Meaningful Use – the incentive program with the intention of helping physicians provide better care to their patients through financial rewards and punishments. Those Eligible professionals (EPs) who choose not to demonstrate meaningful use of electronic health records (EHRs) are about to face a 1% penalty in their Medicare reimbursements. These penalties will increase by 1% each year until 2019 when they finally cap-off at 5%. And just to make it that much more aggravating, EPs won’t get away with a one-time demonstration, they must continue to demonstrate meaningful use each and every year through 2019 to avoid these penalties.
The Centers for Disease Control and Prevention has reported that, by the end of 2013, 78% of office-based physicians were using some form of EHR and 69% were planning on applying for meaningful use incentives.
Meaningful Use and Its Effects on RCM
Since the advent of value-based (VB) care and reimbursement models, more and more physicians are being held accountable for the value of the services they provide instead of the services themselves. The big question of course is, how will meaningful use affect the Revenue Cycle Management systems and operational processes that have been in place and supporting a fee-for-service structure for decades?
Additional Costs
Let’s start with the most obvious effect of meaningful use on RCM which is the added high cost providers are expected to absorb to pay for extensive training. An InformationWeek survey
Meaningful Use engages patients and families in their health care, improve care coordination, improve population and public health and maintain privacy and security ("CMS," 2015, para. 1). Healthcare providers must show CMS that they are using their EHRs in ways that can positively affect the care of their patients. To do this, providers must meet all of the requirements established by CMS for this program and be able to demonstrate Meaningful Use of their EHRs to receive incentive reimbursement. The Meaningful Use program is divided into 3 stages which span 2011 (data capture and sharing), 2013 (advanced clinical processes) and 2015 (improved outcomes).
Meaningful use is used in the EHR system, and it is used to improve quality and safety of healthcare. It improves privacy and can benefit health care management care. The facility that I work at is in the first stage of even getting an EHR system they do not receive any incentive’s, because it is a long-term care faculty. If I was working in a hospital and they wanted to have a meaningful use, they would need 14 core objectives, 5/10 from a set menu of objectives and 15 quality measures.(HEALTHIT.GOV
The EHR article explains the progress and the adaption of rates of EHR systems over the years. The article states there has been a slow participation in the EHR incentive program, but there has been a shown continue increase in implementation in provider settings of EHR in 2014. As for Physician and Hospital, there has not been a fast implementation. Many of these facilities are at only stage one of the meaningful use in 2014 about one out of five hospitals and only 38% of hospitals is at the second stage of meaningful use. There have been gains in the implementation of new EHR systems in 2014 there was a 75% adoption rate in 2014 compared to 61% in 2013 for hospitals and for physicians 62% plan to participate in the EHR
physicians to potential errors and influence their behaviors toward evidence-based decisions further enhances the potential of EHRs to promote quality and reduce costs.” (Simborg, 2008).
The requirement is that eligible professionals and hospitals should be able to demonstrate “meaningful use” of certified EHRs in order to qualify for incentive payments under the Medicare EHR Incentive Program (“How to attain,” 2013). Practices who do not adopt EHR may be penalized in the form reduced Medicare reimbursements (Bendix, 2016).
The initial investment of adopting the EHR is both costly and time-consuming, but most experts predict that the pros will outweigh the cons in the end. Meaningful use is beneficial because the providers are making better informed decisions about their patients due to the clinical guidelines and information that they are provided. Health information professionals will always be needed, just in a different capacity.
Meaningful use means in simple providers need to show they are using certified EHR technology in ways that can be measured significantly in quality and in quantity.
