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ICSA Labs Certified Complete EHR Ambulatory

Meaningful Use

Frequently Asked Questions

RamSoft PowerServer 5.1, Complete Ambulatory EHR, is 2011/2012 compliant and was certified by an ONC-ATCB in accordance with the applicable certification criteria adopted by the Secretary of Health and Human Services. This certification does not represent an endorsement by the U.S. Department of Health and Human Services or guarantee the receipt of incentive payments. PowerServer 5.1, available in RIS/PACS and TelePlus models were certified on October 7, 2011.

CHPL Product Number: 110051R00 / ICSA Labs PowerServer Product listing

The following is for general informational purposes only, and is not a legal
document or guidance.

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

WHAT IS THE PURPOSE OF MEANINGFUL USE?

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.

FINANCIAL PAYMENTS AND PENALTIES

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.

Year Medicare Medicaid
2012 $18,000 $21,250
2013 $12,000 $8,500
2014 $8,000 $8,500
2015 $4,000 $8,500
2016 $2,000 $8,500
2017   $8,500
TOTAL $44,000 $63,750

The following meaningful use core and menu set objectives are defined by CMS. Please click on the plus symbol to expand the tables and learn how RamSoft's Meaningful Use Module manages the objectives that apply to radiology.

MEANINGFUL USE OBJECTIVES — CORE SET

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.
MEANINGFUL USE OBJECTIVES — MENU SET

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

TYPES OF EHR TECHNOLOGY

  • 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.

WHAT IS RAMSOFT DOING?

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.

HOW TO QUALIFY FOR 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).
  • Medicaid 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.

WHERE DO I REGISTER?

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

WEB RESOURCES

Meaningful Use Practice Analyzer for Radiology
ACR Meaningful Use Resources

Centers for Medicare and Medicaid Services

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Complete EHR Certified module

ICSA Certified Complete EHR - Ambulatory RamSoft's PowerServer 5.1 has achieved 2011/2012 Complete EHR* ONC-ATCB Certification, which designates that the software is capable of supporting providers with Stage 1 meaningful use measures required to qualify for funding under the American Recovery and Reinvestment Act (ARRA). Version 5.1 was certified on October 3, 2011 under ICSA Labs' ONC-ATCB Electronic Health Record program and is compliant in accordance with the criteria adopted by the Secretary of Health and Human Services.

Meaningful Use Presentation

Meaningful Use Presentation

ACR First Annual Imaging Informatics Vijay Ramanathan, President & CEO of RamSoft, participates in industry panel on Meaningful Use discussion.