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Core elements

Objective: Record patient demographics (sex, race, ethnicity, date of birth, preferred language).
Measure: More than 50 percent of patients’ demographic data recorded as structured data.
Objective: Record vital signs and chart changes (height, weight, blood pressure, body mass index, growth charts for children).
Measure: More than 50 percent of patients, two years of age or older, have height, weight, and blood pressure recorded as structured data.
Objective: Maintain up-to-date problem list of current and active diagnoses.
Measure: More than 80 percent of patients have at least one entry as structured data.
Objective: Maintain active medication list.
Measure: More than 80 percent of patients have at least one entry recorded as structured data.
Objective: Maintain active medication allergy list.
Measure: More than 80 percent of patients have at least one entry recorded as structured data.
Objective: Record smoking status for patients 13 years of age of older.
Measure: More than 50 percent of patients, 13 years of age or older, have smoking status recorded as structured data.
Objective: Provide patients with clinical summaries for each office visit.
Measure: Clinical summaries provided to patients for more than 50 percent of all office visits within three business days.
Objective: On request, provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication list, medication allergies).
Measure: More than 50 percent of requesting patients receive electronic copy within three business days.
Objective: Generate and transmit permissible prescriptions electronically.
Measure: More than 40 percent are transmitted electronically using certified EHR technology.
Objective: Computer provider order entry (CPOE) for medication orders.
Measure: More than 30 percent of patients with at least one medication in their medication ordered through CPOE.
Objective: Implement drug-drug and drug-allergy interaction checks.
Measure: Functionality is enabled for these checks for the entire reporting period.
Objective: Implement capability to electronically exchange key clinical information among providers and patient-authorized entities.
Measure: Perform at least one test of EHR’s capacity to electronically exchange information.
Objective: Implement one clinical decision support rule and ability to track compliance with the rule.
Measure: One clinical decision support rule implemented.
Objective: Implement systems to protect privacy and security of patient data in the EHR.
Measure: Conduct or review a security risk analysis, implement security updates as necessary and correct identified security deficiencies.
Objective: Report clinical quality measure to CMS or states.
Measure: For 2011, provide aggregate numerator and denominator through attestation; for 2012, electronically submit measures.

Menu elements

Objective: Implement drug formulary checks.
Measure: Drug formulary check system is implemented and access maintained to at least one internal or external drug formulary for the entire reporting period.
Objective: Incorporate clinical laboratory test results into EHRs as structured data.
Measure: More than 40 percent of clinical laboratory test results that are in positive/negative or numerical format are incorporated into EHRs as structured data.
Objective: Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research or outreach.
Measure: Generate at least one listing of patients with specific condition.
Objective: Use EHR technology to identify patient-specific education resources and provide to the patient as appropriate.
Measure: More than 10 percent of patients are provided patient-specific education resources.
Objective: Perform medical reconciliation between care settings.
Measure: Medication reconciliation is performed for more than 50 percent of transitions of care.
Objective: Provide summary of care record for patients referred or transitioned to another provider or setting.
Measure: Summary of care record is provided for more than 50 percent of patient transitions or referrals.
Objective: Submit electronic immunization data to immunization registries or immunization information systems.
Measure: Perform at least one test of data submission and follow-up submission (where registries can accept electronic submission).
Objective: Submit electronic syndromic surveillance data to public health agencies.
Measure: Perform at least one test of data submission and follow-up submission (where public health agencies can accept electronic submission).

Additional choices for eligible professionals

Objective: Send reminders to patients (per patient preference) for preventative and follow-up care.
Measure: More than 20 percent of patients 65 years of age or older or five years of age or younger are sent appropriate reminders.
Objective: Provide patients with timely electronic access to their health information (including laboratory results, problem list, medication lists, medication allergies).
Measure: More than 10 percent of patients are provided electronic access to information within four days of it being updated in the EHR.