MedWorxs Evolution Version
5.5 is one of the few EHR solutions to be fully certified as a
complete solution. Please review the meaningful use objectives
below, we provide a built in solution for each objective making
it a complete, easy to use, easy to implement solution for your
meaningful use fulfillment needs.
|
Stage 1 Meaningful Use
Objectives |
| Eligible Professionals: 15 Core
Objectives |
| Objective |
Measure |
Reporting Requirement |
Exclusions |
MedWorxs Supports |
| Enable a user to electronically record,
modify, and retrieve patient demographic data including
preferred language, gender, race, ethnicity, and date of birth.
- 170.304(c) |
More than 50% of all unique patients seen by
the EP have demographics recorded as structured data |
Numerator:
The number of unique patients in the denominator who have all
the elements of demographics recorded as structured data.
Denominator: The number of unique patients seen by the EP during
the EHR reporting period. |
None |
 |
| Maintain the patient’s active medication
list - 170.302(d) |
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 medication) recorded as
structured data |
Numerator:
The number of patients in the denominator who have a medication
recorded as structured data.
Denominator: The number of unique patients seen by the EP during
the EHR reporting period. |
None |
|
Maintain the patient’s active medication
allergy list - 170.302(e)
|
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 |
Numerator:
The number of unique patients in the denominator who have at
least one entry recorded as structured data in the medication
allergy list.
Denominator: The number of unique patients seen by the EP during
the EHR reporting period. |
None |
|
|
Record and chart changes in vital signs:
- Height
- Weight
- Blood pressure
- Calculate and display: BMI
- Plot and display growth
charts for children 2–20 years, including BMI. -
170.302(f)
|
For more than 50% of all unique patients age
2 and over seen by the EP, the height, weight and blood pressure
are recorded as structured data |
Numerator:
The number of patients in the denominator who have at least one
entry of their height, weight and blood pressure recorded as
structured data.
Denominator: the number of unique patients age 2 or over seen by
the EP during the EHR reporting period |
Any EP who
sees only patients 2 years old or younger
Any EP who believes that all three vital signs of height, weight
and blood pressure have no relevance to their scope of practice
may attest and be excluded |
|
Record smoking status for patients 13 years
old or older. - 170.302(g)
|
More than 50% of all unique patients 13
years old or older seen by the EP have smoking status recorded
as structured data |
Numerator:
The number of patients in the denominator with smoking status
recorded as structured data
Denominator: The number of unique patients age 13 or older seen
by the EP during the EHR reporting period. |
None |
|
Maintain an up-to-date problem list of
current and active diagnoses based on ICD–9–CM or SNOMED CT®.
- 170.302(c)
|
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 |
Numerator:
The number of patients in the denominator who have at least one
entry or an indication that no problems are known for the
patient recorded as the structured data in the problem list.
Denominator: The number of unique patients seen by the EP during
the EHR reporting period
|
None |
|
| Computerized physician order entry (CPOE) of
medications Computerized physician order entry (CPOE) of
medications. - 170.304(a) |
More than 30% of unique patients with at
least one medication in their medication list seen by the EP
have at least one medication order entered using CPOE |
Numerator: The number of patients in the denominator that have
at least one medication order entered using CPOE
Denominator: Number of unique patients with at least one
medication in their medication list seen by the EP during the
EHR reporting period |
Any EP who writes fewer than 100 prescriptions during the EHR
reporting period |
|
Drug-drug and drug-allergy interaction
checks. - 170.302(a)
|
The EP has enabled this functionality for
the entire EHR reporting period |
Yes/No
Attestation |
Any EP who
writes fewer than 100 prescriptions during the EHR reporting
period |
|
Generate and transmit permissible
prescriptions electronically (eRx). - 170.304(b)
|
More than 40% of all permissible
prescriptions written by the EP are transmitted electronically |
Numerator:
The number of prescriptions in the denominator generated and
transmitted electronically.
