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Meaningful Use knowledge hub

Explore details of the Meaningful Use program, and get the information you need to achieve Meaningful Use at your organization.

Medicare Meaningful Use Stage 1

Under the Medicare Meaningful Use Stage 1 criteria, eligible providers have to meet nine core objectives (previously 13) and one public health objective. Some of the objectives have a minimum threshold providers must meet; others specify an action that must be taken or an electronic health records functionality that must be enabled for the duration of the reporting period.

Not all Meaningful Use Stage 1 objectives apply to every provider's practice (e.g. dentists do not perform immunizations, chiropractors do not e-prescribe). In these cases, the provider can claim an exclusion from having to meet that measure and these exclusions are noted where applicable.

Meaningful Use Stage 1 core objectives

Below are nine core objectives provided by the Centers for Medicare and Medicaid Services (CMS) that all eligible providers must meet to successfully attest to Stage 1 of Meaningful Use:

  1. Use Computerized Provider Order Entry (CPOE) for medication orders: Enter at least one medication order using CPOE for more than 30% of unique patients, or use CPOE for 30% of medication orders created by the eligible professional (EP) during the EHR reporting period. Providers can claim exclusions for laboratory orders (measure two) and radiology orders (measure three) for an EHR reporting period in 2015. 
  2. Submit prescriptions electronically: More than 40 percent of prescriptions written by the EP need to be transmitted electronically using Certified EHR Technology (CEHRT).
  3. Implement clinical decision support at the point of care: Implement a clinical decision support rule for specialty or high clinical priority, and use that rule to track compliance. 
  4. Provide patients with electronic access (VDT): More than 50% of the patients seen by the EP during the EHR reporting period must receive online access to their health information within four days of its availability. EPs can use their discretion to withhold certain information. 
  5. Protect electronic health information: Conduct or review a security risk analysis and implement the appropriate technical capabilities to protect electronic health information that has been created or maintained by the CEHRT.
  6. Provide patient specific education: More than 10% of all patients seen during the 90-day reporting period should receive patient-specific education materials, as identified by the CEHRT. Exclusions apply to providers who did not intend to select this objective for Stage 1 prior to 2015 program changes. 
  7. Perform medication reconciliation: Medication reconciliations are required for more than 50% of the patients transitioned to the care of the EP during the reporting period. Exclusions apply to providers who did not intend to select this objective for Stage 1 prior to 2015 program changes.
  8. Create and transmit a summary of care record: When transitioning or referring patients to another care setting or provider, the EP must use a CEHRT to create a summary of care record.
  9. Enable secure messaging: During the EHR reporting period, patients must be able to send and receive a secure electronic message with the provider. EPs may claim an exclusion for this measure in 2015 since there is no equivalent under original Stage 1 guidelines.

Meaningful Use Stage 1 public health objectives

To successfully attest to Stage 1, EPs must fulfill one public health measure. There are five reporting options available:

  1. Immunization Registry Reporting: The EP must be actively submitting and receiving immunization data and forecasts from a public health agency.  
  2. Syndromic Surveillance Reporting: EPs must be actively submitting syndromic surveillance data from a non-urgent care ambulatory setting. For eligible hospitals, syndromic surveillance must be submitted from an emergency or urgent care department. 
  3. Case reporting: The EP is actively engaged with a public health agency to submit case reporting of reportable conditions. 
  4. Public health registry reporting: The EP is actively submitting data to public health registries on behalf of a public health agency. 
  5. Clinical data registry reporting: The EP is actively engaged in submitting data to a clinical data registry.

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