Your Meaningful Use (MU) Strategy will have a
significant impact on your ability to avoid extra work and disruption to your
operation. One of the most important
issues to consider in your EHR and MU strategy is the Proposed Stage 2 MU
Measures. The proposed Stage 2 Measures provide important insights into what you should choose as your Stage 1 Menu Items and even your EHR product and implementation plan
This following table presents the Stage 1
and 2 Measures in a way that will help you analyze the effect of Stage 2 on MU
and focus your strategy to avoid problems:
MU Measure
|
Stage 1 Requirement
|
Proposed Stage 2 Effect
|
Proposed Stage 2 Requirement
|
Computerized Provider Order Entry (C-1)
|
CORE - Medication Orders for 30% of Unique
Patients.
|
Increase Percentage.
Added Radiology and Lab Orders.
|
CORE – 60% of Medication, Lab, and Radiology
Orders.
|
Drug-Drug and Drug Allergy Interaction Checks
(C-2)
|
CORE - Enabled for Reporting Period.
|
Not a Separate Measure.
|
|
Up to Date Problem List (C-3)
|
CORE – 80% of all Unique Patients
|
Not a Separate Measure.
|
|
Transmit eRx (C-4)
|
CORE
|
Increased Percentage.
Added Stage 1 Menu Item on Formularies.
|
CORE – Transmit 65% of Rx Electronically. Use at Least One Formulary.
|
Active Medication List (C-5)
|
CORE – 80% of all Unique Patients.
|
Not a Separate Measure.
|
|
Active Medication Allergy List (C-6)
|
CORE – 80% of all Unique Patients.
|
Not a Separate Measure.
|
|
Record Demographics (C-7)
|
CORE – 50% of all Unique Patients.
|
Increased Percentage.
|
CORE – 80% of all Unique Patients.
|
Record Vital Signs (C-8)
|
CORE – 50% of all Unique Patients > 2.
|
Increased Percentage.
|
CORE – 80% of all Unique Patients.
|
Record Smoking Status (C-9)
|
CORE – 50% of all Unique Patients > 13.
|
Increased Percentage.
|
CORE – 80% of all Unique Patients > 13.
|
Report Clinical Quality Measures (C-10)
|
CORE
|
Not a Separate Measure.
|
|
Clinical Decision Support Rule (C-11)
|
CORE – Implement One Rule.
|
Increase Number of Rules.
|
CORE – Implement Five Rules.
|
Electronic Copy of Health Information (C-12)
|
CORE – Provide Information to 50% of Patients
Who Request Within 3 Days.
|
Consolidated With Stage 1 Menu Item on
Patient Electronic Access.
|
See Patient Electronic Access.
|
Clinical Summaries (C-13)
|
CORE – Provide Clinical Summary for 50% of
Office Visits within 3 Days.
|
Shorter Timeframe.
|
CORE – Provide Clinical Summary for 50% of
Office Visits within 24 Hours.
|
Electronic Exchange of Clinical Information (C-14)
|
Core – Perform a Test.
|
NO LONGER REQUIRED.
|
N/A
|
Protect Electronic Health Information (C-15)
|
CORE – Perform a Security Risk Analysis.
|
No Change.
|
CORE – Perform a Security Risk Analysis.
|
Drug Formulary Check (M-1)
|
MENU – Implement at Least 1 Drug Formulary.
|
Added to Stage 1 Core Item to Transmit Rx.
|
N/A
|
Clinical Lab Test Results (M-2)
|
MENU – 40% of Lab Test Results In EHR as
Structured Data.
|
Increased Percentage.
Moved to Stage 2 Core.
|
CORE – 55% of Lab Test Results In EHR as
Structured Data.
|
Patient Lists (M-3)
|
MENU – Generate a List of Patients Using
Condition Criteria.
|
Moved to Stage 2 Core.
|
CORE – Generate a List of Patients Using
Condition Criteria.
|
Patient Reminders (M-4)
|
MENU – Send Reminders to at Least 20% of
Patients > 65 or < 5.
|
Moved to Stage 2 Core.
|
CORE – Send Reminders to at Least 10% of
Patients with an Office Visit Within 24 Months Prior to Start of Reporting
Period.
|
Patient Electronic Access (M-5)
|
MENU – 10% of All Patients Provided Access
within 4 Business Days of Receipt of Information.
|
Consolidated with Stage 1 Core Item for
Electronic Copy of Health Information.
Moved to Stage 2 Core.
|
CORE – 50% of All Patients Provided Access
within 4 Business Days of Receipt of Information.
10% of All Patients View, Download or
Transmit Information.
|
Patient-Specific Education Resources (M-6)
|
MENU – 10% of Unique Patients Provided
Resources Using EHR to Identify Appropriate Resources.
|
Moved to Stage 2 Core.
Change Measure.
|
CORE – 10% of Office Visits Result in
Providing Patients Education Resources Using EHR to Identify Appropriate
Resources.
|
Medication Reconciliation (M-7)
|
MENU – Performed for 50% of Incoming
Transition of Care Patients.
|
Increased Percentage.
Moved to Stage 2 Core.
|
CORE – Performed for 65% of Incoming
Transition of Care Patients.
|
Transition of Care Summary (M-8)
|
MENU – 50% of Transitions of Care Supported
with a Care Summary.
|
Increased Percentage.
Moved to Stage 2 Core.
|
CORE – 65% of Transitions of Care Supported
with a Care Summary. 10% of
Transitions Are Electronically Transmitted.
|
Immunization Registry (M-9)
|
MENU – Test Successful Submission.
|
Moved to Stage 2 Core.
Change Measure.
|
CORE – Ongoing Transmission.
|
Syndromic
Surveillance Data Submission (M-10)
|
MENU – Test Successful Submission.
|
Change Measure.
|
MENU – Ongoing Transmission.
|
Secured Messaging
|
N/A
|
New Stage 2 Core
|
CORE – For More than 10% of Patients Seen, a
Secure Message was Sent.
|
Imaging
|
N/A
|
New Stage 2 Menu Item.
|
MENU – 40% of Scans and Tests Resulting in an
Image Are Accessible from EHR.
|
Structured Family Health Data
|
N/A
|
New Stage 2 Menu Item.
|
MENU – 20% of Unique Patients have Structured
Family Health Information.
|
Cancer Case Reporting
|
N/A
|
New Stage 2 Menu Item.
|
MENU – Ongoing Transmission.
|
Cases Other Than Cancer Reporting
|
N/A
|
New Stage 2 Menu Item.
|
MENU – Ongoing Transmission.
|
Analyze this table to develop your MU strategy and simplify the challenge of attaining MU and implementing your EHR.
For additional strategies to attain MU, click here.
To analyze, plan and design a results oriented Meaningful Use strategy for Stage 1, Stage 2 and beyond, contact Sterling Solutions at (800)967-3028 or click here.
(c) Sterling Solutions, 2012
For additional strategies to attain MU, click here.
To analyze, plan and design a results oriented Meaningful Use strategy for Stage 1, Stage 2 and beyond, contact Sterling Solutions at (800)967-3028 or click here.
(c) Sterling Solutions, 2012
This was a very informative article. I was reading articles online about different EHR Companies because my family was recently discussing it and I didn't know a lot about it. Your article has really helped me get a better understanding of them, thank you for sharing Ron!
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