achieving MU                     achieve dual compliance. Further
                                                      based reminders for                   assessment.                                                                             develop smoking rsik assessment
                                                      Age-appropriate risk         1                                                3                                               template probably in history and
                                                      assessments (e.g.,                                                                                                            physical section of EMR
                                                      smoking, diet,
                                                      depression)

10 Incorporate lab-test At least 50% of all           PPC-2B 7: searchable                  Satisfying the MU requirement will                  PCMH does not require that the      Incorporate lab-test results into
    results into EMR as clinical lab tests            data fields for lab test              likely satisfy the PCMH                             data in incorporated in certified   EMR as structured data.
                                                                                   3                                                3
    structured data     ordered whose results         results                               requirement.                                        EHR technology
                        are in a
                        positive/negative or          PPC-6B 3, 6: retrieve                 It is likely that a practice which                  See MU                              Establish interface with primary
                        numerical format are          lab results directly from             incorporates lab-test results into                                                      labs used by patients.
                        incorporated in               source and route and                  the EMR as structured data can
                        certified EHR                 manage them to                        retrieve lab results directly from
                        technology as                 appropriate clinical         3        the source and route and manage         3
                        structured data               personnel                             the results to appropriate clinical
                                                                                            personnel for review, filtering and
                                                                                            comparison.

11 Generate lists of       Generate at least one      PPC-2A 13, 15:                        In order to generate lists of patient               Please note, a practice can use a Implement this process via EMR
    patients by specific   report listing             searchable data field for             by specific condition, a practice                   paper or electronic system to     because of its speed, accuracy,
    condition to use for   patients of the EP or      current and past                      needs this data available in                        satisfy the requirements for PPC- and searchability
    quality improvement,   eligible hospital with a   diagnoses and billing                 searchable data fields. Thus, if                    2E 1.
    reduction of           specific condition.        codes for services           3        practice meets MU requirement,          2
    disparities, and                                                                        will likely satisfy PCMH
    outreach                                          PPC-2E 1: identifies                  requirements for PPC-2A 13, 15
                                                      most frequently seen                  and PPC-2E 1
                                                      diagnoses
                                                      PPC-2D 1: documents                   In order to generate lists of patient               The only caveat or condition is     Implement this process via EMR
                                                      problem lists                         by specific condition, a practice                   that PCMH doesn't require the       because of its speed, accuracy,
                                                                                            needs this data available in                        problem list to be recorded as      and searchability
                                                                                            searchable data fields. Thus, if                    structured data.
                                                                                   3        practice meets MU requirement,          2
                                                                                            will likely satisfy PCMH
                                                                                            requirements for PPC-2D 1




                                                                                                    Page 5 of 13                                                                          MU/PCMH Crosswalk
   outreach



                                                                                                                                                                                              DRAFT
                                                                                          Level of Relationship                           Level of Relationship




                                                                            MU Rank
                                                                                          Success MU to PCMH                              Success PCMH to MU




                                                                                                                           PCMH Rank
                          Stage 1 2011 MU    Related PCMH
                             Measures     element(s)/ factor(s)
                                                                                      3=Meets PCMH 2=Somewhat                          3=Meets MU 2=Somewhat
        2011 MU                                                                         meets PCMH 1=Does not                          meets MU 1=Does not meet Recommendation to Satisfy
       Objectives                                                                             meet PCMH                                          MU                  MU and PCMH
                                                  PPC-2F 1-7: generates                PCMH requires that an action is                 It is possible that satisfying the Generate at least one list based
                                                  lists of patients and               taken (once the list is generated)               requirements for one of these      on a specific condition (e.g.,
                                                  reminds patients and                na d MU does not                                 PCMH factors (PPC-2F 1-7) will diabetes overdue for annual foot
                                                  clinicians of services     2                                             3           satisfy the requirements for MU A- exam) and take an action (send
                                                  needed                                                                               11 (depending on the type of list letters to overdue patients)
                                                                                                                                       that's generated).

                                                  PPC-9B 1-6: electronic               PCMH requires that an action is                 It is possible that satisfying the Generate at least one list based
                                                  patient identification              taken via email (once the list is                requirements for one of these      on a specific condition (e.g.,
                                                                                      generated). MU does not                          PCMH factors (PPC-9B 1-6) will diabetes overdue for annual foot
                                                                             2                                             3           satisfy the requirements for MU A- exam) and take an action (email
                                                                                                                                       11 (depending on the type of list overdue patients)
                                                                                                                                       that's generated).

