Spreadsheet: 85a90762-0d45-42d4-b4b4-41c3cfbf57d3
Sheet: Sheet1

Unnamed: 0 | Unnamed: 1 | Unnamed: 2 | not started/in progress/obstacles/done | Unnamed: 4 | Unnamed: 5 | Unnamed: 6 | Unnamed: 7 | don't delete cells in the box on the right | 0 | 0.1 | Not started
 | ONC MEANINGFUL USE TOOL |  | Not started In progress Obstacles Done | 0 = Not Ready or Present 1 = Present and Ready 2 = In Use 3=  In Use and Documented |  |  |  |  | 1 | 1 | In progress
 |  |  | (structured) | (structured) | (structured) | (unstructured) |  |  | 2 | 2 | Obstacles
 | CORE Measures for EPs
 | MU Objective | MU Measure | Status | Initial Assessment | Current Score | Comments (optional) |  |  | 3 | 3 | Done
 | Pillar 1: Improve Quality, Safety, Efficiency, and Reduce Health Disparities
1 | Use CPOE for medication orders | CPOE is used for more than 20 percent of unique patients
2 | Implement drug-drug and drug-allergy interactions checks | The EP has enabled this functionality
3 | [NAME] and transmit permissible prescriptions electronically (eRx) | More than 50 percent (adjusted or unadjusted for patient preference) of all permissible prescriptions written by the EP are transmitted electronically using certified EHR technology
4 | Record demographics: Preferred language, gender, race, ethnicity, and date of birth | For more than 50% of all unique patients seen by the EP or admitted to the eligible hospital have demographics recorded as structured data
5 | Maintain an up-to-date problem list of current and active diagnoses | More than 50 percent of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry or an indication that no problems are known for the patient recorded as structured data.
6 | Maintain active medication list | More than 50 percent of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data | In progress | 2 | 2
7 | Maintain active medication allergy list. | More than 50 percent of all unique patients seen by the EP or admitted to the eligible hospital have at least one entry (or an indication that the patient is not currently prescribed any medication) recorded as structured data
8 | Record and chart changes in vital signs: Height, Weight, BP, BMI and growth charts for ages 2-20 | For more than 50% of all unique patients age 2 and over seen by the EP or admitted to eligible hospital, height, weight and blood pressure are recorded as structure data
9 | Record smoking status for patients 13 years old or older | More than 50 percent of all unique patients 13 years old or older seen by the EP or admitted to the eligible hospital have smoking status recorded
10 | Report ambulatory quality measures to CMS or the Statesr | For 2011, provide aggregate numerator and denominator through attestation as discussed in section II(A)(3) of this proposed rule: For 2012, electronically submit the measures as discussed in section II(A)(3) of this proposed rule
 | Pillar 2: Engage Patients and Families
11 | Provide patients with an electronic copy of their health information (including diagnostic test results, problem list, medication lists, medication allergies), upon request | More than 50 percent of all patients who request an electronic copy of their health information are provided it within 3 business days
12 | Provide clinical summaries for patients for each office visit. | Clinical summaries provided to patients for more than 50 percent of all office visits within 3 business days
 | Pillar 3: Improve Care Coordination
13 | Capability to exchange key clinical information (for example, problem list, medication list, medication allergies, diagnostic test results), among providers of  care and  patient authorized entities electronically | Performed at least one test of certified EHR technology's capacity to electronically exchange key clinical information.
 | Pillar 4: Improve Population and Public Health
14 | Pick one from menue set
 | Pillar 5: Ensure Adequacy Privacy and Security Protection for Patient Health Information
15 | Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities | Conduct or review a security risk analysis per 45 CFR 164.308 (a)(1) and implement security updates as necessary
 | Menu Set Objectives for EPs
 | Pillar 1: Improve Quality, Safety, Efficiency, and Reduce Health Disparities
16 | Implement drug-formulary checks | The EP/eligible hospital has enabled this functionality and has access to at least one internal or external drug formulary.
17 | Incorporate clinical lab-test results into EHR as structured data | Insurance eligibility checked electronically for at least 80 percent of all unique patients seen by the EP
18 | Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, or outreach | Generate at least one report listing patients of the EP or eligible hospital with a specific condition.
19 | Send reminders to patients per patient preference for preventive/ follow up care | More than 20 percent of all unique patients 65 years or older who were identified by certified EHR technology as needing a reminder during the EHR reporting period were sent the appropriate reminder
20 | Implement 5 clinical  decision support rules relevant to specialty or high clinical priority, including diagnostic test ordering, along with the ability to track compliance with those rules) | Implement five clinical decision support rules, one of which must be related to efficiency and one other to a clinical quality measure relevant to the EP or eligible hospital
 | Pillar 2: Engage Patients and Families
21 | Provide patients with timely electronic access to their health information (including lab results, problem list, medication lists, medication allergies) within four business days of the information being available to the EP. | CMore than 10 percent of all unique patients seen by the EP are provided timely electronic access to their health information subject to the EP’s discretion to withhold certain information.
22 | Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate | More than 10 percent of all unique patients seen during the EHR reporting period are provided patient-specific education resources
 | Pillar 3: Improve Care Coordination
23 | Perform medication reconciliation at relevant encounters and each transition of care. | Perform medication reconciliation for more than 50 percent of transitions of care.
24 | Provide summary care record for each transition of care and referral. | Provide summary of care record for more than 50 percent of transitions of care and referrals
 | Pillar 4: Improve Population and Public Health
25 | Capability to submit electronic data to immunization registries or Immunization Information Systems and actual submission according to applicable law and practice. | Performed at least one test of certified EHR technology’s capacity to submit electronic data to immunization registries.
26 | Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice. | 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).
 |  |  | Core | Initial Assessment Score | Current Score
 |  |  | Pillar 1 (27 points) | 2 | 2
 |  |  | Pillar 2 (6 points) | 0 | 0
 |  |  | Pillar 3 (3 points) | 0 | 0
 |  |  | Pillar 4 (3 points) | 0 | 0
 |  |  | Pillar 5 (3 points) | 0 | 0
 |  |  | Total score (75 points) | 2 | 2
 |  |  | % MU Readiness | 0.05128205128205128 | 0.05128205128205128
 |  |  | Menu | Initial Assessment Score | Current Score
 |  |  | Pillar 1 (27 points) | 0 | 0
 |  |  | Pillar 2 (6 points) | 0 | 0
 |  |  | Pillar 3 (3 points) | 0 | 0
 |  |  | Pillar 4 (3 points) | 0 | 0
 |  |  | Total score (75 points) | 0 | 0
 |  |  | % MU Readiness | 0 | 0