Transcript Meeting Stage 1 Meaningful Use Criterion

Meeting Stage 1 Meaningful Use
Criterion
Carlos A. Leyva, Esq.
Digital Business Law Group, P.A.
www.digitalbusinesslawgroup.com
Stage 1 Meaningful Use Core Set
Health Outcomes Policy Priority
Objectives
Eligible Professionals
Improving quality safety,
efficiency, and reducing health
disparities
Measures
Eligible Hospitals and CAHs
CPOE for medication orders
Implement drug-drug and drug-allergy interaction checks.
Generate and transmit permissible prescriptions electronically
> 30% of patients with at least
one medication ordered with
CPOE
Enabled for entire EHR reporting
period
> 40% of all permissible
prescriptions transmitted
electronically
Record demographics: language, Record demographics: language, > 50%
gender, race, ethnicity, DOB
gender, race, ethnicity, DOB,
date and preliminary cause of
death in the event of mortality in
eligible hospital or CAH
Maintain up-to-date problem list of current and active diagnoses
> 80% have at least one entry or
indication of no known problems
Maintain active medication list
> 80%
Maintain active medication allergy list
> 80%
Record and chart changes in vital signs: height, weight, blood
> 50% unique patients ages 2
pressure, calculate and display BMI, Plot and display growth charts and over
for children 2-20 years, including BMI
Record smoking status for patients 13 years and older
Implement one clinical decision support rule relevant to specialty
or high clinical priority along with ability to track compliance
> 50%
Implement one clinical decision
support rule
Stage 1 Meaningful Use Core Set (Cont.)
Health Outcomes Policy
Priority
Objectives
Eligible Professionals
Eligible Hospitals and CAHs
Report ambulatory clinical quality measures to CMS or States
Engage patients and families
in their health are
Provide clinical summaries for
patients for each office visit
Ensure adequate privacy and
security protections for
personal health information
For 2011, provide aggregate number,
denominator and exclusions through
attestation. For 2012, electronically
submit clinical quality measures.
Provide patients with an electronic copy of health information > 50% inpatient or ED departments or
(including diagnostic test results, problem list, medication lists, hospital or clinic/provider's office
medication allergies) upon request
within 3 business days
Provide patients with an
electronic copy of discharge
instructions at time of
discharge, upon request
Improve care coordination
Measures
> 50% at time of discharge
> 50% within 3 business days
Capability to exchange key clinical information among providers Performed at least one test of EHR
of care and patient authorized entities electronically.
technology's capability to
electronically exchange key clinical
information
Protect electronic health information crated by or maintained
by certified EHR technology through implementation of
appropriate technical capabilities
Conduct or review a security risk
analysis per 45 CF4 164.308(a)(1) and
implement security updates as
necessary as part of risk management
process
Stage 1 Meaningful Use Menu Set
Health Outcomes Policy Priority
Objectives
Eligible Professionals
Eligible Hospitals and CAHs
Report ambulatory clinical quality measures to CMS or States
Improving quality safety,
efficiency, and reducing health
disparities
Measures
Implement drug-formulary
checks
For 2011, provide aggregate
number, denominator and
exclusions through attestation.
For 2012, electronically submit
clinical quality measures.
