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Meaningful Use

Meaningful Use

Meaningful Use is defined as the use of certified electronic health record (EHR) technologies in a manner that moves a provider towards or achieves the goals of improving health care quality, efficiency and patient safety. A provider can demonstrate this by adopting and using technologies that meet the criteria, standards and capabilities established in the meaningful use rule. The meaningful use criteria, standards and capabilities will evolve in stages over time to continue to advance the state of Health Information Technology.  

Meaningful Use criteria are divided into stages; each subsequent stage requires more capabilities.

 

Meaningful Use Stage 3

Medicaid Promoting Interoperability Program

In 2020, eligible hospitals (EHs) and eligible professionals (EPs) that attest directly to a state for the state’s Medicaid Promoting Interoperability (PI) Program will continue to attest to the measures and objectives as finalized in the 2015 EHR Incentive Programs Final Rule.

All participants in the Medicaid Promoting Interoperability Program are required to use 2015 Edition CEHRT. The 2015 Edition CEHRT did not have to be implemented on January 1, 2020. However, the functionality must be in place by the first day of the EHR reporting period and the product must be certified to the 2015 Edition criteria by the last day of the EHR reporting period. The EP, hospital or Critical Access Hospital (CAH) must be using the 2015 Edition functionality for the full EHR reporting period.

Please see the Medicaid Specification sheets for more information on the requirements to meet all eight Objectives:

For more information please visit the 2020 Program Requirements Medicaid.

Provider Information

Security/Risk Assessments

One of the core measures is the measure Protect Electronic Health Information. This measure requires the EP and/or EH to conduct a security risk analysis per 45 CFR 164.308(a)(1) and implement security updates as necessary to correct identified security deficiencies as part of the provider's risk management process. Alaska is providing a security checklist to assist eligible professionals and eligible hospitals with this security risk analysis. 

EPs and EHs are required to upload either the organizations security risk assessment for their EHR for a given program year or this completed security risk assessment checklist from the Office of the National  this completed security risk assessment checklist from the Office of the National Coordinator:

Public Health Meaningful Use Measures for Alaska

For Meaningful Use, the EP or EH must select the required number of the Meaningful Use Public Health measures and submit their Registration of Intent form if needed.

Under new program requirements specified in the final rule issued by Center for Medicaid and Medicare Services (CMS) regarding program years 2015-2017 and Stage 3 requirements in 2018 and beyond:

Below is a list of Registries available for the State of Alaska.

Description​​ ​State System & Status Alaska HIE Status​​ Stage ​​​3​ Point of Contact​​
System (EPs & EH)​ ​​VacTrAK is able to accept HL7 2.3.1 or 2.5.1 for Stage 1 but HL7 2.5.1 will be required for Stage 2 ​​HIE is able to accept HL7 2.5.1 transactions: able to onboard EPs & EHs

Alaska Division of Public Health is ready for Stage 3 Meaningful Use for Immunization Information System.

Alaska's system, VacTrAK, is able to respond to bi-directional queries (QBP/RSP) and receive National Drug Codes (NDC).

​​​See onboarding section on this webpage below for details

​ Reportable Lab Results (Hospitals and commercial laboratories only)​

LIMS, commercial Labs and hospital labs transmit reportable lab results ​​HIE is able to ​HIE is able to accept HL7 2.5.1 transactions: able to onboard EHs & Commercial Labs ​​Alaska Division of Public Health is ready for Stage 3 Meaningful Use for Reportable Lab Results. ​​See onboarding section on this webpage below for details

​Electronic Syndromic Surveillance Data  (Hospitals only)

​​Alaska will be participating in the national BioSense project. ​​HIE is able to accept transactions: able to onboard EHs ​​Alaska Division of Public Health is ready for Stage 3 Meaningful Use for Syndromic Surveillance Data ​​See onboarding section on this webpage below for details

​Cancer Registry Reporting (EPs only)

​​Cancer Registry will accept HL7 CDA file format and will process it using CD-NPCR eMaRC Plus software. ​​​HL7 CDA file should be transmitted via HIE's Direct Secure Messaging (DSM) solution. ​​Alaska Division of Public Health is ready for Stage 3 Meaningful Use for Cancer Registry ​​See onboarding section on this webpage below for details
Electronic Case Reporting​ ​Electronic Disease Surveillance system: NBS. Accepts HL7 CDA format. ​Not intended.
Route through the APHL AIMS hub.
​Alaska Division of Public Health is ready for Stage 3 Meaningful Use for eCR ​See onboarding section on this webpage below for details

 

Public Health Measure Reporting Process

Modified Stage 2 and later stages.

Option 1

If an EP/EH is submitting production level messages to a Public Health registry a Registration of Intent form is not needed.  The EP/EH is required to continue to submit electronic, production level messages. In this case, if an EP/EH is submitting an attestation to Medicare or Medicaid stating they are meeting a Public Health measure they will need to:

  • Upload a copy of the acknowledgement message that their EHR receives from either the HIE or a message directly from the Public Health registry indicating production level data is being submitted.
  • The EP/EH will need to contact healtheConnect Alaska (Alaska's statewide HIE entity) to coordinate the transition for sending Public Health registry data via the HIE.

Option 2

If an EP/EH is not submitting production level messages to a Public Health registry, but has previously submitted a Registration of Intent form and has received notification they are either in a queue or in a testing/validation process the EP/EH will not be required to submit a new Registration of Intent form. The EP/EH must remain in active contact with the Public Health and respond to requests from Public Health. In this case, if an EP/EH is submitting an attestation to Medicare or Medicaid stating they are meeting a Public Health measure they will need to:

  • Upload a copy of the most recent test message that their EHR receives from either the HIE or a message directly from the Public Health registry indicating the EP/EH is in testing/validation.
  • Or, upload a copy of the email the EP/EH received from the Alaska Medicaid EHR Incentive Program office indicating their Registration of Intent form was received.
  • The EP/EH will need to contact healtheConnect Alaska (Alaska's statewide HIE entity) to coordinate the transition for sending Public Health registry data via the HIE.

Onboarding Processs for Public Health Measures

Registration of Intent Form

The Registration of Intent form, if needed per instructions above, must be submitted within the first 60 days of the EP/EH identified EHR Reporting Period. The Registration of Intent form will need to be emailed to: hss.hitinfo@alaska.gov. Group Registration of Intent is allowed and will need to be completed on an organization/clinic level including all the potential EPs or the EH that may be completing attestations for either the Medicare or Medicaid Incentive Programs.   

healtheConnect Alaska Health Information Exchange 

healtheConnect Alaska Health Information Exchange (HIE) has been deployed statewide. The HIE is a secure electronic exchange of patient information, which allows health care providers a quick, secure, reliable access to patient health records.  healtheConnect Alaska is a non-profit organization governed by a board of directors from across Alaska with representation from consumers, hospitals, physicians, businesses, and state government. These leaders are committed to securing protected health information at all times to ensure it is only accessed by authorized individuals for authorized use, by law, for treatment and payment.  

To learn more about healthe Connect Alaska please visit their website at: healtheConnect Alaska

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