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							               MEDITECH                                                                                                                                     2011 Meaningful Use Criteria Map - DRAFT                                                                                           MAGIC




Stage 1 Criteria for Meaningful Use - Eligible Hospitals
2011                                               Goal is to electronically capture in coded format and to report health
Objectives                                         information and to use that information to track key clinical conditions


Health                                                  Improving quality, safety, efficiency, and reducing health disparities
Outcomes
Policy Priority:


Care Goal:                                              Use Evidence-based Order Sets and CPOE

Care Goal:                                              Apply Clinical Decision Support at the point-of-care

Care Goal:                                              Generate lists of patients who need care and use them to reach out to
                                                        patients (e.g., reminders, care instructions, etc.)
Care Goal:                                              Report to patient registries for quality improvement, public reporting,
                                                        etc.
                   Eligible Hospitals Stage 1           Stage 1 Measures                                                                   Actual Calculation            Adopted Content    MT or Partner       Strategies/Comments                                      MAGIC DR FIELDS/NPR
                   Objectives                                                                                                                                            Exchange and       Applications                                                                 Report
                                                                                                                                                                         Vocabulary         Needed
                                                                                                                                                                         Standards



2011               Use of CPOE for orders (any type)    Eligible Hospital Measure: CPOE is used for at least 10 percent of all             (# of orders via CPOE) /      None applicable at Physician Care      For more information on strategies for successful  OeOrders2
                   directly entered by authorizing      orders.                                                                            (total # of orders)           this time          Manager             CPOE roll-out, go to the Physician Care Manager
                   provider (for example, MD, DO,       To calculate the percentage, CMS and ONC have worked together to define                                                                                 product page on MEDITECH's Advanced Clinical
                   RN, PA, NP)                          the following:                                                                                                                                          Resource portal at:
                                                        • The numerator.                                                                                                                                        http://www.meditech.com/AdvancedClinicalResources/
                                                        • The denominator.                                                                                                                                      homepage.htm. Use "Order Source" dictionary.
                                                        • The required percentage for demonstrating successful attainment of an
                                                        objective.
                                                        The numerator for this objective is orders entered in an inpatient
                                                        facility/department that falls under the eligible hospital's CCN and by an
                                                        authorized provider using CPOE functionality of certified EHR technology
                                                        during the EHR reporting period. Inpatient facility/department is defined by
                                                        the place of service code 21. The denominator for this objective is all orders
                                                        entered in an inpatient facility/department that falls under the eligible
                                                        hospital's CCN and issued by the authorized providers in the hospital during
                                                        the EHR reporting period. These orders are those issued for both their
                                                        Medicare/Medicaid population and all other patients. (pages 70-71 of the
                                                        NPRM, which can be found here:
                                                        http://www.meditech.com/Interoperability/flyers/MedicareMedicaidEHR12_0
                                                        9.pdf)
2011               Implement drug-drug, drug-           Self Attestation: The EP/eligible hospital has enabled this functionality.         Self-attestation that         None applicable at Physician Care      For more information on preparing your Pharmacy for Attestation
                   allergy, drug-formulary checks       1. Automatically and electronically generate and indicate (e.g., pop-up            functionality has been        this time          Manager,            CPOE, go to the Pharmacy Optimization information
                                                        message or sound) in real-time, alerts at the point of care for drug-drug and      enabled                                          Pharmacy with       on MEDITECH's Advanced Clinical Resource page at:
                                                        drug-allergy contraindications based on medication list, medication allergy                                                         formulary service   http://www.meditech.com/AdvancedClinicalResources/
                                                        list, age, and CPOE.                                                                                                                vendor (FSV)        pages/PhaDecisionMg.htm
                                                        2. Enable a user to electronically check if drugs are in a
                                                        formulary or preferred drug list in accordance with the
                                                        standard specified in Table 2A row 2.
                                                        3. Provide certain users with administrator rights to deactivate, modify, and
                                                        add rules for drug-drug and drug-allergy checking.
                                                        4. Automatically and electronically track, record, and generate reports on
                                                        the number of alerts responded to by a user. (page 71 of the NPRM)




