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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.