Meaningful Use Core Requirements For Healthcare Providers
So what are the more than two-dozen core "meaningful use" requirements that healthcare providers need to meet in order to qualify for financial incentives? Take a look here.
To qualify for the first wave of HITECH meaningful use incentives starting in 2011, hospitals have to meet 14 core requirements and eligible professionals -- such as doctors and nurse practioners -- must meet 15 core requirements.
In addition to those core requirements, healthcare providers also must meet five objectives of their choosing from a menu of 10.
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Here is a summary of the core requirements healthcare providers must meet in their "meaningful use" of health IT such as e-health records and computerized physician order entry systems.
Some of the requirements vary slightly depending upon whether the healthcare provider is an eligible professional (doctor, nurse practitioner, etc.) or a hospital.
- Use CPOE for at least one medication order for more than 30% of patients.
- Implement drug-drug and drug interaction checks.
- More than 40% of permissible prescriptions written are generated and transmitted electronically using certified EHR technology (for eligible providers only).
- Record demographic info, such as gender and race, for 50% of patients seen by EP or admitted by hospital.
- Maintain up to date problem list of current and active diagnoses for 80% of patients.
- Maintain active medication list for 80% of patients seen by EP or admitted to hospital.
- Maintain active drug allergy list for 80% of patients seen by EP or admitted to hospital.
- Record and chart changes in vital signs, such as height, weight, BMI, blood pressure, for more than 50% of patients over age 2.
- Record smoking status for more than 50% of patients over age 13.
- Implement one clinical decision support rule for EP's specialty or hospital's high priority condition and track compliance with that rule.
- Report clinical quality measures to the Centers for Medicare and Medicaid Services.
- Provide more than 50% of patients with electronic copy of health information upon request within 3 business days.
- Provide 50% of patients with electronic copy of discharge instructions at time of discharge (for hospitals only.)
- Provide clinical summaries for each office visit to more than 50% of patients within 3 business days (eligible professionals only.)
- Perform at least one test of certified e-health record's capability to electronically exchange key clinical information, such as problem list or medication list, among providers of care or patient-authorized entities.
- Protect electronic health information created or maintained by certified EHR technology by conducting or reviewing security risk analysis and implementing security updates.
For a more detailed look at the government's 864-page document outlining the full set of regulations, click here. A chart listing the requirements starts on page 221.
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