2011               Maintain an up-to-date problem       At least 80% of all unique patients seen by the EP or admitted to the eligible     (# unique patients (POS                          Clinical Review     The Patient Summary in Clinical Review allows for        AbsDrgDiagnoses
                   list of current and active diagnosis hospital have at least one entry or an indication of none recorded as              21) with none, 1 or >                            (MAGIC 5.6 is       clinicians to record patient problems on a centralized   AdmVisits
                   based on ICD-9 or SNOMED             structured data. We believe in order to meet this objective it is not sufficient   problems) / (total # unique                      available to all    problem list. ICD-9 codes can be captured in
                                                        to demonstrate this capability once, but rather to comply with the objective,      patients (POS 21))                               customers.)         MEDITECH's Abstracting module and be mapped to
                                                        an EP or an eligible hospital must utilize this capability as part of the daily                                                                         the problem list.
                                                        work process.
                                                        To calculate the percentage, CMS and ONC have worked together to define
                                                        the following for this objective:
                                                        • The numerator.
                                                        • The denominator.
                                                        • The required percentage for demonstrating successful attainment of an
                                                        objective.
                                                        The numerator for this objective is the number of unique patients seen by an
                                                        EP or admitted to an inpatient facility/department (POS 21) that falls under
                                                        the eligible hospital's CCN during the EHR reporting period that have at
                                                        least one ICD-9-CM or SNOMED CT ® -coded entry or an indication of none
                                                        in the problem list. A unique patient means that even if a patient is seen
                                                        multiple times during the EHR reporting period they are only counted once.
                                                        The reason we propose to base the measure on unique patients as opposed




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       MEDITECH                                                                                                                                2011 Meaningful Use Criteria Map - DRAFT                                                                                                    MAGIC




2011    Maintain active medication list     At least 80% of all unique patients seen by the EP or admitted to the eligible    (# unique patients (POS    RxNorm              Clinical Review,   For an active inpatient medication list, Pharmacy is     PhaRxMain3
                                            hospital have at least one entry (or an indication of “none” if the patient is    21) with none, medication)                     Ambulatory Order   core. The Medication Reconciliation routine allows       PhaRxMain4
                                            not currently prescribed any medication) recorded as structured data. (page       / (total # unique patients                     Management,        health care providers to record patient historical
                                            74 of the NPRM)                                                                   (POS 21))                                      Physician Care     medications that are viewable from the Patient
                                                                                                                                                                             Manager,           Summary feature. This version is available in MAGIC
                                                                                                                                                                             Emergency          5.6 SR4 and higher.
                                                                                                                                                                             Department
                                                                                                                                                                             Management,
                                                                                                                                                                             Medical Records,
                                                                                                                                                                             Pharmacy with
                                                                                                                                                                             FSV
2011    Maintain active medication allergy At least 80% of all unique patients seen by the EP or admitted to the eligible     (# unique patients (POS     UNII               Medical Records,   Centralized Allergy Management is available in     AdmAllergies
        list                               hospital have at least one entry or (an indication of “none” if the patient has    21) with none, allergy) /                      Pharmacy with      MAGIC 5.6 SR2. For more information on             DPhaAllergy
                                           no medication allergies) recorded as                                               (total # unique patients                       FSV                implementing centralized allergies go to:
                                           structured data (page 76 of the NPRM)                                              (POS 21))                                                         http://www.meditech.com/AdvancedClinicalResources/
                                                                                                                                                                                                pages/MG_Allrgy_Mgmt.htm. Allergy Management is
                                                                                                                                                                                                available from Nursing, Physician Care Manager,
                                                                                                                                                                                                Emergency Department Management, Pharmacy,
                                                                                                                                                                                                Order Entry, and Clinical Review.

