Meaningful use is a set of standards for using electronic health records (EHRs) in a way that improves patient care and outcomes.
It was created by the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2009.
The goal of meaningful use is to encourage healthcare providers to adopt EHRs and use them to improve patient care.
By doing so, they can qualify for federal incentives and avoid penalties.
What is Meaningful Use
Meaningful Use is a program that aimed to encourage healthcare providers to adopt and effectively use electronic health records (EHRs) to improve patient care.
The program was divided into stages, with the first stage emphasizing certified EHR adoption and efficient data sharing. Healthcare providers had to meet certain benchmarks, such as processing 40% of prescriptions electronically.
Some of the key objectives of Stage 1 included submitting electronic data to immunization information systems or registries, and submitting electronic data as required by local and practice regulations. This helped to improve the accuracy and efficiency of healthcare data.
In Stage 3, implemented in 2017, the focus shifted to improving patient outcomes through the enhanced use of EHR systems. The program introduced more stringent requirements and performance measures, with an emphasis on using certified EHR technology (CEHRT) to achieve measurable improvements in patient care.
Key components of Stage 3 included promoting the exchange of health information to improve care coordination, and focusing on improving the use of EHR data to enhance patient engagement. This helped to empower patients to take an active role in their own health.
Here are some of the key objectives of Stage 3:
- Promoting the exchange of health information to improve care coordination.
- Focusing on improving the use of EHR data to enhance patient engagement and empower patients to take an active role in their own health.
- Aligning with the broader healthcare movement toward value-based care, where healthcare providers are incentivized based on the quality of care they provide, rather than the quantity of services rendered.
- Introducing objectives related to the patient-provider exchange of information, and public health data exchange.
In 2018, the program was renamed the Promoting Interoperability program, reflecting the increasing emphasis on interoperability and patient data access.
Why Is Important?
Meaningful Use is an important metric for healthcare organizations to meet, allowing them to receive full payment for services and coordinate care across different healthcare providers.
The Meaningful Use program has driven the adoption of healthcare technology, specifically electronic health records systems like athenaOne. It requires healthcare information to be stored digitally in EHRs, enabling communication with other healthcare information technology and providing patients with access to their healthcare information.
Healthcare providers must adopt certified EHR technology (CEHRTs) and demonstrate their use in accordance with the metrics established by CMS. They report on their meaningful use of EHRs annually through a process called attestation.
Radiologists can benefit from participating in Meaningful Use by obtaining incentive payments, improving the quality of care, and reducing errors. They can also provide more efficient and timely care, and eliminate waste.
Poorly designed EHRs can lead to data breaches and errors in medication and treatment. Effective use of EHRs and e-Prescribing software, on the other hand, streamlines workflows while protecting patient data.
The most significant single benefit of Meaningful Use in healthcare is faster and more reliable communication, cited by 36% of respondents in a survey. Improved patient care and lowered costs are also important benefits, mentioned by 33% and 8% of respondents, respectively.
Here are some key benefits of Meaningful Use:
- Faster and more reliable communication
- Improved patient care
- Lowered costs
- Improved IT and data security
- Other
Meaningful Use Incentives and Penalties
Eligible healthcare providers can receive up to $44,000 for 5 years under the Medicare EHR Incentive Program.
To qualify for these incentives, providers must demonstrate Meaningful Use of certified EHR technology every year. This involves meeting a number of objectives designed to positively impact patient care.
Not meeting Meaningful Use requirements can have a dire impact on a healthcare organization's bottom line, with physicians and other providers facing reduced Medicare and Medicaid reimbursements.
Physicians who fail to demonstrate Meaningful Use may receive reduced Medicare and Medicaid reimbursements, starting in 2015.
The Medicaid EHR Incentive Program offers even higher incentives, with eligible professionals receiving up to $63,750 during the 6 years they choose to participate.
To give you a better idea of the incentives, here are the details of the Medicare and Medicaid EHR Incentive Programs:
Eligible professionals must successfully demonstrate Meaningful Use for each year they participate in the program to receive these incentives.
Meaningful Use Programs and Timeline
To qualify for incentive payments, eligible professionals must meet Meaningful Use requirements in one of the following programs: the Medicare EHR Incentive Program or the Medicaid EHR Incentive Program.
Eligible professionals can receive up to $44,000 for 5 years under the Medicare EHR Incentive Program, or up to $63,750 during 6 years under the Medicaid EHR Incentive Program.
The Meaningful Use program was initially divided into three stages to encourage gradual adoption of EHRs and the increasing sophistication of their use. Each stage introduced new requirements and performance standards for eligible professionals.
Stage 2 Meaningful Use, which ran from 2012 to 2013, expanded on stage 1 criteria with a focus on ensuring that the Meaningful Use of EHR supports the aims and priorities of the National Quality Strategy.
Here's a brief overview of the two main Meaningful Use programs and their timelines:
Eligible professionals must successfully demonstrate Meaningful Use of certified EHR technology every year that they participate in the program.
Meaningful Use Programs and Participation
To participate in Meaningful Use, eligible professionals must join one of the following programs: Medicare EHR Incentive Program, Medicaid EHR Incentive Program, or a state-based program.
Eligible professionals can receive up to $44,000 for 5 years under the Medicare EHR Incentive Program, with an additional incentive for those providing services in a Health Professional Shortage Area.
To qualify for these incentives, professionals must successfully demonstrate Meaningful Use of certified EHR technology every year they participate in the program.
The Medicaid EHR Incentive Program offers up to $63,750 over 6 years for eligible professionals who adopt, implement, upgrade, or demonstrate Meaningful Use in their first year of participation.
