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To meet Modified Stage 2 Meaningful Use (MU) requirements, Eligible Professionals (EPs) must attest to a single set of objectives and measures. (This replaces the core and menu objectives structure of previous stages.)  For EPs, there are 10 objectives including one consolidated public health reporting objective.

If the EP practices in more than one site/location that has Certified EHR Technology (CEHRT), the Meaningful Use numerators and denominators need to include the patient records from all CEHRTs and any records maintained on paper or non-certified EHR. For further guidance on calculating numerators and denominators from multiple locations, refer to the Guide for Practicing in Multiple Locations (2018) Adobe Acrobat Reader Symbol.

The following guidelines apply to Modified Stage 2 MU attestations.

2018 Meaningful Use Reporting Period: any continuous 90-day period between January 1, 2018 and December 31, 2018.

Note the distinction between MU reporting period (which is based on data from the current calendar year) and the patient volume reporting period (which is based on 90-days of data from the prior calendar year.)

2018 Clinical Quality Measure Reporting Period: 365-days in calendar year 2018 (January 1, 2018 through December 31, 2018).

EPs must upload EHR screenshots and other supporting documentation with Protected Health Information redacted (i.e., HIPAA protected information) at the time of attestation in order for the payment request to be processed. In addition, screenshots must be dated from within the Meaningful Use reporting period. For additional guidance, refer to the New Hampshire Meaningful Use Documentation Guidelines for Modified Stage 2 and Stage 3 (2018) Adobe Acrobat Reader Symbol.

Objectives and Measures
For Modified Stage 2, EPs are required to attest to a single set of objectives and measures. This replaces the core and menu objectives structure of previous stages. There are 10 objectives, including one consolidated public health reporting objective, outlined in the Stage 2 Specification Sheets Adobe Acrobat Reader Symbol.

Providers attesting to Meaningful Use for the first time must attest to Modified Stage 2 criteria. Any provider attesting to Modified Stage 2 must use 2014 Edition CEHRT; 2015 Edition CEHRT; or a combination of 2014 and 2015 CEHRT.

In 2018, EPs attest to 6 Clinical Quality Measures (CQMs).

Rules

  • EPs that work at multiple practice locations: at least 50 percent of their total patient encounters must take place at a location(s) where certified EHR technology is available. (These EPs would base all MU measures only on those encounters that occurred at locations with CEHRT.) For the purpose of calculating the 50 percent threshold, all encounters (and not just Medicaid and/or Needy Individual encounters) should be considered in this calculation.
  • MU measures may not be applicable to every clinical practice. For example, dentists do not typically perform immunizations. In these cases, providers would not have any eligible patients or actions for the measure denominator and could attest to an exclusion (i.e., be excluded from having to meet that measure). Claiming an exclusion (i.e., providing a 'yes' response to an exclusion) for a specific measure qualifies as submission of that measure.
  • Measure results do not round up. For example, a numerator of 199 and a denominator of 1,000 is 19%.
  • Measures that require a result greater than a given percentage must be more than that given percentage to pass. For example, in a measure requiring a result of greater than 80%, a result of 80.1% will pass, but a result of 80.0% will not pass.
  • There are two types of percentage-based denominators reported for MU measures. The first is when the denominator equals all patients seen or admitted during the EHR reporting period. In this instance, the denominator is all patients regardless of whether their records are maintained using certified EHR technology. The second is based on actions or subsets of patients seen or admitted during the EHR reporting period. In this instance, the denominator only includes patients, or actions taken on behalf of those patients, whose records are maintained using certified EHR technology.

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