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Guide to EMR Meaningful Use

     

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Core Set Objectives and Measures

Objective
Measure

1.

 Record patient demographics (sex, race, ethnicity, date of birth, and preferred language). More than 50% of patients' demographic data recorded as structured data.
2.
 Record vital signs (height, weight, and blood pressure for age 2 and higher). More than 50% of patients 2 years of age or older have height, weight, and blood pressure recorded as structured data.
3.
 Maintain up-to-date problem list of current and active diagnoses. More than 80% of patients have at least one entry recorded as structured data or an indication that they have no problems.
4.
 Maintain active medication list. More than 80% of patients have at least one entry recorded as structured data or an indication they are on no medications.
5.
 Maintain active medication allergy list. More than 80% of patients have at least one entry recorded as structured data or an indication that they have no allergies.
6.
 Record smoking status for patients 13 years of age or older. More than 50% of patients 13 years of age or older have smoking status recorded as structured data.
7.
 Provide patients with clinical summary for each office visit. Clinical summaries provided to patients for more than 50% of all office visits within 3 business days
8.
 On request, provide patients with an electronic copy of their health information (including diagnostic test results problem list, medication lists, medication allergies). More than 50% of requesting patients receive electronic copy within 3 business days
9.
 Generate and transmit permissible prescriptions electronically. More than 40% of permissible prescriptions are transmitted electronically using certified EHR technology
10.
 Computer provider order entry (CPOE) for medication orders. More than 30% of patients with at least one medication in their medication list have at least one medication ordered through CPOE.
11.
 Implement drug-drug and drug-allergy interaction checks. Functionality is enabled for these checks for the entire reporting period.
12.
 Implement capability to electronically exchange key clinical information among providers and patient-authorized entities. Perform at least one test of EHR’s capacity to electronically exchange information.
13.
 Implement one clinical decision support rule and ability to track compliance with the rule. One clinical decision support rule implemented.
14.
 Implement systems to protect privacy and security of patient data in the EHR. Conduct or review a security risk analysis, implement security updates as necessary, and correctly identified security deficiencies.
15.
 Report clinical quality measures to CMS or states. For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures.

 

Menu Set Objectives and Measures

Must select five measures, and one of the five seleted must be number 7 or 8 from below.

Objective
Measure

1.

 Implement drug formulary checks. Drug formulary check system is implemented and has access to at least one internal or external drug formulary for the entire reporting period.
2.
 Incorporate clinical laboratory test results into EHRs as structured data. More than 40% of clinical laboratory test results whose results are in positive / negative or numerical format are incorporated into EHRs as structured data.
3.
 Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. Generate at least one listing of patients with a specific condition.
4.
 Use EHR technology to identify patient-specific education resources and provide those to the patient as appropriate. More than 10% of patients are provided patient-specific education resources.
5.
 Perform medication reconciliation between care settings. Medication reconciliation is performed for more than 50% of transitions of care.
6.
 Provide summary of care record for patients referred or transitioned to another provider or setting. Summary of care record is provided for more than 50% of patient transitions or referrals.
7.
 Submit electronic immunization data to immunization registries or immunization information systems. Perform at least one test of data submission and follow-up submission (where registries can accept electronic submissions).
8.
 Submit electronic syndromic surveillance data to public health agencies. Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data).
9.
 Send reminders to patients (per patient preference) for preventive and follow-up care. More than 20% or patients 65 years of age or older or 5 years of age or younger are sent appropriate reminders.
10.
 Provide patients with timely electronic access to their health information (including laboratory results, problem lists, medication lists, medication allergies). More than 10% of patients are provided electronic access to information within 4 days of its being updated in the EHR.