Denominator: The number of prescriptions written for drugs
requiring a prescription in order top be dispensed other than
controlled substances during the EHR reporting period |
Any EP who
writes fewer than 100 prescriptions during the EHR reporting
period |
|
Implement one clinical decision support
rule. - 170.304(e)
|
Implement one clinical decision support rule
relevant to specialty or high clinical priority along with the
ability to track compliance for that rule |
Yes/No
Attestation |
None |
|
| Capability to exchange key clinical
information among providers of care and patient-authorized
entities electronically. - 170.304(i) |
Performed at least one test to
electronically exchange key clinical information |
Yes/No
Attestation |
None |
|
Provide clinical summaries for patient for
each office visit. - 170.304(h)
|
Clinical summaries provided to patients for
more than 50% of all office visits within three business days |
Numerator:
The number of patients in the denominator who are provided a
clinical summary of their visit within 3 days
Denominator: The number of unique patients seen by an EP for an
office visit during the EHR reporting period |
Any EPs
who have no office visits during the reporting period |
|
Provide patients with an electronic copy of
their health information, upon request. - 170.304(f)
|
Clinical summaries provided to patients for
more than 50% of all office visits within three business days |
Numerator:
The number of patients in the denominator who receive a copy of
their health information within 3 business days
Denominator: The number of patients of the EP who request an
electronic copy of their health information |
Any EP
that has no requests from patients or their agents for an
electronic copy of patient health information |
|
Report a total of 6 ambulatory clinical
quality measures to CMS (Medicare EHR Incentive Program) or
States (Medicaid EHR Incentive Program). - 170.304(j)
|
For 2011, provide aggregate numerator,
denominator, and exclusions through attestation as discussed in
section II(A)(3) of this final rule
For 2012, electronically submit the clinical quality measures as
discussed in section II(A)(3) of this final rule |
An EP
would provide the aggregate numerator and denominator through
attestation |
None |
|
Protect electronic health information
created or maintained by the certified EHR technology through
the implementation of appropriate technical capabilities. -
170.302 (o)-(w)
|
Conduct or review a security risk analysis
per 45 CFR 164.308 (a)(1) and implement security updates as
necessary and correct identified security deficiencies as part
of its risk management process |
Yes/No
Attestation |
None |
|
Eligible Professionals: 10 Menu
set objectives (must meet 5 with at least 1 public health
objective selected. |
| Objective |
Measure |
Reporting Requirement |
Exclusions |
MedWorxs Supports |
Medication reconciliation -
170.302(j)
|
The EP performs medication reconciliation
for more than 50% of transitions of care in which the patient is
transitioned into the care of the EP. |
Numerator:
The number of transitions of care in the denominator where
medication reconciliation was performed.
Denominator: The number of transitions of care during the EHR
reporting period for which the EP was the receiving party of the
transition. |
Any EP
that was not on the receiving end of any transition of care
patients during the reporting period |
|
| Drug-formulary checks - 170.302(b) |
The EP has enabled this functionality and
has access to at least one internal or external drug formulary
for the entire EHR reporting period |
Yes/No
Attestation |
Any EP who
writes fewer than 100 prescriptions during the EHR reporting
period |
|
| Use certified EHR technology to identify
patient-specific education resources and provide to patient -
170.302(m) |
More than 10% of all unique patients seen by
the EP are provided patient-specific education resources |
Numerator:
The number of patients in the denominator who are provided
patient education specific resources.
Denominator: The number of unique patients seen by the EP during
the EHR reporting period. |
None |
|
Summary of care record for each transition
of care/referrals - 170.304(i)
|
The EP who transitions or refers their
patient to another setting of care or provider of care provides
a summary of care record for more than 50% of transitions of
care and referrals |
Numerator:
The number of transitions of care an referrals in the
denominator where a summary of care record was provided
Denominator: The number of transitions and referrals during the
EHR reporting period for which the the EP was the transferring
or referring provider. |
Any EP
that does not transfer a patient or refer a patient to another
provider during the reporting period |
|
| Document clinical lab test results as
structured data - 170.302(h) |
More than 40% of all clinical lab test
results ordered by the EP during the EHR reporting period whose
results are either in a positive/negative or numerical format
are incorporated in certified EHR technology as structured data |
Numerator:
The number of lab test results whose results are expressed in a
positive/negative affirmation or as a number and are
incorporated as structured data.
Denominator: The number of lab test ordered during the EHR
reporting period by the EP whose results are expressed in a
positive or negative affirmation or as a number. |
Any EP who
orders no lab tests whose results are either in a
positive/negative or numeric format during the reporting period |
|
| Provide patients with timely electronic
access to their health information. - 170.304(g) |
More than 10% of all unique patients seen by
the EP are provided timely (available to the patient within four
business days of being updated in the certified EHR technology)
electronic access to their health information subject to the
EP’s discretion to withhold certain information |
Numerator:
The number of patients in the denominator who have timely
electronic access to their health information online
Denominator: The number of unique patients seen by the EP during
the EHR reporting period. |
Any EP
that neither orders or creates any of the information listed in
ONC final rule 45 CFR 170.304(g) |
|
| Send reminders to patients per patient
preference for preventive/follow up care - 170.304(d) |
More than 20% of all unique patients 65
years or older or 5 years old or younger were sent an
appropriate reminder during the EHR reporting period |
Numerator:
The number of patients in the denominator who were sent
reminders
Denominator: The number of unique patients 65 or older or 5
years or younger. |
Any EP who
has no patients 65 years or older or 5 years old or younger |
|
| Generate lists of patients by specific
conditions - 170.302(i) |
Generate at least one report listing
patients of the EP with a specific condition |
Yes/No
Attestation |
None |
|
| Capability to submit electronic data to
immunization registries/systems (public health objective) -
170.302(k) |
Performed at least one test to submit
electronic data to immunization registries and follow up
submission if the test is successful where accepted and
required. |
Yes/No
Attestation |
Any EP
that has not given immunizations during the reporting period |
|
| Capability to provide electronic syndromic
surveillance data to public health agencies (public health
objective) - 170.302(l) |
Performed at least one test to provide
electronic syndromic surveillance data to public health agencies
and follow-up submission if the test is successful where
accepted and required. |
Yes/No
Attestation |
Any EP
that does not collect reportable syndromic information on their
patients during the reporting period. |
|
