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Stage1vsStage2CompTablesforHospitals

Stage1vsStage2CompTablesforHospitals

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Published by Ignatius Bau

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Published by: Ignatius Bau on Aug 24, 2012
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01/16/2013

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Stage 1 vs. Stage 2Comparison Table for EligibleHospitals and CAHs
Last Updated: August, 2012
1
 
 
 
 
 
 
 
 
 
 
 
 
CORE OBJECTIVES (16 total)
Stage 1ObjectiveStage 1 Measure Stage 2 Objective Stage 2 Measure
Use CPOE formedication ordersdirectly entered byany licensedhealthcareprofessional whocan enter ordersinto the medicalrecord per state,local andprofessionalguidelinesMore than 30% of unique patients with atleast one medication intheir medication listadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have at least onemedication orderentered using CPOEUse computerizedprovider order entry(CPOE) for medication,laboratory and radiologyorders directly entered byany licensed healthcareprofessional who canenter orders into themedical record per state,local and professionalguidelines to create thefirst record of the order.More than 60% of medication, 30% of laboratory, and 30% of radiology orders createdby authorized providers of the eligible hospital's orCAH's inpatient oremergency department(POS 21 or 23) during theEHR reporting period arerecorded using CPOEImplement drug-drug and drug-allergy interactionchecksThe eligiblehospital/CAH hasenabled thisfunctionality for theentire EHR reportingperiod
No longer a separateobjective for Stage 2This measure isincorporated into theStage 2 Clinical DecisionSupport measure
RecorddemographicsPreferredlanguageGenderRaceEthnicityDate of birthDate andpreliminarycause of deathin the event of mortality in theeligible hospitalor CAHMore than 50% of allunique patientsadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have demographicsrecorded as structureddataRecord the followingdemographicsPreferredlanguageGenderRaceEthnicityDate of birthDate andpreliminary causeof death in theevent of mortalityin the eligiblehospital or CAHMore than 80% of allunique patients admittedto the eligible hospital's orCAH's inpatient oremergency department(POS 21 or 23) havedemographics recorded asstructured data
 
2Maintain an up-to-date problem list of current and activediagnosesMore than 80% of allunique patientsadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have at least oneentry or an indicationthat no problems areknown for the patientrecorded as structureddata
No longer a separateobjective for Stage 2This measure isincorporated into theStage 2 measure of Summary of CareDocument at Transitionsof Care and Referrals
Maintain activemedication listMore than 80% of allunique patientsadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have at least oneentry (or an indicationthat the patient is notcurrently prescribedany medication)recorded as structureddata
No longer a separateobjective for Stage 2This measure isincorporated into theStage 2 measure of Summary of CareDocument at Transitionsof Care and Referrals
Maintain activemedication allergylistMore than 80% of allunique patientsadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have at least oneentry (or an indicationthat the patient has noknown medicationallergies) recorded asstructured data
No longer a separateobjective for Stage 2This measure isincorporated into theStage 2 measure of Summary of CareDocument at Transitionsof Care and Referrals
 
 
 
 
 
 
 
 
 
 
 
3Record and chartchanges in vitalsigns:HeightWeightBlood pressureCalculate anddisplay BMIPlot and displaygrowth chartsfor children 2-20 years,including BMIMore than 50% of allunique patients age 2and over admitted toeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23), blood pressureheight and weight arerecorded as structureddataRecord and chart changesin vital signs:HeightWeightBlood pressure (age 3and over)Calculate and displayBMIPlot and displaygrowth charts forpatients 0-20 years,including BMIMore than 80% of allunique patients admittedto the eligible hospital's orCAH's inpatient oremergency department(POS 21 or 23) have bloodpressure (for patients age3 and over only) andheight and weight (for allages) recorded asstructured dataRecord smokingstatus for patients13 years old orolderMore than 50% of allunique patients 13years old or olderadmitted to theeligible hospital’s orCAH’s inpatient oremergencydepartment (POS 21 or23) have smokingstatus recorded asstructured dataRecord smoking status forpatients 13 years old orolderMore than 80% of allunique patients 13 yearsold or older admitted tothe eligible hospital's orCAH's inpatient oremergency department(POS 21 or 23) havesmoking status recordedas structured dataImplement oneclinical decisionsupport rulerelevant tospecialty or highclinical priorityalong with theability to trackcompliance thatruleImplement one clinicaldecision support ruleUse clinical decisionsupport to improveperformance on high-priority health conditions1.
 
Implement 5 clinicaldecision supportinterventions relatedto 4 or more clinicalquality measures, if applicable, at arelevant point inpatient care for theentire EHR reportingperiod.2.
 
The eligible hospital orCAH has enabled thefunctionality for drug-drug and drug-allergyinteraction checks forthe entire EHRreporting period

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