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Meaningful Use Basics

Meaningful Use Basics. MU - Core. Demographics Active Medication List Active Allergy List Vitals Smoking Status Problem List Computerized Physician/Provider Order Entry (CPOE) Drug/Drug and Drug/Allergy Interaction eRX CDSS – one implemented Clinic Visit Summary

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Meaningful Use Basics

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  1. Meaningful Use Basics

  2. MU - Core Demographics Active Medication List Active Allergy List Vitals Smoking Status Problem List Computerized Physician/Provider Order Entry (CPOE) Drug/Drug and Drug/Allergy Interaction eRX CDSS – one implemented Clinic Visit Summary Electronic Copy of Health Record Security

  3. Specifics Demographics – 50% of all patients seen must have DOB, Gender, Preferred Language, Ethnicity and Race documented In eCW this is documented for data capture in the patient information and additional information screens Active Medication List (Current Medications) – 80% of all patient seen that have something in this section must have the box marked “verified” by the provider.

  4. Active Allergy List – 80% of all patients seen must have the “NKDA” or “Verified” check box checked Vitals – 50% of all patients seen must have the following Age 2 and up – BP All ages – weight In order for BMI to calculate on 18 and up, must have weight and height

  5. Smoking Status – 50% of all patients age 13 and up must have their smoking status documented. Use of the Tobacco Control Smart Form is the easiest way. Problem List – 80% of all patient seen must have the problems list marked “No known problems” or have something documented in it. (The problem list is meant to be a current picture of what the patient currently has and is being medically managed by a provider.)

  6. Computerized Provider Order Entry (CPOE) – 30% of all patients seen have an order generated through the eRX or Lab Module. (Very easy to meet this percentage.) Labs and DI will be added in the future. Interfaces with LabCorp and Quest Help Drug/Drug and Drug/Allergy – Automatically done in eCW, just be sure your sensitivity setting is set to at least mild. Generate and Transmit RX’s Electronically – 40% of all patients seen that have a prescription ordered, it must be electronically sent

  7. Implement One Clinical Decision Support System (CDSS) Rule – This is as simple as connecting 6 months to 3 years flu vaccine CDSS to an immunization order set that has all your flu vaccines in it. (Be sure to order the vaccines through the order set for this to document.) Clinical Visit Summaries – 50% of all patient seen. Easy to do if you have the patient portal, just lock your notes within 72 hours of the patients appointment. No portal is handled by printing the visit summary. Electronic Copy of Patients Record – 50% of all patients requesting their record must be able to obtain it in an electronic format. Patient portal helps meet this percentage easily.

  8. Security Authentication Settings can be found under File Menu. Time Outs can be set Required Password Changes Ensuring screens are not in view of those without a need to know

  9. MU Menu Measures • Drug Formulary – This is Medispan • Lab Tests – 40% of all lab orders are marked as received and have information entered into the yellow attribute fields at time of checking “reviewed” • Patient List – can be generated through the registry • Patient Reminders – 20% of patients must be notified of preventive care appointments. This mainly applies to age 5 and under. eClinicalMessenger, Patient Portal set to send a reminder, and manual change of visit status can all be captured in the numerator

  10. Electronic Access – 10% of all patients seen can contact the provider electronically and or access something in the patient portal • Web Enable your patients • Get your portal up and running with features Patient Education – 10% of all patients that are identified in the system (especially those with medication orders) should have patient education documented. • Use Treatment – Patient Education Button or • Preventive Medicine Handouts that are mapped or • Order Sets with PDF’s that you order and print

  11. Medication Reconciliation – 50% of all patient seen, that have a medication in the current medication box, must have a medication reconciliation completed. Simple, looking at the current medications box, verify information within the box and click on verified Transition of Care or Summary of Care Record – 50% of all patients that have the “Transition of Care” box check marked must the medication reconciliation completed. (Patients following up from ER/ Urgent Care / Hospital, Specialist, Sending out on a referral, sending to ER are examples of when to use.)

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