EHR systems are not simple "plug-in and play" software; successful implementers, consultants, and providers at "the sharp end" of care universally advise assessing the readiness for HIT, assessing and fixing workflows, and planning the tactics of implementation because every point of care is unique.
Dr. Tashjian, a Western Wisconsin physician, who recently completed the attestation process for Meaningful Use. When Dr. Tashjian completed the online attestation process on April 18, 2011 he became one of the first physicians in the country to complete the process of attesting for Meaningful Use.
Dr. Tashjian is a member of the Western Wisconsin Medical Association (WWMA); he mentioned several times that the ease of the process was attributed to their level of preparedness. With the reports generated from their Cerner EMR, and assistance from a specialized outside source (WHITEC- Wisconsin Health Information Technology Extension Center), Dr. Tashjian was more than prepared to begin the online attestation.
Completing the questionnaire took him a total of 20 minutes, which highlighted the importance of having correct data reports. He said the process was very meticulous, with responses requested in ratios and exact patient numbers.
CMS has three guidance documents for the EP (Eligible Professional) or the EH (Eligible Hospital) that describe the data requirements:
- Eligible Professionals Attestation User Guide
- Eligible Hospital Attestation Guide and
- Eligible Professional Attestation Worksheet for Medicare EHR Incentive Program.
CMS also has an online Attestation Calculator to determine if you have the data and correct ratios needed to attest “meaningful use.”
An overview from TennCare of these percentage calculations might help your “mind’s eye see” the “method to the madness.”
SRSoft describes and embeds a number of useful links in “Meaningful Use: Registration and Attestation.” Of the seven section headers are-
- When to Register
- Required Information
- Registration Resources
- What to Report, and
- Attestation Resources.
SRSoft also reports CMS’ thinking on How to Authorize a Surrogate to Attest for EP.
In response to numerous requests from the provider community, CMS allows physicians to assign a third party to complete the registration and attestation process for them, i.e., “work on behalf of the EP.” This person must have an Identity and Access (I&A) management system web user account (user ID and password) and be associated to the EP’s NPI. There is a link to create a login for the I&A system within the EHR Incentives registration process.
[The preceding Attestation Guides use “proxy” for “surrogate.” However the end-results are identical.]
Dr. Tashjian observed that the “ease of attesting MU was attributed to the level of preparedness.” These links will enable you to be best prepared as well.