Meaningful Use Stage 2

Stage 2 MU objectives for Eligible Professionals and Eligible Hospitals

Elegible Professionals Requirements

For EP's there are 17 required core objectives, as well as 3 out of 6 menu objectives:

EP Required Core Objectives

1.CPOE - Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology orders created by EP during the EHR reporting period

2.E-Rx - More than 50% of all permissible prescriptions written by the EP are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology

3.Demographics - Record demographics for more than 80% of all unique patients seen by the EP as structured data

The following Demographic items must be entered as structured data
    a. Preferred Language
    b. Gender
    c. Race
    d. Ethnicity
    e. Date of Birth

4.Vital Signs - More than 80% of all unique patients seen by the EP have blood pressure (patients age 3 and over) and height and weight (for all ages) recorded as structured data.

Record and chart changes in vital signs:
    a. Height
    b. Weight
    c. Blood pressure (ages 3 and over)
    d. Calculate and display BMI
    e. Plot and display growth charts for patients 0-20 years, including BMI

5.Smoking Status - Record smoking status as structured data for more than 80% of all unique patients 13 years old or older seen by the EP during the EHR reporting period

6.Clinical Decision Support Intervention (CDSI) - Implement 5 clinical decision support interventions related to 4 or more clinical quality measures, if applicable, at a relevent point in patient care for the entire EHR reporting period. For this objective the EP must also enable functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.

7.Incorporate Clinical Lab Results into CEHR as structured data - More than 55% of all clinical lab test results ordered by the EP during the EHR reporting period. Results must be in a positive/negative or numeric format and is incorporated as structured data

8.Patient List - Generate patient list by specific condition

9.Preventive Reminders - Use EHR to identify and provide reminders for preventive/follow-up care for more than 10% of patients with two or more office visits in the last 2 years

10.Patient Access - Provide online access to health information for more than 50% with more than 5% actually accessing

11.Visit Summaries - Provide office visit summaries for more than 50% of office visits

12.Education Resources - Use EHR to identify and provide education resources more than 10%

13.Secure Messages - More than 5% of patients send secure messages to their EP

14.Rx Reconciliation - Medication reconciliation at more than 50% of transitions of care

15.Summary of Care - Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR

16.Immunizations - Successful ongoing transmission of immunization data

17.Security Analysis - Conduct or review security analysis and incorporate in risk management process

EP Menu Objectives

Select 3 of 6

1.Imaging Results - More than 20% of imaging results are accessible through Certified EHR Technology

2.Family History - Record family health history for more than 20%

3.Syndromic Surveillance - Successful ongoing transmission of syndromic surveillance data

4.Cancer - Successful ongoing transmission of cancer case information

5.Specialized Registry - Successful ongoing transmission of data to a specialized registry

6.Progress Notes - Enter an electronic progress note for more than 30% of unique patients

Elegible Professionals Links

• Tips for Preparing for Stage 2 Meaningful Use for EP's

Eligible Hospitals Requirements

For EH's there are 16 required core objectives, as well as 3 out of 6 menu objectives:

Required Core Objectives for EH's

1.CPOE - Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology

2.Demographics - Record demographics for more than 80

3.Vital Signs – Record vital signs for more than 80%

4.Smoking Status - Record smoking status for more than 80%

5.Interventions - Implement 5 clinical decision support interventions + drug/drug and drug/allergy

6.Labs - Incorporate lab results for more than 55%

7.Patient List - Generate patient list by specific condition

8.eMAR - eMAR is implemented and used for more than 10% of medication orders

9.Patient Access - Provide online access to health information for more than 50% with more than 5% actually accessing

10.Education Resources - Use EHR to identify and provide education resources more than 10%

11.Rx Reconciliation - Medication reconciliation at more than 50% of transitions of care

12.Summary of Care - Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR

13.Immunizations - Successful ongoing transmission of immunization data

14.Labs - Successful ongoing submission of reportable laboratory results

15.Syndromic Surveillance - Successful ongoing submission of electronic syndromic surveillance data

16.Security Analysis - Conduct or review security analysis and incorporate in risk management process

EH Menu Objectives

Select 3 of 6

1.Progress Notes - Enter an electronic progress note for more than 30% of unique patients

2.E-Rx - More than 10% electronic prescribing (eRx) of discharge medication orders

3.Imaging Results - More than 20% of imaging results are accessible through Certified EHR Technology

4.Family History - Record family health history for more than 20%

5.Advanced Directives - Record advanced directives for more than 50% of patients 65 years or older

6.Labs - Provide structured electronic lab results to EPs for more than 20%