Meaningful Use Stage One Final Rule
EP = Eligible Professionals
EH/CAH = Eligible Hospitals and CAHs
Core Set (15) and Menu Set (pick 5 of 10, include one population/public health measure) requirements
Meaningful Use - Core Set (15)
1. Record patient demographics (sex, race, ethnicity, date of birth, preferred language, and in the case of hospitals, date and preliminary cause of death in the event of mortality). More than 50% of patients' demographic data must be recorded as structured data
- Criteria for: Eligible Professionals
Section 170.304(c)-Record Demographics
Record Demographics EP
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Record_Demographics_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(b)-Record Demographics
Record Demographics EH CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Record_Demographics_%28EH/CAH%29
2. Record vital signs and chart changes (height, weight, blood pressure, body mass index, growth charts for children). More than 50% of patients 2 years of age or older must have height, weight and blood pressure recorded as structured data.
- Criteria for: All Users
- Section 170.302(e)-Record and Chart Vital Signs
Record and Chart Vital Signs
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Record_and_Chart_Vital_Signs
3. Maintain up-to-date problem list of current and active diagnoses. More than 80% of patients must have at least one entry recorded as structured data.
Criteria for: All Users
Section 170.302(b)-Maintain Up-To- Date Problem List
Maintain Up-To- Date Problem List
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Maintain_Up-To-_Date_Problem_List
4. Maintain an active medication list. More than 80% of patients have at least one entry recorded as structured data.
Criteria for: All Users
Section 170.302(c)-Maintain Active Medication List
Maintain Active Medication List
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Maintain_Active_Medication_List
5. Maintain an active medication allergy list. More than 80% of patients have at least one entry recorded as structured data.
Criteria for: All Users
Section 170.302(d)-Maintain Active Medication Allergy List
Maintain Active Medication Allergy List
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Maintain_Active_Medication_Allergy_List
6. Record smoking status for patients 13 and older. More than 50% if patients age 13 or older have smoking status recorded as structured data.
Criteria for: All Users
Section 170.302(f)-Smoking Status
Smoking Status
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Smoking_Status
7. For professionals, provide patients with clinical summaries for each office visit; for hospitals provide an electronic copy of hospital discharge instructions upon request. Clinical summaries provided to patients for more than 50% of all visits within 3 business days. More than 50% of all patients who are discharged from an inpatient or ED of a hospital who request an electronic copy of their discharge instructions must be provided with it.
Criteria for: Eligible Professionals
Section 170.304(h)-Clinical Summaries
Clinical Summaries
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Clinical_Summaries
Criteria for: Eligible Hospitals and CAHs
Section 170.306(e)-Electronic Copy of Discharge Information
Electronic Copy of Discharge Information EH CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Electronic_Copy_of_Discharge_Information_%28EH/CAH%29
8. Upon request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication list, medication allergies, and for hospitals discharge summary and procedures). More than 50% of requesting patients must receive an electronic copy within 3 business days.
Criteria for: Eligible Professionals
Section 170.304(f)-Electronic Copy of Health Information
Electronic Copy of Health Information
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Electronic_Copy_of_Health_Information_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(d)-Electronic Copy of Health Information
Electronic Copy of Health Information
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Electronic_Copy_of_Health_Information_%28EH/CAH%29
9. Generate and transmit permissible prescriptions electronically (does not apply to hospitals). More than 40% must be transmitted electronically using certified EHR technology.
Criteria for: Eligible Professionals
Section 170.304(b)-Electronically Exchange Prescription Information
Electronically Exchange Prescription Information
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Electronically_Exchange_Prescription_Information
10. Computerized Provider Order Entry for Medication Orders. More than 30% of patients with at least one medication in their medication list must have at least one medication ordered through CPOE
Criteria for: Eligible Professionals
Section 170.304(a)-Computerized Provider Order Entry
Computerized Provider Order Entry EP
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Computerized_Provider_Order_Entry_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(a)-Computerized Provider Order Entry
Computerized Provider Order Entry EH CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Computerized_Provider_Order_Entry_%28EH/CAH%29
11. Implement drug-drug and drug-allergy interaction checks. Functionality must be enabled for these checks for the entire reporting period.
Criteria for: All Users
Section 170.302(a)-Drug-Drug, Drug-Allergy, Drug-Formulary Checks
Drug-Drug, Drug-Allergy, Checks
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Drug-Drug_Drug-Allergy_Checks
12. Implement capability to electronically exchange key clinical information among providers and patient-authorized entities. Must perform at least one test of the EHR's capacity to electronically exchange information.
Criteria for: Eligible Professionals
Section 170.304(i)-Exchange Clinical Information and Patient Summary Record
Capability To Exchange Key Clinical information
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Capability_To_Exchange_Key_Clinical_Information_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(f)-Exchange Clinical Information and Summary Record
Capability To Exchange Key Clinical Information
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Capability_To_Exchange_Key_Clinical_Information_%28EH/CAH%29
13. Implement one clinical decision support rule and track compliance with that rule. One rule must be implemented.
Criteria for: Eligible Professionals
Section 170.304(e)-Clinical Decision Support
Clinical Decision Support EP
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Clinical_Decision_Support_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(c)-Clinical Decision Support
Clinical Decision Support EH CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Clinical_Decision_Support_%28EH/CAH%29
14. Implement systems to protect privacy and security of patient data in the EHR. Must conduct or review a security risk analysis, implement security updates as necessary and correct identified security deficiencies.
