Transcript Meaningful Use Measures

Meaningful Use
Measures
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)
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
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
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
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
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
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
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
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
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
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
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
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
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)