Meaningful Use Measures

1. Meaningful Use Measures

2. Reporting Time Periods • Reporting Period for 1st year of MU (Stage 1) • 90 consecutive days within the calendar year • Reporting Period for 2nd year of MU (Stage 1) • 1 calendar year (January 1-December 31) • Reporting Period for 3rd year of MU (Stage 2) • Single quarter of 2014 • Reporting Period for 4th year of MU (Stage 2) • 1 calendar year (January 1-December 31)

3. CPOE for Medication Orders • Only prescriptions or medications documented by approved positions will qualify for this measure (Advanced Practitioners, Residents or Attendings) • Protocol and Verbal orders will not count for this measure • Proposed orders will count for this measure after they have been signed off by the provider and become active orders • A patient will only qualify for this measure if there has been a medication documented on the chart (the denominator will count the patient even if there is only a documented med by history on the patient’s med list) • The threshold for this measure through 2013 is >30% of patients with at least one medication order • This measure will extend to >30% of lab and radiology orders in 2014 and will increase to >60% for medication orders

4. Maintain Up To Date Problem List • This measure will qualify if at least one problem has been documented or “None” has been documented on the problem list • This must show as an “Active” problem throughout the reporting period or have been Active and Resolved during that time • The threshold for this measure is 80% of a provider’s patients must have at least one entry on the problem list • This measure will become part of the Transitions of Care measure and will require SNOMED codes for problems in Stage 2

5. Maintain Active Medication List • This measure will qualify as met if at least one medication has been documented in the med list or the “No Known Home Medications” box has been checked in Documented Meds by Hx • The threshold for this measure is 80% of patients must have at least one entry or an indication of none recorded as structured data • This measure will become part of the Transitions of Care measure in Stage 2

6. Maintain Active Allergy List • This measure will qualify as met if at least one allergy has been documented or “No Known Allergies” has been documented • The allergy must be active throughout the reporting period or have been Active and Resolved during that time. • The threshold for this measure is 80% of patients must have at least one entry or an indication of none recorded as structured data • This measure will become part of the Transitions of Care measure in Stage 2

7. Record Patient Demographics • This measure will qualify as met if >50% of all patients have the appropriate demographics documented: preferred language, gender, race, ethnicity, and DOB • This documentation should be recorded in IDX and pulled into Cerner via interface • This measure increases to a threshold of >80% of patients in 2014

8. Record Vital Signs • This measure will qualify as met if all vital signs have been documented on the patient: Blood Pressure , Height and Weight • All Vital Signs must be present as structured data for the chosen reporting period to be considered met • The threshold for this measure is >50% of patients age 2 and over • This measure increases to a threshold of >80% of patients (BP ages 3 & over) in 2014

9. Record Smoking Status • Smoking status must be entered into social history • The threshold for this measure is >50% of patients age 13 and over have smoking status recorded as structured data • This measure increases to a threshold of >80% of patients age 13 and over in 2014

10. Provide Clinical Summaries • To qualify this measure as met, the depart process must be completed, printed and given to the patient • You should mark that the patient has verbalized understanding and “Print & Sign” – The “Sign” alone will not qualify for this measure • The threshold for this measure is >50% of all office visits within 3 business days • This measure increases to a threshold of >50% of office visits within 1 business day

11. Perform Medication Reconciliation • Medication reconciliation can be done by completing the med update in the intake form, updating the med list from within the chart or by the provider updating the med list from within their Powernote • The threshold for this measure is that medication reconciliation will be completed for >50% of visits

12. Provide Patient Education • Patient Education can be met by charting the 5 elements of education on the patient education ad hoc form, one of the the intake forms, the education form within depart or in the education section of I-View. It can also be met by pulling Exit Care instructions into the depart • The threshold for this measure is >10% of patients are provided patient specific education using the EHR

13. Transmit Prescriptions Electronically • Controlled medications will not count for or against the total prescribed counts • The medication must be a prescription, meds documented by history do not count in the numerator for this measure • The threshold for this measure is >40% of all permissible prescriptions at the provider level • This threshold increases to >50% in 2014

14. Other MU Measures • Implement drug-drug and drug-allergy interaction checks • Implement one clinical decision support rule and ability to track compliance with the rule (increases to 5 rules in Stage 2) • Report clinical quality measure to CMS • Provide patients with an electronic copy of their health record within 72 hours (becomes part of view, download, transmit measure in Stage 2) • Implement capability to electronically exchange key clinical information among providers and patient authorized entities (measure eliminated in Stage 2) • Implement systems to protect privacy and security of patient data • Implement drug formulary checks (becomes part of e-Rx measure) • Incorporate clinical laboratory test results into the EHR as structured data (increases to 55% in Stage 2) • Generate lists of patients by specific conditions • Submit electronic immunization data to immunization registries

15. Other MU Measures • Send patient reminders for preventive/follow-up care (Stage 2 only) • Provide summary of care when patients transition to another provider (Stage 2) • Implement secure messaging (Stage 2 only) • Provide patients with ability to view online, download, or transmit clinical information (Stage 2 only) • Submit electronic syndromic surveillance data to State (Stage 2) • Record electronic progress notes (Stage 2 only) • Incorporate imaging results into the EHR (Stage 2 only) • Record patient family health history (Stage 2 only) • Submit cancer cases to registry (Stage 2 only) • Submit specific case info to specialized registries (Stage 2 only)