Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor

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1 Meaningful Use Cheat Sheet CORE MEASURES: ALL REQUIRED # Measure Exclusions How to Meet in WEBeDoctor 1 CPOE (Computerized Physician Order Entry) More than 30 percent of all unique patients with at least one medication in their medication list seen by the EP have at least one medication order entered using CPOE. Any Eligible Provider who writes fewer than 100 prescriptions during the Use the eprescribing feature in WEBeDoctor's EHR to write Prescriptions. The Doctor must enter the prescription information. 2 Implement Drug-Drug and Drug-Allergy Interaction Checking The EP has enabled this functionality for the entire EHR reporting period. Done Automatically for you by WEBeDoctor when adding medications in a Patient's EMR/EHR. 3 Maintain an up-to-date problem list of current and active diagnoses. More than 80 percent of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data. Created Automatically for you when coding is done in Patient's EHR/EMR.

2 4 5 6 Generate and Transmit Permissible Prescriptions Electronically More than 40 percent of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology. Maintain Active Medication List More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data. Maintain Active Medication Allergy List More than 80 percent of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data. Any Eligible Provider who writes fewer than 100 prescriptions during the Use the eprescribing feature in WEBeDoctor's EHR to order Prescriptions electronically. Go to the Patient's EMR and click on current meds. Select the order prescription button and select the medcation(s) you wish to order. Choose your pharmacy and select Order Prescription. Refill previously order electronic prescriptions by accessing the Rx Hub under "HUB" on the main navigation bar. Electronic prescriptions ordered count towards this measure. If no medication has ever been ordered for the patient, the WEBeDoctor system automatically records the patient is not currently prescribed any medication in their EMR/EHR. Select Allergies from the patients EMR. Enter any known allergies from information obtained from the Patient. Documenting "No Known Drug Allergies or NKDA" counts towards this measure and should be done for all patients without allergies. 7 Record all of the following demographics: preferred language, gender, race, ethnicity, date of birth More than 50 percent of all unique patients seen by the EP have demographics recorded as structured data. Access the patient database, search for your patient, and select the "Profile" button at the bottom of the screen. Make sure you record the patients preferred language, gender, race, ethnicity, and date of birth to meet meaninful use for this measure.

3 8 Record and chart all of the following vital signs: height, weight, blood pressure, calculate and display BMI, plot and display growth charts For more than 50 percent of all unique patients age 2 and over seen by the EP, height, weight, and blood pressure are recorded as structured data. Any EP who either see no patients 2 years or older, or who believes that all three vital signs of height, weight, and blood pressure of their patients have no relevance to their scope of practice. Vitals signs are avaliable on the Pre-Visit Checklist in the Front Desk Module, as well as, in the Patient's EMR/EHR. By collecting height and weight, the BMI is calculated and displayed automatically. Ensure you record all vital signs listed: height, weight, and blood pressure to meet this measure instead of having it count against you for meaningful use. Again, BMI and Growth Charts are displayed automatically by WEBeDoctor Record Smoking Status for patients 13 years or older More than 50 percent of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data. Report ambulatory clinical quality measures to CMS. Successfully report to CMS ambulatory clinical quality measures selected by CMS in the manner specified by CMS. Implement one clinical decision support rule relevant to specialty or high clinical priority along with the ability to track compliance with that rule. Implement one clinical decision support rule. Any EP who sees no patients 13 years or older. Access your patient's EMR/EHR in the WEBeDoctor system and locate "Smoking Status" under the Subjective Category. WEBeDoctor's Product Specialists will assist you in running this report in your WEBeDoctor system during the registration and/or attestation process. Call us today to setup your appointment to register and/or attest! Select Decision Support on the upper right-hand screen in a Patient's EMR/EHR to initiate decision support rules. Select anything highlighted in Blue to view and implement the rule. 12 Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies) upon request. More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days. Any EP that has no requests from patients or their agents for an electronic copy of patient health information during the Select "Note" under the Reminder section in any Patient's EHR/EMR. In the Type dropdown box, select Request Medical Record. Then Save. A new note will display in the Patient's Record. Click on the note again and it will display a User ID and Password you can provide to the patient to login to the patient portal and view their medical record.

