Skip Ribbon Commands
Skip to main content
  
Sort by AttachmentsUse SHIFT+ENTER to open the menu (new window).
  
  
  
  
  
Measure DescriptionFilter
  
  
  
ExclusionFilterStructured DataFilterCertified TechnologyFilterSuggested Workflow StepsFilterResponsible Team MembersFilterNotesFilter
  
  
  
  
  
  
  
  
  
S1C1
  
Stage 1CoreRecord patient demographics
​More than 50% of unique patients have demographics recorded as structured data
PercentNoNo
​None
​• Preferred language
• Gender
• Race
• Ethnicity (Hispanic or Latino; Not Hispanic or Latino)
• Date of birth
​Practice management software (PMS) module  or integrated  PMS/EHR
 
 
Verify:
•That you can electronically record, modify and retrieve patient demographic information
• That the fields are discrete, i.e., not entered in an open text box
• That you integrate your PMS (or other certified technology where you capture demographic information) to avoid duplicate entry
 
​Demographics captured and entered into (PMS) during patient visit check-in at front office
When data exists in paper form, demographics must  be entered  into EHR technology; data may be entered during pre-system go-live or upon patients’ first visit using EHR
​Front office staff, clerical staff or potentially temporary staff, when preparing to roll-out PMS/EHR technology
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f07 Record Demographics EP 04 2013.pdf')
S1C2
  
Stage ICoreRecord and chart changes in vital signs
More than 50% of unique patients age 2 and over; have height, weight and blood pressure recorded as structured data
Percent
Any EP who either sees no patients 2 years or older, or who believes that all three vital signs of height, weight, and blood pressure of their patients have no relevance to their scope of practice during the EHR reporting period qualifies for an exclusion from this objective/measure.
• Height (may be self-reported)
• Weight
• Blood pressure
• Calculate and display BMI
• Plot and display growth charts for children 2–20 years, including BMI
EHR

Verify:
• That you can electronically record, modify and retrieve patient vital signs.
• Use of discrete fields for height/weight to enable tracking/charting
• That your system calculates BMI and can display pediatric growth charts (if applicable)
Vital signs captured and entered in EHR (formerly captured through paper flow sheet) during patient visit

EHR technology should calculate and generate BMI and growth charts

Note: EP could also accept transfer of the information electronically or otherwise from another provider or entered directly by the patient through a portal or other means. Therefore, any EP that sees/admits the patient and has access to height, weight and blood pressure information on the patient can put that patient in the numerator.
Nurses, medical assistant
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f08 Record Vital Signs EP 04 2013.pdf')
S1C3
  
Stage ICoreMaintain active medication allergy list
More than 80% of all unique patients seen by the EP have at least one entry (or an indication that the patient has no known medication allergies) recorded as structured data
Percent
None
1+ allergy or an indication of no allergies for each patient
ePrescribing module or ePrescribing within EHR:

Verify:
• That you can electronically record, modify and retrieve a patient’s active medication allergy list
• That the allergy fields are discrete, i.e., not entered in notes, problem list or other free text box
Allergies captured in EHR during patient visit

When data exists in paper form, allergies must be entered into EHR technology. Data may be entered during pre-system go-live or upon patients’ first visit using EHR.
Physician, physician assistant, nurses, medical assistant (physician to verify allergy versus intolerance. Advise on whether recording intolerances is the same, amounts, etc.)
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f06 Medication Allergy List EP 04 2013.pdf')
S1C4
  
Stage ICoreMaintain an up-to-date problem list of current and active diagnoses
More than 80% of all unique patients seen by the EP have at least one entry or an indication that no problems are known for the patient recorded as structured data
Percent
None
1+ problem, active diagnosis or indication (i.e., “none”) of no known problem for each patient
Practice management software module or EHR

Verify:
• That the problem list fields are based on ICD or SNOMED and discrete, i.e., not entered as notes or free form text
• How to set up a query to search for/report on problems/active diagnoses
Problems/active diagnoses captured during patient visit

When data exists in paper form, problems must be entered into EHR technology. Data may be entered during pre-system go-live or upon patients’ first visit using EHR.
Physician (or eligible professional)
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f03 Maintain Problem List EP 04 2013.pdf')
S1C5
  
Stage ICoreMaintain active medication list
More than 80% of all unique patients seen by the EP have at least one entry (or an indication that the patient is not currently prescribed any medications) recorded as structured data
Percent
None
1+ medication or an indication (i.e., “None”) that the patient is not currently prescribed any medication
ePrescribing module or ePrescribing component of an EHR. Certified ePrescribing modules and the prescribing component of complete EHRs willgenerate a medication list.

