Meaningful Use (WG6): Difference between revisions
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'''Discussion of How VistA Meets, or Can Meet, <BR>Meaningful Use, Stage 1<BR> ''45 CFR Part 170''''' | |||
[http://edocket.access.gpo.gov/2010/pdf/E9-31216.pdf Official document published in the Federal Register] | |||
http://edocket.access.gpo.gov/2010/pdf/E9-31216.pdf | |||
[http://www.cms.hhs.gov/Recovery/11_HealthIT.asp CMS Topical Web Site] | |||
== | =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 | *# Medications | ||
*# Laboratory | *# Laboratory | ||
*# Radiology/Imaging | *# Radiology/Imaging | ||
*# Provider referrals | *# 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 | |||
: | |||
==Generage and transmit permissible prescriptions electronically (eRx)== | |||
==Maintain active medication list== | |||
==Maintain active medication allergy list== | |||
==Record demographics== | |||
==Record and chart changes in vital signs== | |||
==Record smoking status for patients 13 yrs old or older== | |||
==Incomporate clinical lab-test results into EHR as structured data== | |||
==Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities and outreach== | |||
==Report quality measures to CMS or the States== | |||
==Send reminders to patients per patient preference for preventative/followup care== | |||
==Implement 5 clinical decision support rules== | |||
==Check insurance eligibility electronically frompublic and private payers== | |||
==Submit claims electronically to public and private payers== | |||
==Provide patients with an electronic copy of their health information upon request== | |||
==Provide patients with an electronic copy of their discharge instructions and procedures at time of discharge, upon request== | |||
==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== | |||
==Provide clinical summaries for patients for each office visit== | |||
==Capability to exchange key clinical information among providers of care and patient authorized entities electronically.== | |||
==Provide summary care records for each transition of care and referral== | |||
==Perform medication reconciliation at relevant encounters and each transition of care== | |||
==Capability to submit electronic data to immunization registries and actual submission where required and accepted.== | |||
==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== | |||
==Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice== | |||
==Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities.== | |||
Revision as of 18:56, 27 January 2010
Discussion of How VistA Meets, or Can Meet,
Meaningful Use, Stage 1
45 CFR Part 170
Official document published in the Federal Register
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