4 Provide clinical summaries for patients for each office visit. Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days. Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, and diagnostic test results), among providers of care and patient authorized entities electronically. Performed at least one test of certified EHR technology s capacity to electronically exchange key clinical information. Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities. Conduct or review a security risk analysis in accordance with the requirements under 45 CFR (a)(1) and implement security updates as necessary and correct identified security deficiencies as part of its risk management process. Any EP who has no office visits during the EHR reporting period. Select "Clinical Summary" in the EMR/EHR and then select "Print." Do this after each office visit and give to your patient. WEBeDoctor will run a test automatically before your attestation appointment. Done Automatically for you by WEBeDoctor. Menu Measures: 5 Required # Measure Exclusions How to Meet in WEBeDoctor 1 Implement Drug Formulary Checks The EP has enabled this functionality and has access to at least one internal or external formulary for the entire Any EP who writes fewer than 100 prescriptions during the EHR reporting period. Done Automatically for you by WEBeDoctor.

5 2 3 Incorporate Clinical Lab Results as Structured Data More than 40 percent of all clinical lab test results ordered by the EP during the EHR reporting period whose results are either in a positive/negative or numerical format are incorporated in certified EHR technology as structured data. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach. Generate at least one report listing patients of the EP with a specific condition. An EP who orders no lab tests whose results are either in a positive/negative or numeric format during the Click on "Manuel Lab Entry" under the "OTHER" section in the WEBeDoctor EMR. Click on "Patients" on the Main Navigation Bar in your WEBeDoctor system and then click on "Patient Lists" on the sub-navigation bar that appears. Here you can create many patient lists based on one or more of the search criteria. 4 Send reminders to patients per patient preference for preventive/follow-up care. More than 20 percent of all patients 65 years or older or 5 years old or younger were sent an appropriate reminder during the An EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology. Create a Patient List for all patients 65 years or older or 5 years old or younger. Create an appointment for your patients and select "Confirm" to have an automatic reminder sent. 5 Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, and allergies) within 4 business days of the information being available to the EP. At least 10 percent of all unique patients seen by the EP are provided timely (available to the patient within four business days of being updated in the certified EHR technology) electronic access to their health information subject to the EP s discretion to withhold certain information. Any EP that neither orders nor creates lab tests or information that would be contained in the problem list, medication list, medication allergy list (or other information as listed at 45 CFR (g)) during the Select "Note" from the Reminder Section in the Patient's EMR. Select the note type to be "Request Medical Record." Save the Note. Click on the note created in the EMR and provider your patient with the User ID and Password within 4 business days.

6 6 7 8 Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate. More than 10 percent of all unique patients seen by the EP are provided patient-specific education resources. The EP who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform medication reconciliation. The EP performs medication reconciliation for more than 50 percent of transitions of care in which the patient is transitioned into the care of the EP. The EP who transitions their patient to another setting of care or provider of care or refers their patient to another provider of care should provide summary care record for each transition of care or referral. The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record for more than 50 percent of transitions of care and referrals. An EP who was not the recipient of any transitions of care during the An EP who neither transfers a patient to another setting nor refers a patient to another provider during the EHR reporting period. Select "Patient Education" from the upper righthand corner in the EMR. Everything in blue opens a link to related patient education. Some are videos to display to the patient, and others are documents that can be printed and given to the patient. When a patient comes from another care provider, urgent care, emergency room setting, etc and is taking a medication prescribed by on of these providers, the EP should enter the medication into WEBeDoctor in the "Meds from Other Sources" under the OTHER section in the EMR. After the medications have been documented, select "Reconcile." Click on Cumulative History at the top of the Menu in the Patient's EMR and then select the print button.

7 9 Capability to submit electronic data to immunization registries or immunization information systems and actual submission according to applicable law and practice. Performed at least one test of certified EHR technology s capacity to submit electronic data to immunization registries and follow up submission if the test is successful (unless none of the immunization registries to which the EP submits such information has the capacity to receive the information electronically). An EP who administers no immunizations during the EHR reporting period or where no immunization registry has the capacity to receive the information electronically. WEBeDoctor will run a test automatically before your attestation appointment. 10 Capability to submit electronic syndromic surveillance data to public health agencies and actual submission according to applicable law and practice. Performed at least one test of certified EHR technology s capacity to provide electronic syndromic surveillance data to public health agencies and follow-up submission if the test is successful (unless none of the public health agencies to which an EP submits such information has the capacity to receive the information electronically). An EP who does not collect any reportable syndromic information on their patients during the EHR reporting period or does not submit such information to any public health agency that has the capacity to receive the information electronically. WEBeDoctor will run a test automatically before your attestation appointment.

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