Meaningful Use Objectives for Stage 2-3

8/8/2019 Meaningful Use Objectives for Stage 2-3

1/3

Overview of Meaningful Use Objecctive

Stage 1 Final Rule

Key:

Improving Quality, Safety, Efficiency & Reducing Health Dis

CPOE for all orders

Use evidence-based order sets

Drug-drug/drug-allergy interaction checks

Report CQM electronically*

Implement 1 CDS rule*Implement drug formulary checks

Record advance directives (EP)

Generate patient registry lists*

Document progress note (EP)

Record family historyUse patient-specific care plans

CMS Signal for Stage 2

HITPC Aug '09 Stage 2 (or Staincluded)

Astrick (*) indicates an objective that potentially could be retired in future MU stage because it would be presumed with a higher-order objective. Whmeasure is put on the same row as a Stage 1 measure that could be retired with introduction of the new.Italics

indicates optional measure for Stage 1 (CMS signaled core for Stage 2)

CPOE for Rx orders* (30%)

E-prescribing (EP) (40%)E-prescribing discharge prescrip(EH)

Record demographics* (50%)Stratified electronic CQM rep

disparity variables

Stratified electronic CQM repdisparity variables

Maintain problem list* (80%)Maintain active med list* (80%)Maintain active med-allergy list* (80%)Record vital signs* (50%)Record smoking status* (50%)

Use CDS at point of care (e.g., ralerts)

Record advance directives (EH) (50%)

Incorporate lab results as structured data (40%)

Manage chronic conditions usinregistry lists

Send patient reminders (20%)Electronic insuranceeligibilityElectronic claimssubmission

Record all clinical documentatio(EH)

Specialists report to external disregistries

Conduct closed loop medicationmanagement (EH)


2/3

Overview of Meaningful Use Objecctive

Stage 1 Final Rule

Key:


HITPC Aug '09 Stage 2 (or Staincluded)

Astrick (*) indicates an objective that potentially could be retired in future MU stage because it would be presumed with a higher-order objective. Wmeasure is put on the same row as a Stage 1 measure that could be retired with introduction of the new.Italics

indicates optional measure for Stage 1 (CMS signaled core for Stage 2)

Engage Patients and Families in Their Care

Provide timely electronic access

Patient-provider secure messagi

Improve Care Coordination

Perform test of HIE*

Retrieve and act on eRx data

Provide electronic copy of health information* (50%)

Provide electronic copy of discharge instructions (EH) at discharge (50%)

Provide clinical summaries each office visit (EP)* (50%)

Provide timely electronic access (EP)* (10%)

EHR-enabled patient-specific educational resources* (10%)Patient-specific eduation resourcmany languages

Record patient preferences (e.g.,communication media, proxies, options)

Incorporate patient-generated dadevices)

Robust exchange of data

Perform medication reconciliation* (50%)Perform medication reconciliaticare transition

Provide summary of care record* (50%)Produce & share summary care revery care transition


3/3

Overview of Meaningful Use Objecctives

Stage 1 Final Rule

Key:


HITPC Aug '09 Stage 2 (or Stageincluded)

Astrick (*) indicates an objective that potentially could be retired in future MU stage because it would be presumed with a higher-order objective. Whmeasure is put on the same row as a Stage 1 measure that could be retired with introduction of the new.Italics indicates optional measure for Stage 1 (CMS signaled core for Stage 2)

Improve Population and Public Health

Submit immunization data* Bidirectional immunization dataSubmit reportable lab data

Submit surveillance data Bidirectional surveillance data

Ensure Adequate Privacy and Security Protections for Personal Health Inf

Conduct security review analysis & correct deficiencies

Other Issues:

Use summarized/de-identified datapopulation health purposes

18 month EHR vendor dilemma4 options:o 90-day utilization/12-month QMo 90-day reporting periodo Certified product in middleo Certified product at end

Documents

Meaningful Use Objectives for Stage 2-3