Stage 2 Meaningful Use Requirements

Below are the measures on which providers will have to successfully report to demonstrate meaningful use in Stage 2. The Stage 1 requirements are presented for comparison to illustrate how the program is advancing.

Core Set of Measures (Report All 17*)
		Stage 2	Stage 1
1	CPOE	60% of medication, 30% of lab, & 30% of radiology orders	30% medications only
2	ePrescribing	50% of permissible Rx’s compared to one formulary & transmitted electronically	40% ePrescribed Formulary: menu measure
3	Demographics	80% of unique patients	50%
4	Vital Signs	80% of unique patients   ≥ age 3 - blood pressure   all ages - height & weight Exclusion for height/weight and blood pressure reported separately	50% of unique patients ≥ age 2 - height, weight & blood pressure Exclusion: all 3 vitals reported together
5	Smoking Status	80% of patients ≥ 13 years old	50%
6	Clinical Decision Support	5 CDS interventions tied to ≥ 4 CQMs Drug-drug & drug-allergy interaction checks	1 CDS Rule Interactions were separate measure
7	Online Access to Health Information	A) 50% of unique patients seen have timely online access within 4 business days B) 5% actually access (view, download, or transmit)	Replaces electronic access core measure Replaces timely access menu measure
8	Clinical Summary	50% of office visits, within 1 business day	50% within 3 business days Fewer data elements required Problems, medications allergies, were separate measures
9	Privacy & Security	Conduct risk analysis including encryption of data at rest	Encryption is new requirement
10	Lab Results	55% of lab tests in EHR as structured data	40% Menu measure
11	Patient List	Generate one list by condition	Menu measure
12	Patient Reminders	10% of patients seen ≥ 2 times in past 24 months sent reminders for preventative or follow-up care	20% ≥ age 65 or ≤ age 5 Menu measure
13	Patient Education	10% of unique patients Educational resources identified by EHR	10% unique patients Menu measure
14	Medication Reconciliation	50% of patients transitioned into care of provider	50% Menu measure
15	Summary of Care Record	A) 50% of transitions and/or referrals to another provider or setting B) 10% sent electronically C) At least one sent to provider using different vendor’s EHR or to CMS-designated test EHR	50% fewer required data elements Problems, medications, & medication allergies were separate measures Menu measure Parts B & C are new measures
16	Immunization Registries	Successful ongoing electronic transmission of immunization data	Conduct a test only Menu measure
17	Secure Messaging	5% of unique patients send electronic message that contains health information	New measure

^*Some measures allow providers to attest to an exclusion. Exclusions satisfy the core measures.

Menu Set of Measures (Report 3 of 6**)
		Stage 2	Stage 1
1	Syndromic Surveillance	Successful ongoing electronic transmission of syndromic surveillance data to public health agency	Conduct a test only
2	Progress Note	30% of patients seen have an electronic progress note created, edited, signed by EP	New measure
3	Imaging Results	Provide access to images through EHR for 10% of scans and tests	New measure
4	Family History	20% of patients seen have a structured data entry for family health history or note that family history was reviewed	New measure
5	Cancer Registries	Successful ongoing electronic transmission of cancer case information to cancer registry	New measure
6	Specialized Registries	Successful ongoing electronic transmission of case information to specialized registry	New measure

^**Exclusions do not count towards the 3 menu measures (unless you can exclude 4 or more measures).

Clinical Quality Measures
	Stage 2	Stage 1
Clinical Quality Measures	Report on 9 (of 64) CQMs Must be selected from ≥ 3 health care policy domains Report electronically after EP's first year Report through PQRS or CMS portal	Report on 3-6 core and 3 menu CQMs Core meaningful use measure

Back to Meaningful Use Stage 2 overview page.

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