Meaningful Use refers to incentive programs that provide financial benefits for Eligible Professionals (EPs) that achieve specified healthcare IT objectives.

ELIGIBLE PROFESSIONALS (EPs):

• Radiologists who read > 10% out-patient studies (not Emergency Room or in-patient)
• Radiologists who work on-site as well as remotely (teleradiology)
• Radiologists who read for Medicare and/or Medicaid patients
• Radiologists who read hospital and non-hospital studies may exclude hospital studies
• Radiologists must read 50% of their studies using certified EHR technology and only required to meet objectives for those studies

The purpose of Meaningful Use is to improve patient care by providing practitioners with access to accurate and complete information about their patients. For the patient, this means improved care and greater ability to make informed decisions about their health care. RamSoft has specifically designed software so radiologists can qualify for Meaningful Use with most objectives satisfied automatically.

The following table outlines the potential incentive payments. Medicare/Medicaid billing of about $24,000 per year is required for maximum reimbursement. If EPs do not demonstrate meaningful use by 2015, penalties will commence.

CORE SET OBJECTIVES

• Measures highlighted in blue are satisfied by our software with no extra clicks for Radiologists.
• Measures highlighted in grey are excluded for most Radiologists, but available in our software.

• Objective
• Computerized Provider Order Entry (CPOE) for medication orders
• Measure
• 30% of unique patients on medication prescribed by the EP have at least one electronically entered prescription
• Exclusion
• Any EP who writes fewer than 100 prescriptions during the reporting period

• Objective
• Drug-drug and drug-allergy interaction checks
• Measure
• Enabled for entire reporting period

• Objective
• E-Prescribing (eRx)
• Measure
• 40% of permissible prescriptions written by the EP are transmitted electronically
• Exclusion
• Any EP who writes fewer than 100 prescriptions during the reporting period

• Objective
• Record Demographics - Preferred language, Gender, Race, Ethnicity, Date of Birth
• Measure
• 50% of all unique patients have the required fields entered
• PowerServer 5.1
• Only Date of Birth has no default entry but is usually populated in DICOM

• Objective
• Maintain and up to date problem list of current and active diagnoses
• Measure
• 80% of unique patients have at least one entry or an indication that no problems are known
• PowerServer 5.1
• ICD-9/ICD-10 Code populated through HL7 or entered at front desk

• Objective
• Maintain active medication list
• Measure
• 80% of unique patients have at least one entry or an indication that patient is not currently prescribed any medication

• Objective
• Maintain active medication allergy list
• Measure
• 80% of unique patients have at least one entry (or an indication of no known medication allergies)

• Objective
• Record and chart changes in vital signs: height, weight, blood pressure
• Exclusion
• Any EP believes patient’s height, weight, and blood pressure have no relevance to their practice

• Objective
• Record smoking status
• Measure
• 50% of unique patients 13 years of age or older (unknown is allowed)

• Objective
• Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with the rule
• Measure
• Implement one clinical decision support rule
• PowerServer 5.1
• Alerts are configurable based on diagnosis code (ICD-9)

• Objective
• Report ambulatory clinical quality measures to CMS
• PowerServer 5.1
• Included: These measures are automatically calculated by RamSoft, but do not apply to radiology and will be reported as 0/0.

• Objective
• Provide patients with an electronic copy of their health information
• Measure
• 50% of all patients who request an electronic copy are provided it within 3 days
• PowerServer 5.1
• Reports are sent to patients using Microsoft HealthVault

• Objective
• Provide clinical summaries for patients for each office visit
• Measure
• Summaries provided to patients for 50% of all visits within 3 days
• Exclusion
• Any EP who has no office visits during the reporting period
• PowerServer 5.1
• Reports are sent to patients using Microsoft HealthVault

• Objective
• Capability to exchange key clinical information
• Measure
• Performed at least one test of electronic exchange
• PowerServer 5.1
• Information is exchanged with Microsoft HealthVault

• Objective
• Protect electronic health information created or maintained by the certified EHR technology
• Measure
• Conduct or review a security analysis each period
• PowerServer 5.1
• RamSoft software is secure. Automatic with a Hosted Solution from RamSoft.

MENU SET OBJECTIVES — Choose any 4 of 8 Objectives below. Public Health objectives are not applicable to radiologists.

• Measures highlighted in blue are satisfied by our software with no extra clicks for Radiologists.
• Measures highlighted in grey are excluded for most Radiologists, but available in our software.

• Objective
• Implement drug-formulary checks
• Measure
• Access to at least one formulary for entire reporting period

• Objective
• Incorporate clinical lab-test results into EHR
• Measure
• 40% of lab tests results ordered by the EP are incorporated in EHR
• PowerServer 5.1
• Automatic for lab tests ordered from RamSoft

• Objective
• Provide summary of care record for each transition of care or referral
• Measure
• 50% of transitions
• PowerServer 5.1
• Send reports to referring physicians

• Objective
• Generate lists of patients for quality improvement, research or outreach
• Measure
• Generate at least one report listing patients with a specific condition

• Objective
• Provide patients with electronic access to their health information within 4 days of being available to the EP
• Measure
• 10% of unique patients are provided electronic access within 4 business days of being updated
• PowerServer 5.1
• Reports are sent to patients using Microsoft HealthVault

• Objective
• Set reminders to patients for preventative/follow-up care
• Measure
• More than 20% of patients >=65 years old or <=5 years old were sent an appropriate reminder

• Objective
• Provide patient-specific education resources to the patient
• Measure
• 10% of unique patients are provided patient-specific education resources

• Objective
• Perform medication reconciliation
• Measure
• EP performs medication reconciliation for 50% of transitions of care

• With a Complete Certified EHR (such as RamSoft PowerServer 5.1), you only require one system to meet the Meaningful Use requirements.
• Modular Certified EHR only meets a subset portion of the requirements. Providers must assemble a complete system from multiple vendors to qualify for incentive payments. It is the provider’s responsibility to ensure their EHR system satisfies all requirements, so this approach is not recommended.

RamSoft’s PowerServer 5.1 is a Complete EHR certified by ICSA Labs, an ONC-Authorized Testing and Certification Body (ONC_ATCB). PowerServer RIS-PACS is a complete solution for outpatient imaging centers. PowerServer Tele Plus is a complete solution for radiology groups. RamSoft’s Meaningful Use Module includes support and connectivity to NewCrop, Microsoft HealthVault, and MedLinePlus Connect; all for a nominal monthly fee for each eligible radiologist.>

Please contact your RamSoft representative today to discuss your path to Meaningful Use.

To qualify for incentive payments, meaningful use requirements must be met in the following ways:

• Medicare EHR Incentive Program — EPs that treat patients that pay with Medicare. EPs can receive up to $44,000 over five years with a 10% bonus for EPs who provide services in a Health Professional Shortage Area (HSPA).
• Medicare EHR Incentive Program — EPs that had more than 30% of patients paying with Medicaid for 90 continuous days in the year prior to participation. EPs can receive up to $63,750 over six years.
• Implemented — Using certified EHR technology and attest to Meaningful Use in each year of Program. To get the maximum incentive payment, EPs must implement certified software by October 3, 2012.

REGISTER HERE: Payments will come directly from the Government. https://ehrincentives.cms.gov/hitech/login.action

Meaningful Use Practice Analyzer for Radiology
ACR Meaningful Use Resources

Centers for Medicare and Medicaid Services

• EP Attestation Worksheet
• Meaningful Use Calculator
• EHR Incentive Programs
• Medicaid Resources by State