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Meaningful Use 101 - Part III

Getting to meaningful may require effort, but it is absolutely within reach of every Missouri health care professional. The Missouri Health Information Technology (MO HIT) Assistance Center wants Missouri health care professionals to understand the basics of meaningful use and how we can help health care professionals successfully take on this new challenge. In our final installment of Meaningful Use 101, we outline the meaningful use objectives and clinical quality measurement.

Meaningful Use Objectives and Clinical Quality Measurements
Meaningful use includes both a set of objectives and clinical quality measurements that are specific for eligible professionals. It is important to note that objective and clinical quality measurement completion does not apply to the Medicaid incentive program in year one.

25 Meaningful Use Objectives
During Stage 1, eligible professionals must complete all 15 Required Core Objectives:

15 Required Core Objectives

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

10 Menu Set Objectives
Eligible professionals must complete five of the Menu Set Objectives, which includes at least one public health objective to quality for an incentive payment during Stage 1. Eligible professionals are able to defer completion of the five remaining Menu Set Objectives.

  • Drug-formulary checks
  • Incorporate clinical lab test results as structured data
  • Generate lists of patients by specific conditions
  • Send reminders to patients per patient preference for preventive/follow-up care
  • Provide patients with timely electronic access to their health information
  • 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 syndromic surveillance data public health agencies*
         * public health objective

Clinical Quality Measures
Health care professionals will also attest on six clinical quality measures. The first three of the quality measures are core measures on which the professional must report. If a professional has a zero for any of the core measures, then the professional must attest to a measure selected from the alternate core measures. The three remaining quality measures are selected by the eligible professional from a list of 38 options.

Core Measures

  • Hypertension: Blood Pressure Measurement
    Percentage of patient visits for patients aged 18 years and older with a diagnosis of hypertension who have been seen for at least 2 office visits, with blood pressure recorded
  • Preventative Care and Screening Measure Pair:
    1. Percentage of patients aged 18 years and older who have been seen for at least 2 office visits who were queried about tobacco use one or more times within 24 months
    2. Percentage of patients aged 18 years and older identified as tobacco users within the past 24 months and have been seen for at least 2 office visits, who received cessation intervention
  • Adult Weight Screening and Follow-Up
    Percentage of patients aged 18 years and older identified with a calculated BMI in the past six months or during the current visits document in the medical record AND if the most recent BMI is outside parameters, a Follow-up plan is documented.

Alternate Core Measures

  • Preventative Care and Screening: Influenza Immunization
  • Weight Assessment and Counseling for Children and Adolescents
  • Childhood Immunization Status

Optional Measures
Three quality measures are selected by the eligible professional from 38 optional measures. The optional measures are broken into focus areas with one or more optional measures for each: Asthma (3), Behavioral Health & Substance Abuse (2), Cardiovascular (9), Chronic Pain (1), Diabetes (8), Prenatal Care (2), Oncology/Cancer (6)

Click here to view Meaningful Use 101-Part I.

Click here to view Meaningful Use 101-Part II.

For more information or questions about meaningful use, incentive programs or MO HIT Assistance Center services, please visit our Web site: http://www.EHRhelp.missouri.edu call us toll-free: (877) 882-9933 or send us an E-mail: EHRhelp@missouri.edu

The Missouri Health Information Technology (MO HIT) Assistance Center, the designated organization for Missouri, works with providers to help ease this transition to EHRs. MO HIT Assistance Center serves in an advisory role, bringing local expertise and support to primary care physicians and other health care providers with necessary technical assistance for successful EHR implementation. The Center also is a direct pipeline to the national health information technology (health IT) adoption program in support of Missouri health care providers. Our goal is to make you a successful user of EHR technology.

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