Objective |
Measure |
Software
Compliance |
Physician Compliance |
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CORE SET |
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Description
All Core Set items must be acheived |
Goal |
Can your EMR system perform this? |
Are the Staff and Physician(s) performing this now? |
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. |
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Implement Drug-Drug and Drug-Allergy interaction checks |
Functionality is enabled for these checks for the entire reporting period. |
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Maintain an up-to-date problem list of current and active diagnoses |
More than 80% of patients have at least one entry recorded as structured data |
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Generate and transmit permissible prescriptions electronically |
More than 40% are transmitted electronically using certified EMR technology. |
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Maintain active medication lists |
More than 80% of patients have at least one entry recorded as structured data |
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Maintain active medication allergy list |
More than 80% of patients have at least one entry recorded as structured data |
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Record Patient Demographics (Sex, race, ethnicity, date of birth, preferred language) |
More than 50% of patients’ demographic data recorded as structured data
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Objective |
Measure |
Software
Compliance |
Physician Compliance |
Record Vital signs and chart changes (height, weight, blood pressure, body mass index, plot and display growth charts for children (2-20 years old) |
More than 50% of patients 2 years of age or older have height, weight and blood pressure recorded as structured data |
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Record smoking status for patients 13 years old or older |
More than 50% of all patients 13 years or older have smoking status recorded as structured data. |
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Report clinical quality measures to CMS or states |
For 2011, provide aggregate numerator and denominator attestation; for 2012, electronically submit measures |
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Implement one clinical decision support rule and ability to track compliance with the rule |
Once clinical decision support rule implemented |
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On request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication list, medication allergies) |
More than 50% of requesting patients receive electronic copy within 3 business days. |
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For individual physicians, provide patients with clinical summaries for each office visit |
Clinical summaries provided to patients for more than 50% of all office visits within 3 business days
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Objective |
Measure |
Software
Compliance |
Physician Compliance |
Implement capability to electronically exchange key clinical information among providers and patient authorized entities |
Perform at least one test of EMR’s capacity to electronically exchange information |
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Implement systems to protect privacy and security of patient data in the EMR |
Conduct or review a security risk analysis, implement security updates as necessary, and correct identified security deficiencies
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MENU SET |
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Description
5 of 10 Menu set items must be complied with |
Goal |
Can your EMR system perform this? |
Are the Staff and Physician(s) performing this now? |
Implement drug formulary checks |
Drug formulary checks system is implemented and has access to at least one internal or external drug formulary for the entire reporting period |
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Incorporate clinical laboratory test results into EMR as structured data |
More than 40% of clinical laboratory test results whose results are in positive/negative or numerical format are incorporated into EMR as structured data
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Objective |
Measure |
Software
Compliance |
Physician Compliance |
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 |
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Send reminders to patients (per patient preference) for preventive and follow-up care |
More than 20% of patients 65 years of age or older or 5 years of age or younger are sent appropriate reminders |
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Provide patients with timely electronic access to their health information (including lab 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 EMR. |
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Use certified EMR 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 |
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Perform medication reconciliation between care settings |
Medication reconciliation is performed for more than 50% of transitions of care |
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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 |
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Objective |
Measure |
Software
Compliance |
Physician Compliance |
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) |
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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) |
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