MEANINGFUL USE STAGE 1 2014 QUICK REFERENCE GUE Note: E&M codes must be recorded on the for an encounter to count towards encounterbased or unique patient based Meaningful Use measures. Visit Types and Visit Statuses can be marked as excluded from MU calculations. If an encounter must be excluded from calculations, one of these Visit Types or Visit Statuses can be used and that encounter will be excluded from the Meaningful Use reporting. IMPORTANT! EPs must be using 2014 Certified EHR technology for the entire reporting. V 10 of eclinicalworks is 2014 CEHRT. Core Objectives OBJ 304A1 CPOE patients with at least one medication order in their medication list seen by the EP during the EHR reporting Number of patients that have at least one medication order recorded using CPOE. Appropriate staff members marked as licensed healthcare professionals updated all of your staff members profiles? OBJ 304A1 CPOE (alternate) Number of medication orders created by the EP during the EHR reporting Number of orders recorded using CPOE Appropriate staff members marked as licensed healthcare professionals updated all of your staff members profiles? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 7
OBJ 304B Permissible e Prescriptions OBJ 304E OBJ 314E Clinical decision support rule electronic access Medications are included in the denominator if one of the following actions is taken on them: printed, faxed, or transmitted electronically/eprescribed (DMEs and controlled substances are excluded) Medications that have been transmitted electronically/ e prescribed. Enable e Prescriptions /SureScripts N/A N/A No Set up CDSS or any one of the EMR alerts (Lab, Dx, patientspecific, etc.) have been webenabled from the Information window on, before, or within four business days of the appointment date Set up Portal, which is required for this measure activated e prescribing and actively used it? set up CDSS, or at least one of the alerts? Are you webenabling the patients that are seen at the office on, before or within four business days of their appointment? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 8
OBJ 304H1 Clinical visit summaries Number of visits for an EP during the Visits for patients that have been webenabled from the Information window within three business days of their encounter OR visits where the visit summary is printed using the Print Visit Summary option within three business days of their encounter Set up Portal and enable the printing of Visit Summaries Are you webenabling patients if you have Portal? Are you printing visit summaries for patients who are not webenabled? OBJ 302A Drug interaction checks N/A N/A No No setup required N/A OBJ 304C Record demographics have all of the following recorded: DOB, Gender, Language, Race, and Ethnicity Languages must be mapped. The Language, Race, and Ethnicity demographic fields can be made mandatory Are you capturing the DOB, Gender, Language, Race, and Ethnicity in the demographics fields and Additional Information section of the demographics? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 9
OBJ 302C OBJ 302D OBJ 302E Up to date problem list Active medication list Active medication allergy list have an ICD code associated with a SNOMED code recorded on their Problem List OR have the No Known Problems box is checked on the Problem List window have a medication recorded in the Current Medications section of the OR have the Medication Verified box checked in the Current Medications section have an allergy recorded in the Allergies section of the and the Allergies Verified box is checked OR the N.K.D.A. box is checked N/A Are you checking the No Known Problems box if a patient does not have any problems to add to the Problem List? N/A Are you checking the Medication Verified box? N/A Are you checking the Allergies Verified or N.K.D.A. box? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 10
OBJ 302F Record Vital signs have the following vitals recorded in the Vitals section of the Progress Notes: height and weight (for all ages), and blood pressure (for children three years of age and older) Map the vital signs (height, weight, and blood pressure) from Configure Vitals Are you entering height and weight (for all ages), and blood pressure (for children three years of age and older) on the? mapped these fields in Configure Categories? OBJ 302G Record smoking status have their smoking status recorded as structured data on the Progress Notes Use the Tobacco Use Smart Form OR map the structured data mapped the structured data/ Smart Form fields under Community Mapping to the structured data elements? OBJ 302 O W Protect electronic health records N/A N/A No Authentication Settings and Security Settings. Also, refer to: http:// www.hhs.gov /ocr/privacy/ hipaa/ administrativ e/ securityrule/ securityruleg uidance.html completed a Security Risk Analysis? Click here to view the CMS Security Risk Analysis. Menu Set Objectives Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 11
OBJ 302B OBJ 302H Drug formulary checks Clinical lab test results N/A N/A No Rx formulary must be enabled through SureScripts Lab tests are included in the denominator if the Order Date and Result Date are within the reporting AND the Received box is checked Labs that have had results entered in the yellow grid on the Lab Results window Labs in the Microbiology category are excluded from this calculation. Set up lab categories from EMR > Labs > Update > Associate Category. Are you verifying Rx eligibility prior to prescribing medications? If you perform in house labs or do not have a lab interface, are you checking the Received box, entering the Result Date, and entering values in the yellow grid? OBJ 302I lists N/A N/A No N/A run a Registry report by condition and saved it? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 12
