Transcript Meaningful Use Basics

Meaningful Use Basics
MU - Core
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Demographics
Active Medication List
Active Allergy List
Vitals
Smoking Status
Problem List
Computerized Physician/Provider Order Entry (CPOE)
Drug/Drug and Drug/Allergy Interaction
eRX
CDSS – one implemented
Clinic Visit Summary
Electronic Copy of Health Record
Security
Specifics
Demographics – 50% of all patients seen must have
DOB, Gender, Preferred Language, Ethnicity and Race
documented
In eCW this is documented for data capture in
the patient information and additional
information screens
Active Medication List (Current Medications) – 80% of
all patient seen that have something in this section
must have the box marked “verified” by the provider.
Active Allergy List – 80% of all patients seen must have
the “NKDA” or “Verified” check box checked
Vitals – 50% of all patients seen must have the following
 Age 2 and up – BP
 All ages – weight
 In order for BMI to calculate on 18 and up, must have
weight and height
Smoking Status – 50% of all patients age 13 and up must
have their smoking status documented.
Use of the Tobacco Control Smart Form is the
easiest way.
Problem List – 80% of all patient seen must have the
problems list marked “No known problems” or have
something documented in it. (The problem list is meant
to be a current picture of what the patient currently has
and is being medically managed by a provider.)
Computerized Provider Order Entry (CPOE) – 30% of all
patients seen have an order generated through the eRX
or Lab Module. (Very easy to meet this percentage.)
Labs and DI will be added in the future.
Interfaces with LabCorp and Quest Help
Drug/Drug and Drug/Allergy – Automatically done in
eCW, just be sure your sensitivity setting is set to at
least mild.
Generate and Transmit RX’s Electronically – 40% of all
patients seen that have a prescription ordered, it must
be electronically sent
Implement One Clinical Decision Support System
(CDSS) Rule – This is as simple as connecting 6 months
to 3 years flu vaccine CDSS to an immunization order set
that has all your flu vaccines in it. (Be sure to order the
vaccines through the order set for this to document.)
Clinical Visit Summaries – 50% of all patient seen. Easy
to do if you have the patient portal, just lock your notes
within 72 hours of the patients appointment. No portal
is handled by printing the visit summary.
Electronic Copy of Patients Record – 50% of all patients
requesting their record must be able to obtain it in an
electronic format. Patient portal helps meet this
percentage easily.
Security
 Authentication Settings can be found under File
Menu.
 Time Outs can be set
 Required Password Changes
 Ensuring screens are not in view of those without a
need to know
MU Menu Measures
 Drug Formulary – This is Medispan
 Lab Tests – 40% of all lab orders are marked as
received and have information entered into the
yellow attribute fields at time of checking “reviewed”
 Patient List – can be generated through the registry
 Patient Reminders – 20% of patients must be notified
of preventive care appointments. This mainly applies
to age 5 and under. eClinicalMessenger, Patient
Portal set to send a reminder, and manual change of
visit status can all be captured in the numerator
 Electronic Access – 10% of all patients seen can
contact the provider electronically and or access
something in the patient portal
 Web Enable your patients
 Get your portal up and running with features
Patient Education – 10% of all patients that are identified in
the system (especially those with medication orders)
should have patient education documented.
 Use Treatment – Patient Education Button or
 Preventive Medicine Handouts that are mapped or
 Order Sets with PDF’s that you order and print
 Medication Reconciliation – 50% of all patient seen,
that have a medication in the current medication box,
must have a medication reconciliation completed.
Simple, looking at the current medications box, verify
information within the box and click on verified
 Transition of Care or Summary of Care Record – 50%
of all patients that have the “Transition of Care” box
check marked must the medication reconciliation
completed. (Patients following up from ER/ Urgent
Care / Hospital, Specialist, Sending out on a referral,
sending to ER are examples of when to use.)