Difference between revisions of "Meaningful Use Matrix"
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*It is intended to give a ballpark of effort involved and the numbers serve as estimates only. | *It is intended to give a ballpark of effort involved and the numbers serve as estimates only. | ||
*It does not necessarily scale linearly with number of providers or specialties. | *It does not necessarily scale linearly with number of providers or specialties. | ||
− | *The effort only addresses four categories of effort – implementation | + | *The effort only addresses four categories of effort – implementation, technical, interface and training. |
*Categories of effort not addressed include project management, systems configuration and deployment, networking configuration and deployment, hardware (including desktop) deployment, and helpdesk and on-going support. | *Categories of effort not addressed include project management, systems configuration and deployment, networking configuration and deployment, hardware (including desktop) deployment, and helpdesk and on-going support. | ||
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| align="center" style="background:#f0f0f0;"|'''Threshold''' | | align="center" style="background:#f0f0f0;"|'''Threshold''' | ||
| align="center" style="background:#f0f0f0;"|'''Module''' | | align="center" style="background:#f0f0f0;"|'''Module''' | ||
+ | | align="center" style="background:#f0f0f0;"|'''Delivered in AE-EHR Y/N''' | ||
| align="center" style="background:#f0f0f0;"|'''Typical EHR Phase''' | | align="center" style="background:#f0f0f0;"|'''Typical EHR Phase''' | ||
| align="center" style="background:#f0f0f0;"|'''Implementation Effort''' | | align="center" style="background:#f0f0f0;"|'''Implementation Effort''' | ||
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| align="center" style="background:#f0f0f0;"|'''Total''' | | align="center" style="background:#f0f0f0;"|'''Total''' | ||
|- | |- | ||
− | | 1||Electronically enter all orders for medications, laboratory, imaging and referrals.||80% of all patients ||Order||III||220||100||||80||400 | + | | 1||Electronically enter all orders for medications, laboratory, imaging and referrals.||80% of all patients ||Order||N||III||220||100||||80||400 |
|- | |- | ||
− | | 2||Implement drug-drug, drug-allergy, drug- formulary checks.||100%||Base||I|||||||||| | + | | 2||Implement drug-drug, drug-allergy, drug- formulary checks.||100%||Base||Y||I|||||||||| |
|- | |- | ||
− | | 3||Maintain an up-to-date problem list.||80% of all patients||Base||I||100||80||||40||220 | + | | 3||Maintain an up-to-date problem list.||80% of all patients||Base||N||I||100||80||||40||220 |
|- | |- | ||
− | | 4||ePrescribe ||75% of all permissible prescriptions||RX+||II||40||||||40||80 | + | | 4||ePrescribe ||75% of all permissible prescriptions||RX+||Y||II||40||||||40||80 |
|- | |- | ||
− | | 5||Maintain active medication list.||80% of all patients||RX+||II||120||||||20||140 | + | | 5||Maintain active medication list.||80% of all patients||RX+||N||II||120||||||20||140 |
|- | |- | ||
− | | 6||Maintain active medication allergy list.||80% of all patients||Base||I||80||||||20||100 | + | | 6||Maintain active medication allergy list.||80% of all patients||Base||N||I||80||||||20||100 |
|- | |- | ||
− | | 7||Record patient demographics (including race/ethnicity/language).||80% of all patients ||Base||I||||50||||||50 | + | | 7||Record patient demographics (including race/ethnicity/language).||80% of all patients ||Base||Y||I||||50||||||50 |
|- | |- | ||
− | | 8||Record vitals signs for those age 2 and older, calculate BMI, and plot growth charts for children 2-20.||80% of all patients||Base||I||80||||||20||100 | + | | 8||Record vitals signs for those age 2 and older, calculate BMI, and plot growth charts for children 2-20.||80% of all patients||Base||Y||I||80||||||20||100 |
|- | |- | ||
− | | 9||Record smoking status for patients 13 years old and older.||80% of all patients||Note||II|||||||||| | + | | 9||Record smoking status for patients 13 years old and older.||80% of all patients||Note||N||II|||||||||| |
|- | |- | ||
− | | 10||Incorporate clinical lab-test results into EHR as structured data.||50% of all lab results||Result||II||100||70||||40||210 | + | | 10||Incorporate clinical lab-test results into EHR as structured data.||50% of all lab results||Result||N||II||100||70||||40||210 |
|- | |- | ||
− | | 11||Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.||N/A||Base||I||60||40||||||100 | + | | 11||Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.||N/A||Base||N||I||60||40||||||100 |
|- | |- | ||
