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Meaningful Use Objectives: Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals

Meaningful Use Objectives: Stage 1 vs. Stage 2 Comparison Table for Eligible Professionals

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Compare between stage 1 and stage 2 meaningful use objectives and find out if your health practice's EHR program meets the new requirements.
Compare between stage 1 and stage 2 meaningful use objectives and find out if your health practice's EHR program meets the new requirements.

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Published by: ONC for Health Information Technology on Oct 31, 2012
Copyright:Attribution Non-commercial

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10/26/2013

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Stage 1 vs. Stage 2 ComparisonTable for Eligible Professionals
Last Updated: August, 2012
CORE OBJECTIVES (17 total)
Stage 1 Objective Stage 1 Measure Stage 2 Objective Stage 2 Measure
Use CPOE formedication ordersdirectly entered by anylicensed healthcareprofessional who canenter orders into themedical record perstate, local andprofessional guidelinesMore than 30% of unique patients with atleast one medication intheir medication listseen by the EP have atleast one medicationorder entered usingCPOEUse computerizedprovider order entry(CPOE) for medication,laboratory and radiologyorders directly enteredby any licensedhealthcare professionalwho can enter ordersinto the medical recordper state, local andprofessional guidelinesMore than 60% of medication, 30% of laboratory, and 30% of radiology orders created bythe EP during the EHRreporting period arerecorded using CPOEImplement drug-drugand drug-allergyinteraction checksThe EP has enabledthis functionality forthe entire EHRreporting period
No longer a separateobjective for Stage 2This measure isincorporated into the Stage2 Clinical Decision Support measure
Generate and transmitpermissibleprescriptionselectronically (eRx)More than 40% of allpermissibleprescriptions writtenby the EP aretransmittedelectronically usingcertified EHRtechnologyGenerate and transmitpermissible prescriptionselectronically (eRx)More than 50% of allpermissible prescriptionswritten by the EP arecompared to at least onedrug formulary andtransmitted electronicallyusing Certified EHRTechnologyRecord demographicsPreferred languageGenderRaceEthnicityDate of birthMore than 50% of allunique patients seenby the EP havedemographicsrecorded as structureddataRecord the followingdemographicsPreferredlanguageGenderRaceEthnicityDate of birthMore than 80% of all uniquepatients seen by the EPhave demographicsrecorded as structured dataMaintain an up-to-dateproblem list of currentMore than 80% of allunique patients seen
No longer a separateobjective for Stage 2This measure isincorporated into the Stage
 
 
 
 
 
 
 
 
 
 
 
2and active diagnoses by the EP have at leastone entry or anindication that noproblems are knownfor the patientrecorded as structureddata
2 measure of Summary of Care Document at Transitions of Care and Referrals
 
 
 
 
 
 
 
 
 
 
Maintain activemedication listMore than 80% of allunique patients seenby the EP have at leastone entry (or anindication that thepatient is not currentlyprescribed anymedication) recordedas structured data
No longer a separateobjective for Stage 2This measure isincorporated into the Stage2 measure of Summary of Care Document at Transitions of Care and Referrals
Maintain activemedication allergy listMore than 80% of allunique patients seenby the EP have at leastone entry (or anindication that thepatient has no knownmedication allergies)recorded as structureddata
No longer a separateobjective for Stage 2This measure isincorporated into the Stage2 measure of Summary of Care Document at Transitions of Care and Referrals
Record and chartchanges in vital signs:HeightWeightBlood pressureCalculate anddisplay BMIPlot and displaygrowth charts forchildren 2-20 years,including BMIFor more than 50% of all unique patients age2 and over seen by theEP, blood pressure,height and weight arerecorded as structureddataRecord and chartchanges in vital signs:HeightWeightBlood pressure (age3 and over)Calculate and displayBMIPlot and displaygrowth charts forpatients 0-20 years,including BMIMore than 80% of all uniquepatients seen by the EPhave blood pressure (forpatients age 3 and overonly) and height and weight(for all ages) recorded asstructured dataRecord smoking statusfor patients 13 years oldor olderMore than 50% of allunique patients 13years old or older seenby the EP havesmoking statusRecord smoking statusfor patients 13 years oldor olderMore than 80% of all uniquepatients 13 years old orolder seen by the EP havesmoking status recorded asstructured data
 
recorded as structureddata3Implement one clinicaldecision support rulerelevant to specialty orhigh clinical priorityalong with the ability totrack compliance thatruleImplement one clinicaldecision support ruleUse clinical decisionsupport to improveperformance on high-priority health conditions1.
 
Implement 5 clinicaldecision supportinterventions related to4 or more clinicalquality measures, if applicable, at a relevantpoint in patient care forthe entire EHR reportingperiod.2.
 
The EP, eligible hospital,or CAH has enabled thefunctionality for drug-drug and drug-allergyinteraction checks forthe entire EHR reportingperiodReport clinical qualitymeasures (CQMs) toCMS or the StatesProvide aggregatenumerator,denominator, andexclusions throughattestation or throughthe PQRS ElectronicReporting Pilot
No longer a separateobjective for Stage 2,but providers must still submit CQMs to CMS or the States in order toachieve meaningful useStarting in 2014, all CQMswill be submitted electronically to CMS
Provide patients with anelectronic copy of theirhealth information(including diagnostictest results, problemlist, medication lists,medication allergies),upon requestMore than 50% of allpatients of the EP whorequest an electroniccopy of their healthinformation areprovided it within 3business daysProvide patients theability to view online,download and transmittheir health informationwithin four business daysof the information beingavailable to the EPi.
 
More than 50% of allunique patients seen bythe EP during the EHRreporting period areprovided timely(available to the patientwithin 4 business daysafter the information isavailable to the EP)online access to theirhealth informationii.
 
More than 5% of allunique patients seen bythe EP during the EHRreporting period (ortheir authorized

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