12 Report ambulatory   For 2011, provide          PPC-8A 1, 2: measures               Review core and speciality                       PCMH allows practices to choose     Collect and report ambulatory
   quality measures to aggregate                  clinical performance by             measures to make decision about                  the measures it wants to collect    quality measures required by MU
   CMS or the States numerator and                physician or across                 relationship. Likely that meeting                (while MU requires a practice to    to CMS or the States. Consider
                       denominator                practice                            MU reqs will satisfy PCMH                        collect specific measures????).     any current registry reporting or
                       through attestation                                            requirements for PPC-8A 1, 2.                                                        UDS or DOH or any compliance
                       as discussed in                                                However, the converse is not true                                                    P4P,PQRI ectc that may be
                                                                             3        because PCMH allows practices        2                                               applicable
                       section II(A)(3) of this
                       proposed rule                                                  to choose the measures it wants
                       For 2012,                                                      to collect (while MU requires a
                       electronically submit                                          practice to collect specific
                       the measures as                                                measures).
                       discussed in section
                       II(A)(3) of this           PPC-8E and 8F:                      If a practice meets MU                           PCMH allows practices to choose
                       proposed rule              produce and                         requirement, will satisfy PCMH                   the measures it wants to collect.
                                                  electronically transmit             requirements for PPC-8E and 8F
                                                  reports (to external                since most measures required by
                                                  entities) using                     MU are NQF-approved. However,
                                                  standardized measures      3        the converse is not true because     2
                                                                                      PCMH allows practices to choose
                                                                                      the measures it wants to collect.




                                                                                              Page 6 of 13                                                                       MU/PCMH Crosswalk
                                                                                                                                                                                                          DRAFT
                                                                                               Level of Relationship                                Level of Relationship




                                                                                 MU Rank
                                                                                               Success MU to PCMH                                   Success PCMH to MU




                                                                                                                                     PCMH Rank
                            Stage 1 2011 MU    Related PCMH
                               Measures     element(s)/ factor(s)
                                                                                           3=Meets PCMH 2=Somewhat                               3=Meets MU 2=Somewhat
        2011 MU                                                                              meets PCMH 1=Does not                               meets MU 1=Does not meet Recommendation to Satisfy
       Objectives                                                                                  meet PCMH                                               MU                  MU and PCMH
13 Send reminders to       Reminder sent to at       PPC-2F 4-6: generates                 Depending on the process of                           Please note, to meet the              Generate list of patients needing
   patients per patient    least 50% of all          lists of patients and                 identifying patients needing                          requirements for PPC-9B 1-6, the      reminder; action taken to remind
   preference for          unique patients seen      reminds patients and                  reminders and how reminders are                       practice needs to contact the         patient of activity needed should
   preventive /follow up   by the EP that are age    clinicians of services                sent, it is possible that satisfying                  patient via email. Additionally, if   take into account patient's
   care                    50 or over                needed                                the MU requirement will satisfy                       the satisfies the requirement for     preference; communication with
                                                                                  3        one or more of these PCMH                 3           one or more of these PCMH             patient should be via certified
                                                     PPC-9B 1-6: electronic                factors.                                              requirements and takes action         email. For accountability purposes
                                                     patient identification                                                                      based on patient preference, it
                                                                                                                                                 will likely meet the requirements
                                                                                                                                                 for MU A-13.


                                                     PPC-2B 1: searchable                  In order to identify patients                         PCMH makes the search "age         Consider using the PCMH search
                                                     data fields for status of             needing preventive care, a                            appropriate" which is not a        critreia in the catalog of reminder
                                                     age-appropriate                       practice needs this data available                    requirment in MU but the effect of search criteria
                                                     preventive services                   in searchable data fields. Thus, if                   this is negligible
                                                                                  3        practice meets MU requirement, it         3
                                                                                           may satisfy PCMH requirements
                                                                                           for PPC-2B 1

