MEANINGFUL USE

STAGE 2

Implementation

Eligible Professionals

17 core objectives

3 of 6 menu objectives

20 total objectives

Report on all 17 Core Objectives:

1. Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders

2. Generate and transmit permissible prescriptions electronically (eRx)

3. Record demographic information

4. Record and chart changes in vital signs

5. Record smoking status for patients 13 years old or older

6. Use clinical decision support to improve performance on high-priority health conditions

7. Provide patients the ability to view online, download and transmit their health information

8. Provide clinical summaries for patients for each office visit

9. Protect electronic health information created or maintained by the Certified EHR Technology

10. Incorporate clinical lab-test results into Certified EHR Technology*

11. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach

12. Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care

13. Use certified EHR technology to identify patient-specific education resources

14. Perform medication reconciliation

15. Provide summary of care record for each transition of care or referral

16. Submit electronic data to immunization registries

17. Use secure electronic messaging to communicate with patients on relevant health information*

Report on 3 of 6 Menu Objectives:

1. Submit electronic syndromic surveillance data to public health agencies*

2. Record electronic notes in patient records*

3. Imaging results accessible through CEHRT

4. Record patient family health history*

5. Identify and report cancer cases to a State cancer registry

6. Identify and report specific cases to a specialized registry (other than a cancer registry)

Above asterisk (*) items will be discussed further in this training documentation for office implementation.

Core Objectives

10. Incorporate clinical lab-test results into Certified EHR Technology*

· Incorporate clinical lab-test results into a Certified EHR (CEHRT) as structured data

· Structured data, numeric/quantitative results include positive or negative affirmations and/or numerical format that would include reference range of numeric results and or ratios.

· Structured data does not need to be electronically exchanged in order to qualify for the measure of this objective.

· EP is not limited only counting structured data received via electronic exchange, but my count in the numerator all structured data entered through manual entry(typing), scanning, or other means

· Lab results are not limited to any specific type of laboratory or to any specific type of lab test

17. Use secure electronic messaging to communicate with patients on relevant health information*

• Use secure electronic messaging to communicate on relevant health information
• Definition of terms:  “Secure Message” – electronic communication between a provider and patient that ensures only those parties can access the communication
• Means of “Secure Messaging” – email, electronic messaging function of a personal health record (PHR), patient portal, or any other electronic means

Menu Objectives

1. Submit electronic syndromic surveillance data to public health agencies*

• Office medicine does this automatically

2. Record electronic notes (PLAN) in patient records*

• Record electronic notes in patient records
• Definition of terms:  “Electronic Notes” – defined as progress notes – documentation of patient observation, treatments and/or results in the electronic health record
• CMS lets the Provider determine and guidelines defining when a progress notes is necessary to communicate with patient
• Medicare/Medicaid defines an EP as the provider who may author, edit, and provide an electronic signature for the electronic notes in order to be considered for the measures and incentive program
• These notes must be text searchable whether the provider dictated notes, converted hand written notes or entered directly into an EHR
• User must electronically record, change, access and search electronic notes

Example of Patient Progress Note

4. Record patient family health history*

· Record patient family health history as structured data

· Definition of terms:  “First Degree Relative” – A family member who shares about 50 percent of their genes with a particular individual in a family

· This includes parents, offspring, and siblings

· It is acceptable to record family history as “Unknown”

Example of Patient Family Health History