− | | 12||Report ambulatory quality measures to CMS or State||N/A||||||160||||200||20||380 | + | | 12||Report ambulatory quality measures to CMS or State||N/A||N||||||160||||200||20||380 |
|- | |- | ||
− | | 13||Send preventive/follow-up care reminders.||50% of patients over 50 years old||Base||I|||||||||| | + | | 13||Send preventive/follow-up care reminders.||50% of patients over 50 years old||Base||N||I|||||||||| |
|- | |- | ||
− | | 14||Implement five clinical decision support rules relevant to specialty or high clinical priority and track compliance||N/A||Base||I|||||||||| | + | | 14||Implement five clinical decision support rules relevant to specialty or high clinical priority and track compliance||N/A||Base||N||I|||||||||| |
|- | |- | ||
− | | 15||Check insurance eligibility electronically from public and private payers||80% of all patients||Base||I||40||||||20||60 | + | | 15||Check insurance eligibility electronically from public and private payers||80% of all patients||Base||Y||I||40||||||20||60 |
|- | |- | ||
− | | 16||Submit claims electronically to public and private payers.||80% of all patients||Charge||III||||50||||||50 | + | | 16||Submit claims electronically to public and private payers.||80% of all patients||Charge||N||III||||50||||||50 |
|- | |- | ||
− | | 17||Provide patients with an electronic copy of their test results, problem list, medications, and allergies ||Within 48 hours for 80% of those requesting ||Base/Result/Rx+||II|||||||||| | + | | 17||Provide patients with an electronic copy of their test results, problem list, medications, and allergies ||Within 48 hours for 80% of those requesting ||Base/Result/Rx+||N||II|||||||||| |
|- | |- | ||
− | | 18||Provide patients with timely electronic access to their lab results, problem list, medications, and allergies||10% of patients||Base/Result/Rx+/Patient Portal||II||200||||40||||240 | + | | 18||Provide patients with timely electronic access to their lab results, problem list, medications, and allergies||10% of patients||Base/Result/Rx+/Patient Portal||N||II||200||||40||||240 |
|- | |- | ||
− | | 19||Provide clinical summaries to patients for each office visit.||80% all office visits||Multiple|||||||||||| | + | | 19||Provide clinical summaries to patients for each office visit.||80% all office visits||Multiple||N|||||||||||| |
|- | |- | ||
− | | 20||Electronically exchange problem list, medication list, allergies, and diagnostic test results among providers of care and patient authorized entities.||Test and demonstrate||Multiple|||||||||||| | + | | 20||Electronically exchange problem list, medication list, allergies, and diagnostic test results among providers of care and patient authorized entities.||Test and demonstrate||Multiple||N|||||||||||| |
|- | |- | ||
− | | 21||Perform medication reconciliation||80% of relevant visits or care transitions||Rx+||II|||||||||| | + | | 21||Perform medication reconciliation||80% of relevant visits or care transitions||Rx+||N||II|||||||||| |
|- | |- | ||
− | | 22||Provide summary care record for each transition of care and referral.||80% of care transitions and referrals||Multiple||||60||40||||||100 | + | | 22||Provide summary care record for each transition of care and referral.||80% of care transitions and referrals||Multiple||N||||60||40||||||100 |
|- | |- | ||
− | | 23||Submit electronic data to immunization registries and actual submission where required and accepted.||Test and demonstrate||Base||I||40||120||||||160 | + | | 23||Submit electronic data to immunization registries and actual submission where required and accepted.||Test and demonstrate||Base||N|||I||40||120||||||160 |
|- | |- | ||
− | | 24||Provide electronic syndromic surveillance data to public health agencies.||Test and demonstrate||N/A||||||150||||||150 | + | | 24||Provide electronic syndromic surveillance data to public health agencies.||Test and demonstrate||N/A||N||||||150||||||150 |
|- | |- | ||
− | | 25||Conduct or review a security risk analysis for protecting patient privacy.||100%||N/A|||||||||||| | + | | 25||Conduct or review a security risk analysis for protecting patient privacy.||100%||N/A||Y|||||||||||| |
|- | |- | ||
|} | |} | ||
+ | |||
+ | |||
+ | ==Meaningful Use Resources== | ||
+ | *[[Meaningful Use]] | ||
+ | *[[V11.2 Meaningful Use Enhancements]] | ||
+ | *[[Meaningful Use FAQ]] | ||
+ | *[[Patient Summary Information (AKA Clinical Summary)]] | ||
+ | *[[Medicare Reimbursement Schedule]] | ||
+ | *[[Medicaid Reimbursement Schedule]] | ||
+ | *[[Meaningful Use Stage 2]] | ||
+ | *[[Journey to Meaningful Use]] |
Latest revision as of 17:43, 22 October 2012
Assumptions
- This estimated effort is based on 50 physician multi-specialty organization.
- It is intended to give a ballpark of effort involved and the numbers serve as estimates only.
- It does not necessarily scale linearly with number of providers or specialties.
- The effort only addresses four categories of effort – implementation, technical, interface and training.
- Categories of effort not addressed include project management, systems configuration and deployment, networking configuration and deployment, hardware (including desktop) deployment, and helpdesk and on-going support.
Criteria | Threshold | Module | Delivered in AE-EHR Y/N | Typical EHR Phase | Implementation Effort | Interface Effort | Technical Effort | Training | Total | |
1 | Electronically enter all orders for medications, laboratory, imaging and referrals. | 80% of all patients | Order | N | III | 220 | 100 | 80 | 400 | |
2 | Implement drug-drug, drug-allergy, drug- formulary checks. | 100% | Base | Y | I | |||||
3 | Maintain an up-to-date problem list. | 80% of all patients | Base | N | I | 100 | 80 | 40 | 220 | |
4 | ePrescribe | 75% of all permissible prescriptions | RX+ | Y | II | 40 | 40 | 80 | ||
5 | Maintain active medication list. | 80% of all patients | RX+ | N | II | 120 | 20 | 140 | ||
6 | Maintain active medication allergy list. | 80% of all patients | Base | N | I | 80 | 20 | 100 | ||
7 | Record patient demographics (including race/ethnicity/language). | 80% of all patients | Base | Y | I | 50 | 50 | |||
8 | Record vitals signs for those age 2 and older, calculate BMI, and plot growth charts for children 2-20. | 80% of all patients | Base | Y | I | 80 | 20 | 100 | ||
9 | Record smoking status for patients 13 years old and older. | 80% of all patients | Note | N | II | |||||
10 | Incorporate clinical lab-test results into EHR as structured data. | 50% of all lab results | Result | N | II | 100 | 70 | 40 | 210 | |
11 | Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach. | N/A | Base | N | I | 60 | 40 | 100 | ||
12 | Report ambulatory quality measures to CMS or State | N/A | N | 160 | 200 | 20 | 380 | |||
13 | Send preventive/follow-up care reminders. | 50% of patients over 50 years old | Base | N | I | |||||
14 | Implement five clinical decision support rules relevant to specialty or high clinical priority and track compliance | N/A | Base | N | I | |||||
15 | Check insurance eligibility electronically from public and private payers | 80% of all patients | Base | Y | I | 40 | 20 | 60 | ||
16 | Submit claims electronically to public and private payers. | 80% of all patients | Charge | N | III | 50 | 50 | |||
17 | Provide patients with an electronic copy of their test results, problem list, medications, and allergies | Within 48 hours for 80% of those requesting | Base/Result/Rx+ | N | II | |||||
18 | Provide patients with timely electronic access to their lab results, problem list, medications, and allergies | 10% of patients | Base/Result/Rx+/Patient Portal | N | II | 200 | 40 | 240 | ||
19 | Provide clinical summaries to patients for each office visit. | 80% all office visits | Multiple | N | ||||||
20 | Electronically exchange problem list, medication list, allergies, and diagnostic test results among providers of care and patient authorized entities. | Test and demonstrate | Multiple | N | ||||||
21 | Perform medication reconciliation | 80% of relevant visits or care transitions | Rx+ | N | II | |||||
22 | Provide summary care record for each transition of care and referral. | 80% of care transitions and referrals | Multiple | N | 60 | 40 | 100 | |||
23 | Submit electronic data to immunization registries and actual submission where required and accepted. | Test and demonstrate | Base | N | I | 40 | 120 | 160 | ||
24 | Provide electronic syndromic surveillance data to public health agencies. | Test and demonstrate | N/A | N | 150 | 150 | ||||
25 | Conduct or review a security risk analysis for protecting patient privacy. | 100% | N/A | Y |