Satisfying Meaningful Use

Helps meet Meaningful Use criteria for CPOE adoption for 2011

Met by MedsTracker?	Hospital Objective	Measurement
	Record patient demographics (sex, race, ethnicity, date of birth, preferred language, date and preliminary cause of death in the event of mortality)	More than 50% of patients’ demographic data recorded as structured data
	Record vital signs and chart changes (height, weight, blood pressure, body-mass index, growth charts for children)	More than 50% of patients 2 years of age or older have height, weight, and blood pressure recorded as structured data
	Maintain up-to-date problem list of current and active diagnoses	More than 80% of patients have at least one entry recorded as structured data
	Maintain active medication list	More than 80% of patients have at least one entry recorded as structured data
	Maintain active medication allergy list	More than 80% of patients have at least one entry recorded as structured data
	Record smoking status for patients 13 years of age or older	More than 50% of patients 13 years of age or older have smoking status recorded as structured data
	Provide an electronic copy of hospital discharge instructions on request	More than 50% of all patients who are discharged from the inpatient department or emergency department of an eligible hospital or critical access hospital and who request an electronic copy of their discharge instructions are provided with it
	On request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies, and for hospitals, discharge summary and procedures)	More than 50% of requesting patients receive electronic copy within 3 business days
	Computer provider order entry (CPOE) for medication orders	More than 30% of patients with at least one medication in their medication list have at least one medication ordered through CPOE
	Implement drug–drug and drug–allergy interaction checks	Functionality is enabled for these checks for the entire reporting period
	Implement capability to electronically exchange key clinical information among providers and patient-authorized entities	Perform at least one test of EHR’s capacity to electronically exchange information
	Implement one clinical decision support rule and ability to track compliance with the rule	One clinical decision support rule implemented
	Implement systems to protect privacy and security of patient data in the EHR	Conduct or review a security risk analysis, implement security updates as necessary, and correct identified security deficiencies
	Report clinical quality measures to CMS or states	For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures
	Menu Set (Select 5)
	Implement drug formulary checks	Drug formulary check system is implemented and has access to at least one internal or external drug formulary for the entire reporting period
	Incorporate clinical laboratory test results into EHRs as structured data	More than 40% of clinical laboratory test results whose results are in positive/negative or numerical format are incorporated into EHRs as structured data
	Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach	Generate at least one listing of patients with a specific condition
	Use EHR technology to identify patient-specific education resources and provide those to the patient as appropriate	More than 10% of patients are provided patient-specific education resources
	Perform medication reconciliation between care settings	Medication reconciliation is performed for more than 50% of transitions of care
	Provide summary of care record for patients referred or transitioned to another provider or setting	Summary of care record is provided for more than 50% of transitions or referrals
	Submit electronic immunization data to immunization registries or immunization information systems	Perform at least one test of data submission and follow-up submission (where registries can accept electronic submissions)
	Submit electronic syndromic surveillance data to public health agencies	Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic data)

Source: “The ‘Meaningful Use’ Regulation for Electronic Health Records,” David Blumenthal, M.D., M.P.P., and Marilyn Tavenner, R.N., M.H.A., New England Journal of Medicine, NEJM.org (13 July 2010)