                                                     PPC-3C 1: non-                        It is possible that meeting the MU                    Please note, PCMH requires that Utilize non-physician staff to send
                                                     physician staff remind                requirements will satisfy the                         this activity is conducted by non- patient reminders.
                                                                                  3        requirements for PPC-3C 1 and             3           physician staff.
                                                     patients of appointments
                                                                                           vice versa.
14 Implement 5 clinical Implement 5 clinical         PPC-2D 4: uses                        It is possible that meeting the MU                    Please note, PCMH allows              Use EMR for this function where
   decision support        decision support          structured template for               requirements will satisfy the                         practices to use a paper based        possible
   rules relevant to       rules relevant to the     age-appropriate risk         3        requirements for PPC-2D 4.                2           template for this factor.
   specialty or high       clinical quality          factors (at least 3)
   clinical priority,      metrics the
   including diagnostic    EP/Eligible Hospital is   PPC-3A 1-3: adopts and                If a practice implements templates                    The evidenced based guidelines        Implement condition-specific
   test ordering, along    responsible for as        implements evidence-                  with clinical decision support into                   adopted must correspond to            templates compliant with both MU
   with the ability to     described further in      based guidelines                      the EMR and the corresponding                         those implemented for MU on           and PCMH and with at least 5
   track compliance        section II(A)(3).                                               guidelines, it is possible that it will               order to help the practice meet       clinical decision support rules in
   with those rules                                                                        meet the requirements for MU A-                       MU A-14                               EMR.
                                                                                  3        14. Under these consditions it is         3
                                                                                           likely that meeting the
                                                                                           requirements for MU A-14 will
                                                                                           satisfy the requirements for PPC-
                                                                                           3A 1-3.




                                                                                                    Page 7 of 13                                                                             MU/PCMH Crosswalk
    including diagnostic     EP/Eligible Hospital is
    test ordering, along     responsible for as
    with the ability to      described further in
    track compliance         section II(A)(3).                                                                                                                                                         DRAFT
    with those rules                                                                            Level of Relationship                            Level of Relationship




                                                                                  MU Rank
                                                                                                Success MU to PCMH                               Success PCMH to MU




                                                                                                                                  PCMH Rank
                              Stage 1 2011 MU    Related PCMH
                                 Measures     element(s)/ factor(s)
                                                                                            3=Meets PCMH 2=Somewhat                           3=Meets MU 2=Somewhat
         2011 MU                                                                              meets PCMH 1=Does not                           meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                  meet PCMH                                           MU                  MU and PCMH
                                                       PPC-3B 1-3: generates                See MU A-13                                       If a practice satisfies the         Use reminders about preventive
                                                       reminders about                                                                        requirements for PPC-3B 1-3         services for some of the required
                                                       preventive services for                                                                using an electronic system, it will clinical decision support rules.
                                                                                   3                                              3           likely help the practice meet the
                                                       clinicians
                                                                                                                                              requirements for MU A-14.

                                                       PPC-6A 3: flags                                                                        If a practice meets the              Flagging abnormal results is a
                                                       abnormal test results                                                                  requirements for PPC-6A 3, it can    standard EMR function
                                                                                   3                                              3
                                                                                                                                              use this as one of clinical
                                                                                                                                              decision support rules.
                                                       PPC-6B 8: generate                   MU does not discriminate for                      If a practice meets the              Implement CDSS to ensure MU
                                                       alerts for                           appropriateness of orders without                 requirements for PPC-6B 8, it can    enable PCMH requirement
                                                                                   2        CDSS                                  3           use this as one of clinical
                                                       appropriateness of tests
                                                       ordered                                                                                decision support rules.
15 Check insurance           Insurance eligibility     None
    eligibility              checked electronically
    electronically from      for at least 80% of all
    public and private       unique patients seen                                  1                                              1
    payers                   by the EP