2011    Record demographics                 At least 80% of all unique patients seen by the EP or admitted to the eligible    (# unique patients with     None applicable at Admissions,        Customer-defined queries can be used to capture          AdmVisits
        o preferred language                hospital have demographics recorded as                                            required demo data          this time          Medical Records    additional demographics including preferred language     (insurance type and race)
        o insurance type                    structured data. To calculate the percentage, CMS and ONC have worked             elements) / (total # unique                                       and ethnicity. Race, insurance, and gender are           MriPatientClinicalQueries
        o gender                            together to define the following for this objective:                              patients)                                                         standard fields.                                         (advanced directives)
        o race                              • The numerator.                                                                                                                                                                                             DMisLanguage (Language is
        o ethnicity                         • The denominator.                                                                                                                                                                                           not standard in ADM but is
        o date of birth                     • The required percentage for demonstrating successful attainment of an                                                                                                                                      provided in a centralized MIS
        o date and cause of                 objective.                                                                                                                                                                                                   standard dictionary.)
        death in the event of               The numerator for this objective is the number of unique patients seen by                                                                                                                                    Ethnicity would need to be CDS.
        mortality                           the EP or admitted to an inpatient facility/department (POS 21) that falls
                                            under the eligible hospital's CCN during the EHR reporting period who have
                                            all required demographic elements (preferred language, insurance type,
                                            gender, race, and ethnicity, date of birth and, for hospitals, date and cause
                                            of death in the case of mortality) recorded as structured
                                            data in their electronic record. A unique patient is discussed under the
                                            objective of maintaining an up-to-date problem list. The denominator for this
                                            objective is the number of unique patients seen by the EP or admitted to an
                                            inpatient facility/department (POS 21) that falls under the eligible hospital's
                                            CCN during the EHR reporting period. As this objective relies solely on a
                                            capability included as part of certified EHR technology and is not, for
                                            purposes of Stage 1 criteria, reliant on the electronic exchange of
                                            information, we propose to set the percentage required for successful
                                            demonstration at 80 percent. (page 77 of the NPRM)




2011    Record and chart                    For at least 80% of all unique patients age 2 and over seen                       (# unique patients > 2       None applicable at Nursing           For more information on optimizing your Nursing          PhaPatNursingData
        changes in vital signs:             by the EP or admitted to eligible hospital, record blood pressure and BMI;        years with BMI, BP) / (total this time.                           documentation, go to:                                    DMisPatientHeightTable
        o height                            additionally                                                                      # unique patients > 2                                             http://www.meditech.com/AdvancedClinicalResources/       DMisPatientWeightTable
        o weight                            plot growth chart for children age 2-20. To calculate the percentage,             years)                                                            pages/ptsnur.htm on MEDITECH's Advanced Clinical         DNurIntervention
        o blood pressure                    CMS and ONC have worked together to define the following for this                                                                                   Resources page. MIS Clinical Parameters to identify      BMI will be a calculation from
        o Calculate and                     objective:                                                                                                                                          the queries that collect the information. Growth Chart   the other captured fields.
        display BMI                         • The numerator.                                                                                                                                    feature was added to MAGIC 5.6 SR0.
        o Plot and display                  • The denominator.
        growth charts for                   • The required percentage for demonstrating successful attainment of an
        children 2-20 years,                objective.
        including BMI                       The numerator for this objective is the number of unique patients age 2 and
                                            over seen by the EP or admitted to an inpatient facility/department (POS
                                            21) that falls under the eligible hospital's CCN during the EHR reporting
                                            period who have a record of their
                                            blood pressure, and BMI (growth chart for children 2 - 20 ) in their record. A
                                            unique patient is discussed under the objective of maintaining an up-to-date
                                            problem list. The denominator for this objective is the number of unique
                                            patients age 2 or over seen by the EP or admitted to an inpatient
                                            facility/department (POS 21) that falls under the eligible hospital's CCN
                                            during the EHR reporting period. (pages 78-80 of the NPRM)




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       MEDITECH                                                                                                                                      2011 Meaningful Use Criteria Map - DRAFT                                                                                                   MAGIC




