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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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Filed under: Information Technology, Practice Management | Tagged: ARRA HITECH, CMS, Computer Provider Order Entry, CPOE, EHRs, EMRs, ICD-9-CM, meaningful use, Shahid N. Shah, SNOMED CT | 7 Comments »