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Of the following objectives, CINA can successfully report on those in red.

 

1. Objective: Use CPOE

Measure: for at least 80% of all orders

2. Objective: Implement drug-drug, drug-allergy, drug-formulary checks

Measure: The EP has enabled this functionality

3. Objective: Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOWMED CT

Measure: At least 80% of all unique patients seen by the EP have at least one entry or an indication of none recorded as structured data.

4. Objective: Generate and transmit permissible prescriptions electronically (eRx)

Measure: At least 75% of all permissible prescriptions written by the EP are transmitted electronically using certified HER technology

5. Objective: Maintain active medication list

Measure: At least 80% of all unique patients seen by the EP have at least one entry (or an indication of “none” if the patient has no medication allergies) recorded as structured data.

6. Objective: Maintain active medication allergy list.

Measure: At least 80% of all unique patients seen by the EP have at least one entry (or an indication of “none” if the patient has no medication allergies) recorded as structured data.

7. Objective: Record demographics

Measure: At least 80% of all unique patients seen by the EP or admitted to the eligible hospital have demographics recorded as structured data

8. Objective: Record and chart changes in vital signs

Measure: For at least 80% of all unique patients age 2 and over seen by the EP, record blood pressure and BMI; additionally, plot growth cart for children age 2 to 20

9. Objective: Record smoking status for patients 13 years old and older

Measure: At least 80% of all unique patients 13 years old or older seen by the EP “smoking status” recorded

10. Objective: Incorporate clinical lab-test results into EHR as structured data

Measure: At least 50% of all clinical lab test results ordered by the EP or by an authorized provider of the eligible hospital during the EHR reporting period whose results are in either a positive/negative or numerical format are incorporated in certified EHR technology as structured data

11. Objective: Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, and outreach.

Measure: Generate at least one report listing patients of the EP with a specific condition.

12. Objective: Report ambulatory quality measures to CMS or the States.

Measure: For 2011, an EP would provide the aggregate numerator and denominator through attestation as discussed in section II.A.3.

13. Objective: Send reminders to patients per patient preference for preventive/follow-up care.

Measure: Reminder sent to at least 50% of all unique patients seen by the EP that are 50 and over.

14. Objective: Implement five clinical decision support rules relevant to specialty or high clinical priority, including for diagnostic test ordering, along with the ability to track compliance with those rules.

Measure: Implement five clinical decision support rules relevant to the clinical quality metics the EP is responsible for as described in section II.A.3

15. Objective: Check insurance eligibility electronically from public and private payers.

Measure: Insurance eligibility checked electronically for at least 80% of all unique patients seen by the EP.

16. Objective: Submit claims electronically to public and private payers.

Measure: At least 80% of all claims filed electronically by the EP.

17. Objective: Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, and allergies) upon request.

Measure: At least 80% of all patients who request an electronic copy of their health information are provided it within 48 hours.

18. Objective: Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, allergies).

Measure: At least 10% of all unique patients seen by the EP are provided timely electronic access to their health information.

19. Objective: Provide clinical summaries to patients for each office visit.

Measure: Clinical summaries provided to patients for at least 80% of all office visits.

20. Objective: Capability to exchange key clinical information among providers of care and patient authorized entities electronically.

Measure: Performed at least one test of certified EHR technology’s capacity to electronically exchange key clinical information

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21. Objective: Perform medication reconciliation at relevant encounters and each transition of care.

Measure: Perform medication reconciliation for at least 80% of relevant encounters and transitions of care.

22. Objective: Provide summary of care record for each transition of care and referral.

Measure: Provide summary of care record for at least 80% of transitions of care referrals.

23. Objective: Capability to submit electronic data to immunization registries and actual submission where required and accepted.

Measure: Performed at least one test of certified EHR technology’s capacity to submit electronic data to immunization registries.

24. Objective: Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice.

Measure: Performed at least one test of certified EHR technology’s capacity to provide electronic syndromic surveillance data to public health agencies (unless none of the public health agencies to which an EP or eligible hospital submits such information have the capacity to receive the information electronically).

25. Objective: Protect electronic health information maintained using certified EHR technology through the implementation of appropriate technical capabilities.

Measure: Conduct or review a security risk analysis.