Meaningful Use (WG6)
From VistApedia
Discussion of How VistA Meets, or Can Meet,
Meaningful Use, Stage 1
45 CFR Part 170
Official document published in the Federal Register
Contents
- 1 Background discussion
- 2 All-in-one vs. Composite systems
- 3 Possible $ Bonus amounts
- 4 Listing of Criteria for Stage 1 of Meaningful Use
- 4.1 Use Computerised Provider Order Entry (CPOE)
- 4.2 Implement drug-drug, drug-allergy, drug-formulary checks
- 4.3 Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOWMED CT
- 4.4 Generage and transmit permissible prescriptions electronically (eRx)
- 4.5 Maintain active medication list
- 4.6 Maintain active medication allergy list
- 4.7 Record demographics
- 4.8 Record and chart changes in vital signs
- 4.9 Record smoking status for patients 13 yrs old or older
- 4.10 Incomporate clinical lab-test results into EHR as structured data
- 4.11 Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities and outreach
- 4.12 Report quality measures to CMS or the States
- 4.13 Send reminders to patients per patient preference for preventative/followup care
- 4.14 Implement 5 clinical decision support rules
- 4.15 Check insurance eligibility electronically frompublic and private payers
- 4.16 Submit claims electronically to public and private payers
- 4.17 Provide patients with an electronic copy of their health information upon request
- 4.18 Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request
- 4.19 Provide patients with timely electronic access to their health information (including lab results, problem lists, medication lists, allergies) within 96 hours of the information being available to the eligible professional
- 4.20 Provide clinical summaries for patients for each office visit
- 4.21 Capability to exchange key clinical information among providers of care and patient authorized entities electronically.
- 4.22 Provide summary care records for each transition of care and referral
- 4.23 Perform medication reconciliation at relevant encounters and each transition of care
- 4.24 Capability to submit electronic data to immunization registries and actual submission where required and accepted.
- 4.25 Capability to provide electronic submission of reportable lab results (as required by state or local law) to public health agencies and actual submission where is can be received
- 4.26 Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice
- 4.27 Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities.
Background discussion
- The texts discusses EHR's as being Certified. It is not yet clear how this certification status will be awarded.
- The criteria herein are just for Stage 1. Further criteria are likely to be unveiled as the program progresses.
All-in-one vs. Composite systems
Possible $ Bonus amounts
Listing of Criteria for Stage 1 of Meaningful Use
Use Computerised Provider Order Entry (CPOE)
Enable a user to electronically record, store, retrieve and manage, at a minimum, the following order types:
- Medications
- Laboratory
- Radiology/Imaging
- Provider referrals
Implement drug-drug, drug-allergy, drug-formulary checks
- VistA
Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOWMED CT
- VistA