Verify:
• That you can electronically record, modify and retrieve a patient’s active medication list as well as medication history (system shows modifications to previous medications) for longitudinal care
• That the medication list is a discrete field, i.e., not included in notes or free form text, to ensure search/reporting capability
• That your ePrescribing system is integrated with your EHR if using a standalone ePrescribing system to avoid duplicate entry and to ensure accurate threshold calculations
Medications captured during patient visit

When data exists in paper form, medications must be entered into certified EHR technology; medications may be entered during pre-system go-live or upon patients’ first visit using EHR
Nurse, medical assistant
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f05 Active Medication List EP 04 2013.pdf')
S1C6
  
Stage ICoreUse computerized physician order entry (CPOE) for medication orders
More than 30% of all unique patients seen by the EP with at least one medication in list must have one medication order entered using CPOE
Percent
EP who writes <100 prescriptions during EHR reporting period.
1+ medication order
Medication orders are typically captured using an ePrescribing system or by using the ePrescribing component of an EHR. Hospital-based eligible professionals will use either an EHR or CPOE system.

Verify:
• That you can electronically record, modify retrieve and manage medication orders
• That your ePrescribing system is integrated with your EHR, if currently using a standalone ePrescribing system
Medication order entered during patient visit
Physician (or eligible professional); any licensed healthcare professional within the state
CPOE is a separate requirement from the electronic transmission of prescriptions.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f01 CPOE for Medication Orders EP 04 2013.pdf')
S1C7
  
Stage ICoreGenerate and transmit electronic prescriptions for non-controlled substances
More than 40% of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology
Percent
Any EP who writes <100 prescriptions
during the EHR reporting period.
ePrescribing or EHR. Medication orders are transmitted using an ePrescribing system or by using an ePrescribing component in an EHR. Hospital-based eligible professionals will use either an EHR or CPOE system.

Verify:
• That you can generate and transmit electronic prescriptions through a seamless integration with Surescripts for subscribed retail and mail order pharmacies
• That your ePrescribing system is integrated with your EHR, if you were using a standalone ePrescribing system
1. Medication order transmitted during patient visit
2. Telephone encounter
3. E-visit
4. Portal message
5. Pharmacy renewal request
Physician (or eligible professional); can be delegated to staff acting on behalf of EP
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f04 e-Prescribing EP 04 2013.pdf')
S1C8
  
Stage ICoreImplement drug- drug/drug-allergy interaction checks
Functionality enabled (entire reporting period)
Yes/No
None
ePrescribing module or ePrescribing component of an EHR

Verify:
• That you have real-time medication interaction screening that runs when prescribing medications
At point of care during prescription process
System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f02 Drug Interaction Checks EP 04 2013.pdf')
S1C9
  
Stage ICoreRecord adult smoking status
More than 50% of all unique patients 13 years or older seen by the EP have “smoking status” recorded
Percent
Any EP who sees no patients 13 years or older during the EHR reporting period.
EHR

Verify:
• That you have the ability to electronically record, modify and retrieve patient smoking status
During patient visit
Nurse, medical assistant
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f09 Record Smoking Status EP 04 2013.pdf')
S1C10
  
Stage ICoreProvide clinical summaries for patients for each office visit
More than 50% of patients receive clinical summary within three business days after office visit
Percent
Any EP who has no office visits during the EHR reporting period
• Problem list
• Medication list
• Allergies
• Diagnostic test results


Note: Information shared in format referred to as continuity of care record or CCR or continuity of care document or CCD.
EHR

Verify:
• That you can electronically generate a clinical summary or a continuity of care document (CCD) and transmit to patients in one of the formats listed to the left under Note in the “Measure” column
Post-patient visit
Physician captures relevant information. Nurse, MA can pull report. Front/back office staff may distribute.
EP could choose any of the listed means: PHR, patient portal on a website, secure e-mail, electronic media such as CD or USB fob, or printed copy. EP who chooses an electronic media is also required to provide the patient a paper copy upon request. Both forms should be produced by certified EHR technology.
Clinical Summaries EP Stage 1 MU Core Fact Sheet
S1C11
  
Stage ICoreOn request, provide patients with an electronic copy of their health information
More than 50% of requesting patients receive electronic copy within three business days
Percent
Any EP that has no requests from patients or their agents for an electronic copy of patient health information during the EHR reporting period qualifies for an exclusion from this objective/measure.
EHR

Verify:
• That you can electronically generate either the patient’s choice of a full chart summary or a continuity of care document (CCD) or continuity of care record (CCR) and transmit in one of the formats listed under Note in the “Measure” column
Post-patient visit
System enables report of CCR/CCD created by information captured by physician (eligible professional)
Includes diagnostic test results, problem list, medication lists, allergies. Electronic copy must be in an electronic form—patient portal, PHR, CD, USB, PDF via e-mail per patient preference, etc.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f12 Electronic Copy of Health Info EP 04 2013.pdf')
S1C12
  