16 Submit claims             At least 80% of all       None
    electronically to        claims filed
                                                                                   1                                              1
    public and private       electronically by the
    payers.                  EP
OBJECTIVE B: Engage patients and families
1   Provide patients with    At least 80% of all       PPC-1A 9, 10: provides                 Conditional if a practice meets                 Meeting PPC-1A 9, 10: will satisfy   In order for a practice to provide a
    electronic copy of       patients who request      secure email and                     MU requirement, it likely will meet               MU B-1 provided that all the         patient with an electronic copy of
    clinical information     an electronic copy of     interactive website                  the requirements for either PPC-                  required data elemtns are            clinical info, it can either have
    (including lab           their health                                                   1A 9 or 10 as this could be                       available                            secure email between the patient
    results, problem list,   information are                                                accomplished through thumb drive                                                       and practice OR an interactive
    medication lists,        provided it within 48                                          which would not meet PPC-1A 9                                                          website. E-mail example would be
    allergies) per patient   hours                                                          or 10                                                                                  Certified Mail and an example of a
    preference upon                                                                2                                              3                                                secured website would be a PHR;
    request                                                                                                                                                                        Microsoft Health Vault; Google
                                                                                                                                                                                   health etc. It is possible to give
                                                                                                                                                                                   patients encrypted data on a
                                                                                                                                                                                   thumb drive as well. Note the
                                                                                                                                                                                   required data elements




                                                                                                    Page 8 of 13                                                                         MU/PCMH Crosswalk
    results, problem list, information are
    medication lists,      provided it within 48
    allergies) per patient hours
    preference upon                                                                                                                                                                                     DRAFT
    request                                                                                   Level of Relationship                             Level of Relationship




                                                                                MU Rank
                                                                                              Success MU to PCMH                                Success PCMH to MU




                                                                                                                                 PCMH Rank
                             Stage 1 2011 MU    Related PCMH
                                Measures     element(s)/ factor(s)
                                                                                          3=Meets PCMH 2=Somewhat                            3=Meets MU 2=Somewhat
         2011 MU                                                                            meets PCMH 1=Does not                            meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                meet PCMH                                            MU                  MU and PCMH
                                                   PPC-9A 3, 5, 6:                          Conditional if a practice meets                  If a practice meets the               The ideal baseline is secured
                                                   availability of electronic             MU requirement, it likely will meet                requirements for these PCMH           website/PHR with real time
                                                   website                                the requirements for either PPC-                   factors, it may meet the              stream of the required data
                                                                                 2        9A 3,5,6 although this could be        3           requirements for MU B-1 provided      elements
                                                                                          accomplished through thumb drive                   the website presents or provides
                                                                                          which would not meet PPC-9A                        access to the necessary data
                                                                                          3,5,6                                              elements
2   Provide patients with   At least 10% of all    PPC-1A 9, 10: provides                  If a practice meets MU                            It is likely that meeting PPC-1A 9,   In order for a practice to provide a
    timely electronic       unique patients seen   secure email and                       requirement, it likely will meet the               10 will satisfy MU B-2 provided       patient with an electronic copy of
    access to their         by the EP are          interactive website                    requirements for either PPC-1A 9                   that all the required data elemtns    clinical info in a timely fashion, it
    health information      provided timely                                               or 10 provided it employs both                     are available                         needs to either have secure email
    (including lab          electronic access to                                          secure e-mail and an interactive                                                         between the patient and practice
    results,problem list,   their health                                                  website. Using only one would                                                            OR an interactive website. Other
    medication lists,       information                                          2        imply partial fulfillment              3                                                 technical means of information
    allergies) within 96                                                                                                                                                           access (e.g. encrypted thumb
    hours of the                                                                                                                                                                   drive) are possible but not
    information being                                                                                                                                                              necessarily feasible.Note the
    available to the EP                                                                                                                                                            required data elements



                                                   PPC- 4B 3: provides                    A practice does not need a PHR in                  If a practice provides patients       Implement a PHR with self
                                                   patient with self-                     order to meet the requirements for                 with a PHR, it may meet the           monitoring tools and real time
                                                   monitoring tools or                    MU B-2. Meeting this MU                            requirements for MU B-2.              data
                                                                                 1        requirement does not necessarily       3
                                                   personal health record
                                                   (PHR)                                  indicate meeting PPC-4B 3

                                                   PPC-9A 3, 5, 6:                        A practice does not need a                         If a practice meets the               Launch a website/portal with
                                                   availability of electronic             Website in order to meet the                       requirements for these PCMH           patient access and real time
                                                   website                                requirements for MU B-2. Meeting                   factors, it may meet the              availability of tools and required
                                                                                 1        this MU requirement does not           3           requirements for MU B-1.              data along with the
                                                                                          necessarily indicate meeting PPC-                                                        commensurate security protocols
                                                                                          9A 3,5,6
                                                   PPC- 9C 2: web-based                   Not required for Stage 1 MU and                    Does not satisfy MU requirement Implementing educational
                                                   educational modules for                will therefore not satisfy PCMH                    at this time                    modules now positions practice to
                                                                                 1        requirement                            1                                           achieve future stage II
                                                   patient self-
                                                   management                                                                                                                requirements