2011    Record smoking                        At least 80% of all unique patients 13 years old or older seen by the EP or         (# unique patients (POS    None applicable at Nursing, Physician Smoking status can be captured in both Nursing                  ADMVisit Queries
        status for patients 13                admitted to the eligible hospital have “smoking status”                             21) > 13 years with        this time.         Care Manager       documentation and Physician documentation.
        years old or older                    recorded. To calculate the percentage, CMS and ONC have worked                      smoking status) / (total #
                                              together to define the following for this objective:                                unique patients > 13 years
                                              • The numerator.                                                                    (POS 21))
                                              • The denominator.
                                              • The required percentage for demonstrating successful attainment of an
                                              objective.
                                              The numerator for this objective is the number of unique patients age 13 or
                                              older seen by the EP or admitted to an inpatient facility/department (POS
                                              21) that falls under
                                              the eligible hospital's CCN during the EHR reporting period who have a
                                              record of their smoking status. A unique patient is discussed under the
                                              objective of maintaining an up-to-
                                              date problem list. The denominator for this objective is the number of
                                              unique patients age 13 or older seen by the EP or admitted to an inpatient
                                              facility/department (POS 21)
                                              that falls under the eligible hospital's CCN during the EHR reporting period.
                                              (page 81 of the NPRM)
2011    Incorporate clinical lab test results At least 50% of all clinical lab tests ordered whose results are in a               (# lab tests ordered in                          Patient Care          If also wanting to send results to physician practice  To be determined
        into EHR as structured data           positive/negative or numerical format are incorporated in certified EHR             reporting year with results                      Inquiry, Laboratory   EMRs, review the interoperability offerings flyer from
                                              technology as structured data. EP/Eligible Hospital Objective: Incorporate          filed of positive, negative,                     Information           the EHR Web site:
                                              clinical la -test results into EHR as structured data.                              numerical in EMR) / (total                       System                http://www.meditech.com/interoperability/ehrhome.htm
                                              EP/Eligible Hospital Measure: At least 50 percent of all clinical lab tests         # of lab tests ordered in
                                              results ordered by the EP or by an authorized provider of the eligible              reporting year)
                                              hospital during the EHR reporting period whose results are in either in a
                                              positive/negative or numerical format are incorporated in certified EHR
                                              technology as structured data. To calculate the percentage, CMS and ONC
                                              have worked together to define the following for this objective:
                                              • The numerator.
                                              • The denominator.
                                              • The required percentage for demonstrating successful attainment of an
                                              objective.
                                              The numerator for this objective is the number of lab tests ordered during
                                              the EHR reporting period by the EP or authorized providers of the eligible
                                              hospital for patients admitted to an inpatient facility/department (POS 21)
                                              that falls under the eligible hospital's CCN whose results are expressed in a
                                              positive or negative affirmation or as a number and are incorporated as
2011    Generate lists of patients by         Self Attestation: Generate at least one report listing patients of the EP or        Self attestation that                            Abstracting, Data     MEDITECH's Abstracting module allows organization         AdmVisits
        specific conditions to use for        eligible hospital with a specific condition. Meaningful use seeks to ensure         functionality has been                           Repository            to generate patient lists by diagnosis via the Compiled   AbsDrgData
        quality improvement, reduction of that those capabilities are utilized. Therefore, we believe in order to meet            enabled.                                                               Report Feature. Reporting writing tools, such as NPR      AbsDrgDiagnoses
        disparities, and outreach             this objective an EP or eligible hospital should utilize this capability at least                                                                          Report Writer and Data Repository, allow customers to     AbsOrderDiagnoses
                                              once during the EHR reporting period so this information would be available                                                                                report on data collected. Data Repository can collect     AbsVisitDiagnoses
                                              to them for their use. An EP or eligible hospital is best positioned to                                                                                    data in a centralized location, analyze, and review       DAdmConditions
                                              determine which reports are most useful to their care efforts. Therefore, we                                                                               outcomes.
                                              do not propose to direct certain reports be created, but rather to require EPs
                                              and hospitals to attest to the ability of the EP or eligible hospital to do so
                                              and to attest that they have actually done so at least once. (page 83 of the
                                              NPRM)




