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EHR Pathway

Meaningful Use: Eligible Hospitals

Meaningful use includes both a core set and a menu set of objectives that are specific for eligible hospitals. There are a total of 24 meaningful use objectives. Fourteen are core objectives that are required, and the remaining 5 objectives may be chosen from the list of 10 menu set objectives. Eligible hospitals must report on 19 of the 24 objectives during Stage 1. Objective completion does not apply to the Medicaid incentive program in year one.

14 Required Core Objectives

  1. Computerized physician order entry (CPOE)
  2. Drug-drug and drug-allergy interaction checks
  3. Record demographics
  4. Implement one clinical decision support rule
  5. Maintain up-to-date problem list of current and active diagnoses
  6. Maintain active medication list
  7. Maintain active medication allergy list
  8. Record and charge changes in vital signs
  9. Record smoking status for patients 13 years or older
  10. Report hospital clinical quality measures to CMS or States
  11. Provide patients with an electronic copy of their health information, upon request
  12. Provide patients with an electronic copy of their discharge instructions at time of discharge, upon request
  13. Capability to exchange key clinical information among providers of care and patient-authorized entities electronically
  14. Protect electronic health information

Select Five Menu Set Objectives

  • Drug formulary checks
  • Record advanced directives for patients 65 years or older
  • Incorporate clinical lab test results as structured data
  • Generate lists of patients by specific conditions
  • Use certified EHR technology to identify patient-specific education resources and provide to patient, if appropriate
  • Medication reconciliation
  • Summary of care record for each transition of care/referrals
  • Capability to submit electronic data to immunization registries/systems*
  • Capability to provide electronic submission of reportable lab results to public health agencies*
  • Capability to provide electronic syndromic surveillance data to public health agencies*

*At least one public health objective must be selected

Meaningful Use and Critical Access Hospitals Primer

The Department of Health and Human Services, Health Resources and Services Administration (HRSA), Office of Rural Health Policy (ORHP) has a primer that introduces Critical Access Hospitals to a broad spectrum of health information technology (HIT) adoption issues and considerations. It identifies open-ended questions that help CAHs define their own roadmap for meaningful use of an electronic health record (EHR) system.

Useful Links

EHR Success Stories

The devastating tornado that swept through Joplin, Missouri on May 22 completely destroyed a number of physician offices, including that of Tracy Godfrey, MD, a Family Practitioner with the Family Health Center of Joplin. But thanks to electronic health records, Godfrey had access to all of her patients' information, and in less than three days after the catastrophe, the practice was able to reopen its doors at a temporary location. More EHR Success Stories