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Customization of electronic health record (EHR) to implement meaningful use for quality improvement (QI).

246 Background: Meaningful Use is a government program that encourages providers to use an electronic health record (EHR) for QI. The goals of MU are to have complete and accurate information in the patient's electronic record and share that information with other care providers to improve the quality of patient care and avoid duplication of services. The MU program is divided into 3 stages. Providers can earn incentive bonuses for successfully reporting on MU criteria set forth by CMS. There are incentive bonuses for each year until 2015 when penalties for non-reporting are assessed. Stage I has 20 criteria to report on with thresholds for 11 of the criteria. In stage II and III those thresholds will increase. When using an EHR, user efficiency is particularly important. Our goal was to collect MU data by facilitating efficient workflow and taking the documentation burden off the providers.


METHODS
We identified the MU criteria that required data collection. Some criteria required one time patient data; others involved collecting data at each patient visit. Committees were formed. Processes and responsible staff were identified. We customized features in our EHR to maximize efficiency for the staff collecting the data. We used reports to audit compliance with data collection.


RESULTS
We successfully met and reported all 20 Meaningful Use criteria for 16 providers in 2012 and are on track to meet all criteria again in 2013. 11 criteria had measureable thresholds. The average threshold for the 11 measures is 54.5%; our average for the 16 providers for those 11 measures is 86.8%. We collected $288,000 in incentive money for 2013. Since most of the data collection is done by staff, physician documentation is minimal.


CONCLUSIONS
Customization of EHR allowed us to collect MU data efficiently, obtain the financial incentive in 2012 and helped us get ready for stage II of data collection.