Stage 2 Meaningful Use

Update October 2015

This fourth quarter of 2015 is important because it marked the beginning of ICD10 and the changes in Stage 2 Meaningful Use. Some of the changes include the reporting period now being 90 days, the last day to attest is February 29, 2016, and there are now only 10 objectives the EP (Eligible Professional) has to meet instead of core and menu measures.

There have been several changes to Stage 2 Meaningful Use. Below is a summary of the new criteria.

  1. The reporting period is 90 days
  2. The last day to attest is February 29, 2016
  3. There are now only 10 objectives – no core and menu measures
    • Conduct or review a security risk analysis in accordance with the attached requirements. This is done once during the reporting period.
    • Clinical Decision Support
      • Implement 5 clinical decision support interventions related to 4 or more clinical quality measures
      • Enable drug-drug and drug-allergy interaction checks
    • CPOE – Computerized Provider Order Entry
      • Medication orders > 60%
      • Lab orders > 30%
      • Radiology Orders > 30%
      • Exclusion is if you write < 100 orders for each of these; so you are excluded from medication orders if you write less than 100 orders during the reporting period, same with lab orders and radiology orders
    • Electronic Prescribing > 50% permissible prescriptions written by the provider are queried for a drug formulary and transmitted electronically.
    • Health Information Exchange:
      • The EP that transitions or refers their patient to another setting of care or provider of care must 1 – create a summary of care record and 2 – electronically submit such summary to a receiving provider for more than 10% of transitions of care and referrals
        1. Exclusion – any provider who transfers and patient to another setting or refers a patient to another provider < 100 times during the reporting period
    • Patient Specific Education > 10% of all unique patients with office visits seen during the reporting period
    • Medication Reconciliation – Provider performs medication reconciliation for more than >50% of transitions of care in which the patient is transitioned into the care of the provider
      • Exclusion – any provider who did not receive any transitions of care during the reporting period
    • Patient Electronic Access
      1. > 50% of all unique patients seen by the provider during the reporting period are provided timely access to view online, download, transmit to a third party their health information
      2. For a reporting period, at least one patient seen by the provider during the reporting period view, downloads, or transmits to a third part his/her health information during the reporting period
    • Secure Messaging – during the reporting period, the capability for patients to send and receive a secure electronic message with the provider
    • Public Health Reporting – report 2 of the 3 (please check with your state for further information)
      • Immunization Registry
        1. Exclusions (provider can meet 1 or more of these to qualify for the exclusion): provider does not administer any immunizations to any of the population for which data is collected by the jurisdictions immunization registry; provider operates in a jurisdiction for which there is no immunization registry; provider operates in a jurisdiction where no immunization registry or information system has declared readiness to receive data from an HER
      • Syndromic Surveillance
        1. Exclusions (provider can meet one or more of these to qualify for the exclusion): provider is not in a category of providers from which ambulatory syndromic surveillance data is collected by their jurisdiction’s syndromic surveillance system; provider operates in a jurisdiction where no public health agency has declared readiness to receive syndromic surveillance data
      • Specialized Registry Reporting
        1. Exclusions: does not diagnose or treat any disease or condition associated with what is collected by the specialized registry
        2. Provider operates in a jurisdiction where there isn’t a specialized registry that can accept electronic registry transactions
        3. Provider operates in a jurisdiction where no specialized registry for which the EP is eligible is ready to receive electronic registry transactions

 

You can visit the CMS website for more information.
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