2011    Report hospital quality measures      Eligible Hospital Measure: For 2011, an eligible hospital would provide the         For specifics on quality    New technical        Data Repository       Medisolv integrates directly with MEDITECH's Data       FTP Transmission of clinical
        to CMS or the States                  aggregate numerator and denominator through attestation as discussed in             reporting measures, please specification to be                         Repository solution and provides enterprise-wide        data or third party vendor
                                              section II.A.3 of this proposed rule. For 2012, an eligible hospital would          see table 20 "Proposed      announced.                                 reporting, business intelligence, and quality reporting
                                              electronically submit the measures are discussed in section II.A.3. of this         Clinical Quality Measures                                              solutions. Institute for Health Metrics (IHM) products
                                              proposed rule.                                                                      for Electronic Submission                                              automate data extraction process for quality, outcomes
                                                                                                                                  by Eligible Hospitals for                                              reporting, and benchmarking.
                                                                                                                                  Payment Year 2011-2012"
                                                                                                                                  starting on page 153 of the
                                                                                                                                  NPRM. See also Table 21
                                                                                                                                  starting on page 159 of
                                                                                                                                  NPRM for Proposed
                                                                                                                                  Alternative Medicaid
                                                                                                                                  Clinical Quality Measures
                                                                                                                                  Medicaids Eligible
                                                                                                                                  Hospitals.
2011    Implement five clinical decision     Self Attestation: Implement five clinical decision support rules relevant to         Self attestation                                 Physician Care        MEDITECH provides comprehensive clinical decision Will vary depending on the rule
        support rules relevant to specialty the clinical quality metrics the EP/Eligible Hospital is responsible for as                                                            Manager,              support throughout our clinical applications. For more implemented
        or high clinical priority, including described further in section II.A.3.                                                                                                  Emergency             information on implementing clinical decision support,
        for diagnostic test ordering, along                                                                                                                                        Department            go to the Advanced Clinical Resources page:
        with the ability to track compliance                                                                                                                                       Management,           http://www.meditech.com/prpcm/pages/PCMmiASbuild
        with those rules                                                                                                                                                           Nursing,              ingCPOE.htm. There are many methods of supporting
                                                                                                                                                                                   Pharmacy              a rule within the clinical applications. See "Bates
                                                                                                                                                                                                         Rules" also on Advanced Clinical Resources page for
                                                                                                                                                                                                         examples:
                                                                                                                                                                                                         http://www.meditech.com/AdvancedClinicalResources/
                                                                                                                                                                                                         pages/CDSSETUP.doc




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             MEDITECH                                                                                                                                   2011 Meaningful Use Criteria Map - DRAFT                                                                                              MAGIC




2011          Check insurance eligibility           Insurance eligibility checked electronically for at least 80 percent of all        (# unique patients (POS      Applicable HIPAA     Admissions,           For more information about the 270/271 on-line     NPR Filed=ins.elig.status
              electronically from public and        unique patients seen by the EP or admitted to an eligible hospital. To             21) undergone eligibility    transaction          Community-Wide        eligibility verification, go to:
              private payers                        calculate the percentage,                                                          check) / (total # unique     standards required   Scheduling with       http://www.meditech.com/Specifications/Magic/ADM_1
                                                    CMS and ONC have worked together to define the following for this                  patients (POS 21))           by law.              ANSI 270/271          2_SPEC_HTM_Interface_Specification_MAGIC_HL7_
                                                    objective:                                                                                                                           electronic data       ANSI_270_271_R467.htm
                                                    • The numerator.                                                                                                                     interface
                                                    • The denominator.
                                                    • The required percentage for demonstrating successful attainment of an
                                                    objective.
                                                    The numerator for this objective is the number of unique patients seen by
                                                    the EP or admitted to an inpatient facility/department (POS 21) that falls
                                                    under the eligible hospital's CCN during the EHR reporting period whose
                                                    insurance eligibility is checked electronically. A unique patient is discussed
                                                    under the objective of maintaining an up-to-date problem list. The
                                                    denominator for this objective is the number of unique patients seen by the
                                                    EP or admitted to an inpatient facility/department (POS 21) that falls under
                                                    the eligible hospital's CCN during the EHR reporting period whose insurer
                                                    allows for the electronic verification of eligibility.
2011          Submit claims electronically to       At least 80 percent of all claims filed electronically by the EP or the eligible   (# e-claims submitted for HIPAA-compliant         Revenue Cycle         For more information on MEDITECH's Electronic            To be determined
              public and private payers             hospital. To calculate the percentage,                                             patients (POS 21)) / (total electronic claim                            Claims features, go to:
                                                    CMS and ONC have worked together to define the following for this                  # claims for patients (POS submissions                                  http://www.meditech.com/prcl/homepage.asp
                                                    objective:                                                                         21))
                                                    • The numerator.
                                                    • The denominator.
                                                    • The required percentage for demonstrating successful attainment of an
                                                    objective.
                                                    The numerator for this objective is the number of claims submitted
                                                    electronically using certified EHR technology for patients seen by the EP or
                                                    admitted to an inpatient
                                                    facility/department (POS 21) that falls under the eligible hospital's CCN
                                                    during the EHR reporting period. The denominator for this objective is the
                                                    number of claims filed seen by the EP or admitted to an inpatient
                                                    facility/department (POS 21) that falls under the eligible hospital's CCN
                                                    during the EHR reporting period.