Stage ICoreImplement capability to electronically exchange clinical information among care providers and patient authorized entities
Perform at least one test to electronically exchange key clinical information
Yes/No
• Problem list
• Medication list
• Allergies
• Diagnostic test results


Note: Information exchanged in format referred to as continuity of care record or CCR or continuity of care document or CCD.
EHR, Clinical Messaging module

Verify:
• That you can electronically generate and transmit a patient’s CCR/CCD to another provider/entity in care continuum
EHR/entity point-to-point interfaces, clinical messaging capability, or connection to health information exchange (HIE)
System enables report of CCR/CCD created by information captured by physician (eligible professional)
Use of test information about a fictional patient identical in form to what would be sent about an actual patient would satisfy this objective.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f14 Electronic Exchange of Clinical Information.pdf')
S1C13
  
Stage ICoreImplement one clinical decision support rule relevant to specialty or high clinical priority with the ability to track compliance to that rule
One CDS rule implemented
Yes/No
None
EHR, clinical decision support module

Verify:
• That you have access to real-time clinical decision support (CDS) via CDS rules that are imbedded in your system. CDS rules will likely be organized into categories such as health maintenance and disease management. Examples of health maintenance rules include adult/pediatric immunization schedules, colorectal and cervical cancer screenings. Disease management may include diabetes management and cholesterol management schedules.
Pre-purchase/implementation decision
Physician (eligible professional)
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f11 Clinical Decision Support Rule EP 04 2013.pdf')
S1C14
  
Stage ICoreImplement systems to protect privacy and security of patient data in EHR
Conduct or review security risk analysis, implement security updates as necessary, and correct identified security deficiencies
Yes/No
None
All certified technology used

Verify:
• That technology used meets or exceeds HIPAA standards and compliance
• That vendor conducts regular security, privacy risk analysis assessments of the technology (applications/infrastructure) itself
• Physicians and other staff handling protected health information (PHI) understand HIPAA privacy and security requirements (visit www. ama-assn.org/go/hipaa for more information)
During system implementation and periodically thereafter according to practice’s plan
Front/back office staff
Testing can occur prior to the beginning of reporting period.

A security update could be updated software for certified EHR technology to be implemented as soon as available, changes in workflow processes, or storage methods or any other necessary corrective action that needs to take place in order to eliminate the security deficiency or deficiencies identified in the risk analysis.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f14 Protect Electronic Health Info EP 04 2013.pdf')
S1C15
  
Stage ICoreReport clinical quality measures to CMS (for Medicare) or states (for Medicaid)
2011: Provide aggregate numerator and
denominator through attestation

2012: Electronically submit measures
Yes/No
None
Varies depending on clinical quality measure
Verify:
• That you are using/reporting the three core clinical quality measures:
(1) Hypertension: blood pressure measurement (NQF 0013); (2) Preventative care and screening pair: tobacco use assessment (NQF 0028a) and tobacco cessation intervention (NQF 0028b); and (3) Adult weight and screening and follow- up (NQF 0421)
Or, that you are substituting from the three alternate core measures to comprise the three core measures, if necessary:
(1) Preventive care and screening: Influenza (NQF 0041); (2) Immunization for patients ≥ 50 years old, weight assessment and counseling for children and adolescents (NQF 0024); and (3) Childhood immunization status (NQF 0038)
• That you are using/reporting three additional clinical quality measures (from a list of 38) that are clinically relevant to your specialty
• That if, after reviewing the specifications for
the additional 38 measures, you find that fewer than three measures apply to your practice, your EHR demonstrates that the measures do not apply to your practice by showing zero patients
in the denominator for all measures
Internal system calculation (of core and selected clinical quality measures) and on demand reporting
2011: Physician (eligible professional) or staff/practice manager

2012: System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fCore\u002f10 Clinical Quality Measures \u0028CQMs\u0029 EP 04 2013.pdf')
S1M1
  
Stage IMenuImplement drug formulary checks
Drug formulary check system enabled and access to one or more internal or external drug formulary (entire reporting period)
Yes/No
An EP who writes <100 prescriptions during EHR reporting period.
Not applicable
ePrescribing module or complete EHR
Internal system process at point of care
System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f01 Drug Formulary Checks EP 04 2013.pdf')
S1M2
  
Stage IMenuIncorporate clinical lab test results in EHR
More than 40% of numerical or positive/negative results incorporated in EHR technology (structured data)
Percent
An EP who orders no lab tests whose results are either in a positive/negative or numeric format during the EHR reporting period.
lab results
EHR
EHR/entity point-to-point interfaces, clinical messaging capability, or connection through HIE
System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f02 Clinical Lab Test Results EP 04 2013.pdf')
S1M3
  
