1 |
Use computerized provider order entry (CPOE) for medication, laboratory and radiology orders |
More than 60% of medication, 30% of laboratory, and 30% of radiology orders created by the EP during the EHR reporting period are recorded using CPOE |
2 |
ePrescribing |
More than 50% of all permissible prescriptions written by the EP are compared to at least one drug formulary and transmitted electronically using Certified EHR Technology |
3 |
Enable a user to electronically record, modify, and retrieve patient demographic data including preferred language, gender, race, ethnicity, and date of birth |
More than 80% of all unique patients seen by the EP have demographics recorded as structured data |
4 |
Record and chart changes in vital signs: height, weight, blood pressure (age 3 and over); Calculate and display BMI; Plot and display growth charts for children 0–20 years, including BMI |
More than 80% of all unique patients seen by the EP have blood pressure (for patients age 3 and over only) and height and weight (for all ages) recorded as structured data |
5 |
Record smoking status for patients 13 years old or older |
More than 80% of all unique patients 13 years old or older seen by the EP have smoking status recorded as structured data |
6 |
Use clinical decision support to improve performance on high-priority health conditions |
1) Implement 5 clinical decision support interventions related to 4 or more clinical quality measures, if applicable, at a relevant point in patient care for the entire EHR reporting period
2)The EP, eligible hospital, or CAH has enabled the functionality for drug-drug and drug-allergy interaction checks for the entire EHR reporting period
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7 |
Provide patients the ability to view online, download, and transmit their health information within four business days of the information being available to the EP |
1) More than 50% of all unique patients seen by the EP during the EHR reporting period are provided timely (available to the patients within 4 business days after the information is available to the EP) online access to their health information
2) More than 5% of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download, or trasmit to a third party their health information
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8 |
Provide clinical summaries for patients for each office visit |
Clinical summaries provided to patients within one business day for more than 50% of office visits |
9 |
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 164.308 (a)(1), including addressing the encryption/security of data at rest, implementing security updates as necessary and correcting identified security deficiencies as part of its risk management process |
10 |
Incorporate clinical lab-test results into Certified EHR Technology as structured data |
More than 55% 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 |
11 |
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 |
12 |
Use clinically relevant information to identify patients who should receive reminders for preventive/follow-up care |
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 |
13 |
Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate |
Patient-specific education resources identified by CEHRT are provided to patients for more than 10% of all unique patients with office visits seen by the EP during the EHR reporting period |
14 |
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% of transitions of care in which the patient is transitioned into the care of the EP |
15 |
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 of care record for each transition of care or referral |
1) 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% of transitions of care and referrals
2) The EP who transitions or refers their patient to another setting of care or provider of care provides a summary of care record either a) electronically transmitted to a recipient using CEHRT, or b) where the recipient receives the summary of care record via exchange facilitated by an organization that is a NwHIN Exchange participant or is validated through an ONC-established governance mechanism to facilitate exchange for 10% of transitions and referrals
3) The EP who transitions or refers their patient to another setting of care or provider of care must either a) conduct one or more successful electronic exchanges of a summary of care record with a recipient using technology that was designed by a different EHR developer than the sender's, or b) conduct one or more successful tests with the CMS-designated test EHR during the EHR reporting period
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16 |
Capability to submit electronic data to immunization registries or immunization information systems except where prohibited and in accordance with applicable law and practice |
Successful ongoing submission of electronic immunization data from Certified EHR Technology to an immunization registry or immunization information system for the entire EHR reporting period |
17 |
Use secure electronic messaging to communicate with patients on relevant health information |
A secure message was sent using the electronic messaging function of Certified EHR Technology by more than 5% of unique patients seen during the EHR reporting period |