1. Meaningful use
Financial Incentives for Eligible Professionals and Hospitals

2. EHR Incentive payments by program
2011
Medicare $18,000
Medicaid $21,250
2012
Medicare $12,000
Medicaid $8,500
2013
Medicare $8,000
2014
Medicare $4,000
2015
Medicare $2,000
2016
Sunset for Medicare program 2016
Sunset for Medicaid program 2021
EHR Incentive payments by program
Totals for Medicare professionals: $44,000
Totals for Medicaid professionals: $63,750
Medicare & Medicaid hospital beginning payments: $2 million

3. Medicare incentive program
Medicaid incentive program
At least 30% Medicaid patient volume
(20% if pediatric)
Physician
Dentist
Nurse-Midwife
Nurse Practitioner
Physician Assistant
Use of certified EHR
Medicare incentive program
Bill the Medicare Physician Fee Schedule for patient services
Dr. of medicine or osteopathy
Dr. of oral surgery or dental medicine
Dr. of podiatric medicine
Dr. of optometry
Chiropractor
Use of certified EHR

4. Main Components of Meaningful Use
Use of a certified EHR
Exchange of health information
Submit clinical quality and other measures
Main Components of Meaningful Use
Stage 1 (2011 and 2012)
Electronic data capture
Information sharing
Stage 2 & 3 (2013 – 2015)
Expand initial base line
Future rules to be developed
Meaningful Use Criteria Staging

5. 25 meaningful use objectives
First Stage 2011 and 2012
25 meaningful use objectives
Eligible professionals
To qualify for an incentive payment, 20 of these 25 must be met.
15 are required core objectives.
The remaining 5 objectives may be chosen from the list of 10 menu set objectives.
First Stage 2011 and 2012
24 meaningful use objectives
Eligible hospitals
To qualify for an incentive payment, 19 of these 24 must be met.
14 are required core objectives.
The remaining 5 objectives may be chosen from the list of 10 menu set objectives.

6. 44 clinical quality measures
First Stage 2011 and 2012
44 clinical quality measures
Eligible professionals
To qualify for an incentive payment EPs must report on 6 total CQM
3 required core measures (substituting alternate core measures where necessary) and 3 additional measures (selected from a set of 38 clinical quality measures).
First Stage 2011 and 2012
15 clinical quality measures
Eligible hospitals
Must report on all 15 of their clinical quality measures.

7. Numerator & denominator reporting
90 day reporting period
Numerator & denominator reporting
Attestation
Some of the requirements also have exclusions that can be applied to certain eligible professionals and hospitals depending on their patient base. For instance some specialists would not report on immunization status.
This is considered a legal contract stating that the individual or hospital has fulfilled all requirements to meet meaningful use. This process differs for Medicaid and Medicare incentive programs.

8. Questions?