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.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 uniquw 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 registiry 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 securityupdates 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 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
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%