A significant investment to encourage the adoption of electronic health records (EHRs) by healthcare providers was made by the American Recovery and Reinvestment Act of 2009. The EHR Incentive Program, which financially rewards providers for using EHRs and meeting all CMS program requirements, was launched by CMS in the year 2011. All healthcare providers (private or public) are required to adopt and demonstrate ‘meaningful use’ of electronic health records for maintaining their existing Medicaid and Medicare reimbursement levels (Cite). A set of penalties for healthcare providers who fail to meet the deadline have already been defined by the U.S. government. Healthcare providers failing to introduce EHR systems by the year 2015 will experience a one percent reduction in Medicare reimbursements in that year, a two percent reduction in the year 2016, a three percent reduction in the year 2017, followed by a reduction of up to a 95 percent reduction in reimbursements over a period of
According to HealthIt.gov (2014) Meaningful Use (MU) is defined as a “certified electronic health record that helps improve patient quality; safety; efficiency and reduces health gaps; engage patients and
Use of EHR (electronic health records) in United States has increased in past years and have gained widespread use in the country. The use of EHR-Electronic Health Records or EMR-Electronic Medical Records and the systems that support them have gained standardized collection of health information and data for patient and healthcare providers. Because of these technologies, healthcare providers now have information about their patients at their fingertips, which has led to better and more accurate care. There are debates on using EHR. According to Mushtaq (2015), one of the most common debate is the use of EHR compliance and the value of these technologies that surround them (Mushtaq, 2015). Providers wonder if EHR use is useful and what is to be gained for the HCP-Healthcare provider. In regards to such debates and ongoing conversations, it is important to understand the definition of meaningful use and whether these technologies have resulted in meaningful use. According to Burchell (2016), The government developed the HITECH (Health Information Technology for Economic and Clinical Health) Act of 2009, which incorporates the meaningful use program (Burchell, 2016). The program has goals that tell us how to use the meaningful use with EMR or EHR. It helps HCP and organizations alike attain, use and keep goals like patient and clinical outcomes, individual patient autonomy, and increased transparency for providers. When these goals are attained and kept it will greatly
“Meaningful use is the set of standards defined by the Centers for Medicare and Medicaid Services (CMS) incentive programs that governs the use of the EHR and allows eligible providers and hospitals to earn incentive payments by meeting certain criteria” (Policy making…,2013). Eligible providers include doctors of medicine, osteopathy, oral surgery, dentists, podiatrists, optometrists, and
To provide a positive impact on the lives of patients (Fuchs, 2014) based on the care that was rendered to them, the Centers for Medicare and Medicaid Services (CMS) implemented an incentive program in the year of 2011 and provided bonuses to eligible providers (EP) that displayed a meaningful aspect by way of technology, by using electronic health records (EHR). The purpose of this paper is to provide an overview of the Meaningful Use program and an analysis of the implications for nurses. Also, in this paper additional recommendations for Meaningful Use will be discussed.
Meaningful Use is a Centers for Medicare and Medicaid Services (CMS) program that awards incentives to eligible professionals (EP) and hospitals for using electronic health records (EHR) to improve patient care. This paper will provide an overview of the core criteria providers must follow to effectively use the EHR to qualify for the incentives and avoid penalties. The Meaningful Use criteria is implemented in three stages over five years to improve healthcare outcomes. This paper also explores the implementation of meaningful use in health information and how it has directly affected nursing, the nation’s public health, patient outcomes, and population health. Benefits of EMRs are improved patient care and coordination, quality of care and patient safety, improved efficiency and productivity, and financial savings.
Electronic health records can provide many benefits for providers and their patients, but the benefits depend on how they 're used. Meaningful use is the set of standards defined by the Centers for Medicare & Medicaid Services (CMS) Incentive Programs that governs the use of electronic health records and allows eligible providers and hospitals to earn incentive payments by meeting specific criteria. The goal of meaningful use is to promote the spread of electronic health records to improve health care in the United States. The Health Information Technology for Economic and Clinical Health (HITECH) Act provides the Department of Health & Human Services (HHS) with the authority to establish
It is important to understand that patients are very happy and satisfied when it comes to the electronic health system. This paper will discuss some of the benefits of an electronic health system that patients are enjoying.