MU Stage1 Final Rule - Maintain Active Medication List

SECTION #  Section 170.302(c)—Maintain Active Medication List

MU OBJECTIVE Maintain active medication list

MU STAGE 1 MEASURE More than 80% of all unique patients seen by the EP or admitted to the eligible hospital’s or CAH’s inpatient or emergency department (POS 21 or 23)have at least one entry (or an indication that the patient is not currently prescribed any medication) reco

CERTIFICATION CRITERION Final Rule Text: §170.302(d). Maintain active medication list. Enable a user to electronically Record, modify, and retrieve a patient’s active medication list as well as medication history for longitudinal care.

STANDARDS The medications will ultimately need to be coded with RxNorm although not for this requirement at this time

TEST CRITERIA # §170.302 (d) http://healthcare.nist.gov/docs/170.302.d_medicationlist_v1.1.pdf

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PREVIOUS NOTES Although VistA does this natively, the integration with an ePrescibing service means that major work will need to be done to bring medications lists back in from the ePrescribing service and to integrate them with the VistA medication lists. This is being done as part of the ePrescribing effort being funded and eventually released by Oroville hospital. There will be continued effort needed to keep this project updated, moved into the next phases and maintained and the contribution of the whole community to this effort will be required.

DEVELOPMENT STATUS Work to integrate RxNorm into VistA has begun for PQRI (quality) reporting which requires RxNorm coding. Fortunately the VUIDs are mapped to the RxNorm codes. Unfortunately, there is no guarantee that this will continue as the VA is moving to FirstData, but there is an effort to get the FirstData codes mapped to RxNorm as well so they can be cross-walked. Potential volunteers for that work may contact George Lilly or Nancy Anthracite for help finding out what they could do to help.

A entry for taking "no medications" needs to be available as well for Meaningful Use.

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