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The EHR: Meaningful Use

EHR incentives: We’ll help you collect the incentives you deserve

Under the Health Information Technology and Economic Clinical Health Act (HITECH) Act, eligible providers and hospitals can earn Medicare and Medicaid incentive payments when they adopt a certified EHR system and meet specific requirements. Providers who begin in 2013 can receive up to $39,000 as an incentive

The goal of meaningful use is to establish a framework to support healthcare reform, promoting effective health information exchange, better patient care and the use of electronic health records.

During the HIMSS’ Interoperability Showcase, UMC Chief Technology Officer Matt Wurth demonstrates how cancer data is automatically captured in Team Chart Concept at the time of the patient encounter.


Meaningful Use Stage 1: Providers begin and are paid

Beginning in 2011, Meaningful Use Stage 1 focuses on capturing and sharing data. Those providers who meet 10 core objectives and five out of 10 “menu set objectives” can confirm and receive an incentive payment.


Meaningful Use Stage 2: Getting ready for rigorous clinical processes

In 2014, Meaningful Use Stage 2 begins. Providers will see a greater emphasis on health information exchange (HIE), e-prescribing, electronic transmission of patient care summaries across multiple settings, as well as more patient-controlled data. Providers must meet Stage 1 menu measures, as they become part of Stage 2 measures. There is a greater level of reporting in Stage 2.

In preparation for Meaningful Use Stage 2, Ulrich Medical Concepts (UMC) has been refining our flagship EHR product, Team Chart Concept (TCC). Later this year, we’ll release TCC 2014, which is Meaningful Use certified. TCC 2014 employs a ribbon-based interface for intuitive, rapid data access. It is as powerful as it is easy to use.

With TCC 2014, you will work smarter, simpler and faster. We will ensure that your practice is ready for Stage 2 and ICD-10 code, which the compliance deadline is October 1, 2014.


UMC: A Pioneer in Creating Real-Time, EHR-based reporting model for the Cancer Registry

UMC played a huge role in creating the nation’s first “real-time” EHR-based model that successfully reports cancer cases to the Kentucky Cancer Registry (KCR). Our EHR software, TCC, was featured in the Interoperability Showcase at Healthcare Information and Management Systems (HIMSS) Conference.

The exhibit, “Physician EHR Reporting to a Central Cancer Registry,” showed step by step how the clinical data is transmitted from the documentation of the initial patient encounter in TCC to submitting the cancer data to the KCR.

The model was officially put to use in October 2012. Reports for five cancer cases newly diagnosed by Dr. Halden Ford were transmitted from Paducah Dermatology using TCC. Paducah Dermatology continues to use TCC on a regular basis to automate submission of cancer data to the KCR.

“Physicians using TCC can expect to achieve certification under Meaningful Use Sate 2 with the ability to report to their state cancer registry,” said Eric Durbin, director of Cancer Informatics at the KCR. “For providers treating cancer patients, this will reduce their burden to remain in compliance with state laws that require such reporting.”

This breakthrough represents the result of an important collaboration from UMC, Paducah Dermatology, Kentucky Regional Extension Center, KHIE, the KCR, as well as the Centers for Disease Control and Prevention to provide the complete, timely and accurate data needed to combat cancer.


Disclosure and Transparency 

Disclosure:

Team Chart Concepts (TCC) versions 2014.1 and 5.1 are compliant with ONC 2014 Edition and have been certified as a Complete EHR by ISCA Labs, an ONC-ACB, 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.

Certified EHR Vendor & Production Information:

 Vendor/Developer Name: Ulrich Medical Concepts, Inc.
 Certification Dates: 12/31/2013 (2014.1) and 10/25/2013 (5.1)
 Certified EHR Name: Team Chart Concepts
 Certified EHR Versions: 2014.1 and 5.1
 CPHL Product #s: 130092R01 (2014.1) and 130092R00 (5.1)

Certification Criteria:

170.314(a)(1) - Computerized provider order entry 170.314(a)(8) - Clinical decision support 170.314(c)(2) - Clinical quality measures – import and calculate 170.314(g)(3) - Safety-enhanced design
170.314(a)(2) - Drug-drug, drug-allergy interactions checks (All NewCrop Screens) 170.314(b)(2) - * Transitions of care – create and transmit transition of care/referral summaries 170.314(a)(9) - Electronic notes 170.314(g)(4) - Quality management system
170.314(a)(3) - Demographics 170.314(b)(3) - Electronic prescribing 170.314(a)(10) - Drug formulary checks 170.314(g)(2) - Automated measure calculation
170.314(a)(4) - Vital signs, body mass index, and growth Charts 170.314(b)(4) - Clinical information reconciliation 170.314(a)(11) - Smoking status 170.314(f)(6) - Optional – ambulatory setting only - transmission to cancer registries
170.314(a)(5) - Problem list 170.314(b)(5)(A) - Incorporate laboratory tests and values/results 170.314(a)(12) - Image results 170.314(f)(5) - Optional – ambulatory setting only - cancer case information
170.314(a)(6) - Medication list (NewCrop & UMC Screens) 170.314(b)(7) - Data portability 170.314(a)(13) - Family health history 170.314(f)(3) - Transmission to public health agencies – syndromic surveillance
170.314(a)(7) - Medication allergy list 170.314(c)(1) - Clinical quality measures – capture and export 170.314(a)(14) - Patient list creation 170.314(d)(7) - End-user device encryption
170.314(b)(1) - * Transitions of care – receive, display and incorporate transition of care/referral summaries 170.314(c)(3) - Clinical quality measures – electronic submission 170.314(a)(15) - Patient-specific education resources 170.314(f)(2) - Transmission to immunization registries
170.314(d)(1) - Authentication, access, control, and authorization 170.314(d)(2) - Auditable events and tamper-resistance 170.314(d)(3) - Audit report(s) 170.314(f)(1) - Immunization information
170.314(d)(5) - Automatic log-off 170.314(d)(6) - Emergency access 170.314(d)(4) - Amendments 170.314(e)(3) - Ambulatory setting only - secure messaging
170.314(c)(3) - Clinical quality measures – electronic submission 170.314(d)(8) - Integrity 170.314(e)(1) - * View, download, and transmit to 3rd party 170.314(e)(2) - Ambulatory setting only -clinical summary

Clinical Quality Measures:

CMS 2v2, CMS 50v2, CMS 68v3, CMS 69v2, CMS 90v3, CMS 138v2, CMS 156v2, CMS 165v2, CMS 166v3       

Cost Transparency:

The TCC 2014.1 and 5.1 EHR applications require software license fees, implementation fees for installation/training, and annual maintenance fees post go-live.  Other components include Medfusion Patient Portal version 13.5, EMR Direct phiMail Server version 1.3, and NewCrop Core version 13.08.

Additional Types of Costs Disclosure:

TCC Meaningful User Configuration:
UMC Clients are not charged to upgrade to the latest certified version of TCC.  Clients are billed a one-time setup fee to configure their system for Meaningful Use reporting.
Patient Portal:
UMC Clients pay a one-time Patient Portal setup fee and a monthly service fee.
Direct Messaging:
UMC clients pay a one-time Direct Messaging setup fee and monthly service fee per address.
ePrescribing:
UMC clients pay a one-time ePrescribing fee and a monthly service fee per prescriber.

Limitations:

There are no known limitations that a user may encounter in the course of implementing and using the TCC application, whether to meet meaningful use objectives and measures or to achieve any other use within the scope of the health IT's certification.