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1. How is meaningful use utilized in your organization?

2. As an Advanced Practice Nurse, how would you improve the quality of patient care using health information technology?

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A Patient's Journey: Meaningful Use Stage 3 and MIPS

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Eligible hospitals and eligible professionals (EPs) that attest directly to a state for the state's Medicaid Electronic Health Record (EHR) Incentive Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule (80 FR 62762 through 62955).

To access the 2018 Modified Stage 2 program requirements specific to eligible hospitals and EPs attesting to their state's Medicaid EHR Incentive Program, click here.

To access the Stage 3 program requirements specific to eligible hospitals and EPs attesting to their state's Medicaid EHR Incentive Program, click here.
Medicare EHR Incentive Program
In 2018, all EPs previously participating in the Medicare EHR Incentive Program will report on Quality Payment Program requirements. For more information on the Quality Payment Program, please click here.

Medicare eligible hospitals, critical access hospitals (CAHs), and dual-eligible hospital will still report on EHR Incentive Program requirements in 2018. On August 14, 2017, the Centers for Medicare & Medicaid Services (CMS) published the Fiscal Year (FY) 2018 Medicare Hospital Inpatient Prospective Payment System (IPPS) and Long Term Acute Care Hospital (LTCH) Prospective Payment System Final Rule, which contains several changes that will directly affect the Medicare and Medicaid EHR Incentive Programs. To access the published final rule, please click here.

Note: Medicare eligible hospitals, CAHs, and dual-eligible hospitals who attest to CMS may attest to Modified Stage 2 or Stage 3 objectives and measures utilizing the thresholds finalized in the 2017 Outpatient Prospective Payment System (OPPS)/Ambulatory Surgical Centers (ASC) final rule.

To access the 2018 Modified Stage 2 program requirements and information specific to eligible hospitals, CAHs, and dual-eligible hospitals, click here.

To access the 2018 Stage 3 program requirements and information specific to eligible hospitals, CAHs, and dual-eligible hospitals, click here.
Medicare Attestation Worksheets for 2018
The Medicare Attestation Worksheets allow providers to log their meaningful use measures on a document to use as a reference when attesting for the Medicare EHR Incentive Program in CMS' Registration and Attestation system. Access the 2018 Eligible Hospital, CAH and Dual-Eligible Modified Stage 2 Attestation Worksheet here and Eligible Hospital, CAH and Dual-Eligible Stage 3 Attestation Worksheet here.
Medicare EPs will attest to the Advancing Care Information performance category under the Merit-based Incentive Payment System (MIPS).Medicare Access and CHIP Reauthorization Act of 2015 (MACRA)
On November 4, 2016, CMS published the Medicare Program; MIPS and Alternative Payment Model (APM) Incentive under the Physician Fee Schedule, and Criteria for Physician-Focused Payment Models final rule with comment period (CMS-5517-FC) which establishes MIPS, a new program for certain Medicare-enrolled practitioners. MIPS consolidates components of three existing programs, the Physician Quality Reporting System (PQRS), the Physician Value-based Payment Modifier (VM), and the Medicare EHR Incentive Program for EPs, and focuses on quality--both a set of evidence-based, specialty-specific standards as well as practice based improvement activities; cost; and use of certified EHR technology (CEHRT) to support interoperability and advanced quality objectives in a single, cohesive program that avoids redundancies.

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Eligible hospitals and eligible professionals (EPs) that attest directly to a state for the state's Medicaid Electronic Health Record (EHR) Incentive Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule (80 FR 62762 through 62955).

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Why Are American Health Care Costs So High?