Care Goal:    Provide patients and families
              with timely access to data,
              knowledge, and tools to make
              informed decisions and to
              manage their health
2011          Provide patients with an electronic At least 80 percent of all patients who request an electronic copy of their          (# patients (POS 21)                              Scanning and          Through the e-chart features of Scanning and             Attestation
              copy of their health information    health information are provided it within 48 hours. To calculate the                 requesting e-copy of                              Archiving, Internet   Archiving, organizations have the ability to download a
              (including diagnostic test results, percentage,                                                                          record) / (# patients (POS                        Access for            patient's chart to an electronic portable device such as
              problem list, medication lists,     CMS and ONC have worked together to define the following for this                    21) receipt in 48 hours)                          Patients              a CD. In addition, MEDITECH's Internet Access for
              allergies, discharge summary, and   objective:                                                                                                                                                   Patients solution optimizes communication with
              procedures) upon request            • The numerator.                                                                                                                                             patients by providing patients portal access to their
                                                  • The denominator.                                                                                                                                           appointments, demographics, clinical results,
                                                  • The required percentage for demonstrating successful attainment of an                                                                                      insurance, secure messaging, on-line bill pay,
                                                  objective.                                                                                                                                                   medication monographs, and links to patient education
                                                  The numerator for this objective is the number of patients seen by the EP or                                                                                 materials.
                                                  admitted to an inpatient facility/department (POS 21) that falls under the
                                                  eligible hospital's CCN during the EHR reporting period that request an
                                                  electronic copy of their health information and receive it within 48 hours.
                                                  The denominator for this objective is the number of patients seen by the EP
                                                  or admitted to an inpatient facility/department (POS 21) that falls under the
                                                  eligible hospital's CCN who request an electronic copy of their health
2011                                              At least 80 during of EHR reporting are discharged from an eligible
              Provide patients with an electronic informationpercenttheall patients whoperiod.                                         (# of unique patients (POS None applicable at     Discharge             Specialty content vendors such as EBSCO, Thomson         Attestation
              copy of their discharge             hospital and who request an electronic copy of their                                 21) requesting e-copy of   this time              instruction           Reuters, and PatientEDU offer patient discharge
              instructions and procedures at      discharge instructions and procedures are provided it. To calculate the              discharge instructions and                        dictionary is         instructions and patient education content that can be
              time of discharge upon request      percentage,                                                                          procedures and receive it)                        available for sites   integrated with MEDITECH.
                                                  CMS and ONC have worked together to define the following for this                    / (# of unique patients                           to enter their own
                                                  objective:                                                                           (POS 21) who request                              instructions.
                                                  • The numerator.                                                                     copy of discharge
                                                  • The denominator.                                                                   instructions and
                                                  • The required percentage for demonstrating successful attainment of an              procedures)
                                                  objective.
                                                  The numerator for this objective is the number of patients discharged from
                                                  an inpatient facility/department (POS 21) that falls under the eligible
                                                  hospital's CCN during the EHR reporting period that request an electronic
                                                  copy of their discharge instructions and procedures and receive it. The
                                                  denominator for this objective is the number of patients discharged from an
                                                  inpatient facility/department (POS 21) that falls under the
                                                  eligible hospital's CCN who request an electronic copy of their discharge
                                                  instructions and procedures during the EHR reporting period.