                                                                                                  Page 9 of 13                                                                           MU/PCMH Crosswalk
                                                                                                                                                                                                        DRAFT
                                                                                              Level of Relationship                                Level of Relationship




                                                                                MU Rank
                                                                                              Success MU to PCMH                                   Success PCMH to MU




                                                                                                                                    PCMH Rank
                              Stage 1 2011 MU    Related PCMH
                                 Measures     element(s)/ factor(s)
                                                                                          3=Meets PCMH 2=Somewhat                               3=Meets MU 2=Somewhat
         2011 MU                                                                            meets PCMH 1=Does not                               meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                meet PCMH                                               MU                  MU and PCMH
3   Provide clinical         Clinical summaries      PPC- 4B 7: provides                  There may be a relationship                           PCMH requires that written care      Provide patients with clinical
    summaries for            are provided for at     written care plan to                 between the MU and PCMH                               plans are provided to patients.      summaries and written care plans
    patients for each        least 80% of all office patient                              requirement. However, MU                              Depending on the type of             for each encounter/ office visit.
    encounter/office visit   visits                                                       requires that clinical summaries                      information a practice provides to   Printout from EMR will fit. Must
                                                                                 2        are provided while Depending on           2           patients, it may satisfy one or      determine information types
                                                                                          the type of information a practice                    both of these requirements           required acorss both elements
                                                                                          provides to patients, it may satisfy
                                                                                          one or both of these requirements


                                                     PPC- 9A 5: interactive               Summaries for each                                    Depending on the type of          Provide patients with access to
                                                     website which allows                 encounter/office visit can be                         information a patient can see, by clinical summaries via the
                                                     patients to see elements             provided on paper or as a printout                    satisfying the requirements for   interactive website.
                                                                                 1        from an EMR. This alone does not          2           PPC-9A 5, a practice may satisfy
                                                     of their medical record
                                                                                          meet PPC 9A 5                                         the requirements for MU B-3.


OBJECTIVE C: Improve Care Coordination
1   Capability to            Performed at least      PPC-3E 2, 3:                         If practice meets MU requirement,                     If a practice meets the PCMH
    exchange key             one test of certified   systematically sends                 it is likely that it has the ability to               requirements for electronic
    clinical information     EHR technology's        clinical info to and                 meet the requirements for these                       transmission of data, and
    among providers of       capacity to                                         3        PCMH factors.                             3           summaries it may meet the
                                                     reviews discharge
    care (e.g., problems,    electronically          summaries from                                                                             requirements for MU C-1.
    medications,             exchange key clinical   facilities
    allergies, test          information             PPC-3E 6, 8:                         The ability to exchange key clinical                  If a practice meets the PCMH      Define elements and EMR
    results) and patient                             coordinates care and                 info with external disease/case                       requirements for electronic       enabled workflows required to
    authorized entities                              communicates with                    management organizations may                          transmission of care coordination achieve care coordination
    electronically                                   external disease/case                help a practice meet the                              data, it may meet the
                                                     managers                    2        requiremetns for PPC-3E 6, 8.             3           requirements for MU C-1.
                                                                                          This will ensure communication
                                                                                          but may not ensure care
                                                                                          coordination


                                                     PPC-7A 1, 2, 4: referral             The ability to exchange key clinical                  If a practice meets the PCMH        Define elements and EMR
                                                     tracking for critical                info with external disease/case                       requirements for electronic         enabled workflows required to
                                                     referrals                            management organizations may                          transmission for referral tracking, achieve referral tracking
                                                                                          help a practice meet the                              and referral workflow it may meet
                                                                                 2        requiremetns for PPC-7A 1, 2, 4           3           the requirements for MU C-1.
                                                                                          but may not necessarily indicate
                                                                                          referral tracking




                                                                                                  Page 10 of 13                                                                            MU/PCMH Crosswalk
                                                                                                                                                                                                          DRAFT
                                                                                                  Level of Relationship                              Level of Relationship




