Meaningful Use Stage 2 Changes Bring Big Differences to Record Release

March 5, 2012
68 Views

 

meaningful use

The following is a guest post written by Steve Emery, Director of Product Management at HealthPort discussing how Meaningful Use affects records release:

 

meaningful use

The following is a guest post written by Steve Emery, Director of Product Management at HealthPort discussing how Meaningful Use affects records release:

The Meaningful Use Stage 2 Notice of Proposed Rule Making is out and it would bring sweeping changes to how hospitals and eligible professionals release records and other information to patients.

Essentially, CMS is dropping three Stage 1 reporting criteria and replacing them with a core requirement for patient online access to medical records. CMS’s goal is to move the release of information (ROI) process from labor intensive and paper-based to electronic and paper-free.

This is a welcome change for HIM professionals and other ancillary departments that have been pulling files, scanning or making photocopies of records, and sending information to patients via snail mail for years. The changes are as follows.

 

 

FOR HOSPITALS

Stage One Criteria Being DroppedStage Two Criteria Added
Patient electronic copies of medical records within 3 business days. 

 

Electronic copies of discharge instructions at time of discharge.

 

 

OBJECTIVE:Provide patients the ability to view online, download and transmit information about a hospital admission. 

 

MEASURES: MUST PASS TWO

More than 50 percent of all patients who are discharged from the inpatient or emergency department of an eligible hospital of CAH have their information available online within 36 hours of discharge.  

AND

More than 10 percent of all patients who are discharged from the inpatient or emergency department of an eligible hospital or CAH view, download or transmit to a third party their information during the EHR reporting period.

 

FOR ELIGIBLE PROVIDERS

Stage One Criteria Being DroppedStage Two Criteria Added for EPs
Patient electronic copies of medical records within 3 business days. 

 

 

The “menu” requirement for “timely access” on the EP list.

OBJECTIVE:Provide patients the ability to view online, download and transmit their health information within 4 business days of the information being available to the EP. 

 

MEASURES: MUST PASS TWO

More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely (within 4 business days as above) online access to their health information subject to the EP’s discretion to withhold certain information.   

AND

More than 10 percent of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download or transmit to a third party their information.

 

Bottom Line for Providers

The bottom line for providers is that Stage 2 MU changes with regards to these specific criteria will drive organizations to implement a patient portal or personal health record application; and connect their EHR systems to these systems.  Through these efforts it is expected that patient requests to the HIM department for medical records will decrease; as patients will be able to obtain records themselves, online and at any time.

To make the new objective and measures truly “meaningful” facilities must advertise their portals and get patients to use them. Finally, only a minimum set of data is required to be available online. Facilities must still have a process to accommodate patients’ paper requests for other portions of their records.

To read the rule for yourself and zero-in on the items outlined above, here are a few tips:

  1.  The pdf version of the rule (pre Federal Register) can be found by clicking here.
  2. The new proposed objective for “Access” starts on page 91 for EPs or page 144 for hospitals.
  3. The list of required record data for online access (if you want to get ahead of our next blog post) starts on page 97 for EPs or page 145 for hospitals.
  4. If you prefer the table form for reviewing the requirements, that starts on page 156
  5.  And the actual rule verbiage (not the comments and table mentioned above) is on page 406 for EPs or page 414 for hospitals.

About Steve Emery:

Mr. Emery has over 24 years of experience leading teams in the development and enhancement of healthcare information technology and has authored and contributed to numerous articles which have appeared in major healthcare publications on Meaningful Use and other healthcare related topics. Steve Emery is available for questions or interview regarding these specific Meaningful Use Stage 2 Criteria. He can be reached at: steve.emery@healthport.com

 

You may be interested

Where Is The Balance? Pushing Back Against Consumer Health Tech
eHealth
3 views
eHealth
3 views

Where Is The Balance? Pushing Back Against Consumer Health Tech

Larry Alton - August 18, 2017

When Republican Congressman Jason Chaffetz glibly remarked that Americans struggling to afford insurance should choose between that and their smartphones,…

What to Look for in Patient Solutions Software
eHealth
365 views
eHealth
365 views

What to Look for in Patient Solutions Software

Robert Cordray - August 17, 2017

The medical sector is one area where technology has had a significant impact, largely by providing tools that simplify many…

Can Natural Remedies Like RediCalm Decrease Stress and Anxiety?
Wellness
2 views
Wellness
2 views

Can Natural Remedies Like RediCalm Decrease Stress and Anxiety?

Ryan Kh - August 16, 2017

According to research from the National Institute of Mental Health, anxiety disorders are the most common mental illness in the…