Care Goal:    Exchange meaningful clinical
              information among
              professional health care team



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             MEDITECH                                                                                                                               2011 Meaningful Use Criteria Map - DRAFT                                                                                           MAGIC




2011          Capability to exchange key clinical   Performed at least one test of certified EHR                                  Self attestation that at                              Health Information For more information on Health Information Exchange Attestation
              information (for example,             technology's capacity to electronically exchange key clinical information.    least one test has been                               Exchange           interfaces, go to:
              discharge summary, procedures,        For the Stage 1 criteria of meaningful use,                                   performed                                             interfaces         http://www.meditech.com/interoperability/ehrhome.htm
              problem list, medication list,        we propose that EPs and eligible hospitals test their ability to send such
              allergies, diagnostic test results)   information at least once prior to the end of the EHR reporting period. The
              among providers of care and           testing could occur prior to the beginning of the EHR reporting period. If
              patient authorized                    multiple EPs are using the same certified EHR technology in a shared
              entities electronically               physical setting, the testing would only have to occur once for a given
                                                    certified EHR technology, as we do not see any value to running the same
                                                    test multiple times just because multiple EPs use the same certified EHR
                                                    technology. To be considered an “exchange” in this section alone the clinical
                                                    information must be sent between different clinical entities with distinct
                                                    certified EHR technology and not between organizations that share a
                                                    certified EHR. (page 95 of the NPRM)




2011          Perform medication reconciliation Perform medication reconciliation for at least 80                                  (# of encounters and         None applicable at      Clinical Review,   Clinical Review allows health care organizations to     To be determined
              at relevant encounters and each percent of relevant encounters and transitions of care. To calculate the             transitions in care (POS     this time               Ambulatory Order   record patient historical medications via the Patient   NurInterventions
              transition of care                percentage,                                                                        21) where medication                                 Management,        Summary. Integrated Medication Reconciliation
                                                CMS and ONC have worked together to define the following for this                  reconciliation was                                   Nursing, Medical   features will be available in MAGIC 5.6 SR4 and
                                                objective:                                                                         performed) / ( # of relevant                         Records,           higher.
                                                • The numerator.                                                                   encounters and transitions                           Pharmacy with
                                                • The denominator.                                                                 of care (POS 21))                                    FSV
                                                • The required percentage for demonstrating successful attainment of an
                                                objective.
                                                The numerator for this objective is the number of relevant encounters and
                                                transitions of care for which the EP or an inpatient facility/department (POS
                                                21) that falls
                                                under the eligible hospital's CCN was a participant during the EHR reporting
                                                period where medication reconciliation was performed. Relevant encounter
                                                and transition of
                                                care are defined in the previous discussion of this objective in this proposed
                                                rule. The denominator for this objective is the number of relevant
                                                encounters and transitions of
                                                care for which the EP or an inpatient facility/department (POS 21) that falls
                                                under the eligible hospital's CCN was a participant during the EHR reporting
                                                period. (page 96 of the NPRM)




