Meaningful Use Requirements – Stage 1
To achieve Stage 1 EHR Meaningful Use, Eligible Hospitals, Critical Access Hospitals and Providers must meet all prescribed Core Objectives and 5 selected Menu Set Options.
Stage 1 Core Objectives
| Criteria | Measures | |
| 1. Demographics | >50% patients demographic data (structured data) | |
| 2. Vital Signs | >50% of patients >2 yrs – Ht, Wt, BP (structured data) | |
| 3. Problem List – Active and Current Diagnosis | >80% >1 entry (structured data) | |
| 4. Active Medication List | >80% >1 entry (structured data) | |
| 5. Active Medication Allergy List | >80% >1 entry (structured data) | |
| 6. Smoking Cessation Status | >50% of patients >13 yrs – smoking status (structured data) | |
| 7. e-Copy Discharge Instructions (on request) | >50% patients requesting e-copy DI provided it | |
| 8. e-Copy of Health Information (on request) | >50% patients requesting info receive in 3 business days | |
| 9. CPOE for medication orders | >30% of patients on medications – >1 med via CPOE | |
| 10. Drug : drug / drug : allergy interaction checks | Functionality in place for entire reporting period | |
| 11. Exchange key clinical information | Perform at least one test of information exchange | |
| 12. One clinical decision support rule | One CDS rule implemented | |
| 13. Privacy and security system for patient data | Security Risk Analysis: Updates & Deficiency Corrections | |
| 14. Report quality measures to CMS or states | 2011 – Aggregate data submitted via attestation | |
| 2012 – Electronically submit measures | ||
| 15. e-Scriptions (40%) for Eligible Providers (not hospitals) |
Stage 1 Menu Set Options
| Criteria | Measures | |
| 1. Implement drug formulary checks | Checks in place with access to >1 formulary | |
| 2. Incorporate clinical lab results (structured data) | >40% lab results +/- or numeric in EHR (structured data) | |
| 3. Patient lists by condition – quality improvements, reduction in disparities, research or outreach | >1 List of Patients by conditions | |
| 4. Via EHR identify patient specific education resources – provide as appropriate | >10% of patients provided patient-specific education | |
| 5. Perform med reconciliation between care settings | Med reconciliation >50% transitions of care | |
| 6. Provide summary of care (transfer of care or setting) | Care Summary record >50% transitions of care | |
| 7. Submit e-syndromic surveillance data (public health) | Perform >1 test of data submission and follow up submission (where registries can receive) |
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| Additional choices for Eligible Hospitals and CAHs | ||
| 8. Record Advanced Directives for pts >65 yrs | >50% of patients >65 yrs have Advanced Directive Status recorded | |
| 9. Submit reportable lab data results (public health) | Perform >1 test of data submission and follow up submission (where registries can receive) |
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| Additional choices for Eligible Providers | ||
| 8. Send reminders to patients (prevention and follow up) | >20% patients >65yrs old or <5 are sent appropriate reminders | |
| 9. Provide patients timely access to health information (e.g. lab results, problem, med lists etc.) | >10% pts provided e-access to info (4 days after EHR update) | |