Stage 2 Meaningful Use Objectives

Dissecting Stage 2 of EHR Adoption

Stage 2 like Stage 1 includes core and menu objectives for both eligible professionals and eligible hospitals. Objectives are a key part of meeting meaningful use and receiving incentive payments. Here are the Stage 2 objectives.

Core Objectives – all are required.

1. CPOE - Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology
2. E-Rx - E-Rx for more than 50%
3. Demographics - Record demographics for more than 80%
4. Vital Signs - Record vital signs for more than 80%
5. Smoking Status - Record smoking status for more than 80%
6. Interventions - Implement 5 clinical decision support interventions + drug/drug and drug/allergy
7. Labs - Incorporate lab results for more than 55%
8. Patient List - Generate patient list by specific condition
9. Preventive Reminders - Use EHR to identify and provide reminders for preventive/follow-up care for more than 10% of patients with two or more office visits in the last 2 years
10. Patient Access - Provide online access to health information for more than 50% with more than 5% actually accessing
11. Visit Summaries - Provide office visit summaries for more than 50% of office visits
12. Education Resources - Use EHR to identify and provide education resources more than 10%
13. Secure Messages - More than 5% of patients send secure messages to their EP
14. Rx Reconciliation - Medication reconciliation at more than 50% of transitions of care
15. Summary of Care - Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR
16. Immunizations - Successful ongoing transmission of immunization data
17. Security Analysis - Conduct or review security analysis and incorporate in risk management process

Menu Objectives – Select 3 of 6

1. Imaging Results - More than 20% of imaging results are accessible through Certified EHR Technology
2. Family History - Record family health history for more than 20%
3. Syndromic Surveillance - Successful ongoing transmission of syndromic surveillance data
4. Cancer - Successful ongoing transmission of cancer case information
5. Specialized Registry - Successful ongoing transmission of data to a specialized registry
6. Progress Notes - Enter an electronic progress note for more than 30% of unique patients

Core Objectives – all are required.

1. CPOE - Use CPOE for more than 60% of medication, 30% of laboratory, and 30% of radiology
2. Demographics - Record demographics for more than 80%
3. Vital Signs – Record vital signs for more than 80%
4. Smoking Status - Record smoking status for more than 80%
5. Interventions - Implement 5 clinical decision support interventions + drug/drug and drug/allergy
6. Labs - Incorporate lab results for more than 55%
7. Patient List
   Generate patient list by specific condition
8. eMAR - eMAR is implemented and used for more than 10% of medication orders
9. Patient Access - Provide online access to health information for more than 50% with more than 5% actually accessing
10. Education Resources - Use EHR to identify and provide education resources more than 10%
11. Rx Reconciliation - Medication reconciliation at more than 50% of transitions of care
12. Summary of Care - Provide summary of care document for more than 50% of transitions of care and referrals with 10% sent electronically and at least one sent to a recipient with a different EHR vendor or successfully testing with CMS test EHR
13. Immunizations - Successful ongoing transmission of immunization data
14. Labs - Successful ongoing submission of reportable laboratory results
15. Syndromic Surveillance - Successful ongoing submission of electronic syndromic surveillance data
16. Security Analysis - Conduct or review security analysis and incorporate in risk management process

Menu Objectives – Select 3 of 6

1. Progress Notes - Enter an electronic progress note for more than 30% of unique patients
2. E-Rx - More than 10% electronic prescribing (eRx) of discharge medication orders
3. Imaging Results - More than 20% of imaging results are accessible through Certified EHR Technology
4. Family History - Record family health history for more than 20%
5. Advanced Directives - Record advanced directives for more than 50% of patients 65 years or older
6. Labs - Provide structured electronic lab results to EPs for more than 20%

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Tags: Dissecting Stage2

Category: EHR Incentive Program, Stage 2 Final Rule