              Provide summary care record for Provide summary of care record for at least 80 percent of transitions of care        (# of transitions of care                                                                                                       To be determined
              each transition of care and referral and referrals. To calculate the percentage,                                     and referrals for which an
                                                   CMS and ONC have worked together to define the following for this               inpatient
                                                   objective:                                                                      facility/department (POS
                                                   • The numerator.                                                                21) was transferring or
                                                   • The denominator.                                                              referring where summary
                                                   • The required percentage for demonstrating successful attainment of an         of care record was
                                                   objective.                                                                      provided) / (# of transitions
                                                   The numerator for this objective is the number of transitions of care and       of care for which the
                                                   referrals for which the EP or an inpatient facility/department (POS 21) that    inpatient
                                                   falls under the eligible hospital's CCN was the transferring or referring       facility/department (POS
                                                   provider during the EHR reporting period where a summary of care record         21) was the transferring or
                                                   was provided. Summary of care record and transitions of care are defined in     referring provider)
                                                   the discussion of this objective in this proposed rule. The summary of care
                                                   record can be provided through an electronic exchange, accessed through a
                                                   secure portal, secure email, electronic media such as CD or USB fob, or
                                                   printed copy. The denominator for this objective is the number of transitions
                                                   of care for which the EP or an inpatient facility/department (POS 21) that
                                                   falls under the eligible hospital's CCN was the transferring or referring
                                                   provider during the EHR reporting period. As this objective can be
                                                   completed with or without the use of electronic exchange of information, we
                                                   propose to set the percentage required for successful demonstration at 80
                                                   percent.




Care Goal:    Communicate with public
              health agencies
2011          Capability to submit electronic       Performed at least one test of certified EHR technology's capacity to submit Self attestation that at          CVX vocabulary,      Health Information For more information on Health Information Exchange Attestation/Interface
              data to immunization registries       electronic data to immunization registries. (page 98 of the NPRM)            least one test has been           HL7 2.3.1 or 2.5.1   Exchange           interfaces, go to:
              and actual submissions where                                                                                       performed                         specs                interfaces         http://www.meditech.com/interoperability/ehrhome.htm
              required and accepted




                                                                                                                                                                                                                                                                                           5
             MEDITECH                                                                                                                             2011 Meaningful Use Criteria Map - DRAFT                                                                                            MAGIC




2011          Capability to provide electronic     Performed at least one test of certified EHR technology capacity to provide Self attestation that at     HL7 2.5.1 with      Laboratory, Health For more information on Health Information Exchange Multiple tables from LAB to
              submission of reportable lab         electronic submission of reportable lab results to public health agencies      least one test has been   LOINC codes         Information        interfaces, go to:                                   identify the data/interface
              results to public health agencies    (unless none of the public health agencies to which eligible hospital submits performed                                      Exchange           http://www.meditech.com/interoperability/ehrhome.htm
              and actual submission where it       such information have the capacity to receive the information                                                                interfaces
              can be received                      electronically). (page 100) Measures that currently require the performance
                                                   of a capability test (for example,
                                                   capability to provide electronic syndromic surveillance data to public health
                                                   agencies) will be revised to require the actual submission of that data. (page
                                                   109 of the NPRM)




2011          Capability to provide electronic     Performed at least one test of certified EHR technology's capacity to         Self attestation that at   HL7 2.5.1 with      Health Information For more information on Health Information Exchange Attestation/Interface
              syndromic surveillance data to       provide electronic syndromic surveillance data to public health agencies      least one test has been    LOINC codes         Exchange           interfaces, go to:
              public health agencies and actual    (unless none of the public health agencies to which an EP or eligible         performed                                      interfaces         http://www.meditech.com/interoperability/ehrhome.htm
              transmission according to            hospital submits such information have the capacity to receive the
              applicable law and practice          information electronically).




Care Goal:    Ensure privacy and
              security protections
              for confidential
              information through
              operating policies,
              procedures, and
              technologies and
              compliance with
              applicable law.




2011          Protect electronic health            Conduct or review a security risk analysis in accordance with the       Self attestation that a                              MIS, Integrated    Customers are provided with guidance in the areas of
              information maintained using         requirements under 45 CFR 164.308 (a)(1) and implement security updates security risk analysis has                           Serverless         Breach Notification, Standards for Privacy of
              certified EHR technology through     as necessary.                                                           been completed                                       Backups, Health    Individually Identifiable Health Information and
              the implementation of                                                                                                                                             Information        Security standards in our comprehensive HIPAA
              appropriate technical capabilities                                                                                                                                Exchange           section of our Web site:
                                                                                                                                                                                interfaces, VPN    http://www.meditech.com/hipaa/homepage.htm




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