I had been following the changes to Meaningful Use and while I did write an article about the same I found a table in Practice Fusion’s Meaningful Use site that I consider quite useful so I went ahead and verified the information with CMS and clean up some of the information so I could provide an “easy” to understand comparison table. Please notice that Objective 1 is now “Protect Patient Health Information” which is normally linked to the completion of a Security Risk Assessment and HIPAA Security requirements.
| Stage 1 Measure in 2014 | Modified Stage 2 Objective in 2015 |
| Core 1: CPOE for Medication Orders | Objective 3: Computerized Provider Order Entry (CPOE) |
| Use CPOE to record more than 30% of medication orders. | Alternate Measure 1: Use CPOE to record more than 30% of medication orders. |
| Core 2: Drug Interaction Checks | Objective 2: Clinical Decision Support |
| Implement drug interaction checks for the entire reporting period. | Alternate Measure 2: Implement drug interaction checks for the entire reporting period. |
| Core 3: Maintain Problem List | This is no longer an objective |
| Enter at least one diagnosis for at least 80% of patients seen. | |
| Core 4: E-prescribing | Objective 4: Electronic Prescribing |
| Send more than 40% of prescriptions electronically. | Alternate Measure 1: Send more than 40% of prescriptions electronically. |
| Core 5: Active Medication List | This is no longer an objective |
| Enter at least one medication for at least 80% of patients seen. | |
| Core 6: Medication Allergy List | This is no longer an objective |
| Enter at least one drug allergy for more than 80% of all patients seen. | |
| Core 7: Record Demographics | This is no longer an objective |
| Record the following demographic information for more than 50% of all patients seen: date of birth, sex, race, ethnicity, preferred language. | |
| Core 8: Record Vital Signs | This is no longer an objective |
| Record the following vitals for more than 50% of all patients: blood pressure for patients ages three and over and height and weight for patients of all ages. | |
| Core 9: Record Smoking Status | This is no longer an objective |
| Record smoking status for more than 50% of all patients 13 years and older. | |
| Core 10: Clinical Decision Support Rule | Objective 2: Clinical Decision Support |
| Implement one clinical decision support (CDS) rule and have it enabled for the entire EHR reporting period. | Alternate Measure 1: Implement one clinical decision support rule. |
| Core 11: Patient Electronic Access | Objective 8: Patient Electronic Access (VDT) |
| Provide more than 50% of patients online access to their health information within four business days. | Measure 1: Provide more than 50% of patients online access to their health information within four business days. |
| Core 12: Clinical Summaries | This is no longer an objective |
| Provide a clinical summary to patients for more than 50% of all office visits within three business days. | |
| Core 13: Protect Electronic Health Information | Objective 1: Protect Patient Health Information |
| Conduct a security risk analysis and implement security updates as necessary. | Conduct a security risk analysis and implement security updates as necessary. |
| Menu 1: Drug Formulary Checks | This is no longer an objective |
| Implement drug formulary checks and ensure that it’s enabled for your entire EHR reporting period. | |
| Menu 2: Clinical Lab Test Results | This is no longer an objective |
| Incorporate more than 40% of all clinical lab test results as structured data. | |
| Menu 3: Patient Lists | This is no longer an objective |
| Generate a report listing patients with a specific diagnosis. | |
| Menu 4: Patient Reminders | This is no longer an objective |
| Send reminders for preventive or follow-up care to more than 20% of patients in your practice who are 65 years and older or 5 years and younger. | |
| Menu 5: Patient Specific Education Resources | Objective 6: Patient Specific Education |
| Provide more than 10% of your patients with education resources. | Provide more than 10% of your patients with education resources. |
| Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to. | |
| Menu 6: Medication Reconciliation | Objective 7: Medication Reconciliation |
| Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.) | Perform medication reconciliation for more than 50% of transitions of care where the patient is transitioned into your care from another setting (hospital, ambulatory primary/specialty care practice, long-term care, etc.) |
| Alternate Exclusion: Provider may claim an exclusion if they did not intend to select the this menu measure to attest to. | |
| Menu 7: Transition of Care Summary | This is no longer an objective |
| Provide a summary of care record for more than 50% of patients that you refer or transition from your practice. | |
| Public Health Menu Measures (Pick 1 measure to report) | Public Health Objective (Pick 1 measure to report) |
| Menu 8: Immunization Registries Data Submission | Objective 10: Public Health |
| Perform at least one test submission of immunization data to your local immunization registry and conduct follow up submission if the test is successful. | Measure 1: Immunization Registry Reporting The EP is in active engagement with a public health agency to submit immunization data. |
| Menu 9: Syndromic Surveillance Data Submission | Objective 10: Public Health |
| Perform at least one test submission of syndromic surveillance data to your local public health agency and conduct follow up submission if the test is successful. | Measure 2: Syndromic Surveillance Reporting The EP is in active engagement with a public health agency to submit syndromic surveillance data. |