                                                                                    MU Rank
                                                                                                  Success MU to PCMH                                 Success PCMH to MU




                                                                                                                                      PCMH Rank
                             Stage 1 2011 MU    Related PCMH
                                Measures     element(s)/ factor(s)
                                                                                              3=Meets PCMH 2=Somewhat                             3=Meets MU 2=Somewhat
         2011 MU                                                                                meets PCMH 1=Does not                             meets MU 1=Does not meet Recommendation to Satisfy
        Objectives                                                                                    meet PCMH                                             MU                  MU and PCMH
2   Perform medication      Perform medication    PPC-3D 5: review                            If practice meets MU requirement,                   PCMH does not require that a      Enlarge medication review
    reconciliation at       reconciliation for at medication lists with                       it will likely meet the requirements                practice use an electronic system process to include reconciliation
    relevant encounters     least 80% of relevant patients                                    for PPC-3D 5.                                       and medication review is not as
    and each transition     encounters and                                           3                                                1           encompassing as medication
    of care                 transitions of care                                                                                                   reconcilliation

                                                      PPC-5B 11, 12: alert for                If practice meets MU requirement,                   PPC-5B 11, 12 are necessary,
                                                      duplication of drugs in a               it will likely meet the requirements                but not sufficient, to meet the
                                                      therapeutic class based                 for PPC-5B 11 & 12.                                 requirements for MU C-2.
                                                      on general and patient-        3                                                1
                                                      specific information

3   Provide summary         Provide summary of        PPC-3E 2:                               If a practice meets MU                              PCMH does not require that a       Must inclucde clinical summary as
    care record for each    care record for at        systematically sends                    requirement, will help it meet the                  practice compiles a summary        part of clinical information set in
    transition of care      least 80% of              clinical info to facilities             requirements for PPC-3E 2.                          care record so meeting the         transitions. More explicit data
    and referral            transitions of care and   with patients as soon as       3                                                2           PCMH requirement does not          specifcations required here
                            referrals                 possible                                                                                    necessarily mean a practice will
                                                                                                                                                  meet the MU requirements.

                                                      PPC-7A 1, 2, 4: tracks                  If a practice meets MU                              However, PCMH does not require     Increase range of data sets for
                                                      the origin and clinical                 requirement, it may help it meet                    that a practice compiles a         referrals to include not only origin,
                                                      and administrative                      the requirements for PPC-7A 1, 2,                   summary care record so meeting     clinical and administrative data
                                                      details for critical                    4.                                                  the PCMH requirement does not      but also summary data (most
                                                      referrals                      2                                                2           necessarily mean a practice will   likely clinical)
                                                                                                                                                  meet the MU requirements.



OBJECTIVE D: Improve Population and Public Health
1   Capability to submit    Performed at least        PPC-2B 1: searchable                    If a practice meets MU                              Searchable data field does not     Ensure that above data search
    electronic data to      one test of certified     data fields for status of               requirement, it is highly likely that               directly correlate to submssion    capability that data submission
    immunization            EHR technology's          age-appropriate                         it will satisfy the requirements for                capabilities                       capabiiities to immunzation
    registries and actual   capacity to submit        preventive services            3        PPC-2B 1.                               1                                              registries is functional
    submission where        electronic data to        (includes
    required and            immunization              immunizations)
    accepted                registries




                                                                                                      Page 11 of 13                                                                        MU/PCMH Crosswalk
                                                                                                                                                                                                     DRAFT
1    Capability to submit    Performed at least                                             Level of Relationship                             Level of Relationship




                                                                              MU Rank
     electronic data to      one test of certified                                          Success MU to PCMH                                Success PCMH to MU




