Objectives Listed
By Shahid N. Shah MS
www.BusinessofMedicalPractice.com
In 2009, the ARRA HITECH bill coined the term “meaningful use” and was a game-changer in the healthcare IT industry. In a series of regulations, the Recovery Act specifically required the following.
Summary of MU
Here are the substantive Meaningful Use objectives of the new ARRA HITECH bill:
- Use Computer Provider Order Entry (CPOE).
- Implement drug-drug, drug-allergy, drug-formulary checks.
- Maintain an up-to-date problem list of current and active diagnoses based on ICD-9-CM or SNOMED CT®.
- Maintain active medication list.
- Maintain active medication allergy list.
- Record demographics.
- Record and chart changes in vital signs.
- Record smoking status for patients 13 years and older.
- Incorporate clinical lab-test results into EHR as structured data.
- Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, and outreach. This is a common feature in EHRs.
- Report ambulatory quality measures to CMS or the States.
- 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.
- Check insurance eligibility electronically from public and private payers.
- Submit claims electronically to public and private payers.
- Provide patients with an electronic copy of their health information upon request.
- Capability to electronically exchange key clinical information among providers of care and patient-authorized entities.
- Perform medication reconciliation at relevant encounters and each transition of care.
- Provide summary care record for each transition of care and referral.
- Capability to submit electronic data to immunization registries and actual submission where required and accepted.
- Capability to provide electronic syndromic surveillance data to public health agencies and actual transmission according to applicable law and practice.
- Protect electronic health information created or maintained by the certified EHR technology through the implementation of appropriate technical capabilities
- Generate and transmit permissible prescriptions electronically.
- Send reminders to patients per patient preference for preventive/follow-up care.
- Provide patients with timely electronic access to their health information within 96 hours of information being available to the EP.
- Provide clinical summaries for patients for each office visit.
Conclusion
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