|
Requirement |
Eligible Professionals |
Hospitals |
AviTracks |
|
Use Computerized Provider Order Entry |
Enable a user to electronically record, store,retrieve, and manage, at a minimum, the following order types:Medications, Labs, Radiology/Imaging, Provider referrals |
Same as EP plus: Blood bank, Physical therapy, Occupational therapy, Respiratory therapy, Rehabilitation therapy, Dialisys, Discharge and transfers. |
90% (Working on Imaging) |
|
Drug-drug, drug allergy, drug formulary checking |
Automatically and electronically generate and indicate in real-time, alerts at the point of care. |
Automatically and electronically generate and indicate in real-time, alerts at the point of care. |
100% |
|
Maintain up-todate problem list |
Maintain an up-to-date problem list of current and active diagnoses based on ICD–9. |
80 percent of patients have at least one entry or indication of no problems |
100% |
|
Generate and transmit e-Rx |
Generate and transmit permissible prescriptions electronically (eRx). At least 75% |
None |
100% |
|
Maintain active medication and allergy list |
80 percent of patients seen have at least one entry or indication of “none” |
80 percent of admitted patients have at least one entry or indication of “none” |
100% |
|
Record demographics |
80 percent of patients seen have gender, race, DOB, ethnicity, preferred language, insurance recorded |
80 percent of patients seen have gender, race, DOB, ethnicity, preferred language, insurance recorded |
100% |
|
Record vital signs |
80 percent of patients 2 years and older have:Height, Weight, BMI, BP, Temperature, Pulse; growth chart for ages 2 – 20 |
80 percent of patients 2 years and older have BP and BMI; growth chart for ages 2 – 20 |
100% |
|
Record smoking status |
80 percent of patients over 13 seen |
80 percent of patients over 13 seen |
100% |
|
Inco rporate test results into EHR |
50 percent of results expressed as a number or positive/negative |
50 percent of results expressed as a number or positive/negative |
100% |
|
Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach. |
Generate at least one report |
Generate at least one report |
100% |
|
Report quality measures to CMS and the States |
For 2011 capture required data electronically and provide aggregate numerator and denominator by attestation, for 2012 and beyond submit electronically |
For 2011 capture required data electronically and provide aggregate numerator and denominator by attestation, for 2012 and beyond submit electronically |
100% |
|
Send reminders for preventive/ follow up care |
Send reminders (per patient preference) for preventive/follow up care to 50 percent of patients age 50+ |
|
100% |
|
Implement clinical decision support rules related to clinical priority, track compliance |
Implement five rules and track compliance |
Implement five rules and track compliance |
100% |
|
Implement five rules and track compliance |
Check eligibility electronically for 80 percent of patients seen |
Check eligibility electronically for 80 percent of patients admitted |
N/A |
|
Submit claims electronically to public and private payers. |
File 80 percent of claims electronically |
File 80 percent of claims electronically |
N/A |
|
Provide patients with their health information on request |
80 percent of patients who make the request receive it within 48 hours: test results, problem list, med list, allergies |
80 percent of patients who make the request receive it within 48 hours: test results, problem list, med list, allergies, discharge summary, procedures |
100% |
|
Provide access to clinical summaries |
Clinical summaries provided for 80 percent of office visits |
|
100% |
|
Provide timely access to new results |
10 percent of all patients seen receive access to lab results, problem list, medication and allergy lists within 96 hours of provider’s receipt |
|
100% |
|
Exchange meaningful clinical information with care team |
One test of capability to exchange key clinical information. Exchange must be between different clinical entities using different certified EHRs |
One test of capability to exchange key clinical information. Exchange must be between different clinical entities using different certified EHRs |
100% |
|
Perform medication reconciliation |
Provide at 80 percent of encounters and care transitions |
Provide at 80 percent of encounters and care transitions |
100% |
|
Provide summary record at transitions in care and referrals |
Provide summary care record at 80 percent of transitions in care and referral |
Provide summary care record at 80 percent of transitions in care and referral |
100% |
|
Information to immunization registries submitted electronically |
Capability to submit data to immunization registries and submission where required and accepted |
Capability to submit data to immunization registries and submission where required and accepted |
100% |
|
Reportable lab results submitted electronically |
|
Capability to electron ically submit reportable lab results to public health agencies, submission where it can be received |
100% |
|
Electronic reporting of syndromic surveillance data |
Capability to submit electronic syndromic surveillance data, actual submission where possible |
Capability to submit electronic syndromic surveillance data, actual submission where possible |
100% |
|
Protect security and confidentiality |
Conduct review of security risk per 45 164.308; implement updates as necessary |
Conduct review of security risk per 45 164.308; implement updates as necessary |
100% |