Enabled access to at least one
internal or external drug
formulary
Record advance directives for
patients 65 or older
> 50%
Incorporate clinical lab-test results into certified EHR technology > 40% of all clinical lab tests
as structured data
during EHR reporting period
with results in a
positive/negative or numerical
format
Generate lists of patients by specific conditions to use for quality Generate at least one report
improvement, reduction of disparities, research or outreach
listing patients with a specific
condition
Send reminders to patients per patient preference for
preventative/follow up care
> 20% patients 65 or older or 5
yrs or younger were sent
reminder during reporting
period
Stage 1 Meaningful Use Menu Set
Health Outcomes Policy Priority
Objectives
Eligible Professionals
Engage patients and families in
their health are
Eligible Hospitals and CAHs
Provide patients with timely
electronic access to their health
information within 4 business
days of information being
available to provider
> 10% subject to EP's discretion
to withhold certain information
Use certified EHR technology to identify patient-specific
education resources and provide those resources to patient if
appropriate
Improve population and public
health
Measures
Capability to submit electronic data to immunization registries or
Immunization Information Systems and actual submission in
accordance with applicable law and practice
> 10%
Performed at least one test of
certified EHR technology's
capacity to submit electronic data
and follow up submission if
successful test
Capability to submit electronic
data on reportable lab results to
public health agencies and actual
submission in accordance with
applicable law and practice
Performed at least one test and
follow-up submission if test is
successful
Capability to submit electronic syndromic surveillance data to public
health agencies and actual submission in accordance with applicable
law and practice
Performed at least one test and
follow-up submission if test is
successful
Stage 1 Meaningful Use Measures with a
Denominator of Unique Patients Regardless of Whether the
Patient's Records Are Maintained Using Certified EHR
Technology
Objectives
Eligible Professionals
Measures
Eligible Hospitals and CAHs
Maintain an up-to-date problem list of current and active diagnoses
> 80%
Maintain active medication list
> 80%
Maintain active medication allergy list
> 80%
Record demographics: language, gender,
race, ethnicity, DOB
Record demographics: language, gender, race,
ethnicity, DOB, date and preliminary cause of death in
the event of mortality in eligible hospital or CAH
Provide patients with timely electronic
access within 4 business days of
information available to EP
Use certified EHRE technology to identify patient-specific education resources and provide if
appropriate
> 50%
> 10%
> 10%
Stage 1 Meaningful Use Measures with a
Denominator Based on Counting Actions for Patients whose Records
are Maintained Using Certified EHR Technology
Objectives
Eligible Professionals
Measures
Eligible Hospitals and CAHs
Use CPOE for med orders
Generate and transmit permissible
prescriptions electronically
> 30%
> 40%
Record and chart changes in vital signs: height, weight, blood pressure, calculate and display
BMI, Plot and display growth charts for children 2-20 years, including BMI
Record smoking status for patients 13 years and older
Record advance directives for patients 65 and
older
Incorporate clinical lab-test results into certified EHR technology as structured data
Provide patients with electronic copy of health information upon request
Provide electronic copy of D/C instructions at
time of discharge upon request
> 50% recorded as structured
data
> 50%
> 50%
> 40% during reporting period
for results either
positive/negative or numerical
format as structured data
> 50% within 3 business days
> 50%
Provide clinical summaries for patients for
each office visit
> 50% within 3 business days
Send reminders to patients per preference
for preventative follow up care
> 20%
For EP, eligible hospital or CAH who receives patient from another setting should perform
medication reconciliation
For EP eligible hospital or CAH who transitions their patient to another setting of care should
provide summary of care record for each transition of care or referral
> 50% of transitions of care
> 50% of transitions of care or
referral
Stage 1 Objectives and Measures Requiring Only
a Yes/No Attestation
Objectives
Eligible Professionals
Measures
Eligible Hospitals and CAHs
Implement drug-rug and drug-allergy interactions checks
Implement drug-formulary checks
Implement one clinical decision support
rule relevant to specialty or high clinical
priority with ability to track compliance
Implement one clinical decision
support rule relevant to high priority
hospital condition with ability to track
compliance
Capability to exchange key clinical information among providers of care and
patient authorized entities electronically
Has enabled this functionality for
entire reporting period
Enabled for entire reporting period
and has access to at least one internal
or external drug formulary
Implement one clinical decision
support rule
At least one test of capacity to
exchange key clinical information
Capability to submit electronic data to immunization registries or Immunization Performed at least one test
Information Systems and actual submission in accordance with applicable law and
practice
Capability to submit electronic data on Performed at least one test to provide
reportable lab results to public health submission to public health agency
agencies and actual submission
Capability to submit electronic syndromic surveillance data to public health
agencies and actual submission in accordance with applicable law and practice
Performed at least one test
Protect electronic health information created or maintained by the certified EHRE Conduct or review a security risk
technology through implementation of appropriate technical capabilities
analysis per 45 CFR 164.308(a)(1) and
implement security updates as
necessary and correct identified
security deficiencies as part of its risk
management process