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How to get a Medical Assistant Certification
INFORMATION ON: MEANING OF MEANINGFUL USE
"Meaningful use" refers to the use of certified EHR technologies by health care providers in ways that measurably improve health care quality and efficiency.
The American Reinvestment & Recovery Act (ARRA) was enacted on February 17, 2009. ARRA includes many measures to modernize our nation's infrastructure, one of which is the "Health Information Technology for Economic and Clinical Health (HITECH) Act". The HITECH Act supports the concept of electronic health records - meaningful use [EHR-MU], an effort led by Centers for Medicare & Medicaid Services (CMS ) and the Office of the National Coordinator for Health IT (ONC). HITECH proposes the meaningful use of interoperable electronic health records throughout the United States health care delivery system as a critical national goal. Meaningful Use is defined by the use of certified EHR technology in a meaningful manner (for example electronic prescribing); ensuring that the certified EHR technology is connected in a manner that provides for the electronic exchange of health information to improve the quality of care; and that in using certified EHR technology the provider must submit to the Secretary of Health & Human Services (HHS) information on quality of care and other measures.
The concept of meaningful use rested on the '5 pillars' of health outcomes policy priorities, namely:
1. Improving quality, safety, efficiency, and reducing health disparities
2. Engage patients and families in their health
3. Improve care coordination
4. Improve population and public health
5. Ensure adequate privacy and security protection for personal health information
The American Recovery and Reinvestment Act of 2009 (ARRA) (Pub. L. 111-5) authorizes incentive payments to eligible professionals, eligible hospitals, critical access hospitals, and Medicare Advantage organizations to promote the adoption and meaningful use of Certified Electronic Health Record Incentive Programs (CEHRT).
WHAT IS CPOE?
Computerized Provider Order Entry (CPOE): A provider's use of computer assistance to directly enter medical orders (for example, medications, consultations with other providers, laboratory services, imaging studies, and other auxiliary services) from a computer or mobile device.
Attestation Requirements for CPOE :
NUMERATOR / DENOMINATOR
OPTIONAL NUMERATOR / DENOMINATOR
The resulting percentage (Numerator ÷ Denominator) must be more than 30 percent in order for an EP to meet this measure.
CPOE FOR MEDICATION, LABORATORY AND RADIOLOGY ORDERS
Objective: Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders directly entered by any licensed healthcare professional who can enter orders into the medical record per state, local and professional guidelines.
Measure: More than 60 percent of medication, 30 percent of laboratory, and 30 percent of radiology orders created by the EP during the EHR reporting period are recorded using CPOE.
Exclusion: Any EP who writes fewer than 100 medication, radiology, or laboratory orders during the EHR reporting period.
Additional Information: However, in some situations it may be impossible or inadvisable to wait to initiate an intervention until a record of the order has been created. For example, situations where an intervention is identified and immediately initiated by the provider, or initiated immediately after a verbal order by the ordering provider to a licensed healthcare professional under his/her direct supervision. Therefore in these situations, so long as the order is entered using CPOE by a licensed healthcare professional or certified medical assistant to create the first record of that order as it becomes part of the patient’s medical record, these orders would count in the numerator of the CPOE measure. Any licensed healthcare professionals and credentialed medical assistants, can enter orders into the medical record for purposes of including the order in the numerator for the objective of CPOE if they can originate the order per state, local and professional guidelines. Credentialing for a medical assistant must come from an organization other than the organization employing the medical assistant.
2014 Definition Stage 1 of Meaningful Use
The Medicare and Medicaid EHR Incentive Programs provide financial incentives for the meaningful use of certified EHR technology to improve patient care. To receive an EHR incentive payment, providers have to show that they are meaningfully using their EHRs by meeting thresholds for a number of objectives. The EHR Incentive Programs are phased in three stages with increasing requirements.
To read more about Stage 2 Eligible Professional Meaningful Use Core Measures, Measure 1 of 17, Date issued: October, 2012 http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/downloads/Stage2_EPCore_1_CPOE_MedicationOrders.pdf
6 STEPS TO IMPLEMENT EHR
1. Assess Your Practice Readiness
2. Plan Your Approach
3. Select or Upgrade to a Certified EHR
4. Conduct Training & Implement an EHR System
5. Achieve Meaningful Use
6. Continue Quality Improvement
Stages of Meaningful Use
These objectives will evolve in three stages:
Stage 1: Data capture and sharing
Stage 2: Advance clinical processes
Stage 3: Improved outcomes
MEANINGFUL USE AND CREDENTIALED MEDICAL ASSISTANT:
Any licensed healthcare professionals and credentialed medical assistants, can enter orders into the medical record for purposes of including the order in the numerator for the objective of CPOE if they can originate the order per state, local and professional guidelines.
Credentialing for a medical assistant must come from an organization other than the organization employing the medical assistant.
AMERICAN EDUCATION CERTIFICATION ASSOCIATION AECA AND MEANINGFUL USE OBJECTIVES FOR MEDICAL ASSISTANTS:
• Register for our medical assistant certification exam: CLICK
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