Changes to Stage 1 Meaningful Use
CPOE for Medication OrdersStage 1 Objective           Final Change                    Effective YearUse CPOE for          ...
Electronic Prescribing (eRx)Stage 1 Objective          Final Change                    Effective YearGenerate and transmit...
Vital Signs: Age LimitationsStage 1 Objective          Final Change                    Effective YearRecord and chart chan...
Vital Signs: ExclusionsStage 1 Objective           Final Change                        Effective Year (CY/FY)Record and ch...
Electronic ExchangeStage 1 Objective          Final Change                    Effective Year (CY/FY)Capability to exchange...
Quality Measures ReportingStage 1 Objective            Final Change                    Effective Year (CY/FY)Report ambula...
Patient InformationStage 1 Objective                    Final Change                                                     E...
Public Health ObjectivesStage 1 Objective          Final Change                    Effective Year (CY/FY)Public Health Obj...
Menu Set ExclusionsStage 1 Objective          Final Change                    Effective Year (CY/FY)Meeting an exclusion f...
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Stage 1 Changes

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Stage 1 Changes

  1. 1. Changes to Stage 1 Meaningful Use
  2. 2. CPOE for Medication OrdersStage 1 Objective Final Change Effective YearUse CPOE for Change: Addition of an 2013 – Onwardmedication orders alternative measure (optional)directly entered by any More than 30 percentlicensed healthcare of medication ordersprofessional who can created by the EP orenter orders into the authorized providersmedical record per state, of the eligiblelocal and professional hospitals or CAHsguidelines inpatient or emergency department (POS 21 or 23) during the EHR reporting period are recorded using CPOE Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  3. 3. Electronic Prescribing (eRx)Stage 1 Objective Final Change Effective YearGenerate and transmit Change: Addition of an 2013 – Onwardpermissible prescriptions additional exclusion; any (required)electronically (eRx) EP who does not have a pharmacy within their organization and there are no pharmacies that accept electronic prescriptions within 10 miles of the EPs practice location at the start of his/her EHR reporting period Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  4. 4. Vital Signs: Age LimitationsStage 1 Objective Final Change Effective YearRecord and chart changes Change: Addition of 2013 onlyin vital signs alternative age (optional) limitations; More than 50 percent of all unique 2014 – Onward patients seen by the EP or (required) admitted to the eligible hospitals or CAHs inpatient or emergency department (POS 21 or 23) during the EHR reporting period have blood pressure (for patients age three and over only) and height and weight (for all ages) recorded as structured data Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  5. 5. Vital Signs: ExclusionsStage 1 Objective Final Change Effective Year (CY/FY)Record and chart Change: Addition of 2013 onlychanges in vital signs alternative exclusions (optional) Any EP who: 1) Sees no patients three years or older is excluded from 2014 – Onward recording blood pressure; 2) Believes that all three vital (required) signs of height, weight, and blood pressure have no relevance to their scope of practice is excluded from recording them; 3) Believes that height and weight are relevant to their scope of practice, but blood pressure is not, is excluded from recording blood pressure; or 4) Believes that blood pressure is relevant to their scope of practice, but height and weight are not, is excluded from recording height and weight Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  6. 6. Electronic ExchangeStage 1 Objective Final Change Effective Year (CY/FY)Capability to exchange Change: Objective is 2013 – Onwardkey clinical information no longer required. (required)(for example, problemlist, medication list,medication allergies,and diagnostic testresults), amongproviders of care andpatient-authorizedentities electronically Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  7. 7. Quality Measures ReportingStage 1 Objective Final Change Effective Year (CY/FY)Report ambulatory Change: Objective is 2013 – Onward(hospital) clinical incorporated directly (required)quality measures to into the definition of aCMS or the states meaningful EHR user and eliminated as an objective under §495.6 Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  8. 8. Patient InformationStage 1 Objective Final Change Effective Year (CY/FY)EP and Hospital Objectives: Change: Change: Replace these four objectives with the Stage 2014 – OnwardProvide patients with an 2 objective and one of the two Stage 2 measures (required)electronic copy of their health EP Objective: Provide patients the ability to view online,information (including download, and transmit their health information within fourdiagnostics test results, problem business days of the information being available to the EPlist, medication lists, medicationallergies, discharge summary, EP Measure: More than 50 percent of all unique patients seenprocedures) upon request by the EP during the EHR reporting period are providedHospital Objective: Provide timely (within 4 business days after the information ispatients with an electronic available to the EP) online access to their health informationcopy of their discharge subject to the EPs discretion to withhold certain informationinstructions at time ofdischarge, upon request Hospital Objective: Provide patients the ability to view online, download, and transmit information about a hospitalEP Objective: Provide admissionpatients with timelyelectronic access to their Hospital Measure: More than 50 percent of all patientshealth information(including lab results, who are discharged from the inpatient or emergencyproblem list, medication department (POS 21 or 23) of an eligible hospital or CAHlists, and allergies) within have their information available online within 36 hours offour business days of the dischargeinformation being availableto the EP
  9. 9. Public Health ObjectivesStage 1 Objective Final Change Effective Year (CY/FY)Public Health Objectives Change: Addition of 2013 – Onward "except where (required) prohibited" to the objective regulation text for the public health objectives under §495.6 Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012
  10. 10. Menu Set ExclusionsStage 1 Objective Final Change Effective Year (CY/FY)Meeting an exclusion for Change: Meeting an 2014 – Onwarda menu set objective exclusion for a menu set (required)counts towards the objective does not countnumber of menu set towards the number ofobjectives that must be menu set objectives thatsatisfied to meet must be satisfied toMeaningful Use meet Meaningful Use Changes to Stage 1 Meaningful Use / Published by CORHIO September 2012

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