OBJ 304D reminders Unique patients are included in the denominator if they: Are five years of age or younger OR 65 years of age or older. AND Have the provider listed as their PCP on the Information window OR have had at least two appointments with the provider. have been sent one of the following types of reminders: Follow Up, Health Maintenance, or Preventive Care letters Health Maintenance voice/text message using eclinical Messenger Preventive/ Follow up Care emessage using the Portal Health Maintenance e mail reminders using CDSS and patient alerts Set up letter templates as Follow Up, Health Maintenance or Preventive Care OR Set up eclinical Messenger and/or Portal OR Enable CDSS and alerts to send email reminders for health maintenance Are you sending letter reminders, eclinical Messenger messages, or Portal emessages to a set of your patients for Health Maintanence/ Follow Up/ Preventive Care? Are you sending appointment reminders using eclincial Messenger? set up appointment reminders on the Portal? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 13
OBJ 302M OBJ 302J education Medication reconciliation encounters by the EP during the EHR reporting who have the Transition of Care box checked on the Appointed window or in the Chief Complaints section of the Perform one of the following to satisfy this measure: Print Rx education OR print patient education using Healthwise OR print custom education OR order patient education as a part of an Order Set OR publish patient education via Healthwise to the Portal Note: EPs must use Healthwise during Q1. ecw is working with ADAMS and Krames for ONC Certification. have the Medication Verified box checked on the Current Medications section of the Set up Order Sets OR print your personal patient education using the Custom Education button OR set up patient education resources (e.g., Healthwise) set up your Order Sets with Education PDFs? Are you using the Print button (not the Print Preview button) to print when using Healthwise? N/A Is the front desk checking the Transition of Care box for patients who are transitioning their care to your practice? Are you also checking the Medication Verified box for those patients? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 14
OBJ 304I Transition of care summary Referrals are included in the denominator if they are printed, faxed, or transmitted through P2P OR are included when faxing using the Fax Consult Notes option available on the Fax pick list at the bottom of the window Referrals that have been printed or faxed with attachments (either a Medical Summary or ) OR referrals that have been transmitted through the P2P Portal with attachments (CCDA) OR that have been faxed using the Fax Consult Notes option N/A Are you printing or faxing referrals for your patients using the Print/Fax with Attachments option? OBJ 302K Immunization N/A N/A No You must submit a test file during the EHR reporting. You can generate the file in V10 from Hub > Immunizations > Generate File OBJ 302L Syndromic surveillance N/A N/A No You must submit a test file during the EHR reporting. Contact ecw Support to generate this file. Are you attaching the CCDA when sending referrals when using P2P? Are you using the Fax Consult Notes feature at the bottom of the Progress Notes? submitted a test file? submitted a test file? Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 15
2014 Clinical Quality s 2014 CLINICAL QUALITY MEASURES CQMs are no longer a Core Objective in 2014. However, EPs are still required to submit CQMs in order to successfully participate in the program. Beginning in 2014, all providers, regardless of whether they are in Stage 1 or Stage 2 of Meaningful Use, are required to report on the 2014 CQMs. In 2014, EPs must report on nine (9) of the 64 approved CQMs. Recommended core CQMs (encouraged but not required): Nine (9) CQMs for the pediatric population Nine (9) CQMs for the adult population Selected CQMs must cover at least three (3) out of six (6) of the following National Quality Strategy domains: and Family Engagement Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness Outpatient CPT Codes for Objective s 92004,92002,92014,92012,99211, 99212, 99213, 99214, 99215,99201, 99202, 99203, 99204, 99205,99241, 99242, 99243, 99244, 99245, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99394, 99395, 99396, 99397, 99420, 99429, 99455, 99456, 90846, 90847, 90853, 90857, 90801, 90804, 90805, 90806, 90807, 90808, 90809, 90802, 90810, 90811, 90812, 90813, 90862, G0438, G0439, G0402, 90960, 90961, 90962, 90966, 90970 Nursing Home: 99304, 99305, 99306, 99307, 99308, 99309, 99310,99315,99316, 99318, 99391, 99392, 99393, 99356, 99324, 99325, 99326, 99327, 99334, 99335, 99336, 99337 Dental: D0120,D0140, D0145, D0150, D0160, D0170, D0180, D1110, D1120 Pain Medicine: 98940, 98941, 98942, 98943 Dummy Encounter Code (now considered for OBJs only): MUOBV, MUREP Copyright eclinicalworks, March 2014 Meaningful Use Stage 1 2014 Quick Reference Guide 16