Stage IMenuGenerate patient lists by specific conditions to use for quality improvement, reduction of disparities, research or outreach
Generate at least one report listing patients of the EP with a specific condition
Yes/No
None
Not applicable
EHR or patient registry module
System on demand reporting
System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f03 Patient Lists EP 04 2013.pdf')
S1M4
  
Stage IMenuUse EHR technology  to identify patient-specific education resources and provide to patients, if appropriate
More than 10% of all unique patients seen by the EP are provided patient-specific education resources
Percent
None
Not applicable
EHR, patient portals, clinical reference module
Post-patient visit
System
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f06 Patient-specific Education Resources EP 04 2013.pdf')
S1M5
  
Stage IMenuPerform medication reconciliation between care settings
Medication reconciliation performed for more than 50% of transitions of care
Percent
An EP who was not the recipient of any transitions of care during the EHR reporting period.
Not applicable
ePrescribing module, patient registry module, EHR/entity point-to-point interfaces, clinical messaging capability, or connection through HIE
During patient visit, system enables online comparison of two medication lists (the one included in patient’s current EHR and an external list)
Physician, physician assistant, nurse, medical assistant
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f07 Medication Reconciliation EP 04 2013.pdf')
S1M6
  
Stage IMenuProvide summary of care for  patients referred or transitioned to another provider or setting
Summary of care record for is provided for more than 50% of patient transitions or referrals
Percent
An EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology.
Not applicable
EHR/entity point-to-point interfaces, patient registry module, clinical messaging capability, or connection through HIE
Post-patient visit
Front/back office staff
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f08 Transition of Care Summary EP 04 2013.pdf')
S1M7
  
Stage IMenuSubmit electronic immunization data to immunization registries or immunization information systems
Perform 1 or more test of data submission and follow-up submission (if the test is successful), unless no immunization registry to which the EP submits have the capacity to receive information electronically
Yes/No
An EP who administers no immunizations during the EHR reporting period or where no immunization registry has the capacity to receive the information electronically qualifies for an exclusion from this objective/measure.
Not applicable
EHR or patient registry module
EHR/registry point-to-point interface, or connection through HIE
System
The use of test information about a fictional patient identical in form to what would be sent about an actual patient would satisfy this objective.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f09 Immunization Registries EP 04 2013.pdf')
S1M8
  
Stage IMenuSubmit electronic syndromic surveillance data to public health agencies
Perform one or more test of data submission and follow-up submission (if the test is successful), unless no public health agency to which an EP submits such information have the capacity to receive information electronically
Yes/No
An EP who does not collect any reportable syndromic information on their patients during the EHR reporting period or does not
submit such information to any public health agency that has the capacity to receive the information electronically.
Not applicable
EHR or patient registry module
EHR/registry point-to-point interface, or connection through HIE
System
The use of test information about a fictional patient that would be identical in form to what would be sent about an actual patient would satisfy this objective.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f10 Syndromic Surveillance EP 04 2013.pdf')
S1M9
  
Stage IMenuSend reminders to patients (per patient preference) for preventive and follow-up care
More than 20% of patients 65 years old or older or 5 years old or younger are sent appropriate reminders
Percent
An EP who has no patients 65 years old or older or 5 years old or younger with records maintained using certified EHR technology qualifies for an exclusion from this objective/measure
Not applicable
PMS module, patient communication tools, clinical messaging module
Pre-patient visit
Front/back office staff, system
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f04 Patient Reminders EP 04 2013.pdf')
S1M10
  
Stage IMenuProvide patients with timely electronic access to their health information (including laboratory results, problem list, medication lists, medication allergies)
More than 10% of patients are provided timely electronic access within four business days of its being updated in HER
Percent
Any EP that neither orders nor creates any of the information listed at 45 CFR 170.304(g) (e.g., lab test results, problem list, medication list, medication allergy list) during the EHR reporting period qualifies for an exclusion from this objective/measure.
• Problem list
• Medication list
• Allergies
• Diagnostic test
results


Note: Information exchanged in format referred to as continuity of care record or CCR or continuity of care document or CCD.
EHR, patient portals, clinical messaging module, USB
Post-patient visit
System or manual release
Subject to the EP’s discretion to withhold certain information. CCR/CCD must be certified, but a printed copy in human readable format is acceptible for meaningful use upon patient request.
javascript:SmtEcbNavigateUrl('\u002fmob\u002fforCoordinators\u002fDocuments\u002fMeaningful Use FAQ\u002fStage 1\u002fMenu\u002f05 Patient Electronic Access EP 04 2013.pdf')

The Standard View of your list is being displayed because your site configuration does not support the Datasheet.