                                                                                                                               PCMH Rank
     immunization             Stage 1 2011 MU
                             EHR technology's            Related PCMH
     registries and actual         Measures
                             capacity to submit       element(s)/ factor(s)
                                                                                        3=Meets PCMH 2=Somewhat                            3=Meets MU 2=Somewhat
     submission where        electronic data to
           2011 MU
     required and            immunization
                                                                                          meets PCMH 1=Does not                            meets MU 1=Does not meet Recommendation to Satisfy
         Objectives
     accepted                registries                                                         meet PCMH                                            MU                  MU and PCMH
                                                      PPC-8E & F: produce               Depending on the type of                           Depending on the type of               Ensure the linkage between
                                                      reports and                       information and which national                     information and which national         nationally established measures
                                                      electronically submit             standards it adheres to, and what                  standards it adheres to, and what      (NQF; PQRI;
                                                      results on nationally    3        a practice sends to meet MU D-1,       3           a practice sends to meet PPC-8F,       AQA;HITSP;HL7;LOINC;P4P; etc)
                                                      approved measures to              it is possible that it could satisfy               it is possible that it could satisfy   and required registry submission
                                                      the public sector (or             the requirement for PPC-8E &F.                     the requirement for MU D-1 .           data
                                                      others)
2    Provide electronic  Note measure =               PPC-8E & F: produce               Depending on the type of                           Depending on the type of               Ensure the linkage between
     submissions of      objective                    reports and                       information and which national                     information and which national         nationally established measures
     reportable lab                                   electronically submit             standards it adheres to, and what                  standards it adheres to, and what      (NQF; PQRI;
     results to public                                results on nationally             a practice sends to meet MU D-2,                   a practice sends to meet PPC-          AQA;HITSP;HL7;LOINC;P4P; etc)
     health agencies and                              approved measures to              it is possible that it could satisfy               8E&F, it is possible that it could     and required lab and public health
     actual transmission                              the public sector (or    3        the requirement for PPC-8E &F.         3           satisfy the requirement for MU D-      agency submission data
     according to                                     others)                                                                              2.
     applicable law and
     practice


    3 Provide electronic     Performed at least       PPC-8E & F: produce               Depending on the type of                           Depending on the type of               Ensure the linkage between
     syndrome                one test of certified    reports and                       information and which national                     information and which national         nationally established measures
     surveillance data to    EHR technology's         electronically submit             standards it adheres to, and what                  standards it adheres to, and what      (NQF; PQRI;
     public health           capacity to provide      results on nationally             a practice sends to meet MU D-3,                   a practice sends to meet MU D-3,       AQA;HITSP;HL7;LOINC;P4P; etc)
     agencies according      electronic syndromic     approved measures to              it is possible that it could satisfy               it is possible that it could satisfy   and required syndrome
     to applicable law       surveillance data to     the public sector (or             the requirement for PPC-8E &F.                     the requirement for PPC-8E &F.         surveillance and public health
     and practice            public health agencies   others)                                                                                                                     agency submission data
                             (unless none of the
                             public
                             health agencies to                                3                                               3
                             which an EP or
                             eligible hospital
                             submits such
                             information have the
                             capability to receive
                             the information
                             electronically)




                                                                                                Page 12 of 13                                                                           MU/PCMH Crosswalk
                                                                                                                                                                                 DRAFT
                                                                                  Level of Relationship                          Level of Relationship




                                                                     MU Rank
                                                                                  Success MU to PCMH                             Success PCMH to MU




                                                                                                                  PCMH Rank
                             Stage 1 2011 MU    Related PCMH
                                Measures     element(s)/ factor(s)
                                                                               3=Meets PCMH 2=Somewhat                        3=Meets MU 2=Somewhat
        2011 MU                                                                  meets PCMH 1=Does not                        meets MU 1=Does not meet Recommendation to Satisfy
       Objectives                                                                      meet PCMH                                        MU                  MU and PCMH
OBJECTIVE E: Ensure Adequate Privacy and Security Protection for PHI
 1 Protect electronic       Conduct or review a      None                      No PCMH requirement but                        No complementary standard or   The benefits of adherence to P&S
   health information       security risk analysis                             adhereance to these protocols                  requirement exists             standards only ensures
   created or               per 45 CFR 164.308                                 ensures the privacy and security                                              conifdence levels in safety of PHI.
   maintained by the        (a)(1) and implement                               of any and all PCMH data                                                      There is no down side to
   certified EHR            security updates as                                electonically accesses and                                                    compliance other than any
   technology through       necessary                                 3        transmitted                        1                                          additional cost incurred to comply.
   the implementation                                                                                                                                        As it is a "sunk" cosy in electronic
   of appropriate                                                                                                                                            environments it stands as a
   technical capabilities                                                                                                                                    collateral benefit to PCMH




                                                                                      Page 13 of 13                                                                MU/PCMH Crosswalk

				
DOCUMENT INFO
Description: Template of Converse document sample