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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 |
|
|
|
|
|
|