As of 10/8/2015, CMS has passed a rule that changes the measures of Meaningful Use for 2015. Please refer to this webinar, hosted by Collaborative Practice Solutions, for the most recent information on meaningful use. For the written guide to the Stage 2 Revision, please click here: Stage 2 Revision. For more information on the Medicare reimbursement program for 2017 and onward, see MIPS. The below information is ARCHIVED.
Meaningful Use Stage 2 Definition
CMS defines Stage 2 of Meaningful Use as:
The CMS Stage 2 Final Rule from 2012 specifies the criteria that eligible professionals, eligible hospitals, and critical access hospitals (CAHs) must meet in order to participate in Stage 2 of the Medicare and Medicaid EHR Incentive Programs. All providers must demonstrate Stage 1 of meaningful use before Stage 2.
To help providers better understand Stage 2 meaningful use requirements, CMS developed specification sheets for eligible professionals and eligible hospitals that provide detailed information on each objective, including:
• Numerator and denominator thresholds
• Exclusion criteria
• Definitions of important terms
• Requirements for achieving the objectives
• Certification information that corresponds with each objective
Meaningful Use Stage 2 Breakdown
| 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. |
Meaningful Use Report
The Meaningful Use report can be found in TRAKnet under the Reports menu at the top of the screen, then Meaningful Use. There are three different reports: a Stage 1 report, a Stage 2 report, and a detailed report of both, which shows each individual encounter or patient that makes up the denominator for that measure.