1. Meaningful Use Stage 2
and the
eHealth Exchange
EHR Doctors is an Anchor Member
1

2. Meaningful Use Stage 2
• CMS Medicare and Medicaid Programs; Electronic
Health Record Incentive Program—Stage 2 Final Rule
– http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-
21050.pdf
• ONC Health Information Technology: Standards,
Implementation Specifications, and Certification
Criteria for Electronic Health Record Technology,
2014 Edition Final Rule
– http://www.gpo.gov/fdsys/pkg/FR-2012-09-04/pdf/2012-
20982.pdf
2

3. Meaningful Use Stage 2 Criteria
MU Objective 2014 Edition EHR Certification MU Measure MU Calculation
Criteria
The EP, EH, or CAH who Transitions of Care 170.314(b)(1) EPs at 495.6(j)(14)(ii)(B) and for Denominator: Number of transitions
transitions their patient to another - Transitions of care—receive, eligible hospitals and CAHs at of care and referrals during the
setting of care or provider of care or display, and incorporate transition 495.6(l)(11)(ii)(B) to ‘‘The EP, EHR
refers their patient to another of care/referral summaries eligible hospital or CAH that reporting period for which the EP or
provider of care should provide transitions or refers their patient to eligible hospital’s or CAH’s
summary care record for each Transitions of Care 170.314(b)(2) another setting of care or provider inpatient or emergency department
transition - Transitions of care—create and of care provides a summary of care (POS 21 or 23)
of care or referral. transmit transition of care/referral record for more than 10 percent of was the transferring or referring
summaries such transitions and referrals either provider.
In order to meet this objective and (a) electronically transmitted using
measure, an EP, eligible hospital, CEHRT to a recipient or (b) where Numerator: The number of
or CAH must use the the recipient receives the transitions of care and referrals in
capabilities and standards of summary of care record via the denominator where a summary
CEHRT at 45 CFR 170.314(b)(l) exchange facilitated by an of care
and (b)(2). organization that is a NwHIN record was a) electronically
Exchange participant or in a transmitted using CEHRT to a
manner that is consistent with the recipient or b) where the recipient
governance mechanism ONC receives the summary of care
establishes for the nationwide record via exchange facilitated
health information Network. by an organization that is a
NwHIN Exchange participant or
in a manner that is consistent
with the governance mechanism
ONC establishes for the
nationwide health information
network. The organization can be
a third-party or the sender’s own
organization.
Threshold: The percentage must be
more than 10 percent in order for
an EP, eligible hospital or CAH to
meet this
measure.
3

4. Using the Exchange to meet MU2 Criteria
Base EHR Capabilities MU Objective 2014 Edition EHR Applicable Exchange
Certification Criteria Standards
Capacity to exchange The EP, EH, or CAH who Transitions of Care § Content – HL7
electronic health information transitions their patient to 170.314(b)(1) - Transitions of Implementation Guide for
with, and integrate such another setting of care or care—receive, display, and CDA Release 2: IHE Health
information from other provider of care or refers their incorporate transition of Story Consolidation
sources patient to another provider of care/referral summaries
care should provide summary Transport & Security - SOAP-
care record for each transition Transitions of Care § Based Secure Transport RTM
of care or referral 170.314(b)(2) - Transitions of version 1.0 (based on the
care—create and transmit Exchange Messaging Platform
transition of care/referral and Authorization Framework
summaries Specifications)
4

5. Certification Criteria for
Electronic Health Record Technology
• 2014 Edition Draft Test Methods
– http://www.healthit.gov/policy-researchers-
implementers/2014-edition-draft-test-methods
– Wave Five Testing Criteria
• Posted on October 18, 2012 included test procedures
and data for §170.314(b)(2) - Transitions of care - create
and transmit transition of care/referral summaries (tool
included)
• NwHIN Exchange is not mentioned in the testing
procedures
5