Meaningful
Use Stage 2 Deadline:
Stage 2 attestation can start as early as Jan 1, 2014 for those providers who
have already passed Stage 1. In 2014 the attestation period will be 90 days,
but a change in requirements for EHR systems will lengthen the attestation to a
full year starting in 2015. The shorter period in 2014 will give providers a
chance to acquire or upgrade to Stage 2 compliant technology. Medicaid eligible
providers can choose any 90 day period to complete the requirements, but
Medicare eligible providers must start on either January 1, April 1, July 1, or
October 1, 2014.
Eligible
Professional Core Objectives
1)
Use computerized provider order entry (CPOE) for
medication, laboratory and radiology orders directly entered by any licensed
healthcare professional who can enter orders into the medical record per state,
local and professional guidelines.
(2)
Generate and transmit permissible prescriptions
electronically (eRx).
(3)
Record the following demographics: preferred
language, sex, race, ethnicity, date of birth.
(4)
Record and chart changes in the following vital
signs: height/length and weight (no age limit); blood pressure (ages 3 and
over); calculate and display body mass index (BMI); and plot and display growth
charts for patients 0-20 years, including BMI.
(5)
Record smoking status for patients 13 years old or
older.
(6)
Use clinical decision support to improve
performance on high-priority health conditions.
(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.
(8)
Provide clinical summaries for patients for each
office visit.
(9)
Protect electronic health information created or
maintained by the Certified EHR Technology through the implementation of
appropriate technical capabilities.
(10)
Incorporate clinical lab-test results into
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.
(12)
Use clinically relevant information to identify
patients who should receive reminders for preventive/follow-up care and send
these patients the reminders, per patient preference.
(13)
Use clinically relevant information from Certified
EHR Technology to identify patient-specific education resources and provide
those resources to the patient.
(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.
(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 a summary care record for each transition of care or
referral.
(16)
Capability to submit electronic data to
immunization registries or immunization information systems except where
prohibited, and in accordance with applicable law and practice.
(17)
Use secure electronic messaging to communicate with
patients on relevant health information.
Eligible Professional Menu Objectives
1)
Capability
to submit electronic syndromic surveillance data to public health agencies
except where prohibited, and in accordance with applicable law and practice.
(2)
Record
electronic notes in patient records.
(3)
Imaging
results consisting of the image itself and any explanation or other
accompanying information are accessible through CEHRT.
(4)
Record
patient family health history as structured data.
(5)
Capability
to identify and report cancer cases to a public health central cancer registry,
except where prohibited, and in accordance with applicable law and practice.
(6)
Capability
to identify and report specific cases to a specialized registry (other than a
cancer registry), except where prohibited, and in accordance with applicable
law and practice