Criteria for: All Users
Section 170.302(o)-Access Control
Access Control
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Access_Control
Criteria for: All Users
Section 170.302(p)-Emergency Access
Emergency Access
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Emergency_Access
Criteria for: All Users
Section 170.302(q)-Automatic Log-Off
Automatic Log-Off
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Automatic_Log-Off
Criteria for: All Users
Section 170.302(r)-Audit Log
Audit Log
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Audit_Log
Criteria for: All Users
Section 170.302(s)-Integrity
Integrity
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Integrity
Criteria for: All Users
Section 170.302(t)-Authentication
Authentication
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Authentication
Criteria for: All Users
Section 170.302(u)-Encryption
Encryption
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Encryption
15. Report Clinical Quality Measures to CMS or the states. For 2011 provide aggregate numerator and denominator through attestation. For 2012, electronically submit measures.
Criteria for: Eligible Hospitals and CAHs
Section 170.302(i)-Report Quality Measures
Report Quality Measures EH/CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Report_Quality_Measures_%28EH/CAH%29
Criteria for: Eligible Professionals
Section 170.302(i)-Report Quality Measures
Report Quality Measures EP
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Report_Quality_Measures_%28EP%29
Meaningful Use - Menu Set (Pick 5 of 10)
1. Implement drug formulary checks. Drug formulary check system must be implemented and access at least one internal or external drug formulary during the reporting period.
Criteria for: All Users
Section 170.302(a)-Drug-Drug, Drug-Allergy, Drug-Formulary Checks
Drug-Formulary Checks
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Drug-Formulary_Checks
2. Incorporate clinical laboratory test results into EHRs as structured data. More than 40% of clinical laboratory test results are in positive/negative or numerical format and are incorporated into EHRs as structured data
Criteria for: All Users
Section 170.302(g)-Incorporate Laboratory Test Results
Incorporate Laboratory Test Results
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Incorporate_Laboratory_Test_Results
3. Generate lists of patients by specific conditions for use for quality improvement, reduction of disparities, research or outreach. Must generate one listing of patients with a specific condition
Criteria for: All Users
Section 170.302(h)-Generate Patient Lists
Generate Patient Lists
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Generate_Patient_Lists
4. Use EHR technology to identify patient-specific education resources and provide those to the patient as appropriate. More than 10% of patients are provided patient specific education resources
Criteria for: All Users
Section N/A - Patient-specific Education Resources
Patient-specific Education Resources
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Patient-specific_Education_Resources
5. Perform Medication reconciliation between care settings. Medication reconciliation must be performed for more than 50% of transitions of care.
Criteria for: All Users
Section 170.302(l)-Medication Reconciliation
Medication Reconciliation
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Medication_Reconciliation
6. Provide summary of care record for patients referred or transitioned to another provider or setting. Summary of care record must be provided for more than 50% of patient transitions or referrals
Criteria for: Eligible Professionals
Section 170.304(i)-Exchange Clinical Information and Patient Summary Record
Provide Summary Of Care Record
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Provide_Summary_Of_Care_Record_%28EP%29
Criteria for: Eligible Hospitals and CAHs
Section 170.306(f)-Exchange Clinical Information and Summary Record
Provide Summary Of Care Record
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Provide_Summary_Of_Care_Record_%28EH/CAH%29
7. Submission of electronic immunization data to immunization registries or immunization information systems. Must perform at least one test of data submission and follow-up submission (where registries can accept electronic submissions)
Criteria for: All Users
Section 170.302(m)-Submission to Immunization Registries
Submission to Immunization Registries
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Submission_to_Immunization_Registries
8. Submission of electronic syndromic surveillance data to public health agencies. Must perform at least one test of data submission and xe submission (where public health agencies can accept electronic data)
Criteria for: All Users
Section 170.302(n)-Public Health Surveillance
Public Health Surveillance
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Public_Health_Surveillance
For hospitals - 9 & 10
9. Record advanced directives for patients 65 years or older. More than 50% of patients aged 65 or older must have an indication of an advanced directive status recorded.
Criteria for: Eligible Hospitals and CAHs
Section N/A - Advance Directives
Advance Directives
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Advance_Directives
10. Submission of electronic data on reportable laboratory results to public health agencies. Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data)
Criteria for: Eligible Hospitals and CAHs
Section 170.306(g)-Reportable Lab Results
Reportable Lab Results EH CAH
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Reportable_Lab_Results_%28EH/CAH%29
For professionals - 9 & 10
9. Send reminders to patients (per patient preference) for preventative and follow-up care. More than 20% of patients aged 65 or older or age 5 or younger must be sent appropriate reminders.
Criteria for: Eligible Professionals
Section 170.304(d)-Generate Patient Reminder List
Generate Patient Reminder List
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Generate_Patient_Reminder_List
10. Provide patients with timely electronic access to their health information (including laboratory results, problem list, medication list, medication allergies). More than 10% of patients must be provided with electronic access to information within 4 days of its being updated in the EHR.
Criteria for: Eligible Professionals
Section 170.304(g)-Timely Access
Timely Access
http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Timely_Access
Meaningful Use Data Exchanges
Core Set
1. Provide patients an electronic copy of their ambulatory, ED or inpatient summary of care record record
2. Transmit prescriptions
3. Capability to exchange key clinical information among care providers and patient authorized entities
4. Report clinical quality measures
Menu Set
5. Incorporate clinical lab tests results into EHRs as structured data
6. Provide summary of care record for patients referred or transition to another provider or setting
7. Capability to submit data to immunization registries, provide syndromic surveillance and lab data to public health agencies
Another issue not in this PPT:
The date, time, patient identification, and user identification must be recorded when electronic health information is created, modified, accessed, or deleted; and an indication of which action(s) occurred and by whom must also be recorded
Section # Criteria Description Link Section 170.302(v)-Accounting of Disclosures Accounting of Disclosures http://vistapedia.net/index.php?title=MU_Stage1_Final_Rule_-_Accounting_of_Disclosures