Here are the programs participating in Meaningful Use:
Radiologists and other healthcare professionals can participate in Meaningful Use to obtain incentive payments, avoid later reductions in payments, and improve the quality of care by integrating accurate clinical information at the point of care.
What Are the Criteria?
Meaningful Use Criteria are staged in three main steps over four years. These steps were designed to gradually increase the level of electronic health data capture and sharing.
Eligible professionals must meet the criteria for each stage to successfully demonstrate Meaningful Use. This is a requirement for participating in the Medicare EHR Incentive Program.
The criteria are divided into two main stages: Stage 1 and Stages 2 and 3. Stage 1, which took place in 2011 and 2012, set the baseline for electronic data capture and information sharing.
Stages 2 and 3, expected to start in 2013 and 2015 respectively, will continue to expand on the baseline data and be further developed through future policy-making.
The Meaningful Use Criteria are designed to encourage healthcare professionals to adopt electronic health records and use them to improve patient care.
Why Radiologists Should Participate
Radiologists can receive up to $44,000 over 5 years by participating in the Medicare EHR Incentive Program.
To participate in this program, eligible professionals must demonstrate Meaningful Use of certified EHR technology every year. This is in addition to the benefits of reducing errors, providing more efficient and timely care, and eliminating waste.
One of the main reasons radiologists should participate in Meaningful Use is to obtain incentive payments and avoid later reductions in payments, starting in 2015. This is a significant financial incentive that can help radiologists cover the costs of implementing and maintaining EHR technology.
Meaningful Use also has the potential to improve the quality of care by integrating accurate clinical information at the point of care. This can lead to better patient outcomes and a higher standard of care.
Here are some benefits of participating in Meaningful Use, as reported by a survey:
Radiologists should work with vendors to get current systems certified, as recommended by the American College of Radiology. This will help ensure that their EHR technology meets the requirements of the Meaningful Use program.
Medicaid EHR Incentive Program
The Medicaid EHR Incentive Program offers a significant incentive for eligible professionals to adopt and meaningfully use electronic health records technology. Eligible professionals can receive up to $63,750 over 6 years if they meet the Meaningful Use requirements.
To qualify for these incentives, professionals must adopt, implement, upgrade, or demonstrate Meaningful Use in their first year of participation. They must then successfully demonstrate Meaningful Use for subsequent participation as defined by the program.
Here's a breakdown of the incentives for participating in the Medicaid EHR Incentive Program:
Eligible professionals must report their Meaningful Use performance to avoid a significant loss of revenue. The program is designed to encourage the adoption and meaningful use of electronic health records technology, which can improve the quality of care and reduce errors.
Healthcare
Meaningful use in healthcare is all about using technology to improve patient care. It's a program introduced by the government to encourage healthcare providers to adopt electronic health records (EHRs) and use them in a meaningful way.
84% of physicians globally use EHRs in their practices, hospitals, and clinics. This technology allows them to access patient information immediately and coordinate with specialties.
In the US, healthcare providers using certified electronic health records technology (CEHRT) are eligible for financial incentives of between $44,000 (Medicare) and $63,750 (Medicaid). These incentives are a big motivator for many providers.
However, some healthcare providers are hesitant to participate in the meaningful use program due to the risk of penalties for non-compliance. One physician opted to take the Medicare cuts rather than risk the potential fines.
Stage 3 of the meaningful use program, implemented in 2017, focused on improving patient outcomes through the enhanced use of EHR systems. Key components of Stage 3 included:
- Promoting the exchange of health information to improve care coordination.
- Focusing on improving the use of EHR data to enhance patient engagement and empower patients to take an active role in their own health.
- Aligning with the broader healthcare movement toward value-based care, where healthcare providers are incentivized based on the quality of care they provide, rather than the quantity of services rendered.
- Introducing objectives related to the patient-provider exchange of information, and public health data exchange.
Meaningful Use and Technology
The Meaningful Use program is designed to transform the US healthcare system by improving the quality, safety, and efficiency of care. To achieve this, the program focuses on four main goals: improving quality, safety, and efficiency of healthcare; engaging patients in their care; increasing coordination of care; improving the health status of the population; and ensuring privacy and security.
Eligible professionals can receive up to $44,000 for 5 years under the Medicare EHR Incentive Program, and up to $63,750 during 6 years under the Medicaid EHR Incentive Program, for successfully demonstrating Meaningful Use of certified EHR technology.
The Meaningful Use program is built around the idea of smooth, accurate data-sharing among healthcare providers, greater privacy, security, and patient access to data, and a higher quality of care for all patients. This is achieved through the use of certified EHR technology that meets specific requirements and timelines.
Here are the five main goals of the Meaningful Use program:
- Improving quality, safety, and efficiency of healthcare
- Engaging patients in their care
- Increasing coordination of care
- Improving the health status of the population
- Ensuring privacy and security
The shift from Meaningful Use to Promoting Interoperability marked a transformation in how healthcare providers are incentivized and held accountable, with a stronger emphasis on ensuring that healthcare data is seamlessly shared across different healthcare organizations.
Frequently Asked Questions
What are the five pillars of meaningful use?
The five pillars of meaningful use are improving healthcare quality and safety, patient engagement, care coordination, public health, and protecting patient privacy. By focusing on these key areas, healthcare providers can deliver better care and outcomes for patients.
Sources
- https://pennsylvania.aoa.org/students-and-educators/clinical-care-and-practice-advancement/meaningful-use
- https://www.athenahealth.com/knowledge-hub/practice-management/what-is-meaningful-use/what-is-meaningful-use
- https://pmc.ncbi.nlm.nih.gov/articles/PMC7966550/
- https://www.sermo.com/resources/meaningful-use-in-healthcare/
- https://www.revenuexl.com/resources/what-is-meaningful-use
Featured Images: pexels.com