Meaningful Use – In A Nutshell

What does it mean when I hear the term “Meaningful Use”?

Simply put, “meaningful use” means providers need to show they’re using certified EHR technology in ways that can be measured significantly in quality and in quantity.

The criteria for Meaningful Use will be rolled out in three stages over the course of the next five years.

Stage 1 – (2011 and 2012) sets the baseline for electronic Data Capture and Information Sharing.

Stage 2 – (2013) Implements Advanced Clinical Processes

Stage 3 – (2015) Expands to Improved Outcomes.

Requirements for Stage 1 of Meaningful Use (for years 2011 and 2012)

For eligible professionals, there are a total of 25 meaningful use objectives.  To qualify for an incentive payment, 20 of these 25 objectives must be met.

  • There are 15 required core objectives. (view now)
  • The remaining 5 objectives may be chosen from the list of 10 menu set objectives. (view now)
I understand ePrescribing is a Meaningful Use criterion but how can Chiropractors be held to the criteria when they do not prescribe?

ePrescribing is one of the 25 Meaningful Use criteria, however the government’s Final Rules for Stimulus dollars released in July 2010 reduced the number of required Meaningful Use criteria to just 20 of the 25 and included exceptions of criteria if they do not apply to the provider’s discipline.  A Doctor of Chiropractor who shows meaningful use in 20 of the 25 criteria with a certified EHR software, without ePrescribing since it is illegeal for Chiropractors in 47 states, is still entitled to incentive payments.

15 Core Meaningful Use Criteria
  1. Record patient demographics (including gender, race and ethnicity, date of birth, preferred language)
  2. Record vital signs (height, weight, blood pressure, body mass index, and growth charts for children)
  3. Maintain up-to-date problem lists
  4. Maintain active medication lists
  5. Maintain active medication allergy lists
  6. Record smoking status for patients older than 13 years of age
  7. Provide patients with a clinical summary for each office visit within 3 business days
  8. On request, provide patients with an electronic copy of their health information (including test results, problem lists, meds lists, allergies) within 3 business days
  9. Generate electronic prescriptions (note: Chiropractors exempt from criteria)
  10. Use Computerized Physician Order Entry (CPOE) for medication orders at least 30% of the time.
    (note: Chiropractors exempt from criteria)
  11. Implement drug-drug and drug-allergy interaction checks
  12. Be able to exchange key clinical information among providers by performing at least one test of the EMR’s ability to do this.
  13. Implement one clinical decision support rule, and ability to track compliance with the rule (this is reduced from the previous 5 rules to the final 1 rule)
  14. Implement systems that protect privacy and security of patient data in the EMR, by conducting or reviewing a security risk analysis, and taking corrective step if needed
  15. Report clinical quality measures to CMS or states – for 2011 provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures (this refers to PQRI measures)
10 Menu Meaningful Use Criteria

(must demonstrate at least five)

  1. Implement drug-formulary checking
  2. Incorporate lab test data into the EMR as structured data
  3. Generate lists of patients by specific conditions (to use for quality improvement, reduce disparities, research, or outreach)
  4. Use EMR technology to identify patient-specific education resources, and provide those to the patient as appropriate
  5. Provide medication reconciliation between care settings
  6. Provide summary of care record for patients transferred to another provider or setting
  7. Submit electronic immunization data to local registries (performing at least one test of data submission, where registries can accept them)
  8. Submit electronic syndromic surveillance to public health agencies (perform at least one test, where local agencies can accept them)
  9. Send reminders to patients (per patient preference) for preventive and follow-up care
  10. Provide patients with timely electronic access to their health information
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