Meaningful Use Stage I Core Objectives

1. Meaningful Use Stage ICore Objectives • MAQ Dashboard= Meaningful Use, Adoption, Quality Dashboard • Tool to measure provider and practice performance on meaningful adoption of EHR, population trends, and chronic disease/preventative care management • Data is not extracted realtime-The extraction of the previous month data is done in the first few days of each month.

2. Commonterm definitions EP-Eligible provider Unique patients-If the patient is seen by the EP more than once during the reporting period, that patient is included in the denominator once. Denominator- The number of patients that meet the objective criteria Numerator-The number of patients from the denominator that have documentation in the medical record which satisfies the objective Reportable visit types-Excludes telephone encounter, virtual visit. Other visit types have been manually excluded as well.

3. OBJ304A -CPOE • More than 30% of all unique patients with at least one medication in their medication list have at least one medication ordered using CPOE(Computerized order entry) • Must be a reportable visit type • Involves all methods of recording medications in a structured manner. This includes Order Sets, Templated, e-prescription, eClinisense and manually ordered medications from the treatment window of progress note

4. OBJ302-CUp to date problem list • More than 80% of all unique patients seen by EP have at least one entry or an indication that no problems are known for the patient recorded as structured data • Must be a reportable visit type • Add any current and chronic problems to the problem list or check the No known problems box

5. OBJ304-BGenerate and transmit eRX • More than 40% of all permissible prescriptions written by the EP must be transmitted electronically to pharmacies **Generating and transmitting a fax does NOT constitute electronic prescription

6. OBJ302-DMaintain active medication list • More than 80% of all unique patients seen by the EP must have at least one entry or an indication that the patient is not currently prescribed any medication recorded as structured data • Medications recorded in the current medications section of progress note. ** The medications verified box must be checked

7. OBJ-302-E Active medication/allergy list • More than 80% of all unique patients seen by EP must have at least one entry or indication that the patient has no known medication allergies recorded as structured data ** Must be a reportable visit type Allergies verified box must be checked for every encounter

8. OBJ-304C Recording demographics • More than 50% of all unique patients seen by EP must have demographics entered as structured data • Preferred language, gender, race, ethnicity, date of birth **Must be a reportable visit type

9. OBJ-302F-Record vital signs • For more than 50% of all unique patients age 2 and over seen by EP must have height, weight, blood pressure and BMI recorded as structured data plot and display growth charts for children 2-20yrs ** Must be a reportable visit type • When height, weight and blood pressure are recorded, BMI is automatically calculated and growth charts are plotted. ** Even specialists must document all 3-height, weight, B/P

10. OBJ-302G Record smoking status • More than 50% of all unique patients 13 years or older seen by EP must have their smoking status recorded as structured data **Must be a reportable visit type • Complete the tobacco control smartform once for patients seen during 90 day reporting period.

11. OBJ-304F Electronic copy of health information • More than 50% of all patients of the EP who request an electronic copy of their health information must be provided it within 3 business days • Patient information additional information, structured tab for documentation. • Office Managers / Coordinators have access to run registry report-Registry-Demographics ***Only one person can be in registry at a time

12. OBJ-304H Clinical visit summaries • Clinical summaries must be provided to patients for more than 50% of all office visits within 3 business days • Visit summaries may be printed from progress note or resource schedule

13. OBJ-203A Drug interaction checks*not on MAQ • All medications prescribed to patients must be checked against all other medications as well as all known allergies/intolerance in order to determine if there are any potential harmful interactions • File-settings-My settings-User settings Pop up drug interaction window when interaction is: check mild, moderate or severe • Reports-EMR-drug interaction report logs

14. OBJ- 304I Exchange key clinical information*not on MAQ • Providers must perform at least one test with another provider using certified EHR • File-settings my settings-eclinicalworks P2P to join • Outgoing referral-Send electronically via P2P • Video and FAQs will be available on website

15. OBJ-302O-W Comply with HIPAA rules*not on MAQ • Conduct or review a security risk analysis, implement security updates as necessary, and correct identified security deficiencies as part of a risk management process • Session timeout =30 minutes • Password authentication lockout after 5 attempts • Strong password

16. The END • There 2 Core objectives will be covered in Meaningful Use class 2 • OBJ-304J Clinical quality measures • OBJ-304E Implement one clinical decision support rule(CDSS)

17. Questions? AHIS Help desk 812-485-5600 __________ Visit our website for more information www.stmarys.org/eclinicalworks