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OCR for page 279
D
Summary Overview of
Meaningful Use Objectives
Summary Overview of Meaningful Use Objectives
Objective Measure
Core set of objectives to be achieved by all eligible professionals, hospitals, and
critical access hospitals to qualify for incentive payments
Record patient demographics (sex, Over 50% of patients’ demographic data
race, ethnicity, date of birth, preferred recorded as structured data
language, and in the case of hospitals,
date and preliminary cause in the event
of death)
Record vital signs and chart changes Over 50% of patients 2 years of age or older
(height, weight, blood pressure, body have height, weight, and blood pressure
mass index, growth charts for children) recorded as structured data
Maintain up-to-date problem list of Over 80% of patients have at least one entry
current and active diagnoses recorded as structured data
Maintain active medication list Over 80% of patients have at least one entry
recorded as structured data
Maintain active medication allergy list Over 80% of patients have at least one entry
recorded as structured data
Record smoking status for patients 13 Over 50% of patients 13 years of age or older
years of age or older have smoking status recorded as structured
data
continued
279
OCR for page 280
280 DIGITAL INFRASTRUCTURE FOR THE LEARNING HEALTH SYSTEM
Summary Overview of Meaningful Use Objectives
Objective Measure
For individual professionals, provide Clinical summaries provided to patients for
patients with clinical summaries over 50% of all office visits within 3 business
for each office visit; for hospitals, days; over 50% of all patients who are
provide an electronic copy of hospital discharged from the inpatient department or
discharge instructions on request emergency department of an eligible hospital
or critical access hospital and who request an
electronic copy of their discharge instructions
are provided with it
On request, provide patients with Over 50% of requesting patients receive
an electronic copy of their health electronic copy within 3 business days
information (including diagnostic-test
results, problem list, medication lists,
medication allergies, and for hospitals,
discharge summary and procedures)
Generate and transmit permissible Over 40% are transmitted electronically using
prescriptions electronically (does not certified EHR technology
apply to hospitals)
Computer provider order entry Over 30% of patients with at least one
(CPOE) for medication orders medication in their medication list have at
least one medication ordered through CPOE
Implement drug–drug and drug–allergy Functionality is enabled for these checks for
interaction checks the entire reporting period
Implement capability to electronically Perform at least one test of EHR’s capacity to
exchange key clinical information electronically exchange information
among providers and patient-
authorized entities
Implement one clinical decision One clinical decision support rule
support rule and ability to track implemented
compliance with the rule
Implement systems to protect privacy Conduct or review a security risk analysis,
and security of patient data in the implement security updates as necessary, and
EHR correct identified security deficiencies
Report clinical quality measures to For 2011, provide aggregate numerator and
CMS or states denominator through attestation; for 2012,
electronically submit measures
Reproduced with permission from Blumenthal, D., and M. Tavenner. 2010. The “mean-
ingful use” regulation for electronic health records. New England Journal of Medicine
363(6):501-504.
