OBJECTIVE

MEASURE

Core set:

1. Record patient demographics (sex, race, ethnicity, date of birth, preferred language, and in the case of hospitals, date and preliminary cause of death in the event of mortality)

More than 50% of patients’ demographic data recorded as structured data

2. Record vital signs and chart changes (height, weight, blood pressure, body-mass index, growth charts for children)

More than 50% of patients 2 years of age or older have height, weight, and blood pressure recorded as structured data

3. Maintain up-to-date problem list of current and active diagnoses

More than 80% of patients have at least one entry recorded as structured data

4. Maintain active medication list

More than 80% of patients have at least one entry recorded as structured data

5. Maintain active medication allergy

More than 80% of patients have at least one entry recorded as structured data

6. Record smoking status for patients 13 years of age or older

More than 50% of patients 13 years of age or older have smoking status recorded as structured data

7. For individual professionals, provide patients with clinical summaries for each office visit; for hospitals, provide an electronic copy of hospital discharge instructions on request

Clinical summaries provided to patients for more than 50% of all office visits within 3 business days; more than 50% of all patients who are discharged from the inpatient department or emergency

department of an eligible hospital or critical access hospital and who request an electronic copy of their discharge instructions are provided with it

8. On request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, and for hospitals, discharge summary and procedures)

More than 50% of requesting patients receive electronic copy within 3 business days

9. Generate and transmit permissible prescriptions electronically (does not apply to hospitals)

More than 40% are transmitted electronically using certified EHR technology

10. Computer provider order entry (CPOE) for medication orders

More than 30% of patients with at least one medication in their medication list have at least one medication ordered through CPOE

11. Implement drug–drug and drug–allergy interaction checks

Functionality is enabled for these checks for the entire reporting period

12. Implement capability to electronically exchange key clinical information among providers and patient-authorized entities

Perform at least one test of EHR’s capacity to electronically exchange information

13. Implement one clinical decision support rule and ability to track compliance with the rule

One clinical decision support rule implemented

14. Implement systems to protect privacy and security of patient data in the EHR

Conduct or review a security risk analysis, implement security updates as necessary, and correct identified security deficiencies

15. Report clinical quality measures to CMS or states

For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures

Menu Set (implement 5 out of 10)

1. Implement drug formulary checks

Drug formulary check system is implemented and has access to at least one internal or external drug formulary for the entire reporting period

2. Incorporate clinical laboratory test results into EHRs as structured data

More than 40% of clinical laboratory test results whose results are in positive/negative or numerical format are incorporated into EHRs as structured data

3. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach

Generate at least one listing of patients with a specific condition

4. Use EHR technology to identify patient-specific education resources and provide those to the patient as appropriate

More than 10% of patients are provided patient-specific education resources

5. Perform medication reconciliation between care settings

Medication reconciliation is performed for more than 50% of transitions of care

6. Provide summary of care record for patients referred or transitioned to another provider or setting

Summary of care record is provided for more than 50% of patient transitions or referrals

7. Submit electronic immunization data to immunization registries or immunization information systems

Perform at least one test of data submission and follow-up submission (where registries can accept electronic submissions)

8. Submit electronic syndromic surveillance data to public health agencies

Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data)

Additional choices for hospitals and critical access hospitals:

9. Record advance directives for patients 65 years of age or older

More than 50% of patients 65 years of age or older have an indication of an advance directive status recorded

10. Submit of electronic data on reportable laboratory results to public health agencies

Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic

data)

Additional choices for eligible professionals:

9. Send reminders to patients (per patient preference) for preventive and follow-up care

More than 20% or patients 65 years of age or older or 5 years of age or younger are sent appropriate reminders

10. Provide patients with timely electronic access to their health information (including laboratory results, problem list, medication lists, medication allergies)

More than 10% of patients are provided electronic access to information within 4 days of its being updated in the EHR