Meaningful Use Stage 2

Stage 2 MU objectives for Eligible Professionals and Eligible Hospitals

Eligible 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 relevant 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.List of Patients - Generate at least one report listing patients of the EP with a specific condition, patient list by specific condition. List will be used for quality improvement, reduction of disparities, research or outreach

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 Electronic Access - More than 50% of al unique patients seen by the EP during the EHR reporting period are provided timely(available to the patient 4 business days after the information is available to the EP) online access to their health information. In addition 5% of all those unique patients either view, download, or transmit to a third party their health information.

11.Clinical Summaries - Clinical summaries provided to patients within one business day for more than 50% of office visits

12.Education Resources - Use Certified EHR to identify and provide education resources more than 10% of all unique patients with office visits seen by the EP during the EHR reporting period

13.Secure Messages - A secure message is sent using the electronic messaging function of Certified EHR Technology by more than 5% of unique patients seen during the EHR reporting period

14.Rx Reconciliation - The EP performs medication reconciliation at more than 50% of transitions of care in which the patient is transitioned into the care of the EP

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 from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period.

17.Security Analysis - Conduct or review security analysis, including addressing the encryption/security data at rest and implement security updates as necessary, correct identified security deficiencies as part of the risk management process

EP Menu Objectives

Select 3 of 6

1.Imaging Results - More than 10% of all scans and tests whose result is an image ordered during the reporting period by the EP are accessible through Certified EHR Technology

2.Family History - Record family health history for more than 20% of all unique patients or indicate that Family history has been reviewed

3.Syndromic Surveillance - Successful ongoing transmission of syndromic surveillance data for the entire reporting period

4.Cancer - Successful ongoing transmission of cancer case information. Capability to identify and report cancer cases to a State cancer registry, except where prohibited, and in accordance with applicable law and practice

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

6.Progress Notes - Create, edit and sign an electronic progress note for more than 30% of unique patients

Eligible 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 - More than 60% of medication, 30% of laboratory, and 30% of radiology orders created by authorized providers of the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) during the EHR reporting period are recorded using CPOE

2.Demographics - More than 80% of all unique patients admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) have demographics recorded as structured data

Record the following demographics as structured data
 a. Preferred language
 b. Gender
 c. Race
 d. Ethnicity
 e. Date of birth
 f. Date and preliminary cause of death in the event of mortality in the eligible hospital or CAH

3.Vital Signs – More than 80% of all unique patients admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) have blood pressure (for patients age 3 and over only) 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

4.Smoking Status - More than 80% of all unique patients 13 years old or older admitted to the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) have smoking status recorded as structured data

5.Clinical Decision Support Intervention (CDSI) - 1.) Implement 5 clinical decision support interventions related to 4 or more clinical quality measures, if applicable, at a relevant point in patient care for the entire EHR reporting period. 2.) The eligible hospital or CAH has enabled the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period

6.Labs - More than 55% of all clinical lab tests results ordered by authorized providers of the eligible hospital or CAH for patients admitted to its inpatient or emergency department (POS 21 or 23 during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in Certified EHR Technology as structured data

7.Patient List - Generate at least one report listing patients of the eligible hospital or CAH with a specific condition to use for quality improvement, reduction of disparities, research, or outreach

8.Electronic Medication Administration Record (eMAR) - More than 10% of medication orders created by authorized providers of the eligible hospital's or CAH's inpatient or emergency department (POS 21 or 23) during the EHR reporting period for which all doses are tracked are tracked using eMAR

9.Patient Access - Provide online access to health information for more than 50% with more than 5% actually accessing.Provide patients the ability to view online, download and transmit their health information within 36 hours after discharge from the hospital

10.Education Resources - More than 10% of all unique patients admitted to the eligible hospital's or CAH's inpatient and emergency departments (POS 21 and 23) are provided patient- specific education resources identified by Certified EHR Technology

11.Rx Reconciliation - The eligible hospital or CAH performs medication reconciliation for more than 50% of transitions of care in which the patient is admitted to the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23)

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 submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period

14.Lab Submission to Health Agencies - Successful ongoing submission of electronic reportable laboratory results from Certified EHR Technology to public health agencies for the entire EHR reporting period as authorized, and in accordance with applicable State law and practice

15.Syndromic Surveillance - Successful ongoing submission of electronic syndromic surveillance data from Certified EHR Technology to a public health agency for the entire EHR reporting period

16.Security Analysis - Conduct or review a security risk analysis, including addressing the encryption/security of data at rest and implement security updates as necessary and correct identified security deficiencies as part of its risk management process

EH Menu Objectives

Select 3 of 6

1.Progress Notes - Create, edit and sign an electronic progress note for more than 30% of unique patients during the EHR reporting period

2.E-Rx - More than 10% of hospital discharge medication orders for permissible prescriptions (for new or changed prescriptions) are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology

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% of all unique patients or indicate that Family history has been reviewed

5.Advanced Directives - Record advanced directives as structured data for more than 50% of patients 65 years or older admitted to the eligible hospital's or CAH's inpatient department (POS 21)during the EHR reporting period

6.Labs - Hospital labs send structured electronic clinical lab results to the ordering provider for more than 20% of electronic lab orders received

Other Meaningful Use Links

• Meaningful Use
• V11.2 Meaningful Use Enhancements
• Meaningful Use Matrix
• Meaningful Use FAQ
• Patient Summary Information (AKA Clinical Summary)
• Medicare Reimbursement Schedule
• Medicaid Reimbursement Schedule
• Journey to Meaningful Use