Meaningful Use:Meaningful Use:Menu Set MeasuresMenu Set Measures

Karen Williams

Requirements for Demonstration Requirements for Demonstration of Meaningful Useof Meaningful Use

• Must meet all 15 Core Measures*

*Some exclusions are allowed for specific measures, reducing the number of required measures accordingly

Requirements for Demonstration Requirements for Demonstration of Meaningful Useof Meaningful Use• Must achieve compliance with 5 out of

10 Menu Set measures*– One of the five Menu Set measures must

be related to Public Health (either Immunization Registry or Electronic Syndromic Surveillance)

*Some exclusions are allowed for specific measures, reducing the number of required measures accordingly

SuccessEHS University SuccessEHS University resourcesresources

Menu Set MeasuresMenu Set Measures

Drug Formulary Checks:Drug Formulary Checks:Menu Set Measure #1Menu Set Measure #1• The EP has this functionality and has

access to at least one internal or external formulary for the entire EHR Reporting Period.

• Stage One Threshold: Attestation• Exclusion: Any EP who writes fewer

than 100 prescriptions during the EHRreporting period

FormularyFormulary

Lab Results: Menu Set Measure Lab Results: Menu Set Measure #2#2• Incorporate clinical lab test results into EHR

as structured data.• Stage One Threshold: > 40% of all clinical lab

test results ordered by the EP during the reporting period whose results are either in a +/- or numerical format are recorded as structured data

• Exclusion: An EP who orders no lab tests whose results are either in a +/- or numeric formatduring the EHR reporting period

Lab ResultsLab Results

Patient Lists: Menu Set Measure Patient Lists: Menu Set Measure #4#4• Generate at least one report listing

patients of the EP with a specific condition to use for QI, reduction of disparities, research or outreach

• Stage One Threshold: attestation• No exclusion.

Patient ListsPatient Lists

Patient Reminders:Patient Reminders:Menu Set Measure #4Menu Set Measure #4• Send reminders to patients per patient

preference for preventive/follow-up care.• Stage One Threshold: >20% of all patients

65 years or older or 5 years or younger were sent an appropriate reminder during the EHR reporting period.

• Exclusion: EP who has no patients >= 65 or <= 5 years of age with records maintained in the certified EHR technology.

Patient RemindersPatient Reminders

Timely Access:Timely Access:Menu Set Measure #5Menu Set Measure #5• Provide patients with timely electronic

access to their health information (lab results, problems, Rx, allergies) within 4 business days of the information being available to the EP.

• Stage One Threshold: > 10% of all unique patients seen are provided timely electronic access

• Exclusion: EP who have no such patient data to provide during the reporting period

Timely AccessTimely Access

Patient Education:Patient Education:Menu Set Measure #6Menu Set Measure #6• Use certified EHR technology to identify

patient-specific education resources and provide those resource to the patient if appropriate

• Stage One Threshold: > 10% of unique patients seen during the reporting period are provided Patient Education resources

• No Exclusion

Patient EducationPatient Education

Transition of Care Summary:Transition of Care Summary:Menu Set Measure #8Menu Set Measure #8• EP who transitions or refers their patient

to another setting of care or provider of care provides a summary of care record

• Stage One Threshold: > 50% of transitions of care/referrals

• Exclusion: EP who neither transfers a patient to another setting nor refers a patient to another provider during the EHR period.

Transition of Care SummaryTransition of Care Summary

Immunization Registries Data Immunization Registries Data Submission: Menu Set Measure Submission: Menu Set Measure #9#9• Capacity to submit electronic data to

immunization registries and actual submission according to applicable law and practice

• Stage One Threshold: Perform at least one test of certified EHR’s capacity to submit (submission if registry has capacity to receive)

• Exclusion: EP who administers no immunizations during the EHR reporting period or whereno registry has capacity to receiveelectronically

Immunization RegistryImmunization Registry

Electronic Syndromic Electronic Syndromic Surveillance: Menu Set Measure Surveillance: Menu Set Measure #10#10• Capacity to submit ESS data to public health

agencies according to applicable law and practice

• Stage One Threshold: Perform at least on test of certified EHR’s capacity to submit ESS (unless no Public Health Agencies have capacity to receive info electronically

• Exclusion: EP who does not collect/submit any reportable syndromic information on theirpatients

Meaningful Use Report CardMeaningful Use Report Card

For more information about Meaningful

Use, visit SuccessEHS on the web at:

http://www.successehs.com/item/hite

ch-meaningful-use-certified-systems/

registering-for-meaningful-use.htm

.