Beginning in 2011, the Medicare and Medicaid EHR Incentive Programs were established to encourage eligible professionals and eligible hospitals to adopt, implement, upgrade (AIU), and demonstrate meaningful use of certified EHR technology. The EHR Incentive Program is complex in requiring physicians to meet varied and more difficult stages as they progress through the multiyear program. TMA encourages physicians to tap into our available resources to make wise decisions regarding EMR selection and implementation.
One day before the deadline to establish his intent to meet a Stage 2 meaningful use objective for 2016, William Gilmer, MD, found himself in a state of limbo.
The available routes the Centers for Medicare & Medicaid Services (CMS) laid out to meet objective 10, covering public health reporting, left Dr. Gilmer with unanswered questions, confusion, and a difficult ethical consideration.
Medicare and Medicaid Incentive Programs Comparison
Physician Incentives Under the Federal Stimulus Package
Medicare Advantage EHR Incentive Program FAQs (CMS)
Incentive Calculator - Created by Harris County Medical Society (HCMS)
EHR Incentive Program: Penalties and Hardship ExemptionsFind out about the penalties for nonparticipation in the Medicare EHR Incentive Program as well as the available hardship exemptions.
INSTRUCTION GUIDE: Medicaid EHR Incentive Program
Meaningful Use 2017*
2017 Modified Stage 2 Objectives and Measures (in-depth) - CMS
2017 Stage 3 Objectives and Measures (in-depth) - CMS
Modified Stage 2 Attestation Worksheet (CMS) - Log meaningful use measures on this page to use as a reference when attesting for the EHR Incentive Program in the CMS system.
*Note: In 2017, for all new and returning participants, the EHR reporting period is a minimum of any continuous 90 days between January 1 and December 31, 2017.
CLINICAL QUALITY MEASURES:CQM Basics (CMS)
CLINICAL SUMMARY:Required Information for Meaningful Use (Action, 2011)
PATIENT ONLINE ACCESS TO MEDICAL RECORDS:Patient Access to Their Health Info: HIPAA, Meaningful Use (E-Tips, 2016)How to Meet Mandate for Patients’ Online Access to Medical Records (Action, 2015)
PUBLIC HEALTH MEASURES: Public Health Reporting Measures (fact sheet) - CMS
SECURITY RISK ANALYSIS: Top 10 Myths of Security Risk Analysis - HealthIT.govSecurity Risk Analysis Tipsheet: Protect Patients' Health Information - CMS Security Risk Assessment (SRA) Tool - HealthIT.gov Privacy and Security Update: Risk Analysis for Health Care Professionals (TMLT)
SYNDROMIC SURVEILLANCE DATA:Guidelines for Submitting Syndromic Surveillance Data in Texas for Meaningful Use - Texas DSHS
REGISTRATION AND ATTESTATION: Steps for Individual Enrollment in the Texas Medicaid EHR Incentive Program PortalAttestation for Meaningful Use
APPEALS: Appeal Filing Request (CMS)
Tips From TMA to Help You Survive a Meaningful Use Audit (Action, 2016)
Meaningful Use Audits: Be Prepared (Action, 2014)
Attestation Documentation Guidance - CMS
Audits Overview - CMS
Security Risk Assessment (SRA) Tool - ONC
Electronic Patient Engagement Tools: A Guide for Physicians - TMA whitepaper, 2016
How to Meet Mandate for Patients’ Online Access to Medical Records (Action, 2015)
Enhancing Patient-Centered Communication and Collaboration by Using the EHR in the Exam Room - The Journal of the American Medical Association (JAMA) 2013
Personal Health Records: What Physicians Need to Know - TMA whitepaper, 2008
Here are the latest comment letters from TMA on the Meaningful Use Program:
TMA, AMA Letter Asking CMS to Defer Implementation of the 2015 Edition of Certified Electronic Health Record Technology (CEHRT) (Feb. 27, 2017)
Letter from Tom Garcia, MD to Senator John Cornyn regarding the Meaningful Use Program (Nov. 2, 2015)
Letter from Matt Murray, MD, regarding TMA Advocacy on the Federal Health IT Strategic Plan 2015 - 2020
TMA Comment Letter to CMS Regarding Modifications to Meaningful Use During 2015 to 2017 Program Years (June 15, 2015)
Learn More About Advocacy Efforts
Read the most recent articles on the meaningful use program.
Medicare Meaningful Use Attestation Deadline Extended (Action, 2017)
Year-End Checklist for Meaningful Use (Action, 2016)
Get Started on Your HIPAA Security Risk Assessment (Action, 2016)
Check Your Meaningful Use Data (Action, 2016)
TMA Resource: Electronic Patient Engagement Tools (Action, 2016)
Tips for Acing a Meaningful Use Audit (E-Tips, 2015)
Read More Articles
Got Meaningful Use questions? Call or email the HIT Helpline.
Regional Extension Centers (RECs) in Texas have been supporting physicians since 2009 with individualized on-site services, technical assistance, and ongoing support to select, implement or upgrade EHRs and guidance to meaningful use. Visit the TMA REC page to learn more.
Go to TMA's EHR Resource Center to find out what you need to know about EHRs.
TMA's Technology Courses
Medscape's EHR Learning Center website