4/12/2011

2011 Regional Training and Exposition

Meaningful Use‐‐Clinical
What/Where/How/Who

What is a "Unique Patient”?
• Patient may have multiple encounters
within a reporting period
• In Meaningful Use statistics report, patient
will only be counted one time

CPOE‐Medication Orders

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Pharmacy OE

Drug‐Drug/Drug‐Allergy 
Interaction Checks

Drug Formulary Checks
• Indications to clinician if drug is non-
formulary
• Shown in red in IV and UD order entry in
CPOE
• Pharmacy OE has column on right side
w/indicator
• Column w/“Yes” or “No” indicator for Home
Medication lists

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Drug‐Formulary Interaction Checks

• Electronically check to determine if drugs

are in formulary or preferred drug list
• Color designation in CPOE

Home Medication List 
w/Formulary Indicator

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Maintain Problem List

Free Text
Will Not be Counted in MU Statistics

Status List

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Active Medication List
• May be viewed in Patient Care, eMAR,
Clinical View and Pharmacy application
• If eMAR is not installed, but Patient Care
is Medication List is viewed from Patient
is,
Care worklist
• Flag for “No Meds Prescribed”

Med List in Clinical View

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Active Medication Allergy List
• Entered/maintained in Clinical History
Profile
• Stored in Medical Record
– May
M copy ffrom “Previous
“P i E
Encounter”
t ” on
subsequent admissions
• With HMS Connex, may be imported from
other provider

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Record Demographics
• More than 50% of unique patients
admitted to hospital have demographics
recorded as structured data
• Data captured at registration
registration--Preferred
Preferred
Language, Gender, Race, Ethnicity, Date
of Birth
• Date & Preliminary Cause of Death in
event of mortality

Record Vital Signs
• More than 50% of unique patients age 2
and over admitted to eligible hospital—
record height, weight and blood pressure
as structured data
• Calculate and display BMI—system
calculation when height and weight are
entered via CHP
• Plot and display growth charts for children
2-20 years

Record Smoking Status
• More than 50% of unique patients 13
years and older admitted to eligible
hospital
• New “Wellness”
Wellness tab in CHP
• May add to Admission Database with CHP
response type

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Provide Patients with Electronic 
Copy of Health Information
• More than 50% of patients in inpatient or
emergency department of hospital who
request electronic copy of health record
are provided it within 3 business days
• Includes diagnostic test results, problem
list, medication lists, medication allergies
and discharge summary & procedures
• Need Clinical View and/or Patient Care

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Patient Request for 
Discharge Summary
• More than 50% of patients (IP or ED) who
request electronic copy of discharge
instructions are provided one
• Discharge Plan available in PC
documentation and included on Discharge
Summary
• New options in PC and CV (Documents
provided.)

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Record Advance Directives
• More than 50% of patients 65 years or
older admitted to hospital have indication
of and advance directive status recorded
• Registration process provides process for
flagging
• May be entered through Clinical History
Profile

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Clinical Lab Tests
• More than 40% of clinical lab tests with
results in positive/negative or numeric
format are incorporated into EHRs as
structured data
• HMS Result Reporting

Numeric Results‐‐GUI

Numeric Results‐‐JAVA

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Text Results‐‐GUI

Text Results‐JAVA

Provide Education Resources‐10%
• May print patient education for
medications from eMAR and Pharmacy
• Exit Care
• PC Di
Discharge
h Pl
Plan may bbe structured
t t d ffor
educational purposes
• Documentation of Patient Education
provided with new functionality in 9.2

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Medication Reconciliation
• 50% of patients admitted to eligible
hospital’s or CAH’s inpatient or emergency
department had MR completed
• Home Medication Reconciliation through
eMAR, Clinical View and CHP
• Discharge/Transfer Med List-field to verify
reconciliation
• Flags for “No Home Meds” or “None”

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Provide Summary of Care Record for 
50% of Transitions/Referrals
• Discharge/Transfer Summary Report

Capability to Exchange Clinical 
Information
• Perform at least one test of certified EHR
technology’s capacity to exchange key
clinical information

Conduct Security‐Risk Analysis
• Conduct or review security risk analysis
per 45 CFR 164.308(a) and implement
security updates as necessary and correct
identified security deficiencies as part of
risk management process

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Submit Immunization Data
• Perform at least one test of certified EHR
technology’s capacity to submit electronic
data to immunization registries and follow
up submission if test is successful
• State Registry must be prepared to
receive data

Submit Lab Results to Public Health 
Agencies
• Perform at least one test of certified EHR
technology’s capacity to provide electronic
submission of reportable lab results to
public health agencies and follow up
submission if test is successful

Submit Electronic Syndromic
Surveillance Data to PH Agency
• Performed at least one test of certified
EHR technology’s capacity to provide
electronic syndromic surveillance data to
PH agencies and follow-up
follow up submission if
test is successful
• Exception: Agency does not have
capacity to receive information

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Questions???

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