Written by Taylor Mockler

Successfully attesting for CMS’s EHR Incentive Program Meaningful Use is essential for eligible providers and hospitals to avoid the financial penalties and instead collect the financial gains. However, it can be difficult to sort through the copious amounts of information in order to find some direction.

Part one of our Meaningful Use Guide article series discussed important deadlines and changes to Stage 2 as directed by the final rule. In the second part of our series, we showcase a user-friendly, yet thorough summary of finalized Stage 2 objectives and measures for both eligible professionals and hospitals.

Updated Stage 2 Objectives and Measures:

Below is a summary of the objectives for Eligible Professionals and Eligible Hospitals and Critical Access Hospitals (CAH).

Updated Stage 2 Objective Eligible Professionals Eligible Hospitals and Critical Access Hospitals
Protect Patient Health InformationProtect electronic health information created or maintained by the certified EHR technology (CERT)  through the implementation of appropriate technical capabilities.
Conduct or review a security risk analysis aligned with the requirements in 45 CFR 164.308(a)(1), implement security updates as necessary, and correct identified security deficiencies as part of your risk management process.
Conduct or review a security risk analysis aligned with the requirements in 45 CFR 164.308(a)(1), implement security updates as necessary, and correct identified security deficiencies as part of your risk management process.
Clinical Decision SupportUse clinical decision support to improve
performance on high priority health conditions.		 Measure 1: Implement 5 CDS interventions related to 4 or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. If 4 clinical quality measures do not relate to your scope of practice or patient population, the CDS interventions must be related to high-priority health conditions.
Measure 2: Enable and implement the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.
Measure 1: Implement 5 CDS interventions related to 4 or more clinical quality measures at a relevant point in patient care for the entire EHR reporting period. If 4 clinical quality measures do not relate to your scope of practice or patient population, the CDS interventions must be related to high-priority health conditions.
Measure 2: Enable and implement the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period.
CPOE (Computerized Physician Order Entry)Use a CPOE to enter medication, lab, and radiology orders into the medical record per state, local, and professional guidelines.
Use a CPOE to record the following orders for the reporting period:
Measure 1: At least 60% of medication orders
Measure 2: At least 30% of lab orders
Measure 2: At least 30% of radiology orders
Use a CPOE to record the following orders for the reporting period:
Measure 1: At least 60% of medication orders
Measure 2: At least 30% of lab orders
Measure 2: At least 30% of radiology orders
Electronic Prescribing (eRx)Generate and transmit permissible prescriptions electronically (eRx).
Measure: More than 50% of permissible prescriptions written are queried for a drug formulary and transmitted electronically using CEHRT.
Measure: More than 10% of hospital discharge medication orders for permissible prescriptions (for new and changed prescriptions) are queried for a drug formulary and transmitted electronically using CEHRT.
Health Information ExchangeProvide a summary of care record for each transition or care or referral. Measure: Use CEHRT to create a summary of care record and electronically transmit such summary to a receiving provider for more than 10% of transitions of care and referrals.
Measure:Use CEHRT to create a summary of care record and electronically transmit such summary to a receiving provider for more than 10% of transitions of care and referrals.
Patient Specific EducationUse CEHRT to provide patients with clinically relevant patient-specific education resources.
Measure: Provide education resources for more than 10% of all unique patients with office visits seen during reporting period.
Measure: Provide education resources to more than 10% of all unique patients admitted to the inpatient or emergency department (POS 21 or 23).
Medication ReconciliationPerform medication reconciliation for patients received from another setting or provider.
Measure: Perform medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the provider’s care. Measure: Perform medication reconciliation for more than 50% of transitions of care in which the patient is transitioned into the inpatient or emergency department (POS 21 or 23).
Patient Electronic AccessProvide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available.
Measure 1: Provide more than 50% of all unique patients seen during the reporting period timely access to view online, download, and transmit their health information to a third party.
Measure 2: At least 1 patient seen by the provider during the reporting period views, downloads or transmits his or her health info to a third party during the reporting period.
Measure 1: Provide more than 50% of all patients who are discharged from the inpatient or emergency department (POS 21 or 23) timely access to view online, download, and transmit their health information to a third party.
Measure 2: At least 1 patient who is discharged from the inpatient or emergency department (POS 21 or 23) views, downloads, or transmits his or her information to a third party.
Secure Electronic MessagingUse secure electronic messaging to communicate with patients about relevant health information.
Measure:For an EHR reporting period in:
2015: The capability for patients to send and receive a secure electronic message with the EP was fully enabled.
2016: Send a secure message using the electronic health messaging function of the CEHRT to the patient (or patient-authorized representative) or respond to a message sent by a patient (or patient-authorized representative) during the EHR reporting period.
2017: For more than 5% of unique patients during the EHR reporting period, send a secure message using the electronic health messaging function of the CEHRT to the patient (or patient-authorized representative) or respond to a message sent by a patient (or patient-authorized representative) during the EHR reporting period.
N/A
Public Health ReportingThe EP is in active engagement with a public health agency to submit electronic public health data from CEHRT except where prohibited and in accordance with applicable law and practice.
Measure 1: Immunization Registry Reporting – The provider is in active engagement with a public health agency to submit immunization data.
Measure 2: Syndromic Surveillance Reporting – The provider is in active engagement with a public health agency to submit syndromic surveillance data.
Measure 3: Specialized Registry Reporting – The provider is in active engagement to submit data to a specialized registry.		 Measure 1: Immunization Registry Reporting – The hospital or CAH is in active engagement with a public health agency to submit immunization data.
Measure 2: Syndromic Surveillance Reporting –The hospital or CAH is in active engagement with a public health agency to submit syndromic surveillance data.
Measure 3: Specialized Registry Reporting – The hospital or CAH is in active engagement to submit data to a specialized registry.
Measure 4: Electronic Reportable Laboratory Result Reporting – The hospital or CAH is in active engagement with a public health agency to submit electronic reportable laboratory (ELR) results.

Note: It is possible that your practice may be exempt from reporting specific criteria during attestation as previous core and measures were streamlined into fewer objectives. Visit the CMS website to see if you qualify for any of these exclusions.

Thoroughly understanding Meaningful Use is essential for every provider and hospital. In the next part of our Meaningful Use Guide article series, Frequently Asked Questions are highlighted.

View the complete Meaningful Use series here:

  • Introduction: Meaningful Use
  • Part I: Stage 1 and 2 Overview, Stage 2 Final Rule Major Changes, and Important Dates
  • Part III: Frequently Asked Questions

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