© Copyright eClinicalWorks, March 2014 ‐ Meaningful Use Stage 1 2014 Quick Reference Guide 7
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Note: E&M codes must be recorded on the Progress Notes for an encounter to count towards encounter‐ based or unique‐patient‐based Meaningful Use measures. Visit Types and Visit Statuses can be marked as excluded from MU calculations. If an encounter must be excluded from calculations, one of these Visit Types or Visit Statuses can be used and that encounter will be excluded from the Meaningful Use reporting. IMPORTANT! EPs must be using 2014 Certified EHR technology for the entire reporting period. V 10 of eClinicalWorks is 2014 CEHRT.Measure
ID
Measure
Name
Denominator
Numerator
Graph
Setup
What could I
be missing?
Core Objectives
OBJ‐304A1 CPOE Number of unique
patients with at least one medication order in their medication list seen by the EP during the EHR reporting period Number of patients that have at least one medication order recorded using CPOE. Yes Appropriate staff members marked as licensed healthcare professionals Have you updated all of your staff members’ profiles? OBJ‐304A1 CPOE (alternate) Number of medication orders created by the EP during the EHR reporting period Number of orders recorded using CPOE Yes Appropriate staff members marked as licensed healthcare professionals Have you updated all of your staff members’ profiles?
OBJ‐304B Permissible e‐ Prescriptions Medications are included in the denominator if one of the following actions is taken on them: printed, faxed, or transmitted electronically/e‐ prescribed (DMEs and controlled substances are excluded) Medications that have been transmitted electronically/ e‐prescribed. Yes Enable e‐ Prescriptions /SureScripts Have you activated e‐ prescribing and actively used it? OBJ‐304E Clinical decision support rule
N/A N/A No Set up CDSS
or any one of the EMR alerts (Lab, Dx, patient‐ specific, etc.) Have you set up CDSS, or at least one of the alerts? OBJ‐314E Patient electronic access Number of unique patients seen by the EP during the EHR reporting period Patients that have been web‐ enabled from the Patient Information window on, before, or within four business days of the appointment date Yes Set up Patient Portal, which is required for this measure Are you web‐ enabling the patients that are seen at the office on, before or within four business days of their appointment?
© Copyright eClinicalWorks, March 2014 ‐ Meaningful Use Stage 1 2014 Quick Reference Guide 9 OBJ‐304H1 Clinical visit summaries Number of visits for an EP during the EHR reporting period Visits for patients that have been web‐ enabled from the Patient Information window within three business days of their encounter OR visits where the visit summary is printed using the Print Visit Summary option within three business days of their encounter Yes Set up Patient Portal and enable the printing of Visit Summaries Are you web‐ enabling patients if you have Patient Portal? Are you printing visit summaries for patients who are not web‐ enabled? OBJ‐302A Drug interaction checks
N/A N/A No No setup
required N/A OBJ‐304C Record demographics Number of unique patients seen by the EP during the EHR reporting period Patients that have all of the following recorded: DOB, Gender, Language, Race, and Ethnicity Yes Languages must be mapped. The Language, Race, and Ethnicity demographic fields can be made mandatory Are you capturing the DOB, Gender, Language, Race, and Ethnicity in the demographics fields and Additional Information section of the demographics?
OBJ‐302C Up‐to‐date problem list Number of unique patients seen by the EP during the EHR reporting period Patients that have an ICD code associated with a SNOMED code recorded on their Problem List OR have the No Known Problems box is checked on the Problem List window
Yes N/A Are you checking
the No Known Problems box if a patient does not have any problems to add to the Problem List? OBJ‐302D Active medication list Number of unique patients seen by the EP during the EHR reporting period Patients that have a medication recorded in the Current Medications section of the Progress Notes OR have the Medication Verified box checked in the Current Medications section
Yes N/A Are you checking
the Medication Verified box? OBJ‐302E Active medication allergy list Number of unique patients seen by the EP during the EHR reporting period Patients that have an allergy recorded in the Allergies section of the Progress Notes and the
Yes N/A Are you checking
the Allergies
Verified or N.K.D.A. box?
© Copyright eClinicalWorks, March 2014 ‐ Meaningful Use Stage 1 2014 Quick Reference Guide 11 OBJ‐302F Record Vital signs Number of unique patients seen by the EP during the EHR reporting period Patients that have the following vitals recorded in the Vitals section of the Progress Notes: height and weight (for all ages), and blood pressure (for children three years of age and older) Yes Map the vital signs (height, weight, and blood pressure) from Configure Vitals Are you entering height and weight (for all ages), and blood pressure (for children three years of age and older) on the Progress Notes? Have you mapped these fields in Configure Categories? OBJ‐302G Record smoking status Number of unique patients seen by the EP during the EHR reporting period Patients that have their smoking status recorded as structured data on the Progress Notes Yes Use the Tobacco Use Smart Form OR map the structured data Have you mapped the structured data/ Smart Form fields under Community Mapping to the structured data elements? OBJ‐302 O‐ W Protect electronic health records
N/A N/A No Authentic‐
ation Settings and Security Settings. Also, refer to: http:// www.hhs.gov /ocr/privacy/ hipaa/ administrativ e/ securityrule/ securityruleg uidance.html Have you completed a Security Risk Analysis? Click here to view the CMS Security Risk Analysis.
OBJ‐302B Drug formulary checks
N/A N/A No Rx formulary
must be enabled through SureScripts Are you verifying Rx eligibility prior to prescribing medications? OBJ‐302H Clinical lab test results Lab tests are included in the denominator if the Order Date and Result Date are within the reporting period AND the Received box is checked Labs that have had results entered in the yellow grid on the Lab Results window Yes Labs in the Microbiology category are excluded from this calculation. Set up lab categories from EMR > Labs > Update > Associate Category. If you perform in‐house labs or do not have a lab interface, are you checking the Received box, entering the Result Date, and entering values in the yellow grid?
OBJ‐302I Patient lists N/A N/A No N/A Have you run a
Registry report by condition and saved it?
© Copyright eClinicalWorks, March 2014 ‐ Meaningful Use Stage 1 2014 Quick Reference Guide 13 OBJ‐304D Patient reminders Unique patients are included in the denominator if they: Are five years of age or younger OR 65 years of age or older. AND Have the provider listed as their PCP on the Patient Information window OR have had at least two appointments with the provider. Patients that have been sent one of the following types of reminders: • Follow Up, Health Maintenance, or Preventive Care letters • Health Maintenance voice/text message using eClinical Messenger • Preventive/ Follow‐up Care eMessage using the Patient Portal • Health Maintenance e‐ mail reminders using CDSS and patient alerts Yes Set up letter templates as Follow Up, Health Maintenance or Preventive Care OR Set up eClinical Messenger and/or Patient Portal OR Enable CDSS and Patient alerts to send email reminders for health maintenance Are you sending letter reminders, eClinical Messenger messages, or Patient Portal eMessages to a set of your patients for Health Maintanence/ Follow Up/ Preventive Care? Are you sending appointment reminders using eClincial Messenger? Have you set up appointment reminders on the Patient Portal?
OBJ‐302M Patient education Number of unique patients seen by the EP during the EHR reporting period Perform one of the following to satisfy this measure: Print Rx education OR print patient education using Healthwise OR print custom education OR order patient education as a part of an Order Set OR publish patient education via Healthwise to the Patient Portal Yes Set up Order Sets OR print your personal patient education using the Custom Education button OR set up patient education resources (e.g., Healthwise) Have you set up your Order Sets with Patient Education PDFs? Are you using the Print button (not the Print Preview button) to print when using Healthwise? Note: EPs must use Healthwise during Q1. eCW is working with ADAMS and Krames for ONC Certification. OBJ‐302J Medication reconciliation Number of unique encounters by the EP during the EHR reporting period who have the Patients that have the Medication Verified box checked on the
Yes N/A Is the front desk
checking the
Transition of Care box for
© Copyright eClinicalWorks, March 2014 ‐ Meaningful Use Stage 1 2014 Quick Reference Guide 15 OBJ‐304I Transition of care summary Referrals are included in the denominator if they are printed, faxed, or transmitted through P2P OR Progress Notes are included when faxing using the Fax Consult Notes option available on the Fax pick list at the bottom of the Progress Notes window Referrals that have been printed or faxed with attachments (either a Medical Summary or Progress Notes) OR referrals that have been transmitted through the P2P Portal with attachments (CCDA) OR Progress Notes that have been faxed using the Fax Consult Notes option
Yes N/A Are you printing
or faxing referrals for your patients using the Print/Fax with Attachments option? Are you attaching the CCDA when sending referrals when using P2P? Are you using the Fax Consult Notes feature at the bottom of the Progress Notes?
OBJ‐302K Immunization N/A N/A No You must
submit a test file during the EHR reporting period. You can generate the file in V10 from Patient Hub > Imm‐ unizations > Generate File Have you submitted a test file? OBJ‐302L Syndromic surveillance
N/A N/A No You must
submit a test file during the EHR reporting period. Contact eCW Support to generate this file. Have you submitted a test file?
successfully participate in the program. Beginning in 2014, all providers, regardless of whether they are in Stage 1 or Stage 2 of Meaningful Use, are required to report on the 2014 CQMs. In 2014, EPs must report on nine (9) of the 64 approved CQMs. Recommended core CQMs (encouraged but not required): Nine (9) CQMs for the pediatric population Nine (9) CQMs for the adult population Selected CQMs must cover at least three (3) out of six (6) of the following National Quality Strategy domains: Patient and Family Engagement Patient Safety Care Coordination Population and Public Health Efficient Use of Healthcare Resources Clinical Processes/Effectiveness
Outpatient CPT Codes for Objective Measures
92004,92002,92014,92012,99211, 99212, 99213, 99214, 99215,99201, 99202, 99203, 99204, 99205,99241, 99242, 99243, 99244, 99245, 99324, 99325, 99326, 99327, 99328, 99334, 99335, 99336, 99337, 99341, 99342, 99343, 99344, 99345, 99347, 99348, 99349, 99350, 99381, 99382, 99383, 99384, 99385, 99386, 99387, 99394, 99395, 99396, 99397, 99420, 99429, 99455, 99456, 90846, 90847, 90853, 90857, 90801, 90804, 90805, 90806, 90807, 90808, 90809, 90802, 90810, 90811, 90812, 90813, 90862, G0438, G0439, G0402, 90960, 90961, 90962, 90966, 90970 Nursing Home: 99304, 99305, 99306, 99307, 99308, 99309, 99310,99315,99316, 99318, 99391, 99392, 99393, 99356, 99324, 99325, 99326, 99327, 99334, 99335, 99336, 99337 Dental: D0120,D0140, D0145, D0150, D0160, D0170, D0180, D1110, D1120
