Launched in 2011, Meaningful Use Stage 1 emphasizes proper electronic data capture and data sharing using an EHR technology. Eligible Professionals (EP) must complete 15 Core Objectives and 5 objectives out of 10 from Menu Set.
Technosoft helps providers throughout the Meaningful Use process and across the finish line to get incentive payment. We provide technical consultancy and help in completeing MU stages objectives.
Below are the 15 core objectives provided by the Centers for Medicare and Medicaid Services (CMS) that all eligible providers must meet to successfully attest to Stage 1 of Meaningful Use.
1. Use computerized provider order entry (CPOE) for medication orders Enter at least one medication order using Computerized Provider Order Entry (CPOE) for more than 30% of unique patients with one medication in their medication list, or use CPOE for 30% of medication orders created by the eligible provider (EP) during the EHR reporting period Providers who write fewer than 100 prescriptions during the 90-day reporting period can claim an exclusion.
2. Report ambulatory clinical quality measures to CMS/States
3. Implement drug-drug and drug-allergy interaction checks Enable drug-drug and drug-allergy interaction check functionality during the entire 90-day reporting period.
4.Maintain an up-to-date problem list of current and active diagnoses Enter as structured data at least one problem or indicate that no problems are known for more than 80% of all unique patients.
5. Generate and transmit prescriptions electronically (eRx) Transmit electronically at least 40% of all permissible prescriptions using certified EHR technology. Prescriptions that cannot be submitted electronically—including controlled substances—do not count. Providers who write fewer than 100 prescriptions during the 90-day reporting period can claim an exclusion. Providers that have a pharmacy within their organization, and no pharmacies within 10 miles of their practice location at the start of his/her reporting period can also claim an exclusion (as of 1/1/13.)
6. Maintain active medication list Enter at least one medication or indicate there are no currently prescribed medications for more than 80% of all unique patients seen during the 90-day reporting period.
7. Maintain active medication allergy list Enter at least one allergy or indicate that no allergy exists for greater than 80% of all unique patients seen during the 90-day reporting period.
8. Record patient demographics Record preferred language, gender, race, ethnicity and date of birth for at least 50% of all unique patients seen during the 90-day reporting period. If a patient declines to provide all or part of the demographic information, or if capturing a patient's ethnicity or race is prohibited by state law, notating this into the EHR counts toward meeting the measure requirement.
9. Record vital signs Record height and weight for all ages, and blood pressure for patients age 3 and over only, for more than 50% of all unique patients. The EHR must calculate and display body mass index (BMI), and plot and display growth charts. If EPs meet any of the following, they may claim an exclusion as listed (as of 1/1/13):
Sees no patients 3 years or older; excluded from recording blood pressure;
Believes that all three vital signs of height, weight, and blood pressure have no relevance to the scope of their practice; excluded from recording them;
Believes that height and weight are relevant to the scope of their practice, but blood pressure is not; excluded from recording blood pressure; or
Believes that blood pressure is relevant to the scope of their practice, but height and weight are not; excluded from recording height and weight.
10. Record smoking status for patients 13 years old or olderRecord the smoking status for at least 50% of all unique patients 13 years old or older. Providers whose patient population is younger than 13 years old can claim exclusion.
11. Implement one clinical support ruleImplement one clinical decision support rule relevant to specialty and track compliance with that rule.
12. Provide patients with an electronic record of their health information upon requestUpon request, provide patients with an electronic copy of their health information such as diagnostics test results, problem lists, medication lists and medication allergies within three business days. If a patient does not request a copy of their health information during the 90-day reporting period providers can claim an exclusion.
13. Provide clinical summaries for patients for each office visit Provide clinical summaries to patients for at least 50% of all office visits within three business days of the office visit. Providers who do not have an office visit during the 90-day reporting period can claim an exclusion.
14. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
15. Protect electronic health information Protect electronic health information that has been created or maintained by the certified EHR technology by implementing the appropriate technical capabilities.
These are the 10 menu objectives provided by the CMS, of which five must be selected and met by eligible providers in order to successfully attest to Stage 1.
1. Implement drug formulary checks Enable drug formulary check functionality during the entire 90-day reporting period.
2. Incorporate clinical lab test results as structured data
Incorporate at least 40% of clinical lab-test results into the certified EHR.
3. Generate patient lists by specific conditions Generate at least one report listing patients with a specific condition.
4.Send patient reminders for preventive or follow-up careSend patient reminders for preventative or follow-up care to at least 20% of all unique patients age 65 and over or five years old and younger.
5. Provide patients with timely electronic access to their health informationProvide patients with timely electronic access to their health information within four business days of the information being available to the provider.
6. Provide patient-specific educational resourcesProvide patient-specific education resources to at least 10% of all unique patients.
7. Perform medication reconciliationPerform medication reconciliation for at least 50% of relevant encounters and transitions of care.
8. Provide summary of care record for each transition of care or referralProvide a summary of care record for at least 50% of transitions of care and referrals.
9. Submit electronic data to immunization registriesPerform at least one test of the certified EHR's capacity to submit electronic data to immunization registries. Providers who do not administer vaccines during the 90-day reporting period can claim an exclusion.
10. Submit electronic syndromic surveillance data to public health agencieserform at least one test of the certified EHR's capacity to submit electronic syndromic surveillance data to public health agencies. Providers who do not collect any reportable syndromic information on their patients during the 90-day reporting period can claim an exclusion.
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