Meaningful Use Stage 2

TSG provides many services and solutions to help your hospital prepare and successfully attest to Meaningful Use Stage One, Stage Two, and beyond. Meditech was one of the first HIS to become certified for Stage Two, and TSG was one of the earliest vendors in the Meditech marketplace to be certified as well.

Meaningful use objectives can be grouped into five healthcare priorities as they relate to health outcomes policies:

  • Improve the quality, safety and efficiency of care while reducing disparities
  • Engage patients and families in their care
  • Improve care coordination
  • Promote public and population health
  • Promote the privacy and security for personal health information

The final rule on Meaningful Use Stage Two intends to increase the exchange of health information between healthcare providers and promote patient engagement by giving patients secure online access, increased quality of care, reduced costs, and improved efficiency of their health information.

The Value and Benefits of Meaningful Use

Complete and accurate information. Providers have access to information they need at their fingertips to provide the best possible care. Better availability of patient information can reduce medical errors and unnecessary tests.

Improved coordination of care. Better integration among providers leads to better coordination of care with an improvement in information sharing instantly across care communities, including doctors’ offices, hospitals, and other health systems. This increase in care coordination leads to higher quality of care and improved patient outcomes.

Patient empowerment. Patients have the ability to receive electronic copies of their medical records and share their health information securely over the Internet, allowing them to take a more active role in their own health as well as the health of their families.

Improved patient safety. By providing patients with a secure Patient Portal, we can greatly reduce the risk of medical errors. Patients will have instant access to health information such as diagnostic test results, problem lists, medication lists, medication allergies, and discharge summaries and procedures.

Emphasis of Stage 2:

  • Increased interoperability and exchange of data between providers, and between providers and patients
  • Increased patient engagement in care

New Measures for EPs in Stage 2 Meaningful Use

There are six new measures for Eligible Professionals (EPs) introduced in Stage 2 that did not appear in Stage 1.

New Core Measure: Meaningful Use Stage 2 introduced one new core measure that did not appear as a core or menu measure in Stage 1.

  • Secure Messaging. Electronic communication between a provider and patient about relevant health information

New Menu Measures: Meaningful Use Stage 2 introduces five new menu measures that did not appear in Stage 1:

  • Family Health History. Record patient family health history as structured data.
  • Imaging Results. More than 10% of all scans and tests ordered by the EP that result in an image are accessible through the EHR.
  • Cancer case information. Successful ongoing submission of cancer case information from a certified EHR to a cancer registry during the entire EHR reporting period.
  • Specific case information. Successful ongoing submission of specific case information from a certified EHR to a specialized registry during the entire EHR reporting period.
  • Electronic Progress Notes. Create, edit, and sign at least one electronic progress note for more than 30% of unique patients with at least one office visit during the EHR reporting period.

New Measures for EHs and CAHs in Stage 2 Meaningful Use

There are five new measures for Eligible hospitals (EHs) and Critical Access Hospitals (CAHs) introduced in Stage 2 that did not appear in Stage 1.

New Core Measure: Meaningful Use Stage 2 introduced one new core measure that did not appear as a core or menu measure in Stage 1.

  • eMAR. Automatically track medication from order to administration using assistive technologies in conjunction with an electronic medication administration record (eMAR)

New Menu Measures: Meaningful Use Stage 2 introduces new menu measures that did not appear in Stage 1.

  • eRx. Generate and transmit permissible discharge prescriptions electronically
  • Family Health History. Record patient family health history as structured data
  • Imaging. More than 10% of all scans and tests whose results in one or more images ordered by the EP are transmitted electronically using certified EHR technology
  • Transmission of electronic laboratory results and values/results to ambulatory providers. Provide structured electronic laboratory results to eligible professionals

Moved from Menu Set Measures to Core Measures in Stage 2

Stage 1 menu measures become core measures in Stage 2, and certain Stage 1 measures are now consolidated.

  • Drug Formulary Checks. This automated check provides information to advise the EP or eligible hospital’s decisions in prescribing drugs to a patient. This measure is incorporated into the e-Prescribing measure for Stage 2
  • Patient Lists. Generate lists of patients by specific conditions to use for quality improvement, reduction of disparities, research, or outreach
  • Patient Reminders. Send reminders to patients per patient preference for preventive/follow-up care. Use EHR to identify and provide reminders for preventive/follow-up care for more than 10% of patients with two or more office visits in the last 2 years
  • Patient Specific Education Resources. Patient-specific education resources identified by CEHRT are provided to patients for more than 10% of all unique patients with office visits seen by the EP
  • Clinical Information Reconciliation. The EP, eligible hospital or CAH who receives a patient from another setting of care or provider of care or believes an encounter is relevant should perform clinical information reconciliation
  • Incorporate lab test and values/results. More than 55% of all clinical lab tests results ordered by the EP during the EHR reporting period are incorporated in Certified EHR Technology as structured data
  • Transmission to Immunization Registries. Capability to submit electronic data to immunization registries or immunization information systems except where prohibited according to the law and practice
  • View Download and Transmit to 3rd party. Provide patients the ability to view online, download, and transmit information about a hospital admission
  • Transitions of care. 10% of summary of care records must be transmitted electronically + conduct a successful electronic exchange of a summary of